VCOM 2016 Annual Report

On the Trail of Our Appalachian Mission

2 0 1 6 A NN UA L R E P O R T

New Hampshire

Vermont

Our Campuses

New York

Massachusetts

Connecticut

Michigan

Wisconsin

New

Pennsylvania

Jersey

Maryland

Delaware

Ohio

Indiana

West Virginia

Illinois

Blacksburg Virginia

Kentucky

North Carolina

Tennessee

Spartanburg South Carolina

Georgia

Appalachian Region Appalachian States

Auburn Alabama

Mississippi

Florida

2

The MISSION of the Edward Via College of Osteopathic Medicine (VCOM) is to prepare globally-minded, community-focused physicians to meet the needs of rural and medically underserved populations and promote research to improve human health.

Auburn

Contents: Overview 4 • Meeting Our Mission 20 • Living Our Mission 40 Advancing Research 56 • Making a Difference 102

3

President’s Message

67 % VCOM alumni placed in a residency i an Appalachian state (2007-2015) 66 % VCOM alumni returned to Appalachian states to practice after residency (2007-2015)

73 % of the Class of 2016 have placed in Primary Care residencies

Flame azalea blooming along the Appalachian Trail in the Blue Ridge Mountains. ©Dave Allen

4

Dixie Tooke-Rawlins, DO, FACOFP President and Provost

W e have been following the trail of our Appalachian Mission since the founding of Edward Via College of Osteopathic Medicine (VCOM) over fifteen years ago. Throughout this time, VCOM has recruited from, provided training in, and returned qualified graduates to the southern Appalachian states. Many opportunities have connected us in this journey along the trail from Virginia, to North and South Carolina, and now to Alabama, positioning the College as a leader in primary care, rural medicine and global health. Our students have a proven record of success through outreach and hearts for service. With 66% of our graduates returning to practice in the region, our alumni are actually living the VCOM mission by bringing care to the medically underserved areas of southern Appalachia. Along this same trail, our faculty and student researchers, and our partners from major affiliate universities and hospitals are exploring pathways to bring better health to the patients of Appalachia. Access to comprehensive, affordable healthcare is vital to the social and economic development of the Appalachian Region. The dedication of our College to community-based medical education inspires our faculty, students and alumni to develop new methods in quality care, health promotion, disease prevention, and best practices providing a targeted approach to wellness and promoting preventive care. The VCOM Annual Report allows us to share our outcomes, efforts and accomplishments as we continue to grow and provide medical education and patient care in the southern Appalachian region. It is my hope that you will celebrate our success as VCOM continues on the trail of our Appalachian Mission, and as our College becomes the leading source of primary care physicians for the Appalachian region.

5

Our Students

RECRUITMENT OUTCOMES Virginia Colleges & Universities

Current Students ABOUT OUR STUDENTS Matriculated Classes of 2016-2019

Students by Gender Matriculated Classes of 2016-2019

Classes of 2007-2019

Bridgewater University College of William and Mary Emory and Henry College George Mason University Hampton University James Madison University Liberty University Old Dominion University

15 17 16 39 10 41 40 30 22 15 91 12 72 15 53 5 22 15 8 69 12 73 25 13 27 78 87 12 89 3 47 7 29 4 5 12

Female 52%

715 612 161

Virginia Carolinas Auburn

Current Students 1488

* (1st year)

Male 48%

Radford University Roanoke College University of Virginia University of Richmond Virginia Commonwealth University Virginia Military Institute Virginia Tech Other Virginia Colleges Clemson University Coastal Carolina University College of Charleston North Greenville University Presbyterian College University of South Carolina Wofford College Other South Carolina Colleges Appalachian State University Campbell University East Carolina University North Carolina State University University of North Carolina Wake Forest University Other North Carolina Colleges

Graduate Certi cate Pre-med students

75

Students by Community Size Matriculated Classes of 2016-2019

276 102

53

%

Carolinas Colleges & Universities

100 150 200 250 300 350 400

Classes of 2007-2019

0 50

From Communities <30,000

<10k 10-30K 30-50K 50-100K >100K

Incoming GPA Scores Matriculated Classes of 2016-2019

Average Science GPA 3.54 3.51 3.52*

Average Overall GPA 3.60 3.57 3.60*

Alabama Colleges & Universities

Virginia Carolinas Auburn

Classes of 2007-2019

Alabama State University Auburn University Samford University University of Alabama University of North Alabama University of South Alabama Other Alabama Colleges

* (Represents only one class)

Note: VCOM does not admit students who have < 3.2 science GPA in the last 120 credit hours. Those students admitted with < 3.2 Science GPA must have much greater than 3.2 in last 120 credit hours.

6

MATRICULATING THE BEST OF APPALACHIA

Students by Target State Matriculated Classes of 2016-2019

341

100 150 200 250 300 350

60 % From Target States

156

130

73

59

56

57

10

0 50

9

4

Alabama Georgia Kentucky Maryland Mississippi

North Carolina

South Carolina

Tennessee Virginia West Virginia

Growth in VCOM Applications 2012-2015 (thousands)

3053

1399

2012

Virginia Carolinas Auburn

3364

1601

2013

4631

3467

2014

5340

4249

2601

2015

0

3K

6K

9K

12K

15K

5 # in the VCOM is ranked

10

Most Affordable

Private Medical Schools

by US News & World Report in 2016

7

Promoting Each Student’s Success T he Center for Institutional, Faculty and Student Success was developed to advance the quality of teaching and learning by

COMLEX Level 1 % First Attempt Pass Rate Classes 2014 to 2017

100

96 96

94 97 92

92 95 92

92

91 90

promoting a College culture where the VCOM community works collaboratively to champion educational excellence. The Center for Institutional, Faculty and Student Success was created as a resource and a place for the encouragement and support for teaching at all levels, and for the success of student learning. The Center works to advance the quality of education at VCOM by providing faculty with resources, programs and support that promote excellence in teaching. The Center also provides students with additional resources to address issues that may be impeding their progress, from academic to personal issues. The Center believes that the success of students is the responsibility of the College as a whole, and as such, the College will use student learning outcomes to guide future programs with the Center. The Center offers counseling services, academic assistance, academic advising and peer tutoring in order to help students excel in national board exams.

20 10 30 40 50 60 70 80 90

0

2014

2015

2016

2017

National Mean

VCOM–Virginia

VCOM–Carolinas

COMLEX Level 1 First Attempt Mean Score

Classes 2014 to 2017

480 420 440 460 500 520 540 560

543

536

520 515 503

516 513

517

529

514

505

400

2014

2015

2016

2017

National Mean

VCOM–Virginia

VCOM–Carolinas

Attrition Rate: 3.8%

8

The NBOME COMLEX-USA examination series provides a pathway to licensure for osteopathic physicians in the United States and is a graduation requirement for earning a Doctor of Osteopathic Medicine degree. VCOM students and graduates excel in national board exams.

COMLEX Level 2 PE % First Attempt Pass Rate Classes 2013 to 2016

COMLEX Level 2 CE % First Attempt Pass Rate Classes 2013 to 2016

97

98

97 95

100

100

92

92

93 96 95

94 92

92 93

93 96

92

92

89 92

20 10 30 40 50 60 70 80 90

20 10 30 40 50 60 70 80 90

0

0

2013

2014

2015

2016 In Progress

2013

2014

2015

2016 In Progress

National Mean

VCOM–Virginia

VCOM–Carolinas

National Mean

VCOM–Virginia

VCOM–Carolinas

COMLEX Level 2 CE First Attempt Mean Score

570 Classes 2013 to 2016

566

560

556 540

400 480 420 440 460 500 520 540 560

537

536 552

535

525

512

2013

2014

2015

2016 In Progress

National Mean

VCOM–Virginia

VCOM–Carolinas

COMLEX Level 3 First Attempt Mean Score Cycles 2011-2015

COMLEX Level 3 % Pass Rate for Graduates Cycles 2011-2015

100 100

96

96 96

96 93

100

650

95 94

20 10 30 40 50 60 70 80 90

600

600

584 559

558 555

551 546

550

537

522

500

450

400

0

12-13 Cycle 13-14 Cycle 14-15 Cycle 15-16 Cycle In Progress

12-13 Cycle 13-14 Cycle 14-15 Cycle 15-16 Cycle

National Mean

VCOM–Virginia

VCOM–Carolinas

National Mean

VCOM–Virginia

VCOM–Carolinas

9

V irginia Dean’s Message

Trail on the Blue Ridge Parkway. ©Dave Allen

10

Jan Willcox, DO Dean for the Virginia Campus

A s part of our founding values, VCOM–Virginia has focused on recruiting students from the Appalachian region where we hope they will go on to serve. The College mission appeals students who have a passion for helping members of underserved communities in need of physicians, and it is our goal during their medical education to provide an atmosphere that fosters that caring spirit. The partnership between VCOM and Virginia Tech helps to develop a sense of home for our students from the first day they arrive on campus. Students have the ability to utilize Virginia Tech facilities for studies and leisure, and avenues for research are possible through our VCOM biomedical and clinical faculty members who hold appointments at Virginia Tech. Additionally, our recent Center for One Health Research collaboration solidifies opportunities for faculty and students to advance research in areas such as infectious disease, prevention and public health, and global health. After their education has been completed, many of our graduates return to rural Appalachia to practice medicine where they were raised or where they served as VCOM students. We are proud to see our graduates furthering the College mission by returning to clinical training institutions where they have developed a sense of home and relationships with the patients, physicians and community. Part of what makes VCOM–Virginia a special place is the desire of our alumni to further our mission through giving back to the next generation of physicians. Our students volunteer their time to provide care for those most in need throughout their VCOM experience, and as a result, their commitment to the region and each new class of students comes naturally. We now have over 70 graduates who have returned to VCOM-affiliated clinical education practices and are contributing to the fulfillment of the VCOM mission.

Where are our VCOM–Virginia students from?

42 % 19 % 40 % 85 %

Virginia

Rural Areas

Underserved Areas

Appalachian States

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C arolinas Dean’s Message

Lake Jocassee, in upstate South Carolina. ©Dave Allen

12

Timothy J. Kowalski, DO, FACN Dean for the Carolinas Campus S ince the founding of our campus in 2011, we have developed the culture of caring, service and commitment that makes VCOM–Carolinas such a special place. This culture can be seen through support for one another, for our local and global community, and in our drive to further the College mission by preparing primary care physicians to meet the needs of rural and medically underserved populations. This year has been a success for VCOM–Carolinas, as students and faculty truly “walk the talk” of the College mission through medical outreach, research and residency selection. Students and faculty have worked to develop new partnerships with our neighbors in Cherokee County in support of an additional free clinic, while VCOM and Clemson University have partnered to offer a pre-medical internship program for undergraduate students. Additional research and educational space has been developed on campus, enhancing our bench research and microbiology training activities. Seventy percent of our graduating class was accepted into primary care residencies, with others placing into critical need residency training programs in the 2016 residency match. partnership with the Northside Initiative. The College also supports students in the community through participation in the College Town Consortium, a collaboration with six other local institutions of higher education. In addition to promoting events to bring students together, our staff and administration regularly team up with peers to represent VCOM and improve the higher education experience in Spartanburg. VCOM–Carolinas continues to support the local Northside community where our campus is located through a

Where are our VCOM–Carolinas students from?

48 % 18 % 40 % 72 %

Carolinas

Rural Areas

Underserved Areas

Appalachian States

13

A uburn Dean’s Message

Little River Canyon National Preserve, Alabama. ©Keith Bozeman

14

Elizabeth A. Palmarozzi, DO, FACOFP Dean for the Auburn Campus

A uburn University’s strategic plan, mission and land-grant status aligns with VCOM’s mission in many ways including education, service, access, research and outreach. Both institutions are committed to assisting rural and underserved populations in Alabama. When reading the Auburn Creed, there are several themes that relate to osteopathic tenets, especially the line containing the phrase “I believe in a sound mind, in a sound body and a spirit that is not afraid.” Our students are able to enjoy the college experience by engaging in many exciting activities and utilizing a number of resources at Auburn University. As a community, the City of Auburn offers outstanding benefits to its residents and has a great family atmosphere. We feel like a family here at VCOM–Auburn. Our administration, faculty and staff are committed to every student’s success. The biggest story at VCOM–Auburn this year has been our inaugural class starting their medical education in July. This was the culmination of a monumental effort involving planning, building, staffing and furnishing a medical school. We have started down our path to graduate medical students that will eventually populate the underserved areas in Alabama and beyond. Our focus is on advancing the education of our students, in order to prepare them as future physicians. We are continuing to develop collaborative research efforts with various units at Auburn University and across all three VCOM campuses. We are proud of the faculty that we have been able to assemble here at VCOM–Auburn and the amount of research that has begun in our first year.

Where are our VCOM–Auburn students from?

31 % 19 % 54 % 52 %

Alabama

Rural Areas

Underserved Areas

Appalachian States

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Chairman’s Message

Making a difference in the southern Appalachian Region

T he Edward Via College of Osteopathic Medicine (VCOM) has a mission to improve the health of all humans, especially those who are most in need in the southern Appalachian states. The purpose of the VCOM Board of Directors and the Carolinas and Auburn Campus Advisory Boards are to assure that our students have the privilege of attending one of the most innovative medical colleges in the country, with cutting-edge technology, facilities and experienced faculty. We want our students to have the highest quality education while in medical school, leading them to become successful, purpose-driven physicians. One of the goals of our strategic plan is to become a significant contributor as a research college in the area of medicine. With the addition of the VCOM–Auburn campus and continued partnerships in Virginia and the Carolinas, our research initiatives continue to grow and develop in ways that improve healthcare. An important part of providing the highest quality education for our students is the fact that VCOM is a private college, requiring no state funds or taxes for facilities or equipment. The Board of Directors is ensuring that all strategic and financial priorities are met. The College is positioned for long-term growth and continues to be well known as one of the most affordable private medical schools in the United States.

John G. Rocovich Jr. JD, LLM, Chairman

VCOM College-Wide 2015 Direct Economic Impact on the

Southern Appalachian Region: $ 138,037,813

Direct Economic Impact Analysis without indirect impact or multipliers

16

17

Board of Directors

John G. Rocovich Jr., JD, LLM, Chairman

Dixie Tooke-Rawlins, DO, FACOFP, President

James F. Wolfe, PhD President Emeritus

VCOM Board of Directors

Tim Boosinger

Thomas R. Brock Jr., MBA

Neal Castagnoli Jr., PhD

Bruce Holstien

James C. Justice II

Roy E. Heaton, DO

Donald L. Large Jr., PhD

Randall J. Kirk

Raymond D. Smoot, PhD

Daniel A. Wubah, PhD

Sue Ellen B. Rocovich, DO, PhD

Jimmy Sanford

Ronna New, DO, FACOFP Alumni Association President, Class of 2007

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Carolinas Campus Advisory Board

John G. Rocovich Jr., JD, LLM, Chairman Dixie Tooke-Rawlins, DO, FACOFP, President

Timothy J. Kowalski, DO, FACN, Dean, VCOM– Carolinas

Ingo Angermeier

Graham Adams, PhD

Nayef H. Samhat, PhD

Jimmy Gibbs

Harold R. Nicolette, DO

Bruce Holstien

William Barnet III

Auburn Campus Advisory Board

John G. Rocovich Jr., JD, LLM, Chairman Dixie Tooke-Rawlins, DO FACOFP, President

Elizabeth A. Palmarozzi, DO, Dean, VCOM–Auburn

Terry Andrus

William G. Anderson, DO

Jimmy Sanford

Thom Gossum

Mark Baker

Martin J. Bonick

Tim Boosinger

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We are proud to have 71 alumni serving as clinical faculty between our three campuses

14 of the 71 are serving as full-time on-campus faculty

US News and World Report recently ranked VCOM as # 7 for graduates entering primary care residencies (2013-2015 average)

20

Meeting Our Mission

V COM was founded on the idea that underserved populations of the Appalachian region should be aided by those who understand the need for physicians. Because of this, we actively recruit students who are members of Appalachian communities. Our outcomes report results show that the majority of these students go on to complete primary care residencies and become physicians within their communities, showcasing the success of our mission. Many of our graduates now focus on teaching the next generation of physicians in order to ensure our mission lives on. It’s our alumni who are living the mission, that tell the real story of the impact of VCOM on the Appalachian region.

21

Alumni Living the Mission

Bringing it back full circle

with Yale University in Butara, Rwanda.

that face many patients both in other countries and in rural Appalachia. VCOM’s mission aligns with her desire to bring healthcare to those in need. “A reason why VCOM really attracted me was its mission to serve the underserved and bring basic primary care to rural Appalachia. It very much fits the same idea of going into a place in another part of the world where resources are limited,” said Esmaili. Esmaili hopes her work in other countries will provide her greater insight into the underserved populations in Durham, North Carolina, where she practices, bringing full circle the idea of giving back to communities in need.

Esmaili found herself wondering what to do next. “It seems I have the privileged luxury to step back and ponder the suffering around me and make independent decisions about how to respond,” she wrote. She decided to return to the United States to pursue her Masters of Arts in Bioethics and Science Policy at Duke University. Esmaili returned to Blacksburg, Virginia, to speak to the students, faculty and staff about her journeys around the world. She recounted the food shortages, lack of nutritional education and clear poverty that affected so many of her patients. Her goal when speaking at the Leading Global Health Seminar on March 22, 2016, was to inspire students to take a step to fight problems

F or most of her professional life, Emily Esmaili, DO, VCOM Class of 2008, has traveled Asia and Africa serving as an expert in pediatrics for underserved areas. Her journey started in Vientiane, Laos People’s Democratic Republic. Malnutrition was a key component of the deteriorating health that brought many of Esmaili’s patients to her in Vientiane.

In 2014, Esmaili crossed continents to begin work

“A reason why VCOM really attracted me was its mission to serve the underserved and bring basic primary care to rural Appalachia. It very much fits the same idea of going into a place in another part of the world where resources are limited.” - Emily Esmaili, DO

22

MEETING OUR MISSION — OUTCOMES

Being a part of something bigger

“It will be great to watch them fall in love with medical missions, too, just like I did as a member of the inaugural class at VCOM–Virginia so many years ago,” he added. “It’s one of the best ways to help them make sense of why they are going through all these long hours of lectures, studying and tests. Additionally, we have some exciting research projects in the works at our sites that will hopefully serve to improve

N ow up to sixteen trips and counting, Jeremy J. White, DO, PhD, has been traveling with VCOM on medical and disaster relief missions since participating in a disaster relief mission to India in February 2005. Recently, he officially joined VCOM faculty as the Chair for Emergency Medicine and Medical Director for Dominican Republic Missions at the new VCOM–Auburn campus. He is scheduled to travel on four trips per year with students and faculty. Dr. White just completed his sixteenth trip in April, as a preceptor for the VCOM– Virginia campus mission trip to the Dominican Republic (DR). Dr. White’s first clinical rotation as a third-year student was a three-week trip spent working

care to those affected by Hurricane Katrina.

to overall health of the communities we serve.”

He completed VCOM’s first DO/PhD program, spending a month at each of VCOM’s international sites and over six months in the DR studying scabies eradication using Ivermectin. He continued to travel on VCOM mission trips during his Emergency Medicine residency, helping VCOM faculty complete training programs in ATLS, ACLS, and First Responder for Dominican physicians, paramedics, nurses, police and teachers. “I very much look forward to taking our inaugural class of VCOM–Auburn students on their first mission trips,” said Dr. White.

“I was first called to medical mission trips because of a global disaster— the Indian Ocean Tsunami that struck Indonesia and Southern India in winter of 2005. VCOM announced they were mobilizing a team to travel to Pondicherry, India, and I knew I needed to be part of it. It was that trip that solidified my love for medical missions.” - Jeremy J. White, DO, PhD

alongside other VCOM students and faculty at a

makeshift field hospital in Pass Christian, Mississippi, offering

23

Alumni Living the Mission

Returning home to serve a small community T he C-Health practice in Honaker, Virginia, has come to attract Edward Via College While finishing residency in 2015, Kevin Wess, DO, was

support for an elderly woman who lives on the other side of town, serving the residents of a small community makes the past long nights of studying in the VCOM library worth it. Both said it was VCOM– Virginia campus’ mission of returning physicians to rural Appalachia that drew them to the college and it was that same mission that brought them back home.

searching for the right place to practice in southwest Virginia. Wess grew up in Richlands, Virginia, the neighboring town of Honaker. “It was the plan from the start for me,” said Wess. “I knew we needed doctors in the area.”

of Osteopathic Medicine (VCOM)–Virginia campus

alumni. Currently, two alumni joined the practice where they serve the community that inspired them to become the physicians they are today. Russell County, which houses Honaker, is home to 28,264 residents but only 14 practicing primary care physicians. For every 2,018 residents, there is one primary care physician. Lindsay R. Wilson, DO, grew up in Honaker. She did not realize how impactful returning to the community where she grew up would be. “I decided once to try to figure out how I knew all of the people we saw and it was pretty surprising,” she commented. “It is different if you’re taking care of the wife or grandmother of someone that you know. Or somebody that you went to school with.” While Wilson said she has compassion and genuine care for all of her patients, it is the individuals she has a personal connection with that tug at her heart.

When evaluating where to practice, Wess not only

thought of the need of the community, but those who were already practicing there. It was Wilson who served as a driving force for Wess to practice in Honaker. Wilson and Wess know practicing in Honaker is the right choice for each of them. The rewarding

“It was the plan from the start for me. I knew we needed doctors in the area.” - Dr. Kevin Wess

moments far outweigh the difficult ones.

Whether they are making a life changing diagnosis for someone they see in town each day, or providing much needed

“For [a patient] to come back in and say ‘it was you being curious about it that saved my life,’ that’s a big deal. That makes you feel good,” - Dr. Lindsay Wilson

24

MEETING OUR MISSION — OUTCOMES

Inspiring future physicians

Since graduating from her family medicine residency and geriatric medicine fellowship at the University of Louisville, New has dedicated her career to academic medicine. According to New, she feels the career path provides her an opportunity to give back and make a larger impact on patient care by educating medical students and residents who will touch lives through practicing medicine. “Both Johnston Memorial Hospital and VCOM have been incredibly supportive of the residency program which allows us to provide the type of quality training needed for our family medicine residents to feel well prepared to care for the members of our Southwest Virginia communities,” said New.

Memorial Hospital will be entering into its second year of residency training in the summer of 2016. As Program Director, New serves as the physician leader for the program and is responsible for overseeing program development, curriculum and clinical training for the program. While at VCOM, New said her experience in medical school solidified her decision to become an osteopathic family medicine physician. “What I appreciate about my training at VCOM is that the curriculum was geared towards developing me as a competent primary care physician from the very first day of medical school,” Said New. “This focus by VCOM prepared me very well for my family medicine residency training and beyond.”

R onna New, DO, FACOFP, VCOM–Virginia class of 2007, president of the VCOM Alumni Association, knew she wanted to pursue a career in family medicine. Today, she serves as the Program Director of the Family Medicine Residency Program at Johnston Memorial Hospital in Abingdon, Virginia, where she works to inspire the next generation of physicians to give back to underserved areas.

The program at Johnston

25

Recruiting to Meet Our Mission

Recruiting for Diversity V COM values and affirms that diversity contributes richness to the college and enhances the quality of education. VCOM recognizes the lack of medical care to minority populations and actively recruits minority students who are underrepresented in healthcare. The population of the United States is becoming increasingly diverse, and VCOM seeks a student body that will meet the needs of a diverse society. National Awards and Recognition VCOM recently received the Institutional National Role Model Award for the fifth consecutive year for excellence in minority access and mentorship in medical schools from Minority Access, Inc. The College is one of the few medical schools to receive such honors for outreach programs in the United States and abroad. Bill King, Vice President for Student Services, was also presented with an individual Minority Access National Role Model Award for his efforts to inspire others and increase the pool of scholars and professionals who will find cures for illnesses, solve technological problems or address social disparities in society.

VCOM celebrates our diverse student body through robust student life programs and student organizations.

Ethnic Diversity

Matriculated Classes of 2016-2019

Race/Ethnicity Unknown 1% Native Hawaiian/Paci c Islander .3% Black/African American 7% Hispanic of any race 7% Asian 15% American Indian/Alaskan Native 1% White 69%

16 % Average Underrepresented Minority Classes of 2007-2019

26

MEETING OUR MISSION — OUTCOMES

Student Home Locations in Appalachian States (2007-2019)

New Hampshire

Vermont

Wisconsin

New York

Michigan

Massachusetts

Connecticut

Pennsylvania

New

Ohio

Indiana

Illinois

Maryland

Jersey

Delaware

West Virginia

VCOM Student Home Locations in Appalachian States (2434) Appalachian Counties

Kentucky

Virginia

VCOM Virginia

Tennessee

North Carolina

VCOM Carolinas

of all VCOM student home locations are in an Appalachian State. 78%

South Carolina

Georgia

VCOM Auburn

Mississippi

Alabama

Florida

Map data generated by the National Center for the Analysis of Healthcare Data February 2016. ncahd.org

27

Recruit from, Train in, Return to Rural Communities

VCOM’s Community Based Hospitals V COM partners with community-based hospitals and physicians to train medical students throughout the southern Appalachian region,

Virginia

including the rural and medically underserved areas of Virginia, North Carolina, South Carolina, Georgia, Florida and Alabama. Clinical training in these locations gives students the opportunity to cultivate patient relationships and truly provide patient-centered care, assuring that each patient receives the dedicated and innovative medical care they deserve.

West Virginia

17

VCOM Virginia

13

9 12

20

5

28

15 14 16

6

10

27

7

22

1 2 3

11

8

4

29

19

21

18

23

North Carolina

26

25

VCOM Carolinas

24

32

30

44

43

46

31

33

34

39

41

39

48

38

37

36

42

35

Alabama

South Carolina

50

45

Georgia

47

VCOM Auburn

49

Florida

51 & 52

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MEETING OUR MISSION — OUTCOMES

Clinical Training Sites

SOUTHWEST VIRGINIA REGION 1. Mountain States - Johnston Memorial Hospital, Abingdon, VA 2. Mountain States - Norton Community Hospital, Norton, VA 3. Mountain States - Russell County Medical Center, Lebanon, VA 4. Mountain States - Smyth County Community Hospital, Marion, VA BLUEFIELD VIRGINIA REGION 5. Bluefield Regional Medical Center, Bluefield, WV 6. Carilion Tazewell Community Hospital, Tazewell, VA 7. Clinch Valley Medical Center, Richlands, VA NEW RIVER VALLEY VIRGINIA REGION 8. Carilion New River Valley Medical Center, Christiansburg, VA 9. LewisGale Hospital Montgomery, Blacksburg, VA 10. LewisGale Hospital Pulaski, Pulaski, VA 11. Wythe County Community Hospital, Wytheville, VA

SOUTHSIDE VIRGINIA REGION 18. Danville Regional Medical Center, Danville, VA 19. Halifax Regional Health System, South Boston, VA 20. Southside Community Hospital, Farmville, VA Critical Access Hospitals 21. Pioneer Community Hospital of Patrick County, Stuart, VA EASTERN VIRGINIA REGION 22. Riverside Regional Medical Center, Newport News, VA NORTH CAROLINA REGION 23. Blue Ridge Healthcare, Morganton, NC 24. Cape Fear Valley Medical Center, Fayetteville, NC 25. Mountain Area Health Education Center, Hendersonville, NC 26. W.G. “Bill” Hefner Veterans Hospital, Salisbury, NC ARMED FORCES AND VETERANS ADMINISTRATION AFFILIATED SITES 27. 633rd Medical Group Langley Air Force Base, Hampton, VA 28. Kenner Army Health Clinic, Fort Lee, VA 29. Naval Medical Center at Portsmouth, Portsmouth, VA 30. Womack Army Medical Center, Fayetteville, NC UPSTATE SOUTH CAROLINA REGION 31. Spartanburg Regional Medical Center, Spartanburg, SC 32. Mary Black Health System, Spartanburg, SC 33. Bon Secours St. Francis Health System, Greenville, SC; Anderson, SC 34. AnMed Heath Medical Center, Anderson, SC

CENTRAL SOUTH CAROLINA REGION 35. The Regional Center of Orangeburg & Calhoun Counties, Orangeburg, SC 36. Clarendon Health System, Manning, SC 37. Tuomey Regional Medical Center, Sumter, SC 38. William Jennings Bryan Dorn VA Medical Center, Columbia, SC 39. Moncrief Army Community Hospital, Fort Jackson, SC 40. Newberry County Hospital, Newberry, SC EASTERN SOUTH CAROLINA REGION 41. McLeod Medical Regional Center, Florence, SC 42. Grand Strand Regional Medical Center, Myrtle Beach, SC CHARLOTTE-AREA SOUTH CAROLINA REGION 43. Springs Memorial Hospital, Lancaster, SC 44. Piedmont Medical Center, Rock Hill, SC ALABAMA REGION 45. East Alabama Medical Center, Opelika, AL 46. Crestwood Medical Center, Huntsville, AL 47. Jack Hughston Memorial Hospital, Phenix City, AL 48. Gadsden Regional Medical Center, Gadsden, AL 49. Medical Center Enterprise, Enterprise, AL 50. Russell Medical Center, Alexander City, AL FLORIDA REGION (not shown) 51. Westchester General Hospital, Miami, FL 52. Wellington Regional Medical Center, West Palm Beach, FL

Critical Access Hospitals 12. Carilion Giles Community Hospital, Pearisburg, VA

ROANOKE VALLEY VIRGINIA REGION 13. LewisGale Hospital Alleghany, Low Moor, VA 14. Carilion Roanoke Memorial Hospital, Roanoke, VA 15. LewisGale Medical Center at Salem, Salem, VA 16. Salem Veteran’s Medical Center, Salem, VA

AUGUSTA REGION 17. Augusta Health, Fisherville, VA

* This information is subject to change. For an updated list of Clinical Hospital Sites, please go to www.vcom.edu.

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VCOM is a Major Source for Tomorrow’s Primary Care Physicians

Graduate Medical Education A fter graduation from VCOM, alumni continue their medical education in residency programs across the Appalachian region and throughout the United States. Following along the path laid out by the College’s mission, many VCOM graduates choose to pursue residency training in hospitals and clinical programs that allow them to continue serving in rural and underserved areas. Advantages of participating in residency training in rural and underserved areas includes the variety of patients and conditions seen, the ability to develop patient-centered relationships, and education by smaller programs that allow for personalized practice with experienced preceptors. In a rural or underserved setting, VCOM graduates have access to experience a wider range of treatments and procedures and have the ability to work more closely with clinical mentors to provide patient-centered care. Training in residency programs in rural or underserved areas is a life-changing experience that benefits VCOM graduates throughout their career as physicians. Medical students choose VCOM because of their desire to help others in need, and as each student graduates and follows their chosen path, the College mission continues to cultivate future physicians with hearts of service and a commitment to improving human health.

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MEETING OUR MISSION — OUTCOMES

Total Residency Placements in Appalachian States (2007-2015)

New Hampshire

Vermont

Wisconsin

New York

Michigan

Massachusetts

Connecticut

Pennsylvania

New

Ohio

Indiana

Illinois

Maryland

Jersey

Delaware

West Virginia

VCOM Residency Placements in

Virginia

Kentucky

Appalachian States (1077) Appalachian Counties

VCOM Virginia

Tennessee

North Carolina

Alabama Georgia

4 26 10 17 10 92 36 63 95 96 34 138 8

VCOM Carolinas

Kentucky Maryland Mississippi North Carolina New York Ohio Pennsylvania South Carolina Tennessee Virginia West Virginia

South Carolina

Alumni in Residency in Appalachian States Classes of 2012-2015 Four Year Average 72% 66% average 2007-2012

Georgia

VCOM Auburn

Mississippi

Alabama

Florida

Map data generated by the National Center for the Analysis of Healthcare Data February 2016. ncahd.org

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Alumni in Primary Care Residencies

Classes of 2012-2015

Family Medicine & Internal Medicine/Pediatrics 25%

Internal Medicine 20%

Non Primary Care 38%

Pediatrics 10%

of graduates have entered Primary Care Residencies for specialties needed in the Appalachian Region. % 62

OB/Gyn 7%

Residency Placement

Residency Match by Specialty

Classes of 2012-2015

Classes of 2012-2015

2012 2013 2014 2015

Anesthesiology Emergency Medicine

1 19 47 4 35 6 0 0 11 1 3 0 0 18 0 8 0 13

10 17 49 5 37 5 1 1 14 1 5 1 1 20 2 10

3 17 50 7 37 0 0 2 11 0 2 0 2 22

12 31 70 24 67 1 2 8 20 0 5 1 3 30 6 13 5 23

First Match

Final Match

100

Family Medicine General Surgery Internal Medicine

80

Medicine-Preliminary Neurological Surgery Neurology Obstetrics & Gynecology Ophthalmology Orthopedic Surgery Otolaryngology Pathology Pediatrics Physical Medicine & Rehab

60

40

20

0

Class of 2012*

Class of 2013

Class of 2014

Class of 2015

* VCOM did not separate rst and nal numbers in past years.

1 8 1 8 8 2

Psychiatry Radiology Traditional Rotating Transitional Urology

1 7 1 0

9 1

5 1

Appalachia’s specialties of great need.

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MEETING OUR MISSION — OUTCOMES

VCOM Residency Partners

AnMed Health Medical Center Anderson, SC Acute care hospital and anchor facility for South Carolina’s largest independent, not-for-profit health system. Bluefield Regional Medical Center Bluefield, WV Member of the Community Health Systems Network. Carilion Clinic Roanoke, VA The only Level 1 Trauma Center in Southwest Virginia. Carilion New River Valley Medical Center Christiansburg, VA Operating as part of the Carilion Clinic Health System. Blue Ridge Healthcare Morganton, NC Member of Carolinas Healthcare System. Danville Regional Medical Center Danville, VA Member of the LifePoint Hospital Network. Grand Strand Regional Medical Center Myrtle Beach, SC Full-service emergency care hospital specializing in cardiology and

LewisGale Hospital Montgomery Blacksburg, VA Member of the Hospital Corporation of America Network. The Regional Medical Center Orangeburg, SC To begin offering programs in 2016. Riverside Regional Medical Center Newport News, VA Dually accredited program. Southern Regional Area Health Education Center Fayetteville, NC Dually accredited program. Spartanburg Regional Healthcare System Spartanburg, SC The only Level 1 Trauma Center in the Upstate region of South Carolina. VCOM Family Medicine/Geriatrics Fellowship Spartanburg, SC VCOM-directed fellowship program in family medicine and geriatrics. VCOM ONMM Plus-One Residency Blacksburg, VA VCOM-directed program in osteopathic neuromusculoskeletal residency.

OMNEE Programs V COM partners with the Osteopathic Medical Network of Excellence in Education (OMNEE) to develop and support programs of excellence

in the continuum of osteopathic medical

education and research in order to meet the healthcare

needs of communities served by its member institutions.

Since 2008, OMNEE has continued to grow programs for VCOM graduates and continues to provide educational opportunities to those programs and their trainees. One of the most successful programs has been an advanced suturing and wound care workshop offered by Michael Breiner, MD, interim surgery chair at VCOM–Virginia. In 2015- 2016, Breiner conducted programs. Other workshop offerings included lumbar puncture and joint injection. The OMNEE website at www.omnee.net provides a wealth of information, from listing of programs offered to articles and helpful tips for scholarly projects. seven workshops for OMNEE’s network of

VCOM/Virginia Tech and VCOM/Auburn University Sports Medicine Fellowship Blacksburg, VA Auburn, AL

women’s health. Jack Hughston Memorial Hospital Phenix City, AL Part of the Hughston Clinic,

Collaborative fellowship program in sports medicine through partnerships with Virginia Tech and Auburn University.

which operates a network of nine orthopedic clinics in Georgia and Alabama. Johnston Memorial Hospital Abingdon, VA Member of the Mountain States Health Alliance.

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VCOM Graduate Medical Education Programs

34

MEETING OUR MISSION — OUTCOMES

VCOM/Virginia Tech and VCOM/ Auburn University Sports Medicine Fellowship Programs T he VCOM Primary Care Sports Medicine Fellowship Program was established to provide fellows with training to diagnose and manage medical illnesses and injuries of athletes in a Division I University setting, and to serve all levels of athletes and patients with sports related injuries. VCOM partners with Virginia Tech and Auburn University to offer hands-on experiences to fellows on the Virginia and Auburn campuses. These partnerships provide fellows and medical students with unique opportunities. This fellowship program includes educational experiences necessary for participants to achieve the knowledge, motor skills, interpersonal skills, professional attitudes and practical experience required in sports medicine. Faculty implement educational and clinical opportunities, including osteopathic manipulative medicine focused on athletes, ultrasound imaging for diagnosis of injuries, Platelet Rich Plasma (PRP) therapy and more. The program requires fellows to be involved in medical student instruction and is designed to allow the fellow to assume progressive responsibility for patient care. The program fosters both academic and research growth to develop physicians who can competently serve as program directors and/or researchers in sports medicine.

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VCOM ONMM Plus-One Residency T he VCOM–Virginia Osteopathic Neuromusculoskeletal (ONMM) Plus-One Residency Program was initiated in response to the growing population of patients in need of osteopathic medical care. The ONMM program provides training in the development of osteopathic clinical competencies needed to diagnose and manage medical illnesses and injuries in both inpatient and outpatient settings. This training enables residents to become competent, proficient and professional ONMM specialist physicians. The ONMM program implements educational experiences necessary for the resident to achieve the knowledge, psychomotor skills, interpersonal skills, professional attitudes and practical experience required of the ONMM specialist physician. VCOM faculty provide educational and clinical opportunities designed to allow the resident to assume progressive responsibility for patient care. The program fosters both academic and research growth to develop physicians who can competently serve as program directors and/or researchers in osteopathic neuromusculoskeletal medicine in the future.

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MEETING OUR MISSION — OUTCOMES

VCOM Family Medicine/ Geriatrics Fellowship

W ith our growing population of senior patients in need of specialized care, the VCOM–Carolinas Geriatric Fellowship Program serves to offer an orderly, progressive, academic and clinically oriented experience for fellows. The program prepares each fellow for the practice of senior patient care, and ultimately, for examination and certification in geriatrics by the American Osteopathic Board of Family Practice Certification. Geriatric fellowship training is based on the major disciplines of long term care, hospice care, and continuity of care. Osteopathic principles and practices are integrated into the clinical curriculum, along with hands-on OMM sessions for all fellows conducted by VCOM faculty. Techniques of medical writing and manuscript preparation are also incorporated into the program, as fellows are required to prepare one manuscript or paper suitable for publication during their year of training.

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Alumni Practicing in Appalachia

Alumni Practice Locations in Appalachian States (2007-2012)*

New Hampshire

Vermont

Wisconsin

New York

Michigan

Massachusetts

Connecticut

Pennsylvania

New

Ohio

Indiana

Illinois

Maryland

Jersey

Delaware

West Virginia

VCOM Alumni Practice Locations

Kentucky

Appalachian States (646) Appalachian Counties

VCOM Virginia

Virginia

Tennessee

North Carolina

Alabama Georgia

5 16 9 7 5 43 8

VCOM Carolinas

Kentucky Maryland Mississippi North Carolina New York Ohio Pennsylvania South Carolina Tennessee Virginia West Virginia

South Carolina

Virginia Campus Alumni First Practice Sites in Target Appalachian States

Georgia

VCOM Auburn

Classes of 2007-2012 Average 66% *

23 21 28 34 126 9

Mississippi

Alabama

Florida

Map data generated by the National Center for the Analysis of Healthcare Data February 2016. ncahd.org

2007-2012 average is used as the Alumni graduating after 2012 may still be in residency. *

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MEETING OUR MISSION — OUTCOMES

Classes of 2007-2012 Virginia Campus First Practice Specialty 16 7 59 165 5

Virginia Campus Alumni in Primary Care Practices Classes of 2007-2012

Anesthesiology Dermatology Emergency Medicine Family Medicine Flight Surgery General Surgery Hopitalist Internal Medicine Internal Medicine/Peds Neurology OB/Gyn Ophthalmology Orthopedic Surgery Pediatrics Physical Med & Rehab

Family Medicine & Internal Medicine/Pediatrics 34%

15 15 60 7 5 37 7 9 36 6 16 7 44

OB/Gyn 7%

Pediatrics 7%

Internal Medicine 12%

Psychiatry Radiology Other

Appalachia’s specialties of great need.

of graduates have entered Primary Care Practices. 60 %

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Working together by living our mission to serve those comm nities of most need in the Appalachian region and throughout the world.

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Living Our Mission

L earning to address healthcare needs in the face of poverty, adverse environmental conditions and political complexity prepares future physicians to address the comprehensive health needs of the communities where they will eventually practice. Throughout their education at VCOM, students gain valuable medical training while working alongside faculty members, preceptors and other medical professionals. International and Appalachian Outreach programs provide students with the opportunity to develop cultural sensitivity and skills to address major health challenges that span borders and continents. Due to the success of our comprehensive outreach program, VCOM continues on the path to becoming a world leader in global health.

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International & Appalachian Outreach Living our Mission T he Edward Via College of Osteopathic Medicine (VCOM)

is proud to report the accomplishments of its students, faculty, and administration in the Appalachian region where our three campuses are located, and through our international outreach programs. College outcomes are based on our mission to prepare globally-minded, community-focused physicians to meet the needs of rural and medically underserved populations and promote research to improve human health. These outcomes demonstrate the commitment of the entire College to this mission. Appalachian Outreach and International Outreach programs at VCOM support the College mission by providing access to healthcare for those most in need. These programs offer a variety of opportunities for future physicians to participate in clinical-based learning environments, where students and residents have the opportunity to contribute to our mission through patient care and preventive services. In order to provide learning environments for planning and addressing the global healthcare needs of medically underserved communities, VCOM has established sustainable, full-time medical clinics in the Dominican Republic, El Salvador and Honduras. During the 2015- 2016 year, over 240 medical students participated in our international outreach trips. Furthermore, over 320 students participated in Appalachian outreach programs. In response to VCOM’s commitment to community outreach and education, the College was awarded the President’s Honor Roll for Community Service. Students and Faculty Providing Sustainable Care A record number of VCOM students completed one-month clinical rotations in international hospitals and clinics. A total of 105 third- and fourth-year medical students participated in clinical rotations in the Dominican Republic, El Salvador and Honduras. Additionally, residents from VCOM-affiliated residency programs are contributing to the care of patients in our international clinics.

Dean Sutphin, PhD Vice Provost of International and Appalachian Outreach

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