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AnMed Health is a community-based nonprofit hospital system in Anderson, South Carolina with a single residency in Family Medicine. In July 2014, a class of 12 third-year medical students associated with Medical University of South Carolina-Charleston (MUSC-C) and Edward Via College of Osteopathic Medicine-Carolinas Campus (VCOM-CC) began their clinical training at AnMed. Since that time, 58 medical students have completed their clinical training at AnMed Health, 71% have entered primary care residencies, and 38% have matched into family medicine. According to a Health Resources and Services Administration report, the growth in primary care physician supply will not be adequate to meet demand in 2020, with a projected shortage of 20 400 physicians.1 One way to increase medical student enrollment in primary care residencies may be through primary care focused regional medical campuses. Important factors in primary care specialty choice include longitudinal primary care experiences, an institutional culture which supports primary care, and student exposure to primary care faculty as leaders in the institution.2 Regional medical campuses are uniquely positioned to provide all of these factors. AnMed Health, founded in 1908, is a 461-bed, 3 hospital system located in Anderson, South Carolina. This city of 27 000 with county population of 198 000 is located in the northwest corner of South Carolina halfway between Atlanta and Charlotte.3 We are 225 miles north of the main campus of the Medical University of South Carolina (MUSC), located in Charleston. AnMed Health has a single residency program in Family Medicine that dates back to 1975 and has graduated 353 residents. Starting in 1976, the residency clinic served as a rural family medicine rotation site for MUSC thirdyear medical students. In 2014, MUSC-C and AnMed Health committed to an exclusive academic relationship to develop a clinical campus mainly for students interested in primary care. The goal was to have a total of 24 students at the regional campus (12 thirdand 12 fourth-year medical students). Realizing how long it would take to develop a new campus and receive LCME accreditation, a joint decision was made to invite VCOM-CC clinical students to train at our site as we developed our campus. VCOM-CC was appreciative of this opportunity but fully understood that the commitment would only be for 5 years. We began with an initial MUSC-C pilot class of 2 students, followed by 6 students for the next few years. These classes were supplemented with VCOM-CC students to reach a class size of 12. In July 2020, we will have 24 students from MUSC (12 thirdand 12 fourth-year students). In 2015, the LCME gave us initial accreditation as a parallel clinical campus. The LCME accreditation process involved a site visit. The goal of the LCME visit was to ensure that we were providing a comparable academic experience. We could also highlight what made the regional medical campus unique. We were tasked to show that all core clinical rotations completed in AnMed Health share the same objectives, requirements, and evaluation process as rotations completed at MUSC-C. We also had to show how we planned to track objective measures between both campuses (scores on shelf exams, procedure logs, etc.) to prove comparability of the academic experience. To accomplish this, we have site directors for each required rotation who work closely with their clerkship director counterpart at MUSC-C. This involves a yearly face to face meeting, with the MUSC-C clerkship directors visiting our clinical site. In addition, as a large group we have a monthly teleconference with MUSC-C clerkship directors and academic leadership, and 2 retreats per academic year (one in-person). All third-year rotations are completed in Anderson. Our dedicated group of site directors is supplemented by almost 200 additional medical staff members. All core fourth-year rotations can be completed in Anderson. Some students choose to return to MUSC-C for additional rotations in their specialty choice with many doing acting internships at other

Impact of a Primary Care Focused Regional Medical Campus on Recruitment into Primary Care Residencies