The RTT Collaborative provides free and fee-based services to individuals and organizations.

Free Tool for Determining Community Capacity for Residency Education

Planting TREES TREES-2022-with-WORD-and-EXCEL-attachments.pdf (873 KB pdf)

Our approach to residency design and development is organic and place-based. For a published commentary on this approach, click here. For an outline of this process for academic-community engagement and collaborative decision-making and a portfolio of tools and links to additional resources download this. TREES-2022-with-WORD-and-EXCEL-attachments.pdf (873 KB pdf) This is a free resource, developed in collaboration with Western Montana Family Medicine Residency and funded in large part by a HRSA Residency Training in Primary Care grant #D58HP23226 and the RTT Technical Assistance Program has been refined in use over the past 7 years. Initially named CERE-R it has been renamed “TREES” for Training and Rural health professions Education that is community Engaged and Sustainable.

Formal and Informal Consultation

Start with an emailor complete a service request RTTC Service Requestto request a free 15-30 minute call

As a network of programs and individuals with experience in professional education and health practices in rural areas, one of our most important assets is the distributed knowledge and technical expertise represented by our participants. Such knowledge is integral to the sustainability and improvement of education for health professionals in rural places, and The RTT Collaborative is committed to making that knowledge easily accessible in both formal and informal ways.

Communications and Knowledge Sharing

Get connected through a listserv and quarterly newsletter

In order to be a truly collaborative organization, we publish a quarterly newsletter, maintain a private LinkedIn networking group and a public Facebook page, and use a Google Group for email notifications via a Google listserv. These channels allow us to become more collaborative, and give both participating and nonparticipating programs an easy and effective means to communicate, innovate, and problem solve.

The Collaborative often offers webinars in partnership with affiliated organizations, such as the Rural Residency Planning and Development Technical Assistance Center (RRPD-TAC), participates in Rural PREP Grand Rounds and professional development sessions online, and can arrange a live presentation online or in person. For more information, contact the administrative director at

Additional  resources

Rural Residency Planning and Development Technical Assistance Center – The portal offers a toolbox of freely available resources for developing rural residencies. To view and download these tools, register for a no-cost account here:  After completing the form, you will receive an email with instructions about how to activate your account and access the toolbox. If you have any questions or difficulties about accessing the toolbox, please contact us at

GME Finance: History of federal regulations regarding RTTs – RTTs-Regulations-Two-Pager-7-2022-Update.pdf (153 KB pdf)

GME Governance: For a perspective on healthy governance for rural programs read this 2021 article in JGME.

Rural Residency Consultant Learning Community: Want to learn to be a peer consultant? Click here.