Developing Rural Physicians

Rural communities across Texas depend on physicians who can manage a broad spectrum of needs with skill, adaptability, and a strong sense of commitment to the people they serve. At Sam Houston State University College of Osteopathic Medicine (SHSU-COM), that understanding drives the design of their rural residency program. Through the Family Medicine Residency at Huntsville Memorial Hospital—supported by the Sam Houston Regional Education Consortium (SHREC)—residents are immersed from day one in the realities, relationships, and responsibilities that define rural practice.

A Residency Rooted in Rural Needs

In Walker County, family physicians serve as the community’s first point of care for nearly everything. Limited access to specialists means rural doctors must think broadly and act decisively. SHSU-COM’s residency places young physicians directly into this setting, giving them full-spectrum clinical experience and the kind of responsibility that shapes confidence early in their careers.

Residents learn to manage inpatient and outpatient care, respond to urgent needs, and adapt to situations where creativity and resourcefulness are essential. For Dr. Kerolos Youssef, Chief Resident, this environment is exactly what he hoped for in a residency. “When you practice in a rural community, you become the first call for nearly everything,” he shared. “You learn quickly when your decisions matter at the bedside and in the clinic.” These experiences have shaped not only his training, but his vision for his future—one where he can stay procedural, teach, build long-term relationships, and remain closely involved in community health.

Leadership With a Mission

The program’s leadership is deeply invested in preparing physicians who understand the communities they serve. Dr. Ouida Collins, MD, MPH, Interim Program Director, describes the residency as a unique opportunity to bring mentorship, high-quality medical education, and community-centered care together in a meaningful way.
“Our mission is to cultivate physician leaders dedicated to advancing healthcare in their communities,” Collins said. “By focusing on whole-person care and taking the time to earn trust, we help residents develop the insight and commitment needed to make a meaningful difference—especially in communities that need them most.”

Her philosophy emphasizes respect, advocacy, and the importance of seeing beyond the presenting illness. It’s an approach that encourages residents to look at the full picture: the patient, their family, and the broader community context that influences health and well-being.

Training That Builds the Rural Workforce

SHSU-COM’s rural residency program is intentionally designed to strengthen the physician workforce in East Texas and beyond. Research consistently shows that physicians often choose to practice in the areas where they complete their training. By placing residency programs within rural communities, SHSU-COM is helping address immediate gaps in care while supporting a long-term pipeline of providers for regions that have historically struggled with recruitment and retention.

In Huntsville, residents gain practical, hands-on experience that rural practice demands. They learn to manage a wide range of conditions, build strong patient relationships, and navigate environments where every decision matters. As they move into independent practice, many carry forward the understanding and experience gained in this setting, ultimately contributing to more stable and sustainable access to care across East Texas.

Texas Rural Health Association is proud to highlight SHSU-COM’s work and the residents who are choosing to train and serve in rural communities. Their commitment reflects the heart of rural healthcare: strong relationships, broad skill sets, and a dedication to meeting patients where they are.