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The United States is facing a persistent physician shortage, particularly in rural and tribal regions. Oklahoma ranks 43rd nationally for primary care provider (PCP) availability, with rural and tribal communities experiencing some of the most severe health workforce shortages. The Indian Health Service (IHS) Oklahoma City service area reports a 16 % physician vacancy rate, with national IHS vacancy rates reaching 38 %. Rural and tribal healthcare systems are especially impacted by recruitment and retention challenges. Evidence suggests that physicians are more likely to practice near their residency training site, highlighting the importance of location-specific training programs to alleviate workforce disparities.