This paper is in part the result of the author's participation in the National Institute for Program Director Development fellowship Program, under the sponsorship of the Ohio State University Department of Family Medicine. Special thanks go to Edward Bope, M.D., NIPDD advisor, to Norman Kahn, MD., NIPDD reviewer, and to James Damos, M.D. of Baraboo, Wisc., and other rural faculty for sharing their working documents as templates to this process. For further information, contact: Randall Longenecker, M.D., OSU-Oakhill Rural Family Practice Residency Program, 4879 U.S. Route 68 South, West Liberty, OH 43311.