First tribally affiliated medical school in the U.S. creates a life-changing partnership for under-served communities

Medical students stand outside the College of Osteopathic Medicine
at the Cherokee Nation. (Photo by Oklahoma State University)

Nearly a decade in the making, Oklahoma State University and the Cherokee Nation have opened the country’s first tribally affiliated medical school. "The 84,000 square foot facility in Tahlequah officially opened its doors in early 2021, following half a year of virtual classes for the college’s first cohort of students," reports Gretel Kauffman for Rural Health Information Hub. "The facility itself was paid for by the Cherokee Nation, while OSU staffed the college and provided the educational technology. The school had been nearly a decade in the making, with conversations between OSU and the Cherokee Nation starting in 2012."

Amid a national physician shortage, "Oklahoma has one of the most severe doctor shortages in the nation, ranking 48th for number of active physicians per capita in 2022," Kauffman writes, "In rural parts of the state, it isn’t uncommon for a county to have one primary care provider, said Natasha Bray, dean of the College of Osteopathic Medicine at the Cherokee Nation. While telehealth has proven to be a helpful tool for some communities, it isn’t a reliable alternative for patients who lack access to high-speed internet, Bray said — and isn’t a direct substitute for in-person care."

Bray told Kauffman, "All people deserve a health-care provider who’s going to be able to be their partner and be present with them. The development of that relationship is so critical to building trust and improving care in our rural communities." Physicians who are "homegrown" are more likely to embrace rural life. Bray said, "They understand all that is amazing about living in a rural community, and they understand what the challenges are. They’re able to successfully build a practice and care for their community because they have an understanding of what’s involved in it.”

Only one in five of the students are Native American, Kauffman reports: "Roughly half hail from rural Oklahoma. Those percentages are in stark contrast to other medical schools across the U.S., where less than 5 percent of students come from rural backgrounds; that percentage drops to less than 0.5 percent for rural students from under-represented racial or ethnic minority groups. Meanwhile, American Indian and Alaska Native students account for less than 1 percent of medical students nationwide."

Bray explained the spirit of the school to Kaufmann: “When we look at success in medical education, one of the important components for avoiding burnout is your sense of belonging within a community. Having people who share your mission, your values, and your goals is extremely important — and that translates not only to individual well-being, but also to academic success.” Cassie McCoy, a second-year student, told Kauffman, “There is just this natural sense of family, and I think OSU does a really good job of promoting that and creating a culture where we can ask each other for help. You just feel that community, that sense of pride and belonging.”