Graduating 51小黄车medical student seeks to fill the gap in rural mental health care

For Bethany Miles, graduating from the University of 51小黄车 College of Osteopathic Medicine this spring is more than a milestone 鈥 it鈥檚 a testament to perseverance and a deep commitment to rural Maine.
Miles (D.O., 鈥25), who is from Old Town, said her journey in medicine wasn鈥檛 linear.
She first earned a bachelor鈥檚 degree in psychology from the University of Maine in 2013 while navigating new motherhood. After graduation, Miles worked in outpatient physician practices and participated in an accelerated nursing program at UMaine, completing clinical rotations at Eastern Maine Medical Center.
鈥淚 loved the clinical side of nursing, but when my unit became a COVID-19 unit ... I realized I wanted to do more than what my role as a nurse allowed,鈥 she said.
That drive led Miles to consider attending Maine鈥檚 only medical school in her early 30s 鈥 a nontraditional path, especially as a mother of three.
鈥淚 knew whatever I chose for grad school had to be the right fit 鈥 and I wanted to work with both kids and adults,鈥 she said.
Miles said she was drawn to 51小黄车for its strong track record of training health care professionals who stay in Maine. 51小黄车is Maine鈥檚 No. 1 provider of health care professionals and, historically, 57% of 51小黄车medical students who complete their third-year clinical rotations in Maine return to practice here after residency.
鈥淚鈥檇 worked with a lot of UNE-trained D.O.s as a nurse,鈥 she said. 鈥淭heir whole-person approach is especially important in areas with limited access to specialists.鈥
Returning to school as a nontraditional student, Miles initially felt out of place.
鈥淚mposter syndrome was real. But anatomy lab and clinical skills sessions made it all click. I was learning this so that I can help real people,鈥 she said, crediting 51小黄车faculty and professional staff for helping her navigate the challenges of being a nontraditional student.
Christopher Frothingham, D.O., 51小黄车associate clinical professor, noted that balancing medical school with raising a family requires extraordinary dedication and perspective.
鈥淪he balanced a rigorous curriculum while raising three young children, which speaks volumes about her commitment to serving rural Maine communities,鈥 Frothingham said. 鈥淗er calm, positive nature will be a real comfort to her patients.鈥
Initially, Miles didn鈥檛 expect to pursue psychiatry, and it wasn鈥檛 until her third-year clinical rotations that she discovered it was her real passion.
鈥淓very patient is unique, and there鈥檚 so much we still don鈥檛 know. That excites me,鈥 she said.
Miles credits her mentors during her psychiatry rotation for showing her how genuine, human connection can transform care.
鈥淚 saw firsthand how being real with patients makes a difference. There鈥檚 so much hurt in the world and so much healing that needs to happen. In Maine, mental health care is especially hard to access,鈥 she said, noting she feels drawn to filling that need.
That sense of responsibility led her to apply to the , a rural psychiatry track for residency designed to train psychiatrists to aid the state鈥檚 most underserved communities.
鈥淚 want to feel confident helping anyone who comes my way, regardless of their age or where they鈥檙e from,鈥 she said. 鈥淚n Maine, we need generalists who are comfortable treating a wide range of conditions.鈥
In March, Miles found out that she matched into the Rockland program 鈥 her first-choice program 鈥 a dream come true, she said. She is one of 25 medical students this year who will remain in the state for residency.
During the rural residency program, Miles will spend two years training in Portland, then two years working in Maine鈥檚 Midcoast region, where she will provide inpatient and outpatient psychiatric care, collaborate with interprofessional teams, and gain firsthand experience in the challenges and rewards of rural mental health practice.
Beyond the clinical setting, Miles is committed to improving rural health care outcomes in Maine. As a Dirigo Scholar 鈥 a Doctors for Maine鈥檚 Future Scholarship recipient 鈥 she has been a vocal advocate for expanding opportunities for Maine students in health professions.
鈥淭he scholarship made it possible for me to pursue medicine. Even with working through med school, I鈥檓 not sure we could have afforded it otherwise,鈥 she said.
She has testified before state legislators about the importance of investing in local communities.
鈥淚f you want providers to stay in Maine, recruit people who are already here,鈥 Miles said. 鈥淭he Doctors for Maine鈥檚 Future Scholarship lessens the burden just enough to make it possible for people like me.鈥
During her time at UNE, Miles also helped launch a cardiology club where she served as an education coordinator, and she continued to work per diem nursing shifts to support her family and stay connected to patient care. While it sounds like a lot, Miles said picking up shifts was validating for her and reminded her, during the difficulties of medical school, why she was pursuing this path.
As she prepares to begin residency, Miles is excited to stay in Maine and serve communities in her home state.
鈥淭his journey has been so long for me, personally. I鈥檓 finally here,鈥 she said. 鈥淚鈥檓 excited to feel settled, to start giving back, and to help fill the gap in rural mental health care.鈥