title: The College of Human Medicine at Michigan State University: expansion and reinvention.
abstract: The College of Human Medicine (CHM) at Michigan State University, which graduated its first class in 1972, was one of the first community-based medical schools in the country. It was established as a state-funded medical school with specific legislative directives to educate primary care physicians who would serve the needs of the state, particularly those of underserved areas. However, the model has proved challenging to sustain with the many changes to the health care system and the economic climate of Michigan. In 2006, a two-phase expansion plan was implemented, and in 2010, CHM permanently expanded the matriculating class from 106 to 200 students with the establishment of a second four-year site for medical education in Grand Rapids. This article describes what school leaders and faculty have learned as they look back at the opportunity provided by expansion as well as the growing pains and lessons learned. The community-based model met many of the mission-related goals for CHM's graduates, who represent a diverse group of practitioners whose values resonate with the school's mission. Expansion has offered an opportunity to explore new research and clinical opportunities as well as to more fully realize the potential of community partners to meet local health care needs and reinvent a robust future for community-integrated medical education.
authors.affiliation: Office of Medical Education Research and Development, College of Human Medicine, Michigan State University, East Lansing, MI 48824, USA. mavis@msu.edu
authors.forename: Brian
authors.initials: B
authors.lastname: Mavis
authors.forename: Aron
authors.initials: A
authors.lastname: Sousa
authors.forename: Janet
authors.initials: J
authors.lastname: Osuch
authors.forename: Cindy
authors.initials: C
authors.lastname: Arvidson
authors.forename: Wanda
authors.initials: W
authors.lastname: Lipscomb
authors.forename: Judy
authors.initials: J
authors.lastname: Brady
authors.forename: Wrenetta
authors.initials: W
authors.lastname: Green
authors.forename: Marsha D
authors.initials: MD
authors.lastname: Rappley
mesh_terms: D003153:Community Health Services; D003479:Curriculum; D020375:Education, Distance; D004504:Education, Medical, Undergraduate / Q000458:organization & administration*; D005180:Faculty, Medical; D006801:Humans; D008824:Michigan; D015279:Organizational Culture; D009936:Organizational Innovation; D016134:Organizational Policy; D011320:Primary Health Care; D011361:Professional Competence; D012577:Schools, Medical / Q000191:economics / Q000458:organization & administration*; D049269:Videoconferencing