[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-503662-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-503662-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","residency-programs-innovate-for-wyoming-by-robert-monger-md","Residency Programs Innovate for Wyoming - By Robert Monger, MD","","University of Wyoming Family Medicine Residency advances three major programs to expand addiction treatment access and strengthen medical education across Wyoming. A HRSA-supported medication-assisted treatment clinic in Casper adds multidisciplinary care, opioid and alcohol dependence treatment, telemedicine, and planned new sites in Cheyenne and Laramie, alongside resident X-waiver training and behavioral counseling skills. The Rural Training Track increases rural physician retention with HRSA support and ACGME accreditation. A geriatric fellowship, accredited in 2016, partners with the University’s geriatric center to support aging-in-place care and resident education.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/residency-programs-innovate-for-wyoming-by-robert-monger-md/503662/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/residency-programs-innovate-for-wyoming-by-robert-monger-md/503662.png","ImageObject",300,407,{"name":42,"@type":43},"Mimi","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-11-09","2026-10-03",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",10,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What is the purpose of the University of Wyoming’s medication-assisted treatment (MAT) program?","Question",{"text":63,"@type":64},"The MAT program expands patient access to addiction services in Wyoming, including treatment for opioid use disorder and alcohol dependence, using a multidisciplinary team and new telemedicine services.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How does the Rural Training Track (RTT) help Wyoming retain physicians?",{"text":68,"@type":64},"The RTT aims to meet rural healthcare needs and increase the number of graduates who stay in the state by training residents across Casper and Thermopolis with HRSA support and ACGME accreditation.",{"name":70,"@type":61,"acceptedAnswer":71},"What does the Geriatric Fellowship Program focus on?",{"text":72,"@type":64},"The fellowship supports elderly patients through a team-based approach that emphasizes helping people remain in their own homes and also builds a geriatric education track for family medicine 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\npatient care services for the people of Wyoming and enrich medical education for students and residents.  \nWork on the first program started several years ago when the University of Wyoming Family Medicine Residency Program in Casper was awarded a grant from the U.S. Health Resources and Services Administration (HRSA) to expand patient access to addiction services, which they used to start a medicationassisted treatment (MAT) clinic. The clinic’s multidisciplinary team includes an addiction counselor, nurse practitioner, pharmacist and social worker. Clinic psychiatrist Frank Del Real, MD, specializes in addiction medicine. In addition to treating patients with opioid use disorder, they also treat patients with alcohol dependence. The clinic has been very successful in meeting the needs of a traditionally underserved population of patients. They’ve recently added telemedicine services and they are expanding to open MAT clinics in Cheyenne and Laramie.  \nIn addition to treating patients, the program has expanded educational opportunities for students and family medicine residents including training in motivational interviewing and SBIRT (screening, brief intervention and referral to treatment) . Residents take training courses to be eligible for an X-waiver to prescribe buprenorphine; almost all of the residents who graduate from both the Casper and Cheyenne programs this year will have taken the X-waiver training courses, and many of these residents will go on to provide addiction services once they are in practice.  \nA second program that the residencies have started is the Rural Training Track (RTT) in Thermopolis, which aims to both meet the healthcare needs of Wyoming and to increase the number of graduates who stay in the state after completing residency. This program is also supported by a HRSA grant and achieved RTT accreditation by the Accreditation Council for Graduate Medical Education (ACGME) in 2018. The Casper program expanded the size of their program from eight to nine residents per year in order to add a specific RTT-designated resident, and residents in the RTT program spend their first year of residency in Casper and then their other two years in Thermopolis under the guidance of Travis Bomengen, MD.  \nRTT programs generally attract high-quality medical students who have a real interest in rural primary care. The first Casper RTT resident started in the program in 2020 and will  \nbe transitioning from Casper to Thermopolis this summer. The second RTT student will start in Casper this year. The program will very likely prove to be a pipeline to bring primary care physicians to Thermopolis and the extended Bighorn Basin, and there is now the potential to expand the RTT to other locations in Wyoming through both the Casper and Cheyenne residency programs.  \nA third program that the residencies have started is the Geriatric Fellowship Program that is offered through the Casper residency program. Initial work on the fellowship started five years ago and is supported through a grant from the Ellbogen Foundation. The program received Geriatric Fellowship ACGME accreditation in 2016. The fellowship uses a 0.5 FTE/24-month format to allow fellows to continue working on a part-time basis during their training. The first fellow, Tabitha Thrasher, DO, started in 2018 and graduated in 2020. She has stayed on to become the fellowship director. Read more about Dr. Thrasher on page 34. The second physician to enter the fellowship program will be starting this summer.  \nThe Geriatric Fellowship Program works with a number of partners, including the Geriatric Center at the University of Wyoming, with a team-based approach and an emphasis on helping the elderly to stay in their own homes for as long as possible. The geriatric fellowship has the added benefit of supporting a geriatric education track for family medicine res","cbCail7HP5K1HvtC","https://ap.wps.com/l/cbCail7HP5K1HvtC","pdf",598598,"English","# Program One: Medication-Assisted Treatment (MAT)\n## Clinical model and services\n## Education and resident training\n# Program Two: Rural Training Track (RTT)\n## Goals and accreditation\n## Resident pathway across Casper and Thermopolis\n# Program Three: Geriatric Fellowship Program\n## Accreditation and training format\n## Partnerships and care approach","[{\"question\":\"What is the purpose of the University of Wyoming’s medication-assisted treatment (MAT) program?\",\"answer\":\"The MAT program expands patient access to addiction services in Wyoming, including treatment for opioid use disorder and alcohol dependence, using a multidisciplinary team and new telemedicine services.\"},{\"question\":\"How does the Rural Training Track (RTT) help Wyoming retain physicians?\",\"answer\":\"The RTT aims to meet rural healthcare needs and increase the number of graduates who stay in the state by training residents across Casper and Thermopolis with HRSA support and ACGME accreditation.\"},{\"question\":\"What does the Geriatric Fellowship Program focus on?\",\"answer\":\"The fellowship supports elderly patients through a team-based approach that emphasizes helping people remain in their own homes and also builds a geriatric education track for family medicine residents.\"}]","Residency Programs Innovate for Wyoming - By Robert Monger, MD | PDF",1791059283]