{"id":148492,"date":"2016-05-05T11:35:36","date_gmt":"2016-05-05T17:35:36","guid":{"rendered":"http:\/\/nmpolitics.net\/index\/?p=148492"},"modified":"2016-07-16T23:47:41","modified_gmt":"2016-07-17T05:47:41","slug":"getting-to-know-nms-first-college-of-osteopathic-medicine","status":"publish","type":"post","link":"https:\/\/nmpolitics.net\/index\/2016\/05\/getting-to-know-nms-first-college-of-osteopathic-medicine\/","title":{"rendered":"Getting to know NM&#8217;s first college of osteopathic medicine"},"content":{"rendered":"<div id=\"attachment_148499\"  class=\"wp-caption module image alignnone\" style=\"max-width: 771px;\"><img loading=\"lazy\" decoding=\"async\" class=\"size-large wp-image-148499\" src=\"http:\/\/nmpolitics.net\/index\/wp-content\/uploads\/2016\/05\/Burrell-College-771x530.jpg\" alt=\"Burrell College\" width=\"771\" height=\"530\" srcset=\"https:\/\/nmpolitics.net\/index\/wp-content\/uploads\/2016\/05\/Burrell-College-771x530.jpg 771w, https:\/\/nmpolitics.net\/index\/wp-content\/uploads\/2016\/05\/Burrell-College-336x231.jpg 336w, https:\/\/nmpolitics.net\/index\/wp-content\/uploads\/2016\/05\/Burrell-College-768x528.jpg 768w, https:\/\/nmpolitics.net\/index\/wp-content\/uploads\/2016\/05\/Burrell-College.jpg 949w\" sizes=\"auto, (max-width: 771px) 100vw, 771px\" \/><p class=\"wp-media-credit\">Heath Haussamen \/ NMPolitics.net<\/p><p class=\"wp-caption-text\">The Burrell College of Osteopathic Medicine, located at New Mexico State University in Las Cruces, shown here under construction in early March.<\/p><\/div>\n<p>Construction has become part of the Las Cruces landscape, and while it may bother some, it\u2019s nothing new to people in the New Mexico State University community.<\/p>\n<aside class=\"module align-left half type-aside\">\n<h3>About this article<\/h3>\n<p>This article was produced by <a href=\"http:\/\/nmsuroundup.net\/\" target=\"_blank\">The Round Up\/Oncore Magazine<\/a>, New Mexico State University\u2019s student-run news organization. It\u2019s published here as part of\u00a0<a href=\"http:\/\/nmpolitics.net\/index\/2015\/10\/nmpolitics-net-and-nmsus-round-up-announce-partnership\/\" target=\"_blank\">a partnership<\/a> between The Round Up\/Oncore Magazine and NMPolitics.net.<\/p>\n<\/aside>\n<p>Since April 2015 construction has been a common sight at the northeast corner of the intersection of Wells Street and Arrowhead Drive. The project: the Burrell College of Osteopathic Medicine (BCOM), Southern New Mexico\u2019s first medical school.<\/p>\n<p>Construction has now been completed. While the school is awaiting its first class to arrive in the fall of 2016, and for faculty to arrive this\u00a0summer, the school is the daily haunt of more than 75 staff members, such as George Mychaskiw, the school\u2019s founding dean and chief academic officer, and Justin McHorse, BCOM\u2019s assistant dean for multicultural affairs, marketing, and communications.<\/p>\n<h3>What is osteopathic medicine?<\/h3>\n<p>Osteopathic medicine was developed by Andrew Taylor Still, who founded the American School of Osteopathy \u2014 the first osteopathic school in the world \u2014 in 1892.<\/p>\n<p>The difference between osteopathic medicine and its traditional medicine counterpart \u2014 allopathy \u2014 is mostly in name. So doctors of osteopathic medicine (DOs) and medical doctors (MDs) vary little, aside from the fact that DOs take 200 additional hours in learning osteopathic medical treatment (OMT), which \u201cinvolves using the hands to diagnose, treat, and prevent illness or injury. Using OMT, (an) osteopathic physician will move your muscles and joints using techniques including stretching, gentle pressure and resistance,\u201d says\u00a0<a href=\"http:\/\/www.osteopathic.org\/osteopathic-health\/treatment\/Pages\/default.aspx\" target=\"_blank\">Osteopathic.org<\/a>.<\/p>\n<h3>BCOM\u2019s history<\/h3>\n<p>Construction of the NMSU-adjacent college is estimated at $105 million.<\/p>\n<p>The school is the brainchild of Dan Burrell, originally from New York, who now lives in Santa Fe and is <a href=\"http:\/\/www.abqjournal.com\/658045\/news\/nms-new-power-player-has-impressive-portfolio.html\" target=\"_blank\">very involved in the New Mexico business community<\/a>. He founded and serves as CEO of the Burrell Group, LLC, among whose business holdings are\u00a0a garnet mine and cattle ranch near Alamogordo and a Santa Fe-based real estate business,\u00a0which\u00a0partnered with a Hong Kong company to form\u00a0Gemini Investments Limited <a href=\"http:\/\/www.bizjournals.com\/albuquerque\/blog\/morning-edition\/2015\/08\/santa-fe-s-rosemont-realty-joins-forces-with-hong.html\" target=\"_blank\">in August 2015<\/a>.<!--more--><\/p>\n<p>Burrell and his wife, Katherine, also founded the New Mexico Leadership Institute, a training\/mentorship program for high school students. A competitive program, the NMLI selects 30 students per year, who upon completion of high school are automatically accepted into either NMSU or UNM and receive grants of $15,000.<\/p>\n<p>Announcement of the forthcoming construction of BCOM and NMSU\u2019s partnership with the college were announced in the summer of 2014, but the college and NMSU started negotiations a year earlier, when eventual BCOM Dean George Mychaskiw, DO, contacted Kevin Boberg, vice president for economic development at NMSU and co-founder and inaugural CEO of Arrowhead Center, NMSU\u2019s business development service.<\/p>\n<p>Boberg says\u00a0he became interested\u00a0when Mychaskiw met with him, told him about osteopathic medicine, and said he and Dan Burrell wanted to build a college of osteopathic medicine.<\/p>\n<p>One of the tenets of osteopathic medicine \u2014 \u201cproviding care in rural and urban underserved areas,\u201d according to the American Association of Colleges of Osteopathic Medicine\u2019s website \u2014 aligns with NMSU\u2019s mission as a land-grant university.<\/p>\n<p>As New Mexico\u2019s land-grant university, which was given to the state as part of the 1862 Morrill Act \u2014 allotting 30,000 acres of land to be sold and the proceeds used to fund education in agriculture and \u201cthe mechanical arts \u2014 Boberg says the partnership between NMSU and Burrell is a furtherance of the ultimate goal of the Morrill Act: to provide education and aid to all social classes.<\/p>\n<h3>Not Burrell&#8217;s only osteopathic college<\/h3>\n<p>Among Burrell&#8217;s other business ventures have been\u00a0two additional proposed osteopathic colleges.<\/p>\n<p>As late as December\u00a02015, Burrell was negotiating with Montana State University officials to open another college like the one located on NMSU property. \u00a0That proposed college, however, has evidently been struck down.<\/p>\n<p>\u201cAfter concerns expressed by some physicians in the state, it has become evident that MSU\u2019s involvement in these conversations is not resulting in the careful consideration this proposal deserves,\u201d the\u00a0<a href=\"http:\/\/www.bozemandailychronicle.com\/news\/montana_state_university\/msu-burrell-end-talks-of-medical-college-partnership\/article_152f6192-df24-5b1d-b8c4-fb420d2b8538.html\" target=\"_blank\">Bozeman Daily Chronicle<\/a>\u00a0quoted\u00a0MSU President (and former NMSU interim president) Waded Cruzado as saying\u00a0in <a href=\"http:\/\/www.mmaoffice.org\/ez\/files\/home\/Cruzado Burrell End Talks.pdf\" target=\"_blank\">a\u00a0press release<\/a>. \u201cWe acknowledge that, for this or any other medical school to be successful, the participation of local and regional physicians is an indispensable component. Therefore, with due respect to all parties involved, MSU is withdrawing from these conversations with the Burrell College of Osteopathic Medicine.\u201d<\/p>\n<p>With negotiations currently at least on hold in\u00a0Montana, Burrell has also\u00a0proposed building an osteopathic school in Idaho to Gov.\u00a0C.L. &#8220;Butch&#8221; Otter. The proposal has apparently been met with more support there, as an open date for 2018 has already been set and between $110-$125 million has been offered by private investors,\u00a0The Bozeman Daily Chronicle\u00a0<a href=\"http:\/\/www.bozemandailychronicle.com\/news\/health\/burrell-group-partners-with-idaho-to-start-new-for-profit\/article_ba40dea2-e075-547d-9a4d-f40683817f06.html\" target=\"_blank\">reported\u00a0in February<\/a>.<\/p>\n<h3>Why in New Mexico but not Montana?<\/h3>\n<p>Why did plans for an osteopathic college succeed in New Mexico but not in Montana, which, like New Mexico, is facing a physician shortage and which, <a href=\"http:\/\/som.unm.edu\/\" target=\"_blank\">like New Mexico<\/a>, already has\u00a0an established medical school\u00a0&#8212; that state&#8217;s part of the Washington, Wyoming, Alaska, Montana, Idaho (<a href=\"http:\/\/www.uwmedicine.org\/education\/wwami\" target=\"_blank\">WWAMI<\/a>) program?<\/p>\n<p>The answer could be in the fact that <a href=\"http:\/\/www.census.gov\/quickfacts\/table\/PST045215\/35\" target=\"_blank\">New Mexico&#8217;s population<\/a>\u00a0is higher than\u00a0<a href=\"http:\/\/www.census.gov\/quickfacts\/\" target=\"_blank\">Montana&#8217;s<\/a>, which necessitates a higher number of physicians\u00a0and\u00a0offers medical students more residency options.<\/p>\n<p>&#8220;It is unrealistic to consider that a corresponding number of residency positions can be created in Montana to accommodate the additional osteopathic students,&#8221; University of Washington School of Medicine (which has a 44-year partnership with Montana and MSU specifically in recruiting medical students) CEO Paul Ramsey\u00a0<a href=\"http:\/\/www.mmaoffice.org\/ez\/files\/home\/UW School of Medicine on Burrell.pdf\" target=\"_blank\">wrote<\/a>. &#8220;Increasing residency education in the state requires having sufficient numbers of clinical training sites for residents; these will be significantly limited by increased numbers of osteopathic students.&#8221;<\/p>\n<p>Only time will tell if Burrell&#8217;s plans for an osteopathic school in Idaho, which is also part of UW&#8217;s WWAMI program &#8212; and has a lower\u00a0<a href=\"http:\/\/www.census.gov\/quickfacts\/chart\/AGE295213\/16\" target=\"_blank\">population<\/a>\u00a0than New Mexico&#8217;s but higher than Montana&#8217;s &#8212; will come to fruition.<\/p>\n<h3>Prevalence of osteopathic colleges<\/h3>\n<p>There are currently 33 accredited osteopathic colleges in the United States, according to the American Association of Colleges of Osteopathic Medicine (AACOM), the accrediting body.<\/p>\n<p>\u201cThese colleges are accredited to deliver instruction at 48 teaching locations in 31 states,\u201d AACOM\u2019s website says.<\/p>\n<div>\n<div>\n<p>Of these 33 osteopathic colleges, two are accredited with for-profit models. The Burrell College of Osteopathic Medicine is one such for-profit.<\/p>\n<\/div>\n<\/div>\n<h3>The stigma of for-profit colleges<\/h3>\n<p>While the concept of profiting\u00a0from higher education has been around for decades, if not centuries, much of the controversy and indeed stigma surrounding for-profit institutions propagated as a result of for-profits\u2019 proliferation during the 2007-08 recession.<\/p>\n<p>\u201cAs enrollments soared, regulators took notice of high tuition costs and poor student performance,\u201d the\u00a0L.A. Times\u00a0reported\u00a0<a href=\"http:\/\/www.latimes.com\/business\/la-fi-for-profit-colleges-gi-bill-20150809-story.html\" target=\"_blank\">in August 2015<\/a>. \u201cFor-profit colleges on average charge more than four times as much as community colleges, according to the College Board, and cost significantly more than the in-state tuition at public four-year colleges.\u201d<\/p>\n<p>As the recession wore off, the frenzy of students enrolling in these institutions dropped severely, particularly as a result of repeated investigations by the U.S. Senate, the Securities and Exchange Commission, the Federal Trade Commission, the U.S. Consumer Financial Protection Bureau, state and federal Departments of Education, and dozens of state attorneys general, among other entities.<\/p>\n<p>These investigations continue to examine \u201cquestionable job placement rates and deceptive marketing practices,\u201d the\u00a0L.A. Times\u00a0said.<\/p>\n<p>Education Management Corporation, which owns several chains of for-profit colleges \u2014 among them, Brown Mackie \u2014 settled a lawsuit from 2011 in 2015 and paid more than $95 million to former employees, who alleged the corporation paid recruiters based on the number of students they enrolled. By so doing, EMC \u201cwas able to tap into billions of dollars in federal student aid,\u201d the\u00a0Times\u00a0<a href=\"http:\/\/www.latimes.com\/business\/la-fi-for-profit-college-settlement-20151116-story.html\" target=\"_blank\">reported<\/a>.<\/p>\n<p>Earlier this year, the now-defunct Corinthian Colleges had to pay more than $1 billion to former students after a San Francisco judge ruled the colleges \u201cprovided untrue or misleading statements about graduates\u2019 job placement rates, duping both students and investors, and that the Santa Ana-based company unlawfully used U.S. military seals in advertisements, among other claims,\u201d the\u00a0Times\u00a0reported\u00a0<a href=\"http:\/\/www.latimes.com\/local\/lanow\/la-me-ln-corinthian-colleges-judgment-false-advertising-20160323-story.html\" target=\"_blank\">in March 2016<\/a>.<\/p>\n<p>Given these facts, which arguably put for-profits as a whole in a bad light in the minds of current and potential students, should the NMSU community be concerned about a partnership with a for-profit?<\/p>\n<div>\n<div>\n<p>Sheridan Chaney, associate vice president of media relations at the American Osteopathic Association, says no.<\/p>\n<\/div>\n<\/div>\n<div>\n<div>\n<p>&#8220;(For-profit) Medical schools are unlike other for-profit institutions because their outcomes are concrete and highly documented through mechanisms such as performance on the COMLEX and USMLE exams, as well as the percentage of students who are placed in graduate medical education (most commonly referred to as a residency),&#8221; Chaney said.<\/p>\n<p>The AACOM considers licensing exam scores and match rates for graduates and residency programs in its criteria for accrediting for-profit medical schools, Chaney said.<\/p>\n<p>&#8220;The same is not true of for-profit institutions offering degrees in fashion, merchandising, general business, and the like, so comparisons don&#8217;t really make much sense,&#8221; she said.<\/p>\n<p>No matter the business model, medical schools are educating future physicians with standards set by the U.S. Department of Education.<\/p>\n<\/div>\n<\/div>\n<div>\n<div>\n<p>&#8220;(This ensures) that every medical school graduate receives adequate education and training to become a fully licensed physician,&#8221; she said.<\/p>\n<\/div>\n<\/div>\n<h3>BCOM, a blessing to southern New Mexico?<\/h3>\n<p>\u201cAccording to a 2014 study by the nonpartisan Commonwealth Fund, New Mexico ranks last in the nation for health care affordability and access,\u201d says the nonprofit think tank <a href=\"http:\/\/www.thinknewmexico.org\/healthcare.html\" target=\"_blank\">Think New Mexico<\/a>.<\/p>\n<p>This has been backed up by the New Mexico Healthcare Committee, which in October 2015 published its\u00a0<a href=\"http:\/\/www.nmnec.org\/uploads\/FileLinks\/933875ef41ef4474b4e844f09423bbef\/NM_Hlthcr_Workforce_Comm_2015_Report.pdf\" target=\"_blank\">annual\u00a0report <\/a>stating\u00a0that New Mexico has been facing a doctor shortage in recent years &#8212; and it doesn\u2019t seem to be improving.<\/p>\n<p>Most of New Mexico has a \u201cmild shortage\u201d \u2014 1-10 providers per county \u2014 while Valencia and Lea Counties are facing \u201csevere shortages\u201d \u2014 greater\u00a0than 10 providers.<\/p>\n<p>\u201cNew Mexico only has 1,908 primary care physicians,\u201d\u00a0<a href=\"http:\/\/www.koat.com\/news\/new-mexico-dealing-with-doctor-shortage\/37997396\" target=\"_blank\">reported\u00a0KOAT-7 News in Albuquerque<\/a> on the committee\u2019s annual report. \u201cWhen you put that number up against the state&#8217;s population, there is only one primary care physician for every 1,099 New Mexicans in the state.\u201d<\/p>\n<p>The news station also reported that New Mexico&#8217;s primary care physician numbers are below the national standard by 145, below the national standard for nurse practitioners by 197, and below the national standard for psychiatrists by 109.<\/p>\n<p>Addressing and remedying physician shortages in New Mexico is one of BCOM\u2019s goals, says Mychaskiw.<\/p>\n<p>\u201cWe started this project wanting to improve health care in the borderlands, (and) we brought the college here knowing that a college was the best way to do it,\u201d he says.<\/p>\n<p>Addressing physician shortages is also a tenet of osteopathic medicine as a whole.<\/p>\n<p>\u201cThe mission statements of the majority of osteopathic medical schools state plainly that their purpose is the production of primary care physicians,\u201d says the American Association of Colleges of Osteopathic Medicine\u2019s\u00a0<a href=\"http:\/\/www.aacom.org\/become-a-doctor\/about-om\" target=\"_blank\">website<\/a>.<\/p>\n<p>BCOM has created 108 new residency positions in the region, and over the next decade another 600 residency positions are expected to develop, said Mychaksiw.<\/p>\n<p>BCOM has identified several \u201crecruitment hubs\u201d in addition to Las Cruces: Albuquerque, El Paso, Tucson, and Ciudad Ju\u00e1rez.<\/p>\n<p>\u201cAll of our hubs will have residencies,\u201d Mychaskiw says.<\/p>\n<p>Creating residencies is part of BCOM\u2019s accreditation, Mychaskiw says.<\/p>\n<h3>Burrell separating itself from other for-profits<\/h3>\n<p>Mychaskiw was once a vocal opponent of for-profit colleges, even for-profit medical schools, having written a number of\u00a0<a href=\"http:\/\/jaoa.org\/solr\/searchResults.aspx?author=George+Mychaskiw\" target=\"_blank\">letters\u00a0to the editor<\/a> of the\u00a0Journal of the American Osteopathic Association.<\/p>\n<p>The fundamental difference between for-profit and nonprofit colleges and governmental agencies like NMSU, Mychaskiw argues in one 2008\u00a0<a href=\"http:\/\/jaoa.org\/article.aspx?articleid=2093567\" target=\"_blank\">letter<\/a>\u00a0to the JAOA, is how these institutions spend excess revenue: on research, in nonprofits\u2019 cases; and as returns to investors, in for-profits\u2019 cases, otherwise neglecting research.<\/p>\n<p>His opinion has changed.<\/p>\n<p>\u201cMy previous opposition to for-profit medical education was based on a very different model, motivation, location and time in history,\u201d Mychaskiw says.<\/p>\n<p>He says the for-profit business model was decided on for BCOM by both Burrell and the Rice Management Company \u2014 Houston\u2019s Rice University\u2019s investment company\u00a0\u2014 as \u201cthe most reliable way\u201d of accomplishing BCOM\u2019s ultimate goal: to improve the health of Southern New Mexico.<\/p>\n<p>\u201cTimes change, economies change,\u201d Mychaskiw says. \u201cIt makes sense here. It may not make sense everywhere. It could be that a different model might work somewhere else.\u201d<\/p>\n<p>Rice University, which owns the majority of BCOM \u2014 Mychaskiw estimated between 51 and 53 percent, while Burrell himself owns the remainder \u2014\u00a0\u201conly invests in long-term, credible ventures consistent with their mission of higher education.\u201d<\/p>\n<p>Burell and Rice, however, \u201chave full shared fiscal governance\u201d and their operations are overseen by a local board of directors, Mychaskiw says, which includes himself; Burrell; Jaime Aguirre,\u00a0investment director for private equity and venture capital with the Rice Management Company; John Hummer, BCOM&#8217;s co-founder, executive board director, and president; banker John Jetter; Burrell\u2019s father, Chet; Angela Throneberry, senior vice president for administration and finance at NMSU;\u00a0John Cruickshank,\u00a0a DO and CEO of Lovelace Medical Group;\u00a0NMSU Chancellor Garrey Carruthers; Susan Martinez de Gonzales,\u00a0CEO of La Clinica de Familia;\u00a0Denten Park,\u00a0CEO of MountainView Regional Medical Center;\u00a0John Harris,\u00a0CEO of Memorial Medical Center;\u00a0and Bill Baker, a\u00a0family DO and NMSU physician for athletics.<\/p>\n<p>\u201cFinally we have a strong accreditation agency that holds all osteopathic schools to consistent high standards, so we believe that, given the substantial number of checks and balances built into the system, we have done the most credible job of opening the best possible medical school, regardless of ultimate business model,\u201d Mychaskiw says.<\/p>\n<p>Mychaskiw says research will not be neglected at BCOM as a result of the Burrell Institute of Health Policy &amp; Research, a 501(c)(3) nonprofit organization housed within BCOM.<\/p>\n<p>\u201cOur mission is\u00a0to provide accurate and timely information regarding health characteristics, risk factors, behaviors, health care practices and programs to facilitate health policy changes for improving the health status of the Southwestern U.S. and Mexico-U.S. border population,&#8221; the nonprofit&#8217;s\u00a0<a href=\"https:\/\/bcomnm.org\/burrell-institute-of-health-policy-research\/\" target=\"_blank\">website<\/a>\u00a0says. &#8220;The Burrell Institute conducts a variety of policy-oriented research projects and provides position papers to legislators, decision-makers, and the media. Our research activities are focused at reducing health disparities, improving access to care, and assisting the policymaking process at local, regional, national, or international levels (particularly at the US-Mexico Border region).\u201d<\/p>\n<p>Mychaskiw says\u00a0the institute is in \u201cthe best position\u201d to offer unbiased input on health matters and conduct research that \u201cserves the public good.\u201d<\/p>\n<p>Both Mr. Burrell and I see this as a responsible use of our resources to meet our research mission and serve the public,\u201d he says. \u201cWhile this may lower the ultimate profit margin, our mission is to improve health.\u201d<\/p>\n<p>Still, BCOM will benefit investors.<\/p>\n<p>\u201cOur investors will get a fair return and also serve the public,\u201dMychaskiw says. \u201cHad they wanted to maximize profit, they likely would have opened a different business. As dean, my job is assure the best quality education and responsible use of resources. I have never, however, been asked by either Rice or the Burrell group to limit spending or worry about profit, and I suspect I will not be asked. Their sole concern has been quality of the institution.\u201d<\/p>\n<h3>The difference between for-profits and nonprofits<\/h3>\n<p>Unlike Mychaskiw, Carruthers doesn\u2019t see as much difference between the two kinds of medical schools.<\/p>\n<p>For-profit universities are by definition businesses, whereas applying that term to nonprofits and governmental agencies \u2014 like NMSU \u2014 is more difficult.<\/p>\n<p>In staff and faculty meetings, Carruthers has repeatedly emphasized that NMSU needs to be run like a business in order to become \u201ca 21st-century university.\u201d<\/p>\n<p>&#8220;You need to restructure this great university for the 21st century,\u201d\u00a0Albuquerque Business First\u00a0<a href=\"http:\/\/www.bizjournals.com\/albuquerque\/news\/2015\/12\/02\/nmsus-carruthers-take-business-approach-to-higher.html\" target=\"_blank\">reported<\/a>\u00a0Carruthers as saying back in December. \u201cWe looked at staffing patterns, for example. We want to know how (we) stack up against other universities. We thought we may be overstaffed, so we hired someone to look at our staffing patterns. We were told that we were not overstaffed, but poorly organized. We also don&#8217;t minimize the layers of management the way you would in business, so we looked at that, too.&#8221;<\/p>\n<p>In a November 2008 <a href=\"https:\/\/oap.nmsu.edu\/teaching\/files\/2013\/05\/Retention_Report-Nov08.pdf\" target=\"_blank\">faculty retention\u00a0report<\/a>\u00a0by professor emerita Christine E. Eber, anonymous former faculty cited former NMSU president Mike Martin\u2019s \u201cCEO-like management of the university\u201d as contributing to their \u2014 the faculty\u2019s \u2014 reasons for leaving NMSU.<\/p>\n<p>\u201cMike Martin is a CEO,\u201d a respondent said. \u201cThe money-based model that they follow doesn\u2019t consider the broader quality of life of faculty, students and staff. It is reprehensible.\u201d<\/p>\n<p>\u201cThere are private universities and there are public universities,\u201d Carruthers said in response to the criticism of the former president. \u201cThey provide the same service. Higher education almost across the country is now facing all kinds of deficits. Every university should be operated on good business principles. How you get those business principals implemented is key.\u201d<\/p>\n<h3>Understanding the details of the partnership<\/h3>\n<p>NMSU Chancellor Garrey Carruthers spoke to\u00a0<em>The Round Up\/Oncore Magazine<\/em>\u00a0to tell us how he became involved in the partnership.<\/p>\n<p>When Boberg pitched the idea of the partnership to Carruthers, the chancellor was similarly intrigued.<\/p>\n<p>Carruthers is no stranger to the business of health care: In 1993 he served as president and CEO of Cimarron Health Plan.<\/p>\n<p>After meeting with Boberg, Carruthers gave the go-ahead for Boberg to travel to Chicago to make an early presentation to the Commission on Osteopathic College Accreditation to receive pre-accreditation so\u00a0construction on BCOM could\u00a0commence.<\/p>\n<p>Carruthers and the NMSU Board of Regents agreed to lease the plot of land where the college sits to BCOM through the Arrowhead Center. BCOM then pays rent \u2014 $22,360.80 a month \u2014 for the 7.626 acres to Arrowhead, which then pays NMSU.<\/p>\n<p>Carruthers stressed that BCOM is not NMSU\u2019s college and that it would not be funded by a single public dollar.<\/p>\n<p>BCOM is responsible for its own maintenance work \u2014 such as landscaping, heating and air conditioning, utilities, and parking areas.<\/p>\n<h3>Benefits for students<\/h3>\n<p>\u201c(BCOM) addresses a need for physicians and also will make New Mexico State more attractive to those students interested in health sciences,\u201d Carruthers says.<\/p>\n<p>One of the most visible benefits for current and future NMSU students as a result of the partnership is the Current Use Scholarship.<\/p>\n<p>BCOM has arranged to gift NMSU $125,000 every December for the next four years. NMSU will then distribute this gift in the form of student scholarships.<\/p>\n<p>\u201cThe ultimate decision on which majors to include will be the decision of the NMSU Foundation,\u201d says Justin McHorse, dean of communications at BCOM. \u201cHowever, we would envision that this would include all the health science-related degrees offered at NMSU and any major that a student would take along with a pre-medicine focus. For example, biology and chemistry as well as liberal arts and engineering are eligible majors whereby students are also pursuing a pre-medicine curriculum.\u201d<\/p>\n<p>After year four, when the overall amount gifted has reached $500,000, BCOM will continue with a yearly gift that begins at $500,000 and increases by 1.5 percent\u00a0each subsequent year.<\/p>\n<p>Another benefit for NMSU students is the partnership\u2019s pathway agreement, which specifies that BCOM will reserve a certain number of spaces for New Mexico students to enter BCOM when they graduate from NMSU.<\/p>\n<p>This is an important facet of the plan, as it allows people\u00a0in New Mexico communities to aspire to greater heights\u00a0&#8212;\u00a0they can tell their children in middle school and high school that if they want to have a career as a doctor, they have the resources to do so right in their home state.<\/p>\n<p>BCOM students also benefit. Through their tuition to BCOM and student fees to NMSU, osteopathic students will have access to NMSU\u2019s Campus Health Center, Activity Center, the Counseling Center, and have access to Taos and NMSU housing at the same rate as NMSU students, among other amenities.<\/p>\n<p>To compensate NMSU for these services, BCOM will give\u00a0NMSU an annual services payment dependent on several factors.\u00a0McHorse estimated that NMSU can expect to receive approximately $210,000 in the\u00a0first year.<\/p>\n<h3>BCOM\u2019s tuition<\/h3>\n<p>\u201cBCOM\u2019s base tuition is $46,650 per year for academic year 2016\/2017,\u201d McHorse told\u00a0<em>The Round Up\/Oncore Magazine<\/em>. \u201cIt is important to point out that our tuition is lower than the national average of all other private osteopathic medical schools, of which 80 percent are private, not-for-profit. And we are offering this tuition with brand new facilities, amenities and outstanding faculty recruited from across the nation.\u201d<\/p>\n<p>BCOM students will also pay NMSU student fees in order to access student services and amenities, such as athletic games. Their student fees, Boberg estimated, will amount to $700,000 or $800,000 a year.<\/p>\n<h3>The curriculum<\/h3>\n<p>\u201cWe are using a curriculum that has been tested and proven at other institutions, so we have a curriculum that we know results in the highest board scores,\u201d Mychaskiw says. \u201cThe students have to take three sets of board exams during medical school: One set they take right after their first two years of training, that\u2019s called the Part One, and that\u2019s sort of the ultimate judge of how good your curriculum is.\u201d<\/p>\n<p>BCOM\u2019s\u00a0<a href=\"https:\/\/bcomnm.org\/academics\/medical-curriculum\/\" target=\"_blank\">website<\/a>\u00a0outlines the curriculum:<\/p>\n<p>\u201cThe curriculum uses several educational approaches, including: traditional lectures, integrative sessions (using electronic response systems), laboratory and skills instruction, active learning (adult and interactive techniques), team-based learning, large &amp; small group sessions, directed study, and clinical case presentations,\u201d the website says. \u201cThis variety of learning formats fosters comprehension, promotes the application of knowledge, emphasizes competency in osteopathic philosophy, develops clinical skills, and stimulates critical thinking and problem-solving skills.\u201d<\/p>\n<p>BCOM students should be able to graduate in four years. The first two years are spent on campus in classrooms; the next two years students spend in clinicals in BCOM\u2019s training hubs throughout the region. After graduation, a student does a three-to-five-year residency.<\/p>\n<p>Boberg said these four-to-nine years, depending on where students do residencies, are important because they\u00a0give BCOM students time to acculturate to New Mexico, which is an important facet of providing health care to this area.<\/p>\n<p>\u201cAfter they get their degree, and they do their residency, they\u2019re more likely to come back to a rural community than an MD (because of osteopathic medicine&#8217;s focus on providing care in rural and urban underserved areas),\u201d he said.<\/p>\n<p>Osteopathic medicine is \u201cmore suited to New Mexico,\u201d he said.<\/p>\n<h3>Bottom line: Is it worth it?<\/h3>\n<p>Students must ask themselves if going to college, whether for-profit or not, will result in landing a decent-paying job.\u00a0Mychaskiw said one of the reasons BCOM is a good choice for students is because of its accreditation.<\/p>\n<p>\u201cIt\u2019s an interesting model in for-profit medical education,\u201d he says. \u201cIt\u2019s very different than in other forms of higher education mostly because we are accredited by the same accrediting body as the not-for-profit medical schools. So today, if you count us, there are four for-profit medical schools in the United States: two MD schools and two DO schools. The MD schools are accredited by the Liaison Committee of Medical Association and we are accredited by the Commission on Osteopathic College Accreditation.\u201d<\/p>\n<p>This is important because it ensures that students can look at BCOM and compare it to other accredited schools to find the right fit. At the same time, having the same accreditation as the nonprofit schools creates a natural defense against unsavory practices.<\/p>\n<p>\u201cIf, for instance we wanted to double the number of people in school just to make more money, the accreditors would have to sign off on that,\u201d Mychaskiw says. \u201cThe accreditors don\u2019t look at how much money you\u2019re making. What they look at is, \u2018Will you still deliver a quality education and will you be able to get (those students) jobs?&#8217;\u201d<\/p>\n<p>Further accreditation details for BCOM can be found\u00a0<a href=\"http:\/\/bcomnm.org\/about-bcom\/the-college\/accreditation\/\" target=\"_blank\">here<\/a>.<\/p>\n<p>Mychaskiw also said the shared governance of the college between Burrell and the Rice Foundation is an important check-and-balance, as one cannot make a decision without the other\u2019s approval.<\/p>\n<p>So how will BCOM achieve its goal of improving the health-care accessibility of New Mexicans, and, in the larger picture, fill the physician shortage in the state with \u201cculturally competent\u201d New Mexico doctors?<\/p>\n<p>First of all, where are most BCOM students from?<\/p>\n<p>\u201cThe majority of applicants to BCOM, and all medical schools in our nation, historically originate from California, Florida, Texas, and New York due to sheer population,\u201d McHorse said.<\/p>\n<p>\u201cAs a brand-new medical school admitting our first class in August of 2016, we will measure our success in the development of pipeline programs and the recruitment and retention of New Mexico residents over the long-term,\u201d McHorse said.<\/p>\n<p>By McHorse\u2019s estimation, about eight New Mexicans a year get into an osteopathic medical school.<\/p>\n<p>\u201cWe will not have our first class finalized until this June and, therefore, we are unable to report BCOM\u2019s final number of New Mexico residents,\u201d he says. \u201cHowever, we can easily report that we have already exceeded the historical number of resident admissions into osteopathic medical school from New Mexico.\u201d<\/p>\n<p>McHorse said eventually they want at least 97 percent of BCOM students to be from New Mexico. That&#8217;s a goal UNM\u2019s medical school has already accomplished \u2014 though they had 75 years to do it.<\/p>\n<p>\u201cBCOM was created to address and solve a chronic physician shortage in our region of the United States and to improve the health care of the citizens we serve,\u201d McHorse said. \u201cBCOM\u2019s leadership, owners, NMSU leadership, local physicians, hospitals, and community leaders recognized the need and implemented a solution. Addressing the physician shortage is not an overnight fix, as that would be unrealistic &#8212; rather an improvement, incrementally, over the long term and in collaboration with all stakeholders.\u201d<\/p>\n<p><em>A prior version of this article inadvertently omitted\u00a0John Hummer from the list of BCOM board of director members. The article has been updated to include Hummer&#8217;s name. It has also been amended\u00a0to include updated numbers on for-profit osteopathic medical schools, based on information provided by the American Osteopathic Association&#8217;s Chaney,\u00a0and to include Chaney&#8217;s comments. It has been updated to use the more accurate term &#8220;osteopathic medicine&#8221; instead of &#8220;osteopathy.&#8221; And it has been updated to clarify the amount BCOM will gift to NMSU each year.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The Burrell College of Osteopathic Medicine, Southern New Mexico\u2019s first medical school, will open this fall.<\/p>\n","protected":false},"author":1,"featured_media":148499,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[125,117,133],"class_list":["post-148492","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news-and-analysis","tag-education","tag-health-care","tag-nmsu"],"_links":{"self":[{"href":"https:\/\/nmpolitics.net\/index\/wp-json\/wp\/v2\/posts\/148492","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nmpolitics.net\/index\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/nmpolitics.net\/index\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/nmpolitics.net\/index\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/nmpolitics.net\/index\/wp-json\/wp\/v2\/comments?post=148492"}],"version-history":[{"count":0,"href":"https:\/\/nmpolitics.net\/index\/wp-json\/wp\/v2\/posts\/148492\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/nmpolitics.net\/index\/wp-json\/wp\/v2\/media\/148499"}],"wp:attachment":[{"href":"https:\/\/nmpolitics.net\/index\/wp-json\/wp\/v2\/media?parent=148492"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/nmpolitics.net\/index\/wp-json\/wp\/v2\/categories?post=148492"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/nmpolitics.net\/index\/wp-json\/wp\/v2\/tags?post=148492"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}