Residency Incentive Program
The TCWD Residency Incentive Program provides financial support to primary care residents who commit to practicing in rural or undeserved communities across Tennessee. Family Medicine, Internal Medicine, and Pediatric Residents can receive $105,000 for a 3-year work commitment and Med/Peds, OB/GYN and Psychiatry residents can receive $140,000 for a 4-year work commitment. Surgery residents may also be eligible for $140,000 in return for a 4-year work commitment in a rural area of the state.
Residents are responsible for securing a position at an eligible practice site which meets TCWD criteria for being rural or underserved. Please view the TCWD TN county map and minimum criteria. Practice sites must receive TCWD approval prior to participation. Funds may be used at the recipient’s discretion, allowing flexibility to support student loans, living expenses, or other professional needs. The program is competitive, and the number of incentives awarded each year varies based on available funding and the applicant pool. Through this program, TCWD supports physicians as they transition into practice while strengthening access to care in areas of greatest need.
This project is funded by the State of Tennessee.
Since 2014, 289 primary care residents have been awarded the TCWD Resident Incentive totaling over $30,552,500.00 to serve in rural or underserved communities.
Amount
$35,000 per year
Up to $140,000 total
Service Commitment
Recipients must enter into a formal agreement outlining a year-for-year service commitment in an approved rural or underserved community in Tennessee. Failure to meet the terms of the agreement may result in repayment obligations.
Payment Structure
Quarterly payments throughout participation.
Flexibility
Funds may be used for student loans, living expenses, and more.
Program Details
Eligibility
Applicants must be final-year residents in an approved specialty and meet all program requirements.
Eligible Specialties Include:
- Family Medicine
- Internal Medicine
- Pediatrics
- OB/GYN
- Psychiatry
- Additional specialties may be considered based on community need
Practice & Service Requirements
Participants must practice in an approved rural or underserved community and enter into a formal agreement outlining a year-for-year service commitment.
Site approval is determined by TCWD and must be completed prior to participation.
Application Requirements
- Completed application
- Personal statement
- Medical school transcripts
- Letter from residency program director
- Proof of U.S. citizenship or permanent residency
- Completion of USMLE or COMLEX
Application Timeline & Process
Applications are accepted on a rolling basis, with a deadline of December 31 for final-year residents.
Applications are reviewed quarterly by the Residency Incentive Committee, and award notifications are sent following approval.
Payments begin after the agreement is executed and are distributed quarterly throughout the program.
Quarterly Reporting
Participants are required to submit quarterly reports to maintain eligibility and continue receiving funding. Reports must be submitted within 60 days following the end of each quarter and include all required documentation.
Federal and State Incentives
In addition to TCWD programs, physicians may qualify for federal and state incentives that support service in underserved areas.
National Health Service Corps (NHSC)
State Loan Repayment Programs
Contact Us
Questions? Email us at TCWD@tha.com to learn more!

