ALASKA

The Alaska State Medical Association reports that the State of Alaska, being still in its infancy, does not have a program for the education of physicians, but that the State is a member of the Western Interstate Commission for Higher Education, through which arrangements can be made for Alaskans to attend medical schools in the Western States.

ARIZONA

The Arizona Medical Association, Inc., has a very active program on medical careers, one of the objectives being to interest high school seniors in pursuing a course of medical education, with guidance and membership participation to this end, and also provides a medical student loan program, extending financial assistance to students in need. The association in 1957-58 took a very active part in a study to determine whether the State of Arizona could and would support a medical school. The association had meetings with the State legislature which had appointed a special committee to assist in the study. The association held a symposium during 1959, and shortly thereafter the Board of Regents of the State of Arizona determined to undertake a survey, which was completed, urging the establishment of a medical school in association with the University of Arizona. During the 1963 session of the legislature, appropriations were made to permit the employment of a dean, who has now been selected, with following development of staff.

ARKANSAS

The Arkansas Medical Society was instrumental in the original conception of the University of Arkansas School of Medicine, at first as a private institution manned by a volunteer staff, and was then instrumental in prevailing on the State legislature to undertake its continuance as a part of the State educational system. The society is active before each legislature to see that the university medical center receives the appropriations it must have for construction, for operation, and for expansion.

CALIFORNIA

The California Medical Association was represented on the Governor's commission on higher education, and on the commission's technical committees. The commission's function was a study of the immediate and future needs of training facilities for physicians. Recognizing the great need of expanded facilities to provide training for the greater number of physicians needed to provide adequate health services for California's growing population, the commission recommended that the legislature support the development of expanded facilities, both in State and private medical colleges. The commission also recommended loans for medical students, supported by State funds, to increase the number of physicians. The association has on numerous occasions stated its support of additional training facilities. The association has contributed funds, through its California Medical Education Research Foundation, to the California College of Medicine, and has guaranteed to help the school meet its operating expenses for the next several years if funds are not available from any other source. Two new medical schools are now in the process of being developed. The association has offered its assistance to the University of California. Arrangements for a third new medical school are presently in the making. The association also supported the legislation placing the California College of Medicine under the auspices of the Board of Regents of the University of California. In 1963, the association contributed to the American Medical Association Education & Research Foundation, which is designed to provide a means of financing a substantial portion of the cost of a medical education.

COLORADO

The Colorado Medical Society has appeared and testified in support of the University of Colorado's proposals for expansion and supportive appropriations

of its medical school before every session of the legislature since 1947, and also during other prior sessions of the legislature. The society also supported legislation which has increased the capacity of the school from 50 students per class to 85 students per class. The society also helped in developing the most recent expansion plan, whereby completion of a new 450-bed teaching hospital for the medical school will free sections of the present medical school complex for still further medical school expansion, and which plan will permit accommodation of at least 105 students for each school year. The expectation is that the school will soon graduate around 115 to 120 students per year. The society was instrumental in founding the Colorado Health Careers Council, which is actively engaged in promoting careers in medicine. The society donates space in its own building for this council and supports it financially.

CONNECTICUT

The Connecticut State Medical Society has over the past 15 years, through its physician legislative representatives, appeared at every session of the legislature to speak in favor of a second medical school in Connecticut. In the late forties and early fifties support was given to regional proposals (covering the New England area), but the society later encouraged plans for an exclusively Connecticut-operated medical-dental school. At the 1963 session the legislature committed itself to the construction of such a facility, and an initial appropriation of $12 million will be used to erect many of the required buildings. The society has volunteered to assist the new school's administrators in all possible ways.

DELAWARE

The Medical Society of Delaware is actively cooperating with the University of Delaware in having a feasibility study made to determine the desirability of establishing a medical school. Pending the outcome of this study, the legislature has not been requested for funds for this expansion. The State medical society has actively supported a bill by which the legislature adopted a grant-in-aid program to assist professional students in acquiring postgraduate educations. The soceity itself is active in providing scholarship funds for Delaware students interested in medicine, and also participates in a program to stimulate and foster interest of high school students in the study of medicine.

FLORIDA

(See material regarding licensing requirements of the State of Florida for physicians, etc., which was previously forwarded to the Committee on Ways and Means under date of December 16, 1963.)

GEORGIA

The Medical Association of Georgia introduced, supported, and helped pass through the Georgia Legislature a scholarship program for students who needed financial assistance for medical school training. The program, about 8 years old, has enjoyed a great deal of success It is a loan program, and if the physician will practice in certain rural areas of Georgia, the loan is forgiven; otherwise, it may be repaid on favorable terms.

HAWAII

The Hawaii Medical Association has actively entered into projects designed to encourage students to enter into a career of medicine and into other allied health careers. These programs include guidance of high school counselors, supplying speakers to schools for careers programs, providing guided tours to medical facilities, and sponsoring its own Careers Day program. The association has established its own scholarship program, and also works closely with the chamber of commerce scholarship fund which is administered by their public health committee. The association supported and worked for State legislation which enables Hawaii medical students to participate in the Western Interstate Commission for Higher Education. The association is now cooperating with the university on a feasibility study for the establishment of a biomedical college, which would establish in Hawaii a school providing courses comparable to the first 2 years of medical school.

IDAHO

The Idaho State Medical Association endorsed and has fully supported the Western Interstate Commission for Higher Education student exchange program, under which students from States without medical, dental, or veterinary schools who are admitted to such schools in the West carry with them State appropriations which, together with the in-State tuition, are about equal to the estimated cost of education. The association administers this program at no expense to the program. In 1963 Idaho's participation in the program provided for 46 Idaho students in medicine, and others in dentistry and veterinary medicine. The association is presently cooperating with Western Interstate Commission for Higher Education (WICHE) to determine the need for medical education in the area and then assess the resources for meeting that need-possibly the construction of a regional medical school supported by the four States involved. In connection with this survey, the medical education committee of the association is working closely with the Governor and the legislature in support of the program.

ILLINOIS

At the present time efforts are being made to establish new medical schools in Illinois, one in the Chicago area in northwest Cook County and one downstate. The Illinois State Medical Society has approved the establishment of the Chicago area school, proposed by the Foundation for Human Ecology of Park Ridge, an arm of the Lutheran Church, and which is to be affiliated with the Lutheran General Hospital. The special committees of the Illinois State Medical Society and the Chicago Medical Society are continuing their efforts to bring this school into being. The other medical school is one proposed in conjunction with Southern Illinois University and hospitals in the Alton-East St. Louis area. In 1963 the legislature enacted legislation, signed by the Governor, which removed the restriction against the establishment of professional schools at this institution and at Northern Illinois University. The society has taken the position that it will support the establishment of any and all reputable class A medical schools. The society has also been actively supporting a movement to establish a school of public health in conjunction with one of the established medical schools in the Chicago area.

INDIANA

The Indiana State Medical Association has had a long and continued history of interest in the development of medical school facilities in Indiana. The original Indiana University School of Medicine was designed to train 56 students, and over the course of the years the association made recommendations to the State legislature that additional facilities were needed. The legislature authorized the building of a new medical school building in Indiana, which in 1963 had an enrollment of 225 in the beginning class. The association is now attempting to further expand medical school facilities. In October of 1963 it adopted a resolution requesting the Governor to appoint a committee to study the requirements and needs for additional medical school facilities. The trustees of Indiana University have begun their own study as to whether or not Indiana could support or does need another medical school.

IOWA

The Iowa Medical Society was instrumental, in the 1953 session of the legislature, in obtaining additional appropriations which were utilized, in part, for increasing the number of freshman medical students from 90 to 120. Funds were also appropriated at that time for additional plant facilities at the State University of Iowa College of Medicine.

KANSAS

The Kansas Medical Society works very closely with the University of Kansas in the postgraduate programs of the school of medicine. The society actively worked with other groups to obtain legislative assistance to expand the University of Kansas School of Medicine. The school of medicine, which in 1948 graduated 70 students each year, now graduates a class of 120 per year, as a result of the expansion program. The society also participates actively in vocational guidance before high school groups and other organizations, to assist

students in selecting careers in the field of medicine. The society has also worked toward the establishment of a student loan fund, which is a continuing project. The society is also cooperating with the university in providing graduate education for physicians, and also to provide expansion of the services at the university.

KENTUCKY

The Kentucky State Medical Association has actively and repeatedly supported the programs before the legislature resulting in increased appropriations for the University of Louisville School of Medicine. The biennium appropriations have increased from $250,000 in the late forties, to $1 million at the 1962 session. The association has voted to support the present dean's request in the legislature for $1,700,000. The association, in addition to its cooperation with the University of Louisville, also is working with the University of Kentucky Medical Center in advising with the university on plans for its programs. The association has also been very active in assisting students in getting a medical education to practice in the rural areas. In the late 1940's the Rural Kentucky Medical Scholarship Fund was formed, and in the 1950's assistance from the legislature was sought and received. The fund has grown to $350,000 and the fund has helped or is helping a total of 251 students since its inception. The association provides personnel from its staff for the operation of this fund.

LOUISIANA

Members of the Louisiana State Medical Society have on many occasions sought increases in the appropriations for the Louisiana and State University School of Medicine from the legislature. Additional facilities are now under construction for the school, as well as for Tulane University School of Medicine, which will permit more students to enter and provide more adequate accommodations.

MAINE

The Maine Medical Association has over the past 10 years made three attempts to get a medical school underway in Maine. A fourth attempt is currently being mounted by a group of physicians in the State. The Maine Department of Education makes funds available to the University of Vermont College of Medicine, which arrangement was set up by the New England Higher Education Foundation with the Legislature of the State of Maine. The University of Vermont College of Medicine receives $2,500 each year for each of 15 students from Maine enrolled in that school. The students are then granted in-State tuition rights ($500 instead of $1,500) by the State of Vermont. The association has set up a recruitment, aid, and placement committee which is most active in increasing the interest in medical education from grade school up through college, and has in a short time materially increased (almost doubled) the number of students from the State of Maine entering medical schools in the country. The association has set up the Maine Medical Education Foundation, which in June 1963 supplied interest-free loans to 22 needy, worthy students from Maine.

MARYLAND

The Committee on Medical Care of the Maryland State Planning Commission has understaken an extensive study of the medical education and research needs in Maryland, and has made extensive recommendations concerning the expansion of medical training facilities in the State. The Policy and Planning Committee of the Medical and Chirurgical Faculty of the State of Maryland has made recommendations concerning this report, and the faculty will institute appropriate recommendations to the State legislature to augment the policy adopted.

MASSACHUSETTS

The Massachusetts Medical Society has been interested in and concerned itself with the problem of adequate medical education facilities for many years. Since 1946 a number of studies were conducted. At the time the legislature was considering the establishment of a new medical school, the society presented its committee's report which approved the establishment of a new medical school rather than expansion of present facilities, if required to fulfill the need for additional physicians.

MICHIGAN

The Michigan State Medical Society previously forwarded its report directly to the Committee on Ways and Means, and for a review of it, reference should be made to the report. Briefly, the report cited the need for an increase in medical graduates and an expansion of medical training facilities in the State of Michigan and cited the position of the society urging the development of these programs. The society adopted its policy urging (1) that the Medical School of the University of Michigan should be adequately supported with sufficient funds to meet the commitments made when it expanded its class to 200 and to continue the proper training of the number of students which it presently serves, and that sufficient funds should be made available so that it can continue and improve its postgraduate training and research program; (2) that Wayne State University College of Medicine should be expanded to provide for the number of students represented by an entering class of 125 and also carry out a proper postgraduate training and research program, and further that support should be given so that it can expand to its goal of 200 entering students and also carry out an expanded postgraduate training and research program; (3) that upon the accomplishment of the foregoing, a careful evaluation should be made of the best means of further increasing the number of doctors of medicine graduated from the medical schools of Michigan; and (4) that the society continue its support to any legitimate and ethical organization working toward increasing medical graduates in Michigan which seeks its help.

MINNESOTA

The Minnesota State Medical Association is supporting a rural medical student scholarship program, which provides $1,000 a year for one freshman medical student at the University of Minnesota for 4 years if the student selected will promise to practice medicine in a rural area where a physician is needed, for a period of at least 5 years after graduation and internship. If he fulfills his commitment, he is without obligation to repay; otherwise he must return the money with interest. In addition, the association has provided two loan funds to assist students with financial problems to remain in medical school. The association also takes an active part in recruiting all types of medical personnel, and through its career program has contacts with high school students from all over the State, and also furnishes speakers to student groups. Also, the association has assigned a staff member to the project undertaken by the university medical school whereby interested high school students are invited to the campus for a day of tours and talks. The association works closely with the university medical school staff in all such programs, and offers its assistance at every biennial session of the legislature in securing appropriations needed to keep the school growing and among the top ranking. The association is also supporting an active group of St. Paul physicians which has already laid the foundation for establishment of a new medical school in St. Paul.

MISSISSIPPI

Following the ending of World War II the Mississippi State Medical Association sought the aid of the legislature in establishing a State medical scholarship program to train physicians. The State medical education board program was enacted, under which an initial appropriation of $500,000 for scholarships was made. Scholarships in the amount of $1,250 per year were granted to Mississippi students who needed funds for medical education. The association also exerted major leadership in realizing in 1955 the building of the University of Mississippi School of Medicine and the 350-bed university hospital, which is a 4-year medical school and teaching hospital. Since 1955 the facilities have further been expanded. Since 1947, when it was found that 45.5 percent of the State's physicians were over 60 years of age, the trend has been reversed, and as of July 1963, only 21.6 percent of the State's physicians were over 60 years of age. An increase of 22 percent in the number of Mississippi physicians has also resulted.

MISSOURI

The Missouri State Medical Association actively supported the formation of the 4-year medical school at the University of Missouri, and the school is now in operation. The association through the years has on many occasions urged the legislature to appropriate funds requested by the school.