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New for-profit medical schools springing up across US

Dr. Robert Hasty is dean of the for-profit Idaho College of Osteopathic Medicine that will open in 2018. While the for-profit schools have their critics, advocates say the challengers they face are surmountable.

BOISE, Idaho — For-profit medical schools are starting to pop up around the country, promising to create new family doctors for underserved rural regions.

Rural states like Idaho need more general practitioners, with the baby boom generation aging and expanded insurance coverage under the Affordable Care Act making health care more accessible. But critics of the new schools question whether companies can properly train the nation’s next crop of doctors.

“On face value, it looks like a pretty good deal” because for-profit schools promise to bring benefits without relying on taxpayer dollars, said Dr. Ted Epperly, who runs a family practice residency program in Boise, where a new for-profit school plans to start accepting students in 2018. “But it’s a little bit like Wal-Mart moving into a small community with mom-and-pop shops — it damages the existing work force producers.”

Proponents contend challenges the new schools face are surmountable, and any stigma about for-profit medical training is born of fear, not fact. Dr. Robert Hasty, dean of the newly created Idaho College of Osteopathic Medicine, notes for-profit hospitals also were once stigmatized but now make up about a quarter of all U.S. hospitals.

“We have such a need for doctors, and if we have to make this investment, it’s worthwhile,” Hasty said.

Thirty-one new medical schools opened in the country between 2002 and 2014, according to an article in the New England Journal of Medicine. Most were nonprofit or public.

For decades, for-profit medical schools were relegated to foreign shores, with U.S.-based companies like DeVry launching medical schools in the Caribbean. But that changed in 2007 when Rocky Vista University College of Osteopathic Medicine opened in Parker, Colorado.

Several for-profit medical schools have opened in the years since, including California Northstate University School of Medicine and the Burrell College of Osteopathic Medicine in New Mexico. Rocky Vista recently announced plans to expand into Utah.

Justin Rose was part of the first group of students to graduate from Rocky Vista in Colorado. Though the Idaho native applied to several schools in the West, he wasn’t accepted to any state-run programs.

“The for-profit part never played a part in it,” Rose said of his decision to attend Rocky Vista. “The biggest concern was I’m going to a new med school that had no background affiliation or anything.”

In retrospect, he said, it was the best choice because the school was under pressure to prove its first crop of graduates would succeed. “It made them especially motivated,” he said.

After completing an emergency medicine residency and an ultrasound fellowship at the University of Kentucky, Rose is preparing to begin his career as a doctor in Boise. He said the job will allow him to continue chipping away at his $350,000 in student loan debt.

That’s nearly double the average debt carried by medical school graduates, according to the Association of American Medical Colleges. And because Rose attended a for-profit program, he’s not eligible for many federal loan-forgiveness programs.

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