In order to graduate as a TRUST Scholar, you will need to fulfill several requirements throughout medical school. All Scholars are expected to remain in good standing throughout their time at the UW School of Medicine.

Requirements for graduation as a TRUST Scholar:

First Summer Experience (FSE)

TRUST Scholars spend at least 7 days with a mentor at an underserved or rural community healthcare site, which, in most cases, they will return to for continued experiences.

As included in the TRUST First Summer Experience Guidelines, Scholars will:

  • Complete the Underserved Pathway Public Health Epidemiology Module.
  • Complete a Walk Around Discovery Tool to learn more about their TRUST continuity community.
  • Meet the Healthcare Team: TRUST Students will have a list of people to meet in their community.
  • Interview a patient of the community.


Scholars must complete every item on the compliance checklist before they are able to participate in their FSE.

Underserved Pathway (UP)

Many UP requirements are fulfilled through other TRUST components, such as RUOP or WRITE and as such, TRUST Scholars are highly encouraged (not required) to complete the Underserved Pathway as part of their TRUST experience. The following additional requirements must be completed by April 1 of their graduating year:

  • Minimum of 10 online curriculum modules and associated activities (minimum of 8 for E14 and before)
  • One of the 10 modules MUST be “Who Are the Underserved”
  • One meeting per quarter with Underserved Pathway/TRUST mentor (phone, email, in-person)
  • 24 hours of community service/service learning with underserved focus

For a complete list of all Underserved Pathway Policies including important deadlines please visit: Underserved Pathway Policies

Foundation Phase Site Visits

Scholars are expected to visit their continuity community at various times during their Foundations phase. Please refer to your Foundation campus’s schedule for specific dates for your year.

Rural Underserved Opportunities Program (RUOP)

RUOP is a 4-week elective, immersion experience that takes place during the summer after the first year of your Foundations Phase. Plan to spend the entire 4-weeks on-site in your TRUST continuity community working with a primary care physician in an underserved area. The program objectives are to:

  • Provide students with early exposure to the challenges and rewards of practicing primary care medicine in a rural or urban underserved setting.
  • Promote in students a positive attitude toward rural and urban underserved community medicine.
  • Provide students with an opportunity to learn how community healthcare systems function.


Scholars also complete a RUOP iii-3. This is an eight-credit elective course in translational research that coincides with the RUOP clinical experience. This course fulfills UWSOM’s research requirement. Through community interviews and a demographic analysis you will identify a public health problem and examine the issue within the context of your TRUST community. You will then look at the literature to see what interventions have been proven to work in other communities. Finally, with the guidance of community members and your research mentor, you will translate these findings into a culturally appropriate and realistic community health plan.

For more information, please visit the RUOP website.

WWAMI Rural Integrated Training Experience (WRITE)

WRITE is an 22- to 24-week elective community clerkship that scholars will complete at their TRUST continuity community.

All WRITE sites offer 3 weeks of outpatient Pediatrics, 3 weeks of outpatient Psychiatry, 6 weeks of primarily outpatient IM, and the entire 6-week FM Clerkship. Some sites are approved for OB/GYN, in which case students will complete 6 weeks of OB/GYN while at WRITE.  Students at sites that do not offer OB/GYN will complete a 4-week Advanced Outpatient Clerkship (AOC).

For more information, please visit the WRITE website.