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Rep.

Robert Bentley and the Multi-Million Dollar Alabama Medical Education Consortium What exactly are Alabama taxpayers paying for?



Republican gubernatorial nominee Robert Bentley was elected to the Alabama House of Representatives in 2002. During the subsequent organizational session in 2003, Bentley was given a seat on the powerful House Education Appropriations Committee. Bentley served on this important budget committee, which is responsible for recommending Alabama's public education funding appropriations, from 2003 through the 2010 legislative session.



One of the entities funded by appropriations from the House Education Appropriations Committee is the Alabama Medical Education Consortium (AMEC). AMEC is a non-profit, 50 I (c )(3), organization with the stated purpose of establishing a pipeline of primary care physicians for rural and underserved communities in Alabama. Bentley, according to his own accounts, has played a vital role in forming and promoting the development of the organization. In fact, Bentley (again, a member of the committee that appropriates funding to AMEC), is a long-standing member of the AMEC Board of Trustees. Since 2005, AMEC has received $3.74 million from the Alabama Legislature.



According to AMEC informational material, a number of medical schools across the nation participate as partner institutions with the Alabama Medical Education Consortium. As partners, these institutions provide educational opportunities for the students selected to participate in the AMEC program. To be selected and receive medical education support through AMEC and any of its partner institutions, students must meet certain eligibility requirements and are expected

to serve as primary care physicians in a rural or underserved Alabama community upon completion of medical school.



Rep. Bentley's son, Matthew, received his undergraduate degree from the University of Alabama in 2000. In 2003, "Matt" Bentley entered medical school at Kansas City University of Medicine and Biosciences, which is one of the medical schools that partners with the Alabama Medical Education Consortium. Matt Bentley graduated from KCUMB in 2008 and chose a residency in internal medicine at the University of Mississippi.



During the years Matt Bentley attended the Kansas City, Kansas institution, public records clearly show that aid to individual students at KCUMB (as directed by AMEC), and Alabama legislative appropriations to the AMEC program as a whole (as directed by the House budget committee on which his father served) increased significantly.



Rep. Bentley has chosen to make honesty and integrity central themes in his campaign. He has stated again and again that if Alabamians elect him governor, he will never use the Office for personal gain or allow any member of his family to profit from his position. But public records appear to indicate that Rep. Bentley has likely already used his position of public trust for benefit to himself and his family.



The information on the following pages details these simple points and provides factual documentation to confirm them, along with a number of other related, and equally disturbing, AMEC matters that should be of great interest to Alabama taxpayers.



Rep. Bentley's role in appropriating Alabama tax dollars to an entity (AMEC):

o for which he serves as a member of the Board of Trustees,

o that provided funding for educational training resources that benefited his son, who does not appear to have fully met program requirements and

o that has received $3.74 million in Alabama tax dollars since 2005 and significantly increased its financial support to the medical school Bentley's son attended during the time period he was enrolled there

begs many questions that Alabama taxpayers have a right - indeed, an obligation - to ask.

FORTUNATESONi THE ALABAMA MEDICAL EDUCATION CONSORTIUM AND THE BENTLEYS

The Alabama Medical Education Consortium ("AMEC ") is a nlon-profit organization with the stated purpose of establishing a pipeline of primary care physicians for rural and underserved Alabama. Robert Bentley, a member of the Education Appropriations Committee in the Alabama legislature, has played a vital role informing the organization and in ensuring its continued access to state funds. The foundation of AMEC is listed as one of Bentley s most significant legislative accomplishments on his campaign website. Throughout his gubernatorial campaign, Robert Bentley has claimed that his honesty and integrity uniquely qualify him to be the next governor of Alabama. He has also stressed that he would never allow any member of his family to benefit from his political position. His history with AMEC, however, appears to directly contradict these claims.

Since AMEC was formed in 2004, the organization has taken almost four million dollars from the Education Trust Fund budget. Robert Bentley supported these appropriations despite the fact that he says he opposes government funding for higher education. Thefact that Robert Bentley s son, Matthew Bentley, participated in the AMEC program as a medical student at the Kansas City University of Medicine and Biosciences gives rise to further charges of hypocrisy. As strange as Robert Bentley s support for AMEC may seem given his stated views on higher education, Matthew Bentley s participation in AMEC seems even stranger. One can only guess as to why Matthew Bentley would take part in a program designed to create a pipeline for rural primary care physicians when he is neither from a rural area nor has he expressed any intent to practice medicine in rural Alabama.

A close examination of AMEC s public financial statements reveals troubling issues as well. AMEC does not appear to accept private donations and so is almost entirely funded by taxpayer funds. While AMEC claims that it does not grant scholarships, it has used state money to help individual students with tuition and other expenses. Disturbingly, even though eight medical schools participate in the AMEC program, all of this money went either to undisclosed recipients or to recipients at the Kansas City University of Medicine and Biosciences -- the medical school that Matthew Bentley attended. Even more troubling is the fact that AMEC stopped allocating funds for aid to individual students in 2008, the year that Matthew Bentley happened to graduate from medical school. AMEC also spends a great deal of the money it receives on consulting services. The little AMEC does disclose about the consultants on its payroll does not provide a great deal of comfort to those who might doubt AMEC s willingness and ability to accomplish its stated goals. Of the three consultants listed on AMEC s tax forms, two are former board members, neither of whom is listed as such on AMEC s Form 990 s as the law requires. Furthermore, one of these former board members is a professional anti-abortion activist, while the other appears to have a daughter participating in the AMEC program. If Bentley wants to credibly assert his honesty and integrity, he must answer the questions raised in

this document and-prove that the peculiarities described above are mere coincidences --- not the pattern of abusing elected office that it appears to be.

BACKGROUND; THE ALABAMA MEDICAL EDUCATION CONSORTIUM

AMEC is a 501 (c)(3) organization and was incorporated on December 13, 2004. AMEC was created through the collaboration between leaders of the Southern Rural Access Program and the administration of the University of West Alabama. The Southern Rural Access Program was funded by a Robert Wood Johnson grant that was discontinued in 2006. AMEC appears to have arisen in anticipation of this loss of funding. According to the AMEC website, its mission is to "establish and maintain an osteopathic primary care physician pipeline for rural and underserved Alabama." According to the organization s tax documents, however, the purpose of the organization is "to develop and maintain sites in rural Alabama for medical teaching and patient care. "

• Date of Incorporation. According to documentation from the Alabama Secretary of State, AMEC was incorporated on December 13,2004. Interestingly, however, AMEC's 2006 annual report states that "AMEC is a 501(c)(3) organization which began on October 1,2005." No reason for this discrepancy is provided by the 2006 annual report. (See Documents 15, 18) .

• Origin of AMEC. AMEC arose out of collaboration between leaders of the Southern Rural Access Program and University of West Alabama Administrators. According to AMEC's 2006 annual report, "AMEC was established through collaboration between the Administration of the University of West Alabama and leaders of the Alabama Southern Rural Access Program." Dr. Wil Baker, the Executive Director of AMEC, is listed as a Co-Project Director on the Southern Rural Access Program's website. (See Documents 15, 22).

• The Southern Rural Access Program. The Southern Rural Access Program was designed to improve access to healthcare in rural underserved areas. (See Document 21). The project was funded by a Robert Wood Johnson Foundation Grant that was discontinued in 2006. (See Document 22).

BACKGROUND; ROBERT BENTLEY AND AMEC

Robert Bentley is a member of the Board of Trustees of AMEC and claims to have "helped found" the organization. Bentley is also a member of the Education Appropriations Committee, the committee responsible for appropriating money to AMEC from the Education Trust Fund. Another member of the Education Appropriations Committee, James Buskey, also sat on the board of trustees until 2008. Neither Bentley nor Buskey is listed as a legislator on AMECs tax documents. Bentley has made his ethics and honesty a central plank in his platform, and he has specifically claimed that "no member of [his J family will benefit" from his administration, a thinly veiled attack on the current governor.

• Bentley sits on AMEC's Board of Trustees. Bentley is listed as a member of the board of trustees in statements attached to AMEC's IRS form 990's. James Buskey was also listed as a

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member of the board until 2008. Neither man is identified as a legislator onAMEC's returns. (See Documents 45, 46, and 48).

• Bentley says he helped found AMEC. The biography posted on Bentley's campaign website states that "Dr. Bentley has also served on the State Advisory Board for Sexually Transmitted Diseases. Currently, he serves on the Board of Trustees for Judson College in Marion, Alabama and is a member of the Board of Trustees of the Alabama Medical Education Consortium which he helped found." (See Document 24).

• Honesty and integrity are central themes in Bentley's campaign rhetoric. Bentley's campaign website prominently features blurbs on honesty and integrity. Bentley states he has never been, nor will he ever be beholden to special interests. The site also states that Bentley will never take any gift for being governor and that he will never allow any member of his family to profit from his position. (See Document 24). Given that Bentley has attempted to use his positions on ethics to distinguish himself from the current administration and his political opponents, voters have a right to know how consistent this position is with his past behavior in office.

AMEC FUNDING

As a member of the Education Appropriations Committee, Robert Bentley s support is vital in ensuring AMEC s continuing existence. While Robert Bentley has been an AMEC board member, the organization has received almost four million dollars in statefunds. Bentley apparently supports state-funded medical education for out of state medical students even though he claims funding higher education is "not the government s job. "

• The Alabama legislature has appropriated $3,742,755 toAMEC since 2005.

• The legislature appropriated $320,000 to the Alabama Medical Education Consortium in 2005. (See Document 39) .

• The legislature appropriated $420,000 to the Alabama Medical Education Consortium in 2006. (See Document 40).

• The legislature appropriated $876,000 to the Alabama Medical Education Consortium in 2007. (See Document 41) .

• The legislature appropriated $645,000 to the Alabama Medical Education Consortium in 2008. (See Document 42).

• The legislature appropriated $769,743 to the Alabama Medical Education Consortium in 2009. (See Document 43).

• The legislature appropriated $712,012 to the Alabama Medical Education Consortium in 2010. (See Document 44).

• Robert Bentley says helping Alabama citizens obtain a college education is not the government's job. At a forum in Arab, Alabama, on August 26, 2010, Robert Bentley stated "Since when did it become the job of the government to provide a college education to every child? That's not the government's job. That's your job. Not every child can go to college, or should they." (See Dean, "Robert Bentley and Ron Sparks Trade Jabs in North Alabama Forum

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in Governor's Race, BIRMINGHAM NEWS, 8/26/2010). Bentley has yet to reconcile this view with his support for AMEC.

BACKGROUND: MATTHEW BENTLEY AND AMEC

Matthew Bentley, a Tuscaloosa native, graduated from the University of Alabama in 2000. He did not, however, enroll in medical school until 2003. No public records are available to explain this gap, but it is possible that Matthew Bentley had difficulty gaining admission to medical school. What is certain, however, is that in 2003, after Robert Bentley was elected to the Alabama House of Representatives in 2002, Matthew Bentley was admitted to the Kansas City University of Medicine and Biosciences ("KCUMB ''). There is no publicly available explanation as to why Matthew Bentley chose a little known out-of-state medical school over his father s alma mater, the University of Alabama at Birmingham ("UAB ''), which is a more prestigious in-state medical school. At some point during his tenure at KCUMB, Matthew Bentley became a participant in the AMEC program. An explanation of the benefits Matthew Bentley received as a result of his participation in AMEC is not forthcoming, and neither Robert nor Matthew Bentley has publicly stated the reason that a native of the fifth largest city in Alabama would be allowed to participate in a program designed to provide medical school slots to rural students. Furthermore, after graduating from medical school, Matthew Bentley moved to Mississippi to pursue a residency in internal medicine. The Alabama taxpayers who fund AMEC might question how they benefit by providing a medical education to a physician who serves Mississippi residents.

• Matthew Bentley attended KCUMB from 2003 to 2007. AMEC came into existence after Matthew Bentley began medical school at KCUMB. (See Document 30). The only benefit AMEC says it provides to participating students is aid in getting accepted to medical school. Matthew Bentley has never stated why he would be interested in participating in a program that should not have benefitted him because he was already in medical school, why he did not begin medical school until after his father was elected to the state legislature, nor has he explained the nature of the benefits he received as a result of his participation in the program.

• Matthew Bentley was a participant in the AMEC program. AMEC promotional materials feature a photograph of Matthew Bentley with anAMEC director, Dr. Kenneth Mcl.eod (See Documents 45, 46, 48, and 50). One of the captions states "Dr. Kenneth McLeod Instructs an AMEC Student," while the other says "Dr. Mcl.eod and Matt Bentley, medical student." (See Documents 26 and 27). A picture of Matthew Bentley from his wedding announcement is included for comparison purposes. (See Document 28). AMEC tax documents state that no directors receive compensation in connection with AMEC. It is interesting that the photograph of Dr. Mcl.eod shows him in a teaching role, since teaching services would have to be performed without compensation, unless AMEC's tax returns are misleading.

• AMEC says admissions favor rural students likely to practice primary care. In its 2007 annual report, AMEC states that it targets recruiting toward students who are likely to practice primary care in rural Alabama. (See Document 16). In a 2008 op-ed., AMEC executive director Wil Baker stated that AMEC "is a non-profit organization established to accomplish

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this mission: to create a Physician Pipeline that produces greater numbers of medical school graduates who are likely to become primary-care physicians who will practice in the state's rural and underserved communities." He goes on to write that "[tjhe Pipeline begins with recruiting students for medical school from medically underserved communities and ends with their return to the same or similar communities as primary care practitioners." (See Document 31 ).

• Matthew Bentley is a Tuscaloosa native and a graduate of the University of Alabama. He chose a residency in Mississippi rather than Alabama. In 1996, Matthew Bentley graduated from Central High School in Tuscaloosa, Alabama. (See Document 28). Tuscaloosa is the fifth largest metro area in the state of Alabama. Additionally, Matthew Bentley chose a residency in internal medicine at the University of Mississippi and has stated that he intends to make his home in Brandon, Mississippi. (See id.) Neither AMEC nor Bentley has publicly explained why Matthew Bentley was allowed to participate in the AMEC program.

AMEC FINANCIALS

• Alabama taxpayers provide the vast majority of AMEC's operating income. From 2005 to 2008 (the tax years for which returns are publicly available), AMEC showed total revenues in the amount of $2,538,440. Of this amount, $2,144,010 was appropriated by the Alabama legislature from the Education Trust Fund through the University of West Alabama ("UWA"). Alabama taxpayers therefore pick up the tab for 84.4% of AMEC's budget, and should be able to expect a thorough explanation as to how AMEC spends their money.

• 2005 Revenue. In 2005, AMEC reported total revenue in the amount of$384,023. (See Document 45). $320,000, or 83.3%, of this amount was taxpayer money funded through UWA. (See id.).

• 2006 Revenue. In 2006, AMEC reported total revenue in the amount of$593,757. (See Document 46.) $420,000, or 70.7%, of this amount was taxpayer money funded through UWA. (See id.).

• 2007 Revenue. In 2007, AMEC reported total revenue in the amount of$878,693. (See Document 48). $826,000, or 94.0%, of this amount was taxpayer money funded through UWA. (See id.).

• 2008 Revenue. In 2008, AMEC reported total revenue in the amount of$681,967. (See Document 50). $578,010, or 84.8%, of this amount was taxpayer money funded through UWA. (See id.) .

• AMEC's practices regarding specific assistance to individuals are highly questionable.

From 2005 to 2008 (the years for which AMEC's tax returns are available), AMEC allocated $295,206 for "specific assistance to individuals." KCUMB students are the only listed recipients of any of these funds. In 2008, the year Matthew Bentley graduated from medical school, AMEC stopped allocating funds for specific assistance to individuals.

• 2005 specific assistance. In 2005, AMEC reported $7,800 in specific assistance to individuals. A statement attached to AMEC's tax documents describes the expenditure as "TRAINING FEES -- KANSAS CITY UNIV STUD." No other recipient of specific assistance is listed. (See Document 45).

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• 2006 specific assistance. In 2006, AMEC reported $46,056 in specific assistance to individuals. A statement attached to AMEC's tax documents describes the expenditure as "TRAINING FEES -- KANSAS CITY UNIV STUD." (See Document 46).

• 2007 specific assistance. In 2007, AMEC reported $241,350 in specific assistance to individuals. A schedule attached to AMEC's tax documents states that the expenditures were $120,000 for "TRAINING FEES -- TUITION" and $121,350 for "TRAINING FEES -- DOCTORS AND HOSPITALS." No explanation was given as to why the specific school receiving the assistance was no longer indicated. (See Document 48).

• 2008 specific assistance. In 2008, the year after Matthew Bentley graduated from medical school, AMEC stopped providing specific assistance to individuals. (See Document 50).

• AMEC provides assistance for tuition but claims it doesn't grant scholarships. All of AMEC's Form 990's state that AMEC does not grant scholarships to students. (See Documents 45, 46, 48, and 50). Organizations granting scholarships are required to attach a schedule describing the organization's process for awarding financial aid. AMEC has not explained why it believes grants allocated for tuition are not "scholarships" or why its process for awarding aid for tuition expenses should not be disclosed .

• AMEC's practices regarding consultants are highly questionable.

• 2005 consulting. Under expenses, AMEC listed $114,883 for consulting fees on its 2005 Form 990. The document does not state who received these funds or the purpose for which AMEC spent the funds. (See Document 45).

• 2006 consulting. Under expenses, AMEC listed $199,399 for consulting fees on its 2006 Form 990. The document lists two consultants as recipients of these funds: Clyde Barganier and Elizabeth Bell. Amounts paid to Barganier and Bell only account for $107,221. The remaining $92,178 is not explained. (See Document 46) .

• Clyde Barganier. Clyde Barganier is listed on AMEC's 2006 Form 990 as receiving $55,200 in consulting fees. No explanation is given as to the nature of Mr. Barganier's work with AMEC. (See Document 46).

• Elizabeth Bell. Elizabeth Bell is listed on AMEC's 2006 Form 990 as receiving $52,021 in consulting fees. No explanation is given as to the nature of Ms. Bell's work with AMEC. (See Document 46). Ms. Bell is also listed as a member of AMEC's board on its 2005 Form 990. (See Document 45). 501(c)(3) organizations are required to disclose any former directors receiving compensation on their Form 990's. AMEC did not list Ms. Bell as a former director receiving compensation on its 2006 Form 990. (See Document 46) Interestingly, there is also a Jamie Elizabeth Bell who is listed as a relative in an online public records service. (See Document 53). The Alabama Board of Medical Examiners also lists a Jamie Elizabeth Bell as a licensed DO practicing in Birmingham, Alabama. (See Document 52). Dr. Jamie Elizabeth Bell attended Pikesville College School of Osteopathic Medicine, a medical school that participates in the AMEC program. (See Documents 16 and 52). Finally, AMEC's 2007 annual report features a photograph of a Jamie Bell who was at that time a medical student. (See Document 16). So apparently Robert Bentley may not have been the only AMEC board member with a child who benefitted from AMEC.

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• 2007 consulting. Under expenses, AMEC listed $254,380 for consulting fees on its 2007 Form 990. The document lists one consultant, Mary Carol Marlow, who received $59,57] in compensation. The remaining $194,809 in consultant fees is unaccounted for. (See Document 48) .

• Mary Carol Marlow. Like Elizabeth Bell, Mary Carol Marlow is a former AMEC board member. (See Document 45). As in the case of Ms. Bell, Ms. Marlow's status as a former board member is not disclosed onAMEC's 2007 Form 990. (See Document 48). AMEC's Form 990 does not explain the nature of Ms. Marlow's work for the organization or AMEC's apparent need for her services.

• 2008 consulting. Under expenses, AMEC listed $106,534 for consulting fees on its 2008 Form 990. The document does not state who received these funds or the purpose for which AMEC spent the funds. (See Document 50).

• AMEC has no written conflict of interest policy. When asked on its 2008 Form 990, AMEC answers that it does not have a written conflict of interest policy. (See Document 50).

UNANSWERED QUESTIONS

Even after careful examination of public records detailing Robert Bentley s relationship with AMEC, many questions remain. Once Robert Bentley made his character a central theme in his campaign for Governor, he undertook a duty to answer them. Robert Bentley s efforts were integral in obtaining taxpayer funds for AMEC and in maintaining its funding while other government agencies were seeing their budgets cut due to the economic downturn. At a time in which many Alabama taxpayers are struggling to make ends meet, Robert Bentley has said to them that the government has no responsibility to help their children obtain a college education. He owes it to the people of Alabama to explain why his son was different. Alabamians deserve answers to the following questions:

• How did Robert Bentley get AMEC such a large line item allocation from the Education Trust Fund budget? Why did AMEC's budget increase while those of other state agencies were being cut?

• Why did Robert Bentley support sending taxpayer dollars to out-of-state medical schools?

• Why did Matthew Bentley choose to attend an out-of-state medical school if he intended to practice medicine in rural Alabama?

• How was Matthew Bentley able to participate in a program that supposedly reserves slots in medical school for rural students after he had already been admitted to KCUMB?

• How did Matthew Bentley, a resident of one of Alabama'S largest cities who had no stated intention to live in rural Alabama, get accepted into AMEC?

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.. Who made the decision to allow Matthew Bentley to participate in the AMEC program?

What relationship does this person or persons have with Robert Bentley?

• How did Matthew Bentley benefit from his participation in AMEC?

• Why is Matthew Bentley now practicing medicine in Mississippi, instead of rural Alabama? Why doesn't AMEC require participants allowed to practice medicine in Alabama? What benefit have Alabama taxpayers received in exchange for their money?

• Why did all of the money listed as "specific assistance to individuals" go to KCUMB, the medical school Matthew Bentley attended?

• Why did this "assistance to individuals" suddenly become unnecessary when Matthew Bentley graduated from KCUMB?

• Who are the consultants listed on AMEC's tax documents? What services did they provide?

• Why aren't the former board members who received compensation from AMEC as consultants listed as such on AMEC's tax returns?

• Why was the child of a former board member and AMEC consultant allowed to benefit from the program?

• Why doesn'tAMEC have a written conflict policy to eliminate the need for questions like those posed by this document?

• Without answers to these questions, how can Alabama trust Robert Bentley?

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DOCUMENT INDEX

I. AMEC Website

Document 1 : Home Page

Document 2: The AMEC Program Document 3: Core Teaching Sites Document 4: Participating Universities Document 5: Participating Medical Schools Document 6: AMEC Physician Pipeline Document 7: Applying to AMEC

Document 8: Frequently Asked Questions

Document 9: Alabama Osteopathic Residency Information Document 10: The Preceptor's Page

Document 11 : Contact AMEC

Document 12: Reports / Publications

Document 13: Links

Document 14: Status of Primary Healthcare Reports

II. AMEC Annual Reports Document 15: 2006 Annual Report Document 16: 2007 Annual Report Document 17: 2008 Annual Report

III. AMEC Entity Documents

Document 18: Secretary of State Information Page

Document 19: Health Workforce Information Center Information Page

IV. Southern Rural Access Program Document 20: Home

Document 21 : History

Document 22: Grantees / Project Summaries Document 23: Funding

V. Robert Bentley and Matthew Bentley

Document 24: Robert Bentley Biography - Robert Bentley for Governor 2010 Document 25: Robert Bentley Ethics - Robert Bentley for Governor 2010 Document 26: Matthew Bentley Photo [AMEC Website]

Document 27: Matthew Bentley Photo [AMEC 2007 Annual Report]

Document 28: Matthew Bentley Photo [Northside Sun, Wedding Announcement, 6/25/2010]

Document 29: Bentley Hemphill Wedding Announcement [Mississippi Magazine, 1/1/2010]

Document 30: Matthew Bentley Facebook Page

Vl. Osteopathy, Admissions, and Kansas City Medical School Curricula Document 31: AMEC Qualifications [Mobile Register, Wil Baker, Letter to the Editor,

4/30/2008]

Document 32: About Osteopathic Medicine

Document 33: College of Medicine Curriculum By Year Document 34: Year One Curriculum

Document 35: Year Two Curriculum

Document 36: Year Three Curriculum

Document 37: Year Four Curriculum

Document 38 National Resident Matching Program

VII. Appropriation Acts Document 39: Act No. 2005-173 Document 40: Act No. 2006-282 Document 41: Act No. 2007-361 Document 42: Act No. 2008-552 Document 43: Act No. 2009-339 Document 44: Act No. 2010-610

VIII. AMEC Tax Documents Document 45: 2005 Form 990 Document 46: 2006 Form 990 Document 47: 2006 Form 4562 Document 48: 2007 Form 990 Document 49: 2007 Form 4562 Document 50: 2008 Form 990 Document 51 : 2009 Form 4562

Document 52: Jamie Elizabeth Bell Medical License Document 53: Elizabeth and Jamie Bell address file

SUPPORTING

DOCUMENTS

hltp:l/www,mnec.u\\u.cdu/

Alabama Medical Education Consortium

To establish and maintain an osteopathic primary care physician pipeline for rural and underserved Alabama.

To Enhance Health and Well*Being of the People of Alabama.

Frequently Asked Questions

Need Information on Osteopathic Residency Opportunities in Alabama'?

The Preceptor's Page

Contact AMEC Reports/Publications Photo Gallery

The Alabama Medical Consortium is a 501 c (3), under the umbrella of the University of West Alabama, dedicated to the needs of rural and underserved Alabama, The mission is to address the primary care physician shortage through the collaborative relationship with Alabama colleges and universities and eight osteopathic colleges of medicine throughout the country,

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Useful Links

Visitors to This Site

Alabama Medical Education Consortium po, Box 2387 Robertsdale, AL 36567 Telephone: (251) 947·5288 Facsimile: (251)947·7552

This site was last updated 08126110

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About AMEC

Illtp:f{w\Vw,amec,u\vtl,eduJAboutAMEC',htm

Overview of the

Alabama Medical Education Consortium

The Alabama Medical Education Consortium (AMEC) has been established to help address the chronic and growing shortage of primary care physicians and dentists who are needed in Alabama's rural and underserved areas.

AMEC aims to help meet the need of Alabama's primary care physician and dentist shortage by providing a pipeline for qualified individuals who wish to attend medicalldental school through a collaborative relationship with osteopathic colleges of medicine/dentistry. This collaborative relationship is providing an opportunity with the following Osteopathic Medical/Dental Schools:

., A. T. Still University, Kirksville College of Osteopathic Medicine, Kirksville, Missouri

., A. T. Still University, College of Osteopathic Medicine and the Arizona School of Dentistry and Oral Health, Mesa, Arizona

., Kansas City University of Medicine and Biosciences, Kansas City Missouri

., Lake Erie College of Osteopathic Medicine, Erie, Pennsylvania and Bradenton, Florida

., LMU-DeBusk College of Osteopathic Medicine, Harrogate, Tennessee

• Midwestern University, Arizona College of Osteopathic Medicine, Glendale, Arizona

., Nova Southeastern University, College of Osteopathic Medicine and the College of Dental Medicine, Fort Lauderdale, Florida

• Philadelphia College of Osteopathic Medicine - Georgia Campus, Suwanee, Georgia

• Pikeville College School of Osteopathic Medicine, Pikeville, Kentucky

• West Virginia School of Osteopathic Medicine, Lewisburg, West Virginia

This plan provides approximately 150 medical school slots and up to 20 dental slots per year for Alabama students. Ten of the dental slots will have dual certification (dental and family medicine). The focus of these activities is targeted to rural and underserved Alabama.

AMEC hosts a Think Tank focusing on faculty development in

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A bout A]lilEC

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Montgomery, Alabama at Troy University on April 28. 2007.

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Alabama Medical Education Consortium

Teaching Sites by Congressional District - December 2008

Core Teaching Sites Pending Core Teaching Sites

(Core teaching sites provide a minimum of 6 of the 7 required core clerkships. are managed by and have scheduling accomplished by a Core Site Director, have a traveling area of no greater than 50 miles to acquire core and elective rotations, and have access to rural and underserved areas of Alabama.)

II1II Educational Locations Pending Educational Locations

(Educational Locations have formal relationships with one or more core teaching sites. do not fully meet the core teaching site criteria. provide medical education in at least one of the required Gore or elective cterkshrps, and are held to the same quality standards as a core teaching site.)

Favorites

Alabama Colleges and Universities

Selma University

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Favorites

http://www.amcc.uwa.edu/lnstMembers.htm

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Photo Gallery

http://www.amee.uwa.edu/PartieDO.htrn

Osteopath lc Medical Schools Participating in the

Alabama Medical Education Consortium

The Alabama Medical Education Consortium is partnering with the following Osteopathic Medical Schools to provide an opportunity for Alabama medical students to receive medical school training. This focus of this training is targeted to rural and underserved areas of Alabama but participation is not limited to Alabama students.

AMEC Partnering Osteopathic Medical Schools:

A. T. Still University

Kirksville, Missouri

A. T. Still University

Mesa, Arizona

Kansas City, Missouri

Dr. Kenneth McLeod Instructs an AMEC Student

Harrogate, Tennessee

Nova Southeastern University

Fort Lauderdale, Florida

Suwanee, Georgia

Pikeville, Kentucky

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Photo Gallery

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Alabama Medical Education Consortium Physician Pipeline

Alabama High School Graduates Enter a Consortium Member College/University

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ALABAMA COMMUNITIES (-

The AMEC Mission:

To establish and maintain a physician manpower pipeline for rural and underserved Alabama that includes all related components of medical education.

Alabama Medical Education Consortium Post Office Box 2387

Robertsdale, Alabama 36567 Telephone: (251) 947-6288

Pipeline Version: May 2008

AMEC Partnering Osteopathic Medical Schools:

AMEC Member Colleges/Universities: (as of May 200B)

Alabama A&M University Alabama State University Athens University

Auburn University at Montgomery Birmingham Southern College Huntingdon College

Jacksonville State University Judson College

Miles College

Oakwood College

Samford University

Spring Hill College

Stillman College

T aUadega College

Troy University

Tuskegee University

University of Mobile

University of North Alabama University of South Alabama Universitv of West Alabama

A. T. Still University

College of Osteopathic Medicine Mesa, Arizona

A. T. Still University

Kirksville College of Osteopathic Medicine Kirksville. Missouri

Kansas City University of Medicine and Biosciences Kansas City, Missouri

Midwestern University

Arizona College of Osteopathic Medicine Glendale, Arizona

Nova Southeastern University College of Osteopathic Medicine Fort Lauderdale, Florida

Philadelphia College of Osteopathic Medicine - Georgia Campus

Suwanee, Georgia

Pikeville College School of Osteopathic Medicine Pikeville, Kentucky

West Virginia School of Osteopathic Medicine Lewisburg, West Virginia

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Interview Date

Application and All Supporting Materials Must Be Received By This Date

August 18, 2010 September 22, 2010 October 20; 2010 December 1, 2010 February 2, 2011

July 28, 2010 September 1, 2010 September 30,2010 November 10, 2010 January 12, 2011

access

How Do I Apply to Participate in the AMEC Program?

HQwtQ Apply

1. Contact the AMEC office at (251) 947-6288 to alert the staff of your interest. They

will discuss the program with you.

2. Review the descriptive information posted on the AMEC Web site.

3. Call the office back once you are ready to proceed with further discussion.

4. Complete the AMEC Application on the Application page of the website and send it to the AMEC office.

5. Once the AMEC application is done, go to the AACOMAS website and complete the application. Notify the AMEC office that

this has been done.

6 An interview will be arranged for each applicant who qualifies.

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Alabama Medical Education Consortium

Frequently Asked Questions

What is Osteopathic Medicine?

In the United States, osteopathic medicine is a system of medical care with a philosophy that combines the needs of patients with the current practice of medicine and surgery. Osteopathic philosophy has an emphasis on internal relationships of structure and function, with an appreciation of the body's ability to heal itself.

Osteopathic physicians [D.O.s] attend unique medical schools; they receive the traditional four year comprehensive medical education with an additional emphasis on disease prevention and treatment of the total person, rather than their disease alone -- because of their total-person philosophy, many osteopathic physicians specialize in primary care fiel.ds such as family medicine, pediatrics, obstetrics and emergency medicine.

However, it's not just their philosophy that sets osteopathic physicians apart from their allopathic (M.D.) colleagues. D.O.s are also specially trained in manual medicine for treatment of musculoskeletal disorders. With this training emphasis, some osteopathic physicians specialize in rehabilitation and sports-medicine -- indeed, you'll find many D.O.s as pro-sports and college team physicians. Source: The Student Doctor Network

Physicians trained through the Alabama Medical Education Consortium are being trained specifically to practice primary medical care in rural or underserved areas.

Additional information describing the medical practice of a Doctor of Osteopathy is presented by the "--l!=":'=

How does a D.O. differ from an M.D.?

M.D.s are similar to D.O.s. An M.D. is a physician trained at a standard four year medical school. D.O.s receive the same four year medical school education but with the osteopathic philosophies tied into the basic principles of medicine. D.O.s also receive hundreds of hours of additional training in manipulative medicine techniques and diagnosis. Upon graduation from medical school, D.O.s continue with residency training in any of the medical specialties, from family medicine to neurosurgery. (Alabama Medical Education Consortium participants will continue with residency training in primary care)

Otherwise there are few differences; M.D.s and D.O.s have the same practice rights throughout the United States. You can find D.O.s and M.D.s working together in the best hospitals and clinics throughout the nation. D.O.s are also found in all branches of military medicine -- in fact, a recent Surgeon General of the U.S. Army was an osteopathic physician. Source: The Student Doctor Network

How many Doctors of Osteopathy are practicing in Alabama?

According to the Medical Licensure Commission's physician license data base for 2006 there are 579 D.O.s licensed to practice medicine in Alabama with 357 actively practicing in 47 Alabama counties. Of these 357

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D,O,s who are actively engaged in the practice of medicine, 220 (62 percent) are providing primary care in 45 Alabama counties, Even without there being an osteopathic medica! school in Alabama, D,0.5 currently contribute greatly to the provision of primary care in many rural or underserved Alabama counties.

When are Student Interviews Conducted by the AMEC Admissions Committee?

The normal interview cycle is June through November for admission to medical school during the following year.

Why should I apply for admission to one of the partnering osteopathic medical schools through AMEC rather than applying directly to the medical school?

If an applicant meets or exceeds all of the eligibility requirements for admission to one of AMEC's partnering colleges of osteopathic medicine, the AMEC Admissions Committee may give a recommendation for that applicant which is then forwarded to the partnering school The intent behind this is to get an interview for the AMEC applicant. Thousands of applications are received each year by the osteopathic colleges of medicine. Having the added endorsement by AMEC takes their application to another level although there is no guarantee that an interview will be granted,

Once an AMEC applicant has been admitted to a partnering college of medicine they are strongly encouraged to return to Alabama for their clinical years 3 and 4 where they will be placed in one of AMEC's established core teaching sites which are located around the state.

How many primary care physicians are needed for Alabama's rural and underserved areas?

The lowest estimate is that Alabama currently needs approximately 135 primary care physicians to meet all needs. This is subject to constant adjustment as Alabama's population and its physician workforce change by age, residence, income, race, ethnicity, etc.

What criteria are used to determine primary care physician shortages?

AMEC is gathering previously unavailable information on current and future local primary care availability and comparing this to the potential needs of the local population (by residence, age, income, race, ethnicity, etc.) to determine current and potential future primary care physician shortage,

What does "underserved" mean?

The term "underserved" as used by AMEC applies to geographical areas, income levels, or other components of Alabama's population that have restricted access to local primary health care or are proportionately underrepresented in Alabama's primary care physician workforce or is expected to experience primary care underservice or under-representation in the future,

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Are You Interested in Practicing Primary Care Medicine in Alabama?

Would You Like To Know About Alabama Residency Opportunities?

If So, The Alabama Medical Education Consortium Would Like To Provide Information and Assistance.

Please contact

in the AMEC office.

By Telephone: (251) 947-6288 By Facsimile: (251) 947-7552 By -..u....-.....,

By Mail:

Alabama Medical Education Consortium

p, O. Box 2387 Robertsdale, Al 36567

Dr. Wil Baker, Executive Director

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Preceptor

http://w\vIV.amce.lIwa.cdu/preccptor.htm

AMEC is developing this page as a training and communication resource for our preceptors.

The following resources are being developed to assist AMEC preceptors:

I. Training in diverse topics to assist in preceptor development. This training will be offered on-line to allow AMEC preceptors to complete training as their schedules permit. Continuing medical education credits will be awarded for the completion of this training.

II. An electronic forum which will allow AMEC preceptors to communicate with other professionals and preceptors.

Other Preceptor Training Resources:

~~~_-U~~~~~!~~~~l~~~~~~~~~~~~~~~~~~~~~ This

program includes several topics for assisting in preceptor development. Courses registration

is free. There is a $10 charge for receiving American Medical Association category 1 CME credit. Courses are offered in five different formats including on-line e-Iearning. The following topics are currently offered through e-Iearning:

One Minute Preceptor

Setting Expectations

Giving Feedback

Evaluation: Making It Work Teaching at the Bedside Teaching Styles/Learning Styles

Dealing With the Difficult Learning Situation

An additional course, Principles of Precepting for Nurses, is offered for nurses. This on-line training opportunity offers 2.4 CME contact hours. There is a fee of $25.00 for taking this course.

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('ontactAMEC

htt p:llwww.amcc.lJwa.edu/C:ontactAMEC.htm

Do You Have a Question, Comment, or Suggestion? If so, AMEC Would Like to Hear From You!

Please contact the AMEC office.

Telephone: (251) 947·6288 Facsimile: (251) 947~7552 By.~~

Mail:

Alabama Medical Education Consortium P. O. Box 2387

Robertsdale, AL 36567

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Visit the Following Sources for Helpful On

http://www.amec.uw<\.edu/ReportsPubs.htm

AMEC Annual Reports:

2006 AMEC Annual ReQort

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Links

http://www.amcc.uwa.cdu/links.htm

Visit the Following Sources for Helpful On-line Information:

Osteopathic Medical Sites:

Sites for Medical Students/Potential Students:

Alabama Medical/Health Sites:

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Links

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The Status of Primary Healthcare in Selected Counties

Reports for additional rural counties will be developed and added to this site periodically. Report contents include information obtained through the Alabama Medical Licensure Commission's data base of licensed physicians and information collected by the Alabama Medical Education Consortium's data component. AMEC is pleased to make the contents of these reports available to assist in assuring that Alabamians have access to primary healthcare currently and in the future.

Reports Available (Date of Report):

.~..J'.!:t!!l~~!!.!ll (November 2006) =:":':';:::;;::;";:=.:..:..:L (February 2008)

!-=~=== (April 2006) ~JlliU~~~ (September 2006) ~~.;::;=~ (April 2007)

(October 2009)

==~=~ (March 2006) Jlll!!J!~!JU::i9~Ul~ (February 2009 ) 2008)

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Staiuskeport

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(December 2005· Revised March 16, 2006) !'!.!J~~L.~.!!.!!ll!~ (November 2009)

Reports Being Compiled:

Autauga County Marion County Russell County

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ALABAMA MEDICAL EDUCATION CONSORTIUM

The mission of the Alabama Medical Education Consortium (AMEC) is to establish and maintain an osteopathic primary care physician pipeline for rural and underserved Alabama.

Dear Colleagues:

It is with great pleasure that the first annual report of the Alabama Medical Education Consortium (AMEC) is published. AMEC officially began in October, 2005 when funds were made available through appropriations by the Alabama legislature and other sources. This report is presented publicly as a result of AMEC's commitment to being a transparent organization. We invite your review and comments on the first year's progress described in this report.

AMEC is the tangible result of numerous meetings and discussions beginning in 2003.

These meetings focused on identifying the most promising methods for successfully addressing the continuing shortage of primary care physicians in rural Alabama. Valiant efforts to find remedies for this situation have been attempted over the last 40 years. Unfortunately, the situation continues being a major barrier to health care access while limiting opportunities for economic growth in rural communities.

AMEC is gaining national recognition as a 21 st Century model for addressing a complex, national issue: producing primary care physicians to practice where they are needed. Its commitment to community based teaching sites provides a compelling strategy which is efficient and effective in producing and placing primary care physicians in areas of greatest need. Most of AMEC's structure is now operational; however, refinements will be required for it to develop as planned into an organization that is flexible, transparent and responsive to community needs.

Many instate and out of state people and organizations have participated in planning and building the AMEC Pipeline. It is with great excitement that we continue to develop this pipeline with both old and new partners. Three special acknowledgements are deserved. The Alabama legislature boldly supported public funding for AMEC and several of its prominent leaders defended this action. The President and administration of the University of West Alabama was an early proponent of the AMEC plan and the institution serves as AMEC's umbrella agency. The President! CEO as well as officers of Blue Cross and Blue Shield of Alabama's Caring Foundation continue providing encouragement, counsel, and funding in support of the AMEC mission. On behalf of rural and under served Alabamians their vision and commitment to our state is acknowledged with gratefulness. AMEC is an idea whose time has come.

Sincerely,

Wil Baker

Wil Baker Executive Director

PO Box 1227 Robertsdale, AL 36567' Tel: (251) 947-6288' Fax: (251) 947-7552

ALABAMA MEDICAL EDUCATION CONSORTIUM

2007 Annual Report

To establish and maintain an osteopathic primary care physician pipeline for rural and underserved Alabama.

To enhance the health and well-being of the people of Alabama.

Description 2007 Overview

Page 1

Recruitment 2

Education ... . . . . . . . . .. 3

Placement ...

. 4

Medical students in Montgomery, Alabama

The year of 2007 was an exciting and productive one f()r the Alabama Medical Education Consortium (AMEC). As of December 2007, we were in our 27th month of operation, and impressive results have been achieved.

Our mission is driven by the need to provide healthcare to primarily the rural and underserved areas of Alabama. Today, many Alabama citizens are in a health care crisis because of an insufficient number of primary care physicians in much of Alabama. As the number of physicians who provide primary care declines and as the numbers of people who need health care increases, this crisis will worsen over the next 5-10 years.

AMEC has created a pipeline (Recruiting - Education - Placement) to provide primary care physicians who will begin to address and help to alleviate this health care dilemma. Chartered as a 501 C 3 organization, AMEC collaborates with Alabama colleges and universities to identify and select qualified candidates to attend medical school. Selection criteria include a heart for people, a demonstrated spirit for service, and academic performance sufficient to complete medical school.

Partnerships with osteopathic medical schools throughout the United States provide the medical education at both their campus locations and Alabama sites. Community based teaching occurs at rural clinics, physician offices, rural and urban hospitals. Once this medical education is complete, these new doctors will complete graduate medical education (medical residencies) in selected areas of the state. At the conclusion of the residency training, there is a high probability that these physicians will practice primary care in rural and underserved areas of the state. As the AMEC program implements scholarship assistance which will obligate service in designated areas of the state, the number of physicians who provide primary care in these areas will increase.

In this Annual Report, the following areas will be expanded to provide insight into the impressive progress toward fulfilling the AMEC mission.

• A current status will provide a snapshot of numbers of students in the pipeline and the number and locations of partner schools.

• The recruiting process is expanded to provide insight into the methods being used to increase the probability of AMEC graduates selecting primary care as their vocation and serving in the rural and underserved areas of Alabama after completion of residency.

• The education process is a dynamic and impressive opportunity to train the finest physicians anywhere in the United States. The partner schools and their methods, at both their schools and in Alabama, will be discussed.

• The final step in this overall approach is the placement of physicians in rural and underserved areas of Alabama. The data process for identifying valid needs will be explained, and programs and approaches used to raise the probability for service in these shortage areas will be discussed.

Dr. Wil Baker Executive Director

The Alabama Medical Education Consortium (AMEC) approach to medical education has its foundation in a community based osteopathic model. This model provides extensive learning in a hands-on approach for students in all aspects of their training and education, and we believe it will

provide the optimum learning experience for a physician of the 21 st century. A plan has been

developed and is being

implemented with the input and

guidance of leaders in their fields.

• 100+ osteopathic medical education slots each year are available for qualified Alabama students.

• 100+ Alabama students are attending the 9 AMEC partner medical schools. Not all of these students entered medical school through the AMEC Pipeline process; however, all will be invited to return to Alabama to complete their final 2 years of medical school at AMEC community based training sites.

• 4 community based core teaching sites and

17 educational locations are operational.

• 26 Alabama colleges and universities are utilized for recruitment.

• 18 students have now completed their clerkship rotations at AMEC community based teaching sites and have graduated from medical school.

• 80 per cent (14 of the 18 students) have committed to primary care careers by entering residencies in primary care.

AMEC speaker panel at the annual Alabama Primary Heath Care Association conference

1

Kansas City University of Medicine and Biosciences

• 28 students will be coming to AMEC partner teaching sites to complete their third and fourth years of medical school.

• 26 students were interviewed for admission to one of the partnering medical schools for the 2007 - 2008 academic year.

• 21 of the 26 students were recommended for admission to medical school by the AMEC Admissions Committee.

• 14 of the 21 (66%) students recommended for admissions to medical school are minorities.

• 10 slots are available annually through a Memorandum of Understanding between AMEC and the Alabama Primary Health Care Association for Alabama citizens who qualify academically and commit to practicing in Alabama's Community Health Center network or Alabama's safety net.

University of West Alabama

AMEC at the Alabama Primary Health Care Association annual conference

Alabama A&M university Alabama State University Auburn University

Auburn University/Montgomery Birmingham Southern College Faulkner University Huntingdon College Jacksonville State University Judson College

Marion Institute

Miles College

Oakwood College

Samford University

Spring Hill College

Stillman College

Talladega College

Troy State University Tuskegee University

University of Alabama at Huntsville University of Alabama Birmingham University of Alabama

University of Mobile

University of Montevallo

University of North Alabama University of South Alabama University of West Alabama

Athens State University

Beville State Community College Jefferson State Community College Lawson State Community College Northeast Alabama Community College Shelton State Community College Wallace State Community College

Student at Birmingham Southern College

Recruitment was a primary focus this year. AMEC interviewed 26 students for admission and 21 were recommended for acceptance to AMEC's nine partner osteopathic medical schools. Schools were visited throughout Alabama to introduce the AMEC program to pre-med advisors and pre-med clubs. Specific area of focus included presentations to expose audiences to osteopathic medicine, and to talk about opportunities available for Alabama students who are interested in medicine.

During these recruitment visits a need was recognized to help advisors and students understand the overall process a student must follow to become a physician. A brochure was developed to assist an undergrad student to prepare for admission to medical school.

AMEC targets recruiting efforts toward Alabama students who are likely to practice primary care in rural Alabama. Special consideration is given to those students with an interest in osteopathic principles and practices, and to those students who indicate interest in a lifestyle outside of urban areas.

• Meet all eligibility requirements for admission to medical school.

• Demonstrate core values of service, humanism and empathy.

• Have a strong history of community involvement and/or commitment to underserved populations.

• Have a strong desire to return to their hometown to practice medicine.

Medical student Jamie Bell and Dr. Sandral Hullett

V pl;Jn·to~eventualiipraciicemediciiie7n·my hom;"stateofAlabama" .~

fpredominantly~erving indigent, low income and/or uninsured !populations with the goal of providing quality, comprehensive, Icompassionate healthcare.

! Medical student Jamie Be/~

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2

Alabama needs young men and women who wish to become physicians and serve those in need in Alabama.

AMEC is identifying where the need is greatest and is working with Alabama undergraduate schools to inform students interested in becoming physicians know there is a way for them to realize their dream.

University of West Alabama

Simultaneously, AMEC is working with selected members of the leadership in Alabama colleges to inform students and counselors of the opportunity for acceptance to medical school.

Birmingham Southern College

The AMEC Mission is to help alleviate the shortage of primary care physicians in rural and underserved areas of Alabama.

AMEC has a collaborative relationship with nine osteopathic colleges of medicine that provides more than 100 medical school slots each year for Alabama students.

A. T. Still University, College of

Osteopathic Medicine

3

Philadelphia College of Osteopathic Medicine

A. T. Still University, College of Osteopathic Medicine, Mesa, Arizona

Kansas City University of Medicine and Biosciences, Kansas City, Missouri

Kirksville College of Osteopathic Medicine, Kirksville, Missouri

Lake Erie College of Osteopathic Medicine, Bradenton, Florida

Midwestern University, Arizona College of Osteopathic Medicine, Glendale, Arizona

Nova Southeastern University, College of Osteopathic Medicine, Fort Lauderdale, Florida

Philadelphia College of Osteopathic Medicine Georgia Campus, Suwanee, Georgia

Pikeville College School of

Osteopathic Medicine, Pikeville, Kentucky

West Virginia School of Osteopathic Medicine, Lewisburg, West Virginia.

Kirksville College of Osteopathic Medicine

Medical students at Kansas City University of Medicine and Biosciences

Early contextual learning experiences within the rural healthcare safety net of Alabama provide an opportunity for students to actually connect theory with clinical application, which enhances learning.

Embedding these students in the environment of future practice also gives students a comprehensive clinical and cultural knowledge regarding the special sub-cultures within the rural health population, as well as experience in the local health care delivery system.

The result is that students become broadly skilled physicians and are integrated into the specific community of practice.

Kansas City University of Medicine and Biosciences

It has been documented that there is a direct link between community based education for students in medical school and retention of physicians in these areas. Recognizing that physicians tend to practice where they train, AMEC is a champion of not just where, but how physicians are trained.

The teaching environment for this medical education model is the community. When a student comes back to Alabama for their 3rd and 4th year, they are under the direction of their respective medical school and local preceptors for completing the academic requirements.

Medical student Phillip Henderson, Montgomery, Alabama

These preceptors (teachers) are practicing physicians in the community with a strong interest in instructing medical students, and are credentialed by each of the osteopathic schools. They work with the appropriate medical school's faculty to deliver the training, and use established curriculum guides to instruct, observe, and evaluate each student's performance in clinical settings. Every student must achieve Or. Kincer and m-e"-d-ic-a-I --'the learning objectives before

student Adam Justice progressing to the next clerkship.

The capacity (numbers / locations / work habits) of a physician workforce providing access to their services for community residents is the basic criteria.

The Health Resources Services Administration in collaboration with the Alabama Office of Primary Care and Rural Health applies established

4

Dr. McLeod and Matt Bentley medical student

criteria in measuring the service capacity of a community's primary care workforce and comparing it to service need. Communities meeting criteria for the most severe physician shortages are designated Health Professional Shortage Areas.

Alabama currently has 58 of its 67 counties with this designation. AMEC supplements this data by gathering previously unavailable information through on-site visits to community level physicians and health care institutions. Southeast Alabama Medical Center Reports from these visits are

Dothan, Alabama now available at www.amec.uwa.edu for 21 counties.

AMEC uses this term in referring to specific geographical areas or special populations that are likely to experience restricted access to appropriate primary health care services. Special populations may Include:

• Poverty or low-income status

• Lack of medical insurance coverage

• Expected under-service in primary care due to age, lack of mobility, or other reasons requiring special considerations

• Proportionally under-represented in physician workforce

Medical student James Colvard, Montgomery, Alabama

5

Medical student Kiley Kolb, Montgomery, Alabama

To assure that AMEC's activities will be directed by the actual needs of Alabama communities, AMEC is conducting on-site visits to health care facilities in each of Alabama's rural counties. These visits are being conducted by Dale E. Quinney, former director of the Statistical Analysis Division in the Alabama Department of Public Health.

Comprehensive reports presenting findings from these visits are currently available on-line for 21 counties:

• Barbour • Bibb • Bullock
• Choctaw • Coffee • Covington
• Crenshaw • Dale • Dallas
• Greene • Hale • Henry
• Limestone • Lowndes • Macon
• Marengo • Perry • Pickens
• Pike • Sumter • Wilcox Medical student Brian Allen at Southeast Alabama Medical Center, Dothan, Alabama

ALABAMA MEDICAL EDUCATION CONSORTIUM P.O. BOX 1227

ROBERTSDALE, ALABAMA 36567

TELEPHONE: (251) 974-6288 FACISIMILE: (251) 947-7552

EMAIL: www.amec.uwa.edu

ALABAMA MEDICAL EDU<:ATION CONSORTIUM

2008 Annual Repo.rt



r~

E

C

AMEC Students in Troy

The AMEC MISSION

To establish and maintain an osteopathic primary care physician pipeline for rural and underserved Alabama.

The AMEC VISION

To enhance the health and well-being of the people of Alabama.

Table of Contents

DESCRIPTION

PAGE

2008 Overview

2

Recruitment

3

Education

4-5

Placement

6

LETTER FROM

EXECUTIVE DIRECTOR

2008 was a most productive and rewarding year for the Alabama Medical Education Consortium (AMEC). As of December 2008, we completed

the 39th month of operation and are pleased to report many successful endeavors. The primary care physician crisis continues in the state as well as in the nation, and AMEC was chartered as a 501 C 3 under the umbrella of the University of West Alabama as one solution to address this

need in Alabama.

The mission of AMEC remains "to establish and maintain an osteopathic primary care physician pipeline for rural and underserved Alabama." This pipeline (Recruiting - Education - Placement) is our model for planning and implementing all activities.

We have a collaborative partnership with Alabama colleges and universities and have also expanded our partnerships with 11 Osteopathic Medical Schools throughout the country. Medical education for years 3 & 4 is provided in a community setting at one of our seven Core Sites which is managed by a Core Site Director (physician) and a Core Site Coordinator (administrator). In 2008, we began a hybrid program in Troy that provides education for years 2-3-4 in Alabama. A Graduate Medical Education program is being developed in Birmingham and Dothan to strengthen the pipeline commitment to Alabama.

We implemented a Student Assistance Program (loan forgiveness) to cover tuition costs for four Alabama students .

This Annual Report will focus on key events and accomplishments during 2008 including the following activities in our three functional areas. The events in these areas will be expanded in the body of the report.

Recruitment:

• A Recruitment Strategic Plan was developed to increase our efficiency in recruiting qualified candidates.

Education:

• The clinical infrastructure has been expanded with Core Sites added in Alabaster, Dothan, Troy, Selma, Sylacauga and Mobile.

• The Contextual Learning Hub at Troy University was established.

Placement:

• Loan forgiveness packages were awarded to four Alabama students who were willing to commit to serve in a rurallunderserved part of the state for fifteen months for each year of tuition awarded.

Thank you for your interest in and support of the mission and vision of AMEC.

Dr. Wil Baker Executive Director

1



OVERVIEW

The Alabama Medical Education Consortium (AMEC) approach has

its foundation in a community based osteopathic primary care model. This model provides extensive learning

in a hands-on approach for students

in all aspects of their education. It is AMEC's philosophy that this model best provides the optimum educational experience for a physician of the 21 st century.

Montgomery Family Medicine Residency Program

ACCOMPLISHMENTS DURING 2008

• Legislative funding was obtained to enable operations to be sustained.

• 94 + Alabama students are in the pipeline attending one of the 10 AMEC partner medical schools.

• Core Sites were expanded from 5 sites to 9 sites. The new sites are Alabaster, Dothan, Troy, Selma, Sylacauga and Mobile.

• In June the Contextual Learning Hub was established at Troy University under the sponsorship of A.T. Still School of Osteopathic Medicine Mesa, AZ (ATSU)

• Began the development of Graduate Medical Education programs in Birmingham with future plans for other locations

• Developed Student Assistance Program and awarded four tuition packages (three third year and one fourth year students).

• Focused on refining Recruitment activities with targeted goals and dedicated staff.

• Second financial audit reported no exceptions.

• Hospital network increased from 22 to 48 hospitals statewide.

• Entered dialog with the Community Hospital Systems (CHS) for them to provide student assistance funds for 10 students each year.

• Recognized as an educational affiliate of the American Osteopathic Association.

2

STUDENT DATA

• 94 students in AMEC pipeline

• 53 3rd and 4th year students currently in one of the Alabama core sites and nine 2nd year students in the contextual learning hub at Troy University.

• 37 students. interviewed this year.

• 26 minority students interviewed with 21 recommended.

• 24 students completed medical school in 2007; 24 will complete in 2008

• 20 medical school graduates

entered Primary Care residencies

• 7 Family Medicine

• 7 Internal Medicine

• 1 Neurosurgery

• 2 Radiology

• 1 Pediatrics

• 3 OB-GYN

• 1 Pathology

• 2 Surgery

AMEC's recruiting efforts continue to expand and have a positive impact on the number and quality of students applying to the program. Two additional recruiters joined the staff this year to support our efforts in recruiting students from our 26 partner Alabama Colleges and Universities including the seven Historically Black Colleges and Universities and the Alabama Community College System.

AMEC students at LECOM

In 2008, recruiting was emphasized as a critical success factor in the AMEC strategic plan. Outcome measures were identified including specific targets for applications, interviews, and enrollments resulting in positive trends for the numbers of AMEC students entering our partner colleges of medicine.

RECRUITING SITES

COLLEGES AND UNIVERSITIES Alabama A&M University Alabama State University Athens State University Auburn University

Auburn University Montgomery Birmingham Southern College Faulkner Uni~ersity Huntingdon College Jacksonville State University

Judson College Marion Institute Miles College Oakwood College Samford University Spring Hill College Stillman College

Talladega College

Troy University

Tuskegee University University of Alabama at Huntsville University of Alabama Birmingham University of Alabama University of Mobile

University of Montevallo University of North Alabama University of South Alabama University of West Alabama

There were 37 students interviewed during the year which was an increase of 11 from the previous year. Additionally, there

was an increase in the number of students meeting the eligibility requirements for the partner colleges of medicine. There was also an increase in the students recruited to the dental program in our two partner dental schools.

Our recruiters targeted the pre med and faculty advisors at our partner colleges and universities, coordinated their efforts in student orientations and job fairs, and were creative in finding ways to interact directly with potential applicants. This paid huge dividends in that students from 13 Alabama universities and

4 community colleges were successful applicants to AMEC's partner colleges of medicine. Geographically, they represented 19 counties located in the Alabama rural areas (north and south), the Black Belt and all designated Metropolitan Statistical Areas.

ALL ALABAMA COMMUNITY COLLEGES

Recruiter promoting AMEC

3

MEDICAL

ACTIVITIES

The Education process is comprised of three phases: undergraduate education, medical education and graduate medical education. The undergraduate phase occurs in one of our partner Alabama colleges or universities and is described in the Recruiting Activities section. The medical education occurs at one of our 10 partner Colleges of Medicine (COM), and is a collaborative relationship that provides Alabama with 100 + medical school slots annually. The graduate medical education phase is being developed and will strengthen the ties between our new doctors and the communities in which we want them to serve.

Students are admitted to one of the 10 out of state partner COM, and attend years 1 & 2 (basic science years) at the respective out of state campus. They return to Alabama for years 3 and 4 (clinical years) and are assigned to one of the 9 core teaching sites in Alabama.

At the heart of the success of AMEC is the community based education network. These "Core Sites" are a part of our community based education network and are strategically located throughout Alabama. Each core site is directed by a highly qualified physician and has a coordinator to manage the student clerkship education flow. Physician preceptors provide the hands-on education and experience for each of the clerkships. During 2008, five additional core sites were added to this network bringing the statewide total to nine.

The core site in Troy is also the site for the unique

AMEC / A.T.Still University School of Osteopathic Medicine-Arizona (SOMA) program. This program is one of the major accomplishments for 2008 and will be described in the following section.

CORE SITES

AMEC - Alabaster AMEC - Dothan AMEC - Mobile AMEC - Selma AMEC -Troy

AMEC - Birmingham AMEC - Foley AMEC - Montgomery AMEC - Sylacauga

MEDICAL SCHOOL PARTNERS

A. T. Still University, College of Osteopathic Medicine, Mesa, Arizona

Kansas City University of Medicine and Biosciences, Kansas City, Missouri

Kirksville College of Osteopathic Medicine, Kirksville, Missouri

Lake Erie College of Osteopathic Medicine, Bradenton, Florida

Lincoln Memorial University DeBusk College of Osteopathic Medicine, Harrogate, Tennessee

Midwestern University, Arizona College of Osteopathic Medicine, Glendale, Arizona

Nova SoutheasternUniversity, College of Osteopathic Medicine, Fort Lauderdale, Florida

Philadelphia College of Osteopathic Medicine Georgia Campus, Suwanee, Georgia

Pikeville College School of Osteopathic Medicine, Pikeville, Kentucky

West Virginia School of Osteopathic Medicine, Lewisburg, West Virginia

The final phase, graduate medical education, is in a developmental stage at the end of 2008. Currently, AMEC graduates may apply to existing

allopathic residency programs. We believe that there is a need for osteopathic residency programs in Alabama and one application has been submitted for approval. Additional applications are being considered.

4

A.T. Still Students at SOMA Program Troy

AMEC / SOMA Community

ampus at Troy University

On September 2, 2008, the A.T.Still University School of Os teopathic Medicine - Arizona (SOMA) opened the AMEC/SOMA Community Campus for nine medical students. These nine students began their second year in what has been referred to, as the "most progressive medical school in the country." This class of 2011 will be the first class to graduate fromA.T. Still University's newest osteopathic medical school.

AMEC/SOMA, based at Troy University, is one of 11 nationwide Community Campuses representing a new innovative school designed in collaboration with the National Association of Community Health Centers to address the growing healthcare shortage in underserved communities.

Critical to the uniqueness of the new medical school is "Contextual Learning." Students have the opportunity to apply knowledge in the same environment in which they acquired it, enhanc-

ing their ability to connect theory and clinical application.

After completing the first year of medical school, on the ATSU campus in Mesa, Arizona, students move to the local Community Campus which then serves as the primary learning venue for the remaining years of medical school. Students learn in the classroom as well as in the surrounding healthcare safety net from the beginning of year two.

In the classroom, ATSU - SOMA Faculty Facilitators replace traditional classroom lectures with team problem solving, operating under a learning model that connects basic and clinical sciences. Incorporated into the student's weekly routine are continuity based primary care clerkships, which occur from the begin-

ning of year two. This student - centered learning environment provides students with a solid framework for clinical decision-making throughout their career.

This first cohort of AMEc/ SOMA students completed their first year of medical school in July 2008 and immediately began preparation for relocation to Troy, Alabama. Three days per week students are in the classroom where Dr. Wil-

well as those with a specific interest in returning to Alabama to practice rural primary care".

Two days per week are dedicated to primary care rotations locally and in other areas of Southeast Alabama within a 50-mile radius of Troy. Current rotation sites include Troy, Dothan, Luverne, Opp, Elba and Andalusia.

"The atmosphere is very learning-centered, said Dr. Hamilton. The students have ongoing interaction with faculty and other students. They are active participants. We refer to them as "learners" rather than students. Faculty members are referred to as "facilitators" rather than teachers. The students are very happy with the campus. They are especially enthusiastic about their clerkships and impressed with the preceptors' teaching methods. We all appreciate the time that each preceptor has dedicated

to teaching the students as well.

We are also very grateful to the many others, throughout the community, whom have offered their support and assistance with development of the program!"

At the core of the Community Campus concept is the practice of immersing a student in a community of future practice to produce compassionate, competent physicians, acculturated to the rural and underserved community.

Information regarding long-term retention of these physicians within the rural and underserved areas will take some time to gather. What is certain is that what began as a response to the rural healthcare shortage has developed into a new model of medical education, specifically designed to enhance student learning.

AMEC students at Troy

liam Hamilton, ATSU's Facilitator/ State Director of Medical Education; and Dr. Philip Reynolds, Troy University/ ATSU Facilitator, share responsibility. Classroom time features scheme presentations, case studies, small group discussions, videos, web-casts, and other on-line resources, as well as interaction with ATSU faculty.

AMEC recruits 10 qualified students per year to SOMA. AMEC screens applicants using traditional standards. However, there are other special characteristics looked for when considering an applicant to SOMA. "We look for community - minded students, "commented Dr. Philip Reynolds. "who have shown an attitude of service and have a history of community involvement, as

5

Placement Activities

Obligation Program 2008

In 2008, for the first time the Alabama Medical Education Consortium (AMEC) was able to offer Loan Forgiveness Service Obligation packages to 4 medical students - 3 third year students and 1 fourth year student.

Under the guidance of the Loan Forgiveness Placement Committee, a program was implemented to award, on a competitive basis, loan forgiveness packages to interested third and fourth year medical students as funds permitted. The selection guidelines are congruent with and driven by the mission of AMEC.

To ensure wide dissemination of this opportunity, the Student Loan Application and Service Obligation Contract was placed on the AMEC website in an effort to reach as many students as possible.

Individual loan forgiveness packages were for tuition costs up to $30,000 and were paid directly to each student's medical school.

Students accepting the funds incur an obligation to serve 1.25 years in a rural or underserved area of Alabama for each year they participate in this program.

Dr. Tom Kincer with Kansas City Students

FUTURE PLANS

The growth of AMEC over the past year has been remarkable. The plans for the future include many opportunities for the program as well as for the people of Alabama. These include, but are not limited to, the following:

• Continue to mature the Core Teaching Sites to assure statewide coverage.

• Expand and mature the hospital network, making statewide coverage possible.

• Continue to identify up to 150 Alabama students each year for medical school.

• Continue to identify up to 20 Alabama students each year for dental school.

• Enroll 60+ qualijied students from all areas of Alabama.

• Develop a marketing plan for all aspects of the program.

• Conduct a third financial audit.

Pikeville College of Osteopathic Medicine Students 6

AMEC recruiter at Alabama Connection Fair

Alabama Medical Education Consortium P.O. Box 2387 Robertsdale, Alabama 36567

Telephone: 251-947-6288 FAX: 251-947-7552 E-mail: amec@gulftel.com Website: www.amec.uwa.edu

Corporation Details

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Alabama Medical Education Consortium
Corporation Number 561 - 034
....
Corporation Type DomesUc Non-Profit
Principal Address LIVINGSTON, AL
Status Exists
Place of Incorporation Sumter County
Incorporation Date 12-13-2004
MOCK, JAMES
Registered Agent 100 N WASHINGTON STATION 41 lNVA
LIVINGSTON, AL 35470
Nature of Business MEDICAL EDUCATION
Capital Authorized
Capital Paid In
In corporators
Incorporator Name MOCK. JAMES A
Transactions
Transaction Date 5-12-2006
Miscellaneous Filing Entry AMENDMENT FILED P.O. Box 5616

, Montgomery, AL

\'(,:';"~6103-5616

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Phone: (334) 242-7200 Fax: (334) 242-4993

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HW1C Organization Details: Alabama Medical Education Consortium

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Tvpe state workforce organization

Description Addresses the need for prl mary care phvstcians and dentists in rural and underserved areas in AI abama. Collaborates with universities and osteopathic schools to provide a pipeline for people interested in attending these schools.

If you know of a health workforce event, publication or other resource related to this organization, please let us know:

Location P. O. Box 2387 Robertsdale, AL 36567

Contact gt)'1R~@(i'WJ.f'~q! .C9!)) 251.947.6288

Tagged Alabama, Osteopathic keywords Physicians, Workforce Pipeline

M~P.Jt'i!a.,©,20.1° -

Last updated July 22, 2009

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Resources

• Alabama: Status of Primary Healthcare in Selected Counties, 3/2008, view detail,s

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Southern Rural Access Program

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The Southern Rural Access Program is designed to help improve access to basic healthcare in eight of the most rural, medically underserved states in the country. The program supports work to increase the supply of primary care providers in underserved areas, strengthen the health care infrastructure and build capacity at the state and community level to address healthcare problems. To achieve these goats the program is focusing on rural health leadership development; recruitment and retention of primary healthcare providers; rural health network development; and revolving loan fund development.

The Southern Rural Access Program is funded by and

administered by the Penn State College of million to

date for grant making, technical assistance, administration and program evaluation for this effort to improve access to care in Alabama, Arkansas, Georgia, Louisiana, MiSSiSSippi, South Carolina, East Te.x.as and West Virginia. The Claude Worthington Benedum Foundation provides additional matching support for the West Virginia project and other local and regional philanthropies provide varying levels of support to program components in each of the eight states.

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The Southern Rural Access Program began making its first round of grant awards in November 1998. The grant awards followed an intense review by The Robert Wood Johnson Foundation (RWJF) of one proposal from an agency in each of the eight targeted states designated to act on behalf of a broad consortium of agencies interested in improving access to heatthcare in rural underserved areas. An additional $2.5 million also was made available to the National Program Office from The Robert Wood Johnson Foundation to fund innovative projects through the 21st Century Challenge Fund, a special opportunities fund designed to support highly innovative pilot demonstrations or small analytic projects that address specific heatthcare problems and serve to build capacity within the state.

Based on the lessons learned and successes from the first three-year phase of the program, the RWJF Board of Trustees reauthorized the program for another four years in January 2002. Of the $18.9 million in new grants made available by RWJF, $13.3 million was allocated to core grant components, $3.5 million for additional revolving fund seed money and $600,000 for a new effort, the planning of a single regional forum to address heatthcare challenges in the rural South.

Phase It, Round I grants were awarded for a two-year period beginning April 1, 2002. A second round of two-year funding was awarded April 1, 2004. To encourage sustainabitity at the end of the Foundation·s involvement, the funding level for core grants will be gradually reduced such that the sites wnt be funding 50% of core grant activities by the fourth year of Phase II.

Background

Links

Providing rural Americans with access to heatthcare services has been a challenge to policy makers, researchers, providers, and rural health advocates for decades. Despite a number of federal and statelevel efforts, many rural areas continue to have fragmented health delivery systems, a shortage of health professtonats, inadequate access to capital for health care infrastructure, and high proportions of working poor people without health insurance.

However, recent policy changes provide some opportunities to improve access to basic health care in rural areas. Significant among these are changes in federal Medicare policy that provide payment incentives to develop managed care options in rural areas, and that provide an opportunity for prcvidersponsored organizations to participate in the Medicare+ Choice Program.

Also, it may now be easier for underserved rural areas to make progress on persistent primary care workforce shortages. Emerging market forces combined with medical education reforms have stimulated significant growth in the number of students who choose careers in primary care, such as generalist physicians, nurse practitioners, physician assistants, and certified nurse midwives.

Additionally, support mechanisms are being developed to enhance the capacity of underserved rural areas to recruit and retain more primary care practitioners.

The Foundation has supported a number of efforts to improve access to care ill rural regions of the country. Key lessons from these experiences indicate that:

.. The most severe rural health care access problems are disproportionately concentrated in certain regions of the country particularly the South.

e Some states have had limited resources to plan or initiate efforts to markedly improve rural access .

.. Regional clusters of states are more likely to learn from each other.

• No single intervention by itself is likely to improve access to care significantly.

Based on these lessons, the Foundation believes that combining promising interventions and working over a sustained period with a regional group of states will provide the best opportunity to

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Southern Rural Access Program

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improve access to care,

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• Phase II, Round II Grant (4/1/04 - 3131/06) .. Phase II, Round I Grant (4/1/02-3/31/04) co Phase I, Round II Grant (8/01 . 1102)

.. Phase I, Round I Grant (2/99-7/00)

Alabama's Southern Rural Access Program is led by a collaborative partnership between Alabama Primary Healthcare Association and Alabama Family Practice Rural Health Board.

WH Baker & Ruth Harrell (251-947-6288)

Target Region: 18 counties in the Black Belt region of the state encompassing a population of nearly 350,000. Specific counties indude Bibb, Bullock, Butler, Choctaw, Clarke, Conecuh, Crenshaw, Dallas, Greene, Hale, Lowndes, Macon, Marengo, Monroe, Perry, Sumter, Washington and Wilcox.

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The Southern Rural Access Program is a long- term investment by RWJF to increase access to healthcare to medically underserved rural residents in eight southern states. The eight participant states include Alabama, Arkansas, Georgia, Louisiana, Mississippi, South Carolina, (East) Texas and West Virginia. Between 1998 and 2001 about $13.6 million in grants were awarded to agencies in each of the eight states to support other program components designed to improve the state's primary care and rural health infrastructure. In January 2002, the RWJF Board of Directors reauthorized the program for a four-year period beginning April 1, 2002. The reauthorization makes available $18.9 million in funds for participating states over the course of the next four years. Overall direction and technical assistance support for the program is provided by the Rural Health Policy Center of the Penn State College of Medicine.

The Southern Rural Access Program is funded by the Princeton, NJ· based Robert Wood Johnson Foundation (RWJF). The Foundation is the largest philanthropy in the nation devoted exclusively to health and healthcare. It concentrates its grantrnaking in four goal areas:

.. To assure that all Americans have access to basic health care at reasonable cost . .. To improve care and support for people with chronic health conditions.

.. To promote healthy communities and lifestyles .

.. To reduce the personal, social and economic harm caused by substance abuse .- tobacco, alcohol and illicit drugs.

More information on The Robert Wood Johnson Foundation can be obtained by visiting its website at www.rwjf.org.

Alabama: ADECA, Alabama Department of Public Health, Alabama Medicaid Agency, Alabama Blue Cross/Blue Shield Caring Foundation, Alabama Power Foundation, Alabama State AHEC, Auburn University, Avon Breast Care Foundation, Mary Reynolds Babcock Foundation, Escambia County Health Department, Hope Unity Fund, Judson College, Perry County Cornmisston, Tuskegee Area Health Education Center, University of Alabama at Birmingham, University of Alabama at Tuscaloosa and University of South Alabama College of Medicine.

Arkansas: Arkansas Capital Corporation Group, Arkansas Department of Economic Development, Arkansas Department of Health, Arkansas Development Finance AuthOrity, Arkansas Medical Society, Arkansas State Legislature. Dolores and Thomas Bruce Foundation, Catherine'S Legacy, Enterprise Corporation of the Delta, Kellogg Foundation, MiSSiSSippi Delta Rural Development Network, Sisters of Mercy Health System, lnc., Southern financial Partners, Snyder foundation, University of Arkansas College of MediCine, University of Arkansas Medical Sciences and School of Nursing and Winthrop Rockefeller Trust.

Georgia: Albany State University, Development Corporation of Middle Georgia, East Georgia Health Cooperative, Georgia Department of Community Health's Georgia Division of Medical Assistance, Georgia State Legislature, Medical College of Georgia, Mercer University School of Medicine and Robert W. Woodruff Foundation.

Louisiana: Abbeville General Hospital, Americorp, Louisiana Department of Health and Hospitals, Louisiana Public financing Authority, Louisiana State Legislature, t.ouistana State University Health Sciences Center, Pfizer Foundation, Rapides Foundation, United Way of Arcadia and Vermillion Parish Police Jury.

Mississippi: Am South Bank, Bank Plus, Bower foundation, Enterprise Corporation of the Delta,

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Southern Rural Access Program

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Health Care Foundation of North Mississippi, Housing Authority of the City of Tupelo, Kellogg Foundation, Lee CQunty Supervisors, Mississippi Department of Health, Mississippi Development Authority, Mississippi Hospital Association, Mississippi Hospital Equipment and Facility Authority, MisSissippi State Legislature, Mississippi Primary Health Care Association, Phil Hardin Foundation, State Board of Community and Junior Colleges, Trustrnark, Tupelo Women's Club and United Way of Northeast Mississippi.

South Carolina: Beaufort County, Blue Cross/Blue Shield of South Carolina, Duke Foundation, Uberty Corporation, Low Country Health Care Network, Samuel Freeman Charitable Trust, South Carolina AHEC System, South Carolina Office of Rural Health, South Carolina Medical Association, South Carolina State Legislature, University of South Carolina School of Medicine Specialty Clinics and Wachovia Bank.

Texas: Kennedy Memorial Foundation, Meadows Foundation, Northeast Texas Economic Development District, State Office of Rural and Community Affairs, Texas Department of Health, Texas Institute for Health Policy Research, Texas Primary Health Care Office, Trinity Mother Frances Health System and University of Texas Health Center.

West Virginia: Appalachian Regional Commission, Claude Worthington Benedum Foundation, Greater Kanawha Valley Foundation, Marshall University School of Medicine, Sisters of St. Joseph Charitable Fund, West Virginia School of Osteopathic Medicine, West Virginia Small Business Development Center, West Virginia State legislature and West Virginia University College of MediCine. Federal Government: Bureau of Primary Health Care, Department of Agriculture, Department of Health and Human Resources Office of Rural Health and Small Business Administration

9171106:26 PM

Robert Bentley for Governor 20 I 0

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BIOGRAPHY

family Background

o Native of Columbiana in Shelby County,

o Resident of Tuscaloosa,

o Married for over 40 years to the former Dianne Jones of Montgomery:

o Father of John Mark (wife Amy), Paul (wife Melissa), Luke, and Matthew (wife Katy): Grandfather of 5 - Katie. Taylor. Anna Claire, Mary Boyd, and Caroline:

o Member of First Baptist Church Tuscaloosa:

o Deacon and Sunday School teacher.

MilitalY Service

o Commissioned as Captain in the Air Force during Vietnam;

o Medical Officer;

o Life Member of Vietnam Veterans of America;

o Member of American Legion.

Professional Career

o Physician;

o Founding partner of Alabama Dermatology ASSOCiates;

o Turned his small business into one of the largest practices in the Southeast:

o Named one of the "Best Doctors in America" by his peers.

o Member of the Alabama State House from Tuscaloosa. He has served on the following committees:

• Education Appropriations Committee

• Boards and Commissions Committee , Agriculture and Forestry Committee

• Internal Affairs Committee

BACKGROUND

Dr. Robert J, Bentley is runmnq for Governor to grow the economy and create jobs without increasinq taxes or spending. He believes there needs to be more transparency and accountability in Alabama's government He is a pro-life. pro-marriage. and pro-second amendment conservative who believes in smaller and more limited government Bentley is the only Republican candidate for Governor of Alabama who completed an undergraduate degree at the University of Alabama.

He will not accept the Governors annual salary until Alabama reaches full employment.

Robert is an active member of First Baptist Church (FBC) Tuscaloosa where he serves as a Deacon and Sunday School Teacher. At FBC Tuscaloosa he has been the Chairman of the Board of Deacons four times and a member of the Youth for Christ Advisory Board, as well as the Family Counseling Advisory Board. Dr. Bentley has also served on the State Advisory Board for Sexually Transmitted Diseases. Currently, he serves on the Board of Trustees for Judson College in Marion, Alabama and is a member of the Board of Trustees of the Alabama Medical Education Consortium which he helped found.

eARLY SACKGROUND

Robert Julian Bentley is a native of Columbiana in Shelby County Alabama. His father, David Harford Bentley, worked at his sawmill and instilled within his youngest Son the importance of the old-fashloned, All-American work ethic. His mother, Mattie Boyd Vick Bentley, cared for Robert, his brother and three sisters, She taugl1t him to be compassionate and 10 appreciate traditional family values

Growing up I,) Colurnoiana taught Rober! the value of hard work and the importance of family. His parents. neither of whom completed school past junior high, impressed upon him thaI education and learning were the keys to future success. Although Robert left Columbiana alter graduating high school, he has always remembered his roots and the people who helped shape his life in rural Shelby County.

EDUCATION ANQ FAMILY

Education

After graduating from Shelby County High School, Robert put himself through college at the University of Alabama. While at UA, he majored in Chemistry and Biology and graduated with his Bachelor of Science in just three years.

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Dr. Bentley with supporters in Brookwood !1lli?~ICC<lml2m()gi~

7,286 people like Of', Robert Bentley

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9/8/10 6:03 AM

Robert Bentley for Governor 20 I 0 - Biography

http://www.roberlbenllcy2010.com/i ndcx .php'rpageebiography

From an early age, Robert Bentley knew he wanted to become a doctor. After graduating from VA. he began his studies at The University of Alabama School of Medicine. During his first year of medical school, he met Martha Dianne Jones of Montgomery. They were married on July 24, 1965. He graduated with his M. D. in 1S68 and began his one year internsl1ip at Carraway Methodist Hospital in Birmingham.

Military Service

In 1See, during the Vietnam conflict, Bentley joined the United States Air Force where he was commissioned as a captain, and served as a general medical officer. He was stationed at Pope Air Force Base at Fort Bragg where he became hospital commander near the end of his tenure.

While in the service as a general medical officer he treated many military dependants, active duty service members, and wounded soldiers. He is a life member of Vietnam Veterans of American and a member of the American legion.

Following his military service, Bentley began his three year residency at the University of Alabama in Dermatology. However he has never forqotten his military background, and while serving in the Alabama House of Representatives he has sponsored legislation to improve educational benefrts for disabled veterans.

Family

After completing residency, the Bentley's decided to make Tuscaloosa home to begin their family together and for Robert to start his dermatology practice. They have raised four sons-cohn Mark (wife Amy), Paul (wife Melissa), Luke, and Matthew (wife Katy). Robert and Dianne are the proud grandparents of Katie, Taylor, Anna Claire. Mary Boyd, and Caroline

PROFESSIONAL AND POLITICAL EXPERIENCE

Business E;:perience

Robert has founded a number of small businesses, the most successful of which is Alabama Dermatology Associates. As President of Alabama Dermatology ASSOciates, Dr, Bentley managed the practice's growth into one of the largest dermatology practices in the Southeastern United States, employing 30 Alabamians in the process. As a small business owner, Robert has firsthand experience meeting challenges and complying with government regulations that hinder a business' ability to prosper and thrive. He also understands that being a business owner is about more than simply providing services to clients; it is also about taking care of the employees who rely on you for their livelihoods, health insurance and retirement plans.

Alabama PolWcal Experience

In 2002, Robert was elected to the Alabama State House of Representatives from Tuscaloosa County with almost sixty-five percent (65%) of the vote. In the Slate House, Robert quickly established a record fighting for fiscal conservatism, strong traditional family values, and limited government. In 2006, Robert ran unopposed for re-etecuon to the State House. During his time in Montgomery, he has served on the Education Appropriations Committee, the Boards and Commissions Committee, the Agriculture and Forestry Committee and has been a member of the Tuscaloosa County legislative Delegation. He also serves as the Vice-Chairman of the Internal Affairs Committee.

In the Alabama House of Representatives, Bentley made it a priority to train primary care health care providers and to increase organ donation. He is responsible for two major revisions of Alabama's organ donor laws: one was specific to corneas and the other reinforced the rights of organ donors by making it difficult to challenge their decisions. Because of Dr. Bentley's efforts, more Alabamians are living quality lives due to cornea, kidney, liver and heart transplants.

He also helped establish the Alabama Medical Educational Consortium which reserves a number of medical school education spots for students committed to one of the primary care fields. There currently are approximately 100 students in this program. Additionally, Bentley has sponsored legislation to provide scholarships those individuals dedicated to training more nurses in Alabama. Finally, he has supported funding for the Rural Medical Scholars program, which trains doctors committed to serving the people of rural Alabama

During the 2010 legislative session, Dr. Bentley has sponsored a Constitutional Amendment proposing that no individuel, health care provider or business in Alabama has to take part in a national health care system.

As a member of the Education Appropriations committee, Bentley played a key role in passing a balanced budget each year he served in the legislature. He also sponsored legislation to cut taxes for Alabama families, and is opposed to raiSing taxes. In fact, he has signed the No New Taxes Pledge by Ihe Americans for Tax Reform, which is displayed prominently on his website.

Bentley also introduced a constitutional amendment to freeze property taxes for homeowners during the current legislative session. He is the only legislator to ever obtain a vote on the House floor to change the property appraisal from once a year back to once every four years.

Finally, Bentley is the chief sponsor of the Alabama Reemployment Act of 201 0, which is estimated to create at least 5000 new jobs in Alabama without increasing taxes or government spending.

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Robert Bentley for Governor 20 I 0 • Biography

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Natiollal Polltloal experience

In 2008. Robert was elected as a Republican Presidential Delegate for Gov. Mike Huckabee. At the Republican National Convention he represented Alabama on the Republican Platform Committee, where he helped write one of the most conservative and pro-life party platforms ever.

Paid for by Rob$rt Bentley for Governor· Post Office Box 2276 • Tuscaloosa' Alabama' 35403

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9/81 I 06:03 AM

o I have never been, nor wi!! I ever be, beholden to lobbyists or special interests;

o I wiil make our state's government one of the most transparent in the country by creating a strong executive branch oode of ethics for myself, all cabinet officials, and our staffs;

o I will eliminate the practice of awarding no bid contracts to ensure that only the most qualified and competitive firms receive state contracts:

o I will never take any gift for being Governor, and no member of my family wiil benefit from my election to the office of Governor of Alabama;

o I will push legislation to make all political party funds transparent, whether it comes through party-affiliated foundations or donations to the parties themselves;

01 will require online reporting of all state spending and revenues.

Ethics Reform

Recent events in Birmingham are the latest example of the spate of questionable ethical activity in Alabama by public officials at all levels of government As Governor, I wili work to pass lough ethics laws which will attract high quality candidates, while reforming our current system.

I will make our state's government one of the most transparent in the country by creating a strong executive branch oode of ethics for myself, all cabinet officials, and our staffs. Add.tionally, I will never take any gift for being Governor, and no member of my family will benefit from my election to the office of Governor of Alabama Furthermore I will require online reporting of all state spending and revenues.

Alabama needs these tougher ethics laws and political reform so that all people, companies, and small businesses are subject to the same rules. There should not be one set of rules for those with power, money, or influence, and another set for everyone else, Government service is a public trust which demands the highest levels of Integrity, and our citizens should be confident that the public officials they entrust with their votes will serve with honor and be beyond reproach.

I have never been, nor will I ever be, beholden to lobbyists or special interests. In fact, have voted to ban transfers from one polilical action committee to another (so-called PAC· to- PAC transfers) every time this legislation has come before the Alabama House of Representatives the pas! seven years, I will continue to do So during my service in the legislature. I also support banning ail political action committees, in order to maximize the transoarenoy of money in politics

As part of my efforts to maximize transparency, I will push to limit lobbyi.,g expenditures, One way to do this is by mandating online reporting of all money lobbyists spend on every elected official and public servant in Alabama. This will ensure complete transparency in the efforts of special interests to influence public policy so that voters can decide whether their representatives are serving Iheir needs, or the needs of campaign benefactors, I will eiinunete the practice of awarding no bid contracts to ensure that the most qualified and competitive firms receive state contracts, instead of those affiliated with powerful legislators. Finally, I will push legislation to make all political party funds transparent, whether it cernes through party-affiliated foundations or donations to the parties themselves.

These will be some of the toughest ethics laws in the nation, and I will make sure they are enforced by empowering the ethics commission with subpoena power. I will also require the Alabama EthiCS Commission to redesign its website to be more user-friendly for citizens so they can obtain the information they need.

I have no illusions these reforms will be easy to pass through the leqistature. After all, many of my colleagues are happy with the status quo, as are their lobbyist supporters I will continue to work on these issues in legislature during the next year of my current term

The people of Alabama deserve a Governor who is responsive to the needs of all the people. not just the well connected. and who will ensure that no one is above is the law and no one is below the law, I will be that Governor.

Register for Updates:

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We're workinq on getting this fixed as soo

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http://www.amcc.uwa.eduiParticDO.htm

Osteopathic Medical Schools Participating in the

Alabama Medical Education Consortium

The Alabama Medical Education Consortium is partnering with the following Osteopathic Medical Schools to provide an opportunity for Alabama medical students to receive medical school training. This focus of this training is targeted to rural and underserved areas of Alabama but participation is not limited to Alabama students.

AMEC Partnering Osteopathic Medical Schools:

A. T. Still University

Kirksville, Missouri

A. T. Still University

Mesa, Arizona

EUQ$cien,ea

Kansas City, Missouri

Dr. Kenneth McLeod Instructs an AMEC Student

Erie, Pennsylvania and Bradenton, Florida

Harrogate, Tennessee

Nova Southeastern University

Fort Lauderdale, Florida

Suwanee, Georgia

Pikeville, Kentucky

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Hemphill & Bentley.

I ILLUSTRATION OMITTED I

IILLUSTRATION OMITTEDI

Kathryn Ann Hemphill and Matthew Boyd Bentley were married at seven o'clock in the evening on July 25,2009, at Lakeside Evangelical Presbyterian Church may refer to:

Evangelical Presbyterian Church (United States) Evangelical Presbyterian Church (Australia) Evangelical Presbyterian Church in England and Wales

in Brandon. The double-ring ceremony was officiated by Rev. Brandon Bates.

The bride's parents arc Mr. and Mrs. Ryland Harris Hemphill St. of Brandon. She is the granddaughter of Mrs. Martha Rawls Gower of Brandon and the late Mr . John Alva Gower and Mrs. Polly Harris Hemphill of Brandon and the late Mr. James Victor Hemphill Jr.

The bridegroom is the son of the Honorable Dr. and Mrs. RobertJulian Bentley of Tuscaloosa, Alabama. He is the grandson of Mrs. Mae S. Jones of Montgomery, Alabama, and the late Mr. Thomas Stanley Jones and the late Mr. and Mrs. David Harford Bentley.

Nuptial music was provided by organist Sarah Sachs, pianist Rachel Center, and a string quartet with members of the Mississippi Symphony Orchestra. Vocalists were Sarah Sachs and Rick Looser.

Given in marriage by her father, the bride wore a designer gown of light ivory silk fashioned with a molded strapless neckline and a shirred fitted bodice appliqued with beaded lace motifs and closed in the back with covered buttons. From the dropped waistline fell the flared skirt draped to the side with Alencon lace appliques drifting from the skirt on to the chapel-length train. Her long ribbon-edged veil with lace edging at the bottom fell from pearl and mirror bead hairpins. She wore designer pearl earrings surrounded by four small diamonds. The bride carried a bouquet of off-white hydrangeas mixed with Amelia and tea roses adorned with a cream-colored peony (pt;:';me), any plant of the genus Paeonia of the family Ranunculaceae (buttercup family. al though placed in the order Dillenialcs as a separate farni ly, the Paeonlaceae, by many modern botanists), mostly Eurasian species in the center. The bouquet was hand tied with a white linen Italian handkerchief embroidered with a soft blue given to the bride by her mother.

Attending the bride as her matron of honor

II. pl. matrons of honor

A married woman as chief attendant of the bride at a

Noun 1. was Kelsey Douglas Van Every of Brandon. Serving as her maid of honor was Leigh Ann Weaver of Madison. Bridesmaids were Kellie Nichole Clark of Brandon: Haley Rubisoff Doude of Starkville:

Hannah Rawls Gardner of Brandon, cousin of the bride: Annie Fraley Laughlin of Brandon; Courtney Elise Lyle of Brandon; Leslie Dyess May of Pearl; Lauren Longo Smith of Brandon: and Erica Leigh Thompson of Ridgeland. The bridesmaids wore formal Vera Wang gowns of platinum lame with draped sweetheart necklines, sashed waistlines, and floor-length skirts with sweep trains. They carried bouquets of magenta and hot pink roses wrapped with silk ribbons.

The honorary bridesmaids were Clara Winter Gardner of Brandon, Angie Randle Hemphill of Pittsburg, Pennsylvania, and Katherine Mackenzie Hemphill of Westpoint, all cousins of the bride; Mandie Rebekah Flemming of Ridgeland: and Ginger Tess Scanlon of Brandon.

The father of the bridegroom, Robert Julian Bentley, served as best man, The groomsmen were John Mark Bentley, Luke Douglas Bentley, and Paul Andrew Bentley, all brothers of the bridegroom from Tuscaloosa, Alabama; Ryland Harris Hemphill 11'. of Brandon, brother of the bride; James Frank Askins Jr. of Birmingham, Alabama; Matthew Denson deShazo of Brandon; Kirk Cooper Eddleman of Jackson; Samuel Arden Moore of Tulsa, Oklahoma; and Antone Mcferrin Nichols of Chicago, Illinois . Joseph Pace Coker of Jackson served as the ring bearer.

Caroline Drew Bentley and Taylor Anne Bentley, nieces of the groom, both of Tuscaloosa, Alabama, were the flower girls, They wore sleeveless dresses of ivory dupioni silk with full skirts sashed with silver taffeta caught in the back with a silk flower. Anna Claire Bentley of Tuscaloosa, Alabama, niece of the groom, read the Scripture. Katie McMillan Bentley and Mary Boyd Bentley, nieces of the groom, both of Tuscaloosa, Alabama, served as program attendants. Mrs. Jo Ann Williams of Tuscaloosa, Alabama. directed the wedding.

Following the ceremony, the couple arrived in a black Bentley sedan at the reception held at River Hills Club. Guests danced to the music of The Chill Lind enjoyed a beautifully catered buffet Reception highlights were the bridegroom's table decorated with University of Alabama memorabilia, chocolate ;;>!0.'.''''''.'''" gao nache

11.

A rich icing made of chocolate and cream healed and stirred together, used also as a filling, as for cakes or pastry.

[French.] and caramel cakes, and cookies decorated with the university logo. The bride's table was decorated with white roses and featured a five-tiered wedding cake designed by the bride. Patterns unique to each tier were adorned with edible pearls. Favorite special dishes were hand-rolled sushi, miniature pork tenderloin biscuits, and low country boiled shrimp. The late-night "sliders" and curly fries topped off the evening,

On the CVQ 011 the Eve (Haxairyne in Russian) is the third novel by famous Russian writer Ivan Turgenev, best known for his short stories and the novel Fathers and SOilS of the wedding, close friends and family hosted the bridesmaids' luncheon at the home of Mr. and Mrs. Gordon Shipp of Brandon. That evening the bridegroom's parents hosted an elegant rehearsal dinner at the University Club in downtown Jackson. The morning following the wedding, a brunch was hosted by close friends and family for out-of-town guests at the home of Mr. and Mrs. Buddy Youngblood of Flowood.

Following a wedding trip to Anguilla, British West Indies: see West Indies: West Indies

Federation. , the couple is at home in Brandon.The bride is a nurse at the .,,",!JlL"d'''''',i,J.,~.'l~~,L'!.u.'''n'''''Li_' "'L>'-"'Li~SL','d<.!.!..>:,"l University of Mississippi Medical Center (UMC) is the health sciences campus of the University of Mississippi (Ole Miss). Located in Jackson, Mississippi (USA), it houses the Schools of Medicine, Dentistry, Nursing, Health Related Professions, and Graduate Studies in the Health in the

Surgical ICU intensive care unit.

ICU . The bridegroom is a resident physician at

in internal medicine.

!ILUJSTRA'rION OMITTED]

[ILLUSTRATION OMITTED I

Page I

7 of 57 DOCUMENTS

Copyright 2008 The Mobile Press Register Inc.

All Rights Reserved Mobile Register (Alabama)

April 30,2008 Wednesday 01 EDITION

SECTION: A; Pg. 10

LENGTH: 1509 words

HEADLINE: Leuers to the Editor

BODY:

Letters to the Editor

Primary care doctors needed

In their April 16 letter, "Moral obligation to uninsured," Dr. James Chambers and Dr. Jorge Alsip of the Medical Association of the state of Alabama correctly state that health care access is a complex problem.

Insurance coverage is just one aspect. The doctors astutely reference another major part of the equation: the availability (lack) of primary-care physicians.

Primary-care physician shortages have grown steadily over the last 40 years as fewer medical school graduates have chosen primary-care careers. One analysis estimates Alabama now needs an additional 600 physicians.

Analysis of the state's licensure database found that 50 percent of the Slate's more than 3,0()O primary-care physicians are age 50 or older,

Reversing this trend requires addressing fundamental issues related to educating and placing future physicians.

The Alabama Medical Education Consortium is a non-profit organization established to accomplish this mission: to create a Physician Pipeline that produces greater numbers of medical school graduates who are likely to become primary-care physicians who will practice in the state's rural and underserved communities. Family medicine is the core of this process.

The Pipeline begins with recruiting students for medical school from medically underserved communities, and ends with their return to the same or similar communities as primary care practitioners.

Decisions about admission to the Pipeline result from years of research on student characteristics that help predict who will become physicians in rural areas.

Page 2

Letters [0 the Editor Mobile Register (Alabama) April 30,2008 Wednesday

These characteristics include a rural community background, medical school educators emphasizing general practice, clinical clerkships obtained at community based clinical sites, and using community practitioners for clerkship and residency preceptors,

AMEC is supported by a legislative appropriation and has partnerships with nine out-of-state osteopathic medical schools and more than 20 in-Slate colleges and universities,

There are more than 100 Alabama students in these partner schools at this time, with more than 50 coming back to Alabama this year for the third and fourth years of community based clinical education.

The education will be done at seven core teaching sites in Alabama. The pipeline has a capacity for more than 140 Alabama students per year for medical school and up to 20 slots per year for Alabama students to go to dental school.

For more information including contact information, people can visit www.amec.uwa.edu.

DR. WIL BAKER

Executive Director

Alabama Medical Education Consortium

Robertsdale

Alabama behind the limes

I recently moved to the great state of Alabama, from Iowa. I feel I need to speak on the issue of Alabama's sales tax on food and losing the relief on federal taxes.

If only Alabama would institute the lottery, people would see all the good it does for the state, like paying for education, roads, the economy, etc.

They would have more money for all sorts of things needed here. They would not have to cut education. They would not have to cut the federal tax deduction. They could fix the roads and help the economy with all the money they would earn with the lottery.

The churches need to set aside their feelings and help our state, which I feel is in great need of help. One thing Alabama needs to get with the times on is trying (0 gel your license plates. I have never waited so long in my life for them.

All things could change for the greater good.

People need to wake up and join forces and help this state. I love! ivi ng here, but we arc really behind times.

DEBBIE DANIELS

Chickasaw

Voters will speak on gas prices

Enough is enough. Why is our country is experiencing a credit crisis, foreclosures, market crash, recession, falling dollar, bankruptcies, inflation and higher food prices? Oil is the reason.

This administration is allowing one industry to cause American citizens to suffocate economically. It is going to gel worse as gas prices creep up to $4 per galion. Our administration is taking taxpayers' money for recent Wall Street

Page 3

Letters to the Editor Mobile Register (Alabama) April 30,2008 Wednesday

bailouts but allow the oil Industry to suck its money straight out of our back pockets.

What can Washington do to bring back some manner of respect and reduce the price of oil? By opening the Strategic Petroleum Reserve, Tapping this cache of over a half a billion barrels of oil would have a dramatic and immediate impact on oil prices. 1 am not an admirer of Bill Clinton, but he did authorize a limited withdrawal of our SPR, and oil prices dropped from $34 to $30.50 over a two-week period in late September and early October 2000.

Just think what effect it would have today if George Bush authorized an increased withdrawal from the SPR. Then the oil companies would have no excuse but to lower gas prices. Our congressman and senators in Alabama would tell you that we have to save that oil for a rainy day. This is a rainy day. The recent proposal from John McCain to temporarily discontinue federal gas taxes would only reduce gas 18.4cellls per gallon in Alabama. Big deal.

For years, the U.S. Navy and Marine Corps have been the protector of last resort in the Middle East. U.S. taxpayers pay $136 million a day to protect Saudi Arabia while the Saudis treat us like they own us. Oil was below $12 per barrel in June 1998 and was still as loll' as $20 per barrel in December 200 I (after 9111). While the price of oil has increased over 500 percent since the Iraq war began, the production cost to the Saudis has remained about the same - about $2 per barrel. We saved Kuwait from Saddam Hussein and this is the thanks we gel.

Why does the Strategic Petroleum Reserve matter so much? It currently holds about 700 million barrels of oil (worth over $70 billion at current value). This takes a huge amount of oil off the market, and if you ever took Economics 10l you know that a reduced supply results in higher prices. If we do not use the SPR as our supply and demand ace card, it simply allows OPEC to control production and prices however they would like.

George Bush and Dick Cheney will be riding out of office with their mega-millions from oil investments, but Rep . .10 Bonner and Sen. Jeff Sessions are up for re-election in November. I do not see any evidence that they are calling for or demanding that Washington do something to lower gas prices. Indisputably, the vast majority of Alabama voters want gas prices lowered. Call their offices and let them know if they will not comply with a mandate from the majority who elected them, we will elect someone else in November who will.

Exorbitant gas prices cannot continue, and will not continue if the voters take action.

CHARLES WELCH

Orange Beach

Price reduction suggestions

Wiley Ryckeley's letter ("Fight the high gas prices," April 21) ends with, "Wake up, America, and let's show the greedy, money-loving oil companies that enough is enough." The oil companies are owned by millions of American stock holders, retirees and pensioners. Many may be his neighbors, or he may unknowingly be an owner himself.

I suggest that those who have an ax to grind concerning this gas crisis (and I think it is a crisis) come up with positive suggestions to solve the problem, as I have in numerous published letters to the Press-Register.

Some of my suggestions are:

Drill for oil off the pristine beaches of Florida and California as we do off the pristine beaches of Alabama. Also drill in the vast reserves in the Bering Sea and the Arctic National Wildlife Refuge. A large portion of our seafood comes from the Gulf and there arc over 5,000 oil and gas wells pumping 30 percent of our daily usage, 24 hours a day, and not a peep or protest.

And, let's build nuclear power plants now.

Page 4

Letters to the Editor Mobile Register (Alabama) April 30,2008 Wednesday

Also, let's build windmills off Cape Cod and generate electricity. Why not build massive bus systems in each city and town, and limit each household to one automobile'?

When I was a kid in Birmingham, the bus was our only mode of transportation. Also we can run rail lines in the medians of most interstate highways and put trucks on rail cars instead of using millions of gallons of diesel fuel daily going coast to coast.

We can do anything that we can agree on. We went to the moon, and we can solve this crisis also. Oil is the lifeblood of our country and it will not be solved as long as we pump trillions of dollars to the Mideast and countries such as Venezuela who hate our guts.

Oil is a commodity and every nation in the world is willing to pay dearly for it. That's why gas may go to $5 per gallon as we do nothing but gripe.

EDGREEN

Mobile

Make parents responsible

I read the article ("Teenage vandals wreck tech lab," April 24) about the teenage boys vandalizing the Foley High School computer lab because "they were bored."

I hope their parents will be held responsible and have to put up the money to buy new computers and replace the equipment that was destroyed.

Those two teenagers can pick up litter around town for the next few years to give them something to do. Otherwise, they are off scot-free. What a shame.

D.J. POLLARD

Montgomery

LOAD-DATE: May 5, 2008

KCUMB I Doctor of Osteopathic Medicine I About Osteopath: ...

Imp:llwww.kcumb.edu/acad3!do/abolllostco.asp

)<

;. About Osteopathic Medicine

About Osteopathic

ne

Osteopathic physicians (D.O.) and allopathic physicians (M.D.) are the only two medical practitioners considered "complete physicians" with full training and licensure to prescribe medications and perform surgery.

An osteopathic physician is a graduate of one of the osteopathic medical schools in the United States. These medical schools espouse the osteopathic philosophy and generally teach a four-year curriculum, which embraces preventive medicine and holistic patient care. Medical students learn to integrate osteopathic principles and techniques into the diagnosis and treatment of disease.

Following graduation, osteopathic physicians complete residency training accredited by

either the or the

in any of the medical specialties. All physicians (D.O. and M.D.) must pass a three-part medical board examination to obtain a license and practice medicine.

Treating the Whole Person

Instead of just treating specific symptoms, osteopathic physicians concentrate on treating patients as a whole. Osteopathic physicians understand how all body systems are interconnected and how each one affects the others.

We focus special attention on the musculoskeletal system, which reflects and influences the condition of all other body systems. This system of bones and muscles makes up about two-thirds of the body's mass, and a routine part of the osteopathic patient examination is a careful evaluation of these important structures.

Doctors of osteopathic medicine know that the body's structure plays a critical role in its ability to function, and they use their eyes and hands to identify structural problems

and to support the body's natural tendency toward health and self-healing.

and our

101' 2

9/HIlO 5:23 AM

KCUMB I Doctor of Osteopathic Medicine I COM Curriculum ...

http://w\\·w.kcumb.edu/acad3iclo/byycar.asp

>

> By Year

COM Curriculum

Click on a course block below to view a course description.

The curriculum at KCUMB's College of Osteopathic Medicine (COM) consists of four years of structured training leading to the



• • •

Unlike traditional undergraduate and graduate institutions where students register for individual course, the COM curriculum is built on continuum blocks that students take as cohorts (with the exception of course electives).

The first two years of the curriculum are classroom oriented with clinical presentation enhancements, covering the foundations of basic and clinical medical sciences.

During the third and fourth years of study, students receive advanced in a wide variety of medical settings, both in Kansas City and throughout the United States.

Osteopathic principles and philosophy as well as contemporary concepts in medical education are integrated into the four-year curriculum. Health-care policy, medical informatics, professtonallsm, and health and well ness are also integrated into the curricular structure.

1 or 2

9t8!lO 5: 14 AM

KC:Ul'v1B I Doctor of Osteopathic Medicine First-Year Curriculum

hup:llww\v,kcumb,edu/acad3/do/yearl,asp

A variety of teaching and learning methods are used in the first two years. These methods include classroom lectures, laboratory exercises, small-group discussions, computer-assisted instruction, specialized workshops, and the use of

Starting early in the first year of their medical education, students begin acquiring clinical understanding through a patient-centered curriculum. The foundations of medical science with are incorporated into clinical presentations covering the diseases physicians will encounter during day-to-day practice.

Year I Continuum

First Year Courses

PEP I focuses upon student learning skills, techniques to minimize stress, and service learning. PEP I occurs at the end of the Musculoskeletal section and lasts one week.

PEP II provides students with opportunities for community service, clinical experiences, electives, and exploring career choices. PEP II occurs at the end of the Cardiopulmonary II section and lasts one week.

Year I Resources

101' 2

9/8110 5: 12 AM

KC'IJMB I Doctor of' Osteopathic Medicine Second-Year Curri ",

http://www.kcumb .edu/acad3/clo/ycar2 .as p

In the second year, medical students will have more opportunities for clinical

experiences through the and Clinical Care

Practicums in the summer semester while deepening their understanding of the foundations of medical science and osteopathic principles and practice.

Year II Continuum

Second Year Courses

Clinical Care Practicums

The Clinical Care Practicum is a clinical experience designed to provide shadowing opportunities for second-year students to further observe skills learned in the first-year curriculum, These skills include taking a medical history, performing a physical exam, and exposure to the business side of medicine in a private practice. Clinical Care Practicums are typically offered during the summer immediately following the conclusion of the first-year

I of 2

During the second year, PEP ItI (following Neuroscience II) , PEP IV (following the Endocrine section), and PEP V (following the Reproduction and Development section) give students the opportunity to engage in service learning, community service, and electives While also attending classes addressing Core topics for medical practice.

In PEP V, students also review formative evaluations during preclinical training and enhance skills required for assessments at the end of Year II.

PEP-clinical during the summer semester is devoted to preparing for third year clinical clerkships with topics such as ACLS certification, CSA examination, review of licensing requirements, and OSHA and HIPAA training.

Fellowship Opportunities

..

"

Year II Resources

.. II .. II

9J81l0 5: 12 AM

KCUMB I Doctor of Osteopathic Medicine I Third- Year Curriculum

http.r/www .kcurn b .edu/acad.i/do/ycar.s.asp

KCUMB's administers all student clinical training

programs offered through the KCUMB curriculum. Third- and fourth-year students use clinical clerkships to reinforce and expand on the training of the first two years of medical school. Clinical clerkships are designed to provide students with exposure, observation and training to further their understanding of patient care in a variety of clinical, office and hospital settings. All clerkships are identified in terms of "blocks" that are either four weeks or one month in duration.

Year III Continuum

Required Clerkships

Electives

.. ..

Fellowship Opportunities

• •

Year III Resources

(II (II (II

lor 2

9/8/105: 13 AM

KCUMB I Doctor of Osteopathic Medicine Fourth- Year Curriculum

hu p:/ /www.kcumb,cdu/acacl3/clo/year4.asp

KCUMB's administers all student clinical training

programs offered through the KCUMB curriculum. Year IV clinical clerkships provide students with training to further understand patient care in a variety of clinical, office and hospital settings,

Fourth-year students are required to complete both a one-month clinical experience in a

rural or under-served area and or three months of rural or

under-served family medicine, Sub-internships provide increased patient-care responsibility with students serving as the primary care provider under the direct supervision of the attending physician or faculty.

Year IV Clinical Clerkships

Standard Option I

Electives

" ..

Year IV Resources

.. " ..

Alternate Option II

1 of 2

9/8/105: 13 AM

NRMP: Residency Match

htlP://W WI" .nrm p .org/rcs_match/about_rcs/i ndex .htrnl

• iMPACT OF ROL LENGTH DATA AND REPORTS

• MATCH AGREEMENTS

• VIOLATIONS POliCY

• WAIVER POLICY

• CASE SUMMARIES

• STATEMENT PROFESSIONALISM

HOW TO lOG IN

I of 2

About Residency

To provide direct patient care, physicians in the United States are required to complete a three to seven year graduate medical program - accredited by the 8£Q.[S1&lli;alli;[L;l&bl!l!;illJQt ~!w;I!lI!J.sl:...!l!l.!it~~~wl.l<lia.\!ldll..i.o:.t.>i!l~ - in one of the recognized medical specialties. Certification requirements, as determined by individual specialty boards, usually include formal training (residency) and the passing of a comprehensive examination.

AMA's Graduate Medical Education Directory describes the ACGME accreditation process, as well as institutional and program requirements for graduate medical education. It also provides information about the entry of foreign-born medical graduates to the United States. It is available for purchase by calling 1-800-621-8335. The AMA also has an interactive on-line program called ~l!2.'!~i!2..:!;!lli~~~:l£YJ;l!'!9J!Q!ll£.l!:l!;~l9];~::@!;§£~~~~ kk.!.-""""""-"" available on the Internet Most hospitals, and many programs, also

descriptive brochures, available by writing to the address listed in either the Graduate Medical Education Directory or the NRMP Directory.

Any non-u.s. citizen wishing to participate in a U.S. graduate medical education program must possess a visa that permits direct patient care.

It is the responsibility of the non-U.S. citizen applicant to inform themselves of which visas a residency program sponsors. Many teaching hospitals only sponsor J-1 visas Applicants wishing to have a H-1 B visa should not apply to programs at these institutions. The appropriate visa application should be submitted well in advance of the anticipated date of enrollment Contact American embassies, consulates, or U.S. district offices of the Immigration and Naturalization Service to obtain further information.

Medical Licensure

No national agency grants unrestricted licenses to practice medicine throughout the United States. Instead, a physician must obtain a license from the licensing board of the state where he or she plans to practice after completion of residency training and/or certification. Each state is independent in determining who may practice within the state and may have special requirements or restrictions for licensure.

Contact the Federation of State Medical Boards of the U.S, Inc. (FSMB) at the following address to obtain general information on medical licensure:

PO Box 619850 Dallas, TX 75261-9741 Tel: (817) 868-4000 Fax (817) 868-4099

Residency Programs

Residencies for recognized specialties are diagramed below. The length of each bar represents the years of training required for certification These are unofficial assignments and are offered for informational purposes only. Consult the most recent Graduate Medical Education Directory for current official requirements.

9i8/10 5:27 AM

NRMP: Residency Match

http://www.nrmp.orglres_match/abolll_res/index.htmi

I 1 I 2 I 3 I 4 I 5 I 6·7
I FAMILY PRACTICE I
I EMERGENCY MEDICINE
I PEDIATRICS I SliBSPECIALTIES
I INTERNAL MEDICINE I SliBSPECIALTIES I
I OBSTETRiCS/GYNECOLOGY I
I OTOLARYNGOLOGY
I PATHOLOGY I
GENERAL I I SUBSPECIALTIES
SURGERY I NEUROLOGICAL SURGERY
I ORTHOPAEDIC SURGERY
I UROLOGY
TRANSITIONAL I ANESTHESIOLOGY
or PRELIM I I
MEDICINE or I DERMATOLOGY
PRELIM
SURGERY I NEUROLOGY I I
I NUCLEAR MEDICINE I I
I OPHTHALMOLOGY I I
I PHYSICAL MEDICINE I I
I PSYCHIATRY I I
I RADIOLOGY· DIAGNOSTIC I I
I RADIATION ONCOLOGY I I Many specialties indicated as starting at the PGY·2 level now offer categorical tracks which include the first year.

Updated 1211512006

© 2010 NRMP I COPYRIGHT NOTICE I PRIVACY STATEMENT

201'2

9/8110 5:27 AM

1

H82tl8

ACT No. 200S.J1.j,

2 70654-2;j}.

3 By Representatlve Lindsey

4 RFD: Education Finance and Appropriations

5 First Read: OI-FEB-OS

Page 0

i!B2 ·16

1

2 ENROLLED, An Ac~,

3

To make appropriations for the support, maintenance

4 and development of public education in Alabama, for debt

5 service, and for capital outlay for the fiscal year ending

6 September 3D, 2006.

7 BE IT ENACTED BY THE LEGISLATURE OF ALABAMA:

8 Section 1. There is hereby appropriated for the

9 support of public education in Alabama for the fiscal year

10 ending September 30, 2006, for debt service, and for capital

11 outlay to be paid out of funds specified in SUbsection (a) of

12 Section 2 of this act, the amounts specified in subsections

13

(a), (b)! (c), and (d) of Section 3 of this act. For the

14 purpose specified in subsection (b) of Section 2 of this act,

15 amounts are shown by program.rnatic area and the total for all

16 programs is shown so as to include estimated sources of funds

17 other than those listed in subsection (a) of Section 2 of this

18 act.. For the purpose of this act r "8T1:'" shall mean the

19 Education Trust Fund and "Federal and Local Funds" shall mean

20 all g1fts. grants, contributions, or entitlements, including

21 grants by the Congress of the United States, municipalities or

22 counties.

23

Section 2. (a) The appropriations provided for in

24 this act shall be paid from funds in the State Treasury to the

25 credit of the Education Trust Fund, Alabama Peace Officers'

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26

27 28 29

30 31

32

].

Ie) Res~~icted Funds

SOURCE OF FUNDS!

(1) ETF "', •. ,., •• ,."., .. , ..

(2) Federal and Or.her Funds

Total North Alabama, University of, Board of Trustees

10. South Alabama, University of, Board of Trustees:

(a) Operations and tvlaintenance and Program Support

(bl Auxiliary Enterprises

(e) Restricted Funds

SOURCE OF FUNDS:

(1) ETF .,' .... "." .• '.".'.,

12) Federal and Other Funds

Total South Alabama, University of, Board of Trustees

11, Trey UnivQl:'sity System, :Soard of 'J';rusteQs:

(a) Operations and Maintenance and program Support [or Troy State University System

(I)) Auxiliary Errt e r p ris e s

Ie) Restricted Funds

SOUJ,CE Or" f'UNDS:

(1) c'rP.' ' .. , .. ,., .•••.. ', •... ,

(2) Fede r a 1. and Ot))e r Fund,;

HB248

Education Trust Fu.."'ld

Earmarked Funds Appropriation Total

i , TIO, 000

1,770,000

25,522,820

34,955,660

25,522,820

60,478,480

34,955,660

99,923,389,

337,425,887

437,349,276

16,286,812

16,286,812

51,750,000

51,750,000

99,923,389

'105,462,699

99,923,389

505,386,088

405,462,699

42,910,410

170,572,603

127,662,193

11,046,495

11,046,495

16,369,746

16,369/746

42,910, <110

J.55,0'78,43{

Tot~l Troy University System,

Board of 'l'rus t.oes , ... , ..•. , .. 4:;..2,...;.., ;..9.;;.1..;.0,:.,..;.4..;.1...:0 ::.1..;.5.:.5..:.,...:0_')...;8;.;· ,~4;..3;;...:.4 1_9:...7...:.., _9_8,.;.8..:.,_8_4...;.,4

12. West Alabama, University of, Board of Trust~~s;

U~l) Oper.-8tion~ end Naintenanc0.

8,015,083

19,556,325

Page 50

8

9

10 11 12

13

14 15 16

17

18 19 20

21 22 23

24

.25

26

30

31 32

1

and Pr~()gram Suppor::

2

3 4 5

6 7

(bl Auxiliary Enterprises

Ie) Restricted Funds

SOIJRCE: or FUNDS:

Cl) ETF ... ~.~~ .. *.

(2) Federal and Other E~nds

Total West Alabama, University

or, Board of Trustees

Education Trust Fund

Earmarked E~nds Appropriation To-

2,830,226

2,830,226

650,882

650,882

1 ,541,242

3D. Other:

1. Deaf anct Blind, Alabama Institute for, Board of Trustees:

(a) Adult. Programs .

(hi Children and Youth Pro-

gram!:) ~. ~ .••.. ., •••..........

(e) Industries for the Blind

SOURCE OF FUNDS,

(1) ETF .

(2) r'",d,,,r.'a 1 and Other Funds

Tot a 1 Dea f and Bl inti, Al abeuna Institute for, Board of Trust-

9,585,204

15,029,724

5,444,:)20

25,878,524

:!9, 612, 302

3,733,778

7,36B,999

21,334,636

2B,703,635

42,832,727

::: . Knight 'v , l\.labama - Finan-

cialObligations:

Page 51

ACT No. 2006.. 28 Z

j 3y Representative Lindsey

4 R~D: Education Finance and Appropriations

) F~rst Read: 10-JAN-06

Page 0

1

2

ENROLLED, An Act,

To make appropriations for the support, maintenance

4 a r.d development of public education i.n Al.abarna , for debt

~ service, and for capital outlay for the fiscal year ending

6 September 30, 2007.

7 BE IT ENACTED BY THE LEGISLATURE OF ALABAMA:

8 Section 1. There is hereby appropriated for the

9 support of public education in Alabama for the fiscal year

10 ending September 30, 200'7 I for debt service, and for capital

11 oJtlay to be paid out of funds specified in subsection (a) of

12 Section 2 of ~his act, the amounts specified in SUbsections

,.)) I (0), (c), and (d) of Section 3 of this act. For the

14 purpose specified in subsection (b) of Section 2 of this act,

15 amounts a re shown by p r oq r arnma t a c area and the total for all

16

programs is shown so as to include estimated sources of funds

ather than those listed in subsection (a) of Section 2 of this

18 ac t . For the pu rpo s e of this act, "ETF" shall mean the

19 E;::lucation 'lr u s r. Fund and "federal. and Local Funds" shall mean

20 all q i f ts , gr.ants, corrt r i bu ti on s , or ent.i.tle.ments, including

21 grants by the Congress of the United States, municipalities or

22 counties.

23

Sect: ion 2. {a; The app r opriatLon s provided for in

24

this act shall be paid from funds,in the State Treasury to the

25 credit of the Education Trust fund, Alabama Peace Officers'

Paqe 1

1

3 4

S 6

7 8 9

10 11

13

14

1'7 13

19 20

21 22 23 24 25 26 27 28

29

30

31

32

33

34

EducatiDn Trust Fund

Earmarked Funds Appropriation Total

, \ 1.1 ..

\~: federal and O:her F~nds

409,225,747

'rQra} Sout~l Alabama, Cx)lve:- 8:.ty 01,:' r Eoa r.d i)f Trustees

J20,J8B,263

409,225,747

529,614, Ole

11. Troy Univerg~ty System, Board of Tl:"ustees:

and ?rcqram S~pport for Trey

~JniV€r3.~ty syst€nl

139,443,149

)91,51.O,86G

Ib) Aux::~ary Enterprises

6,613,617

6,613,617

ie! Restricted Funds

10,083,069

10,083,069

',ll ET!." ., ,,'., .. , ...•. , .... ,

52,067,7':,'1

~?~ FederaJ 611d O~he~ Funds

:56,139,835

T)tal Troy univecsl~Y ~y~;te~f

BOiHd ()£ ",'t:ust(ees ,. 52,0(;"1,"17 156,139,835 208,207,552

--------~--~--------~~~----------~--~---

12. West Alabama, university of, Board of Trustees:

;al ope[at~ons and ~aintenance a~d Progra~ Su?~orc

8, 013, 521

22,378,362

14,364,841

)f ~he ebcve appropr~at~o~, $42.C, ODe s aa i ; be expend<icd for ~he Alabama Medical 8ducatio~ CO!150rti~ln also known ~s ~ed~:a! School WithDut Walls and $250,000 shall be expended ~or the Economic and Sma]] BIJsi-" ~ess Development ?Ioq~are ..

2,850,000

2, 8S0, 000

6SS,"TI

658,7/1

:2 !

2TP ,.',' ... '.,.",'.,. _,.

, .j , 364 I U ~ J

11,522,298

and :_,,:)ca j

Page 51

1

3 4 5

6

7 B

9 10

11

12

13

14 15 s

17 18

19

20

..., , .: .L

22 23 24

25

') r,_ 0

27 28

29 30

-) 1 .) .r,

32 33 34

35

36 37 38

Education Trust.

Fund

Ea".1\a=ked Funds Appropriation To", tal

..... - "----------------------------------------------------------

3D, Other:

1,

Deaf and Blind, Alabama Institute for, Board of Trustees:

'P.I C';:.idr,cn and '(ouch Pro-

grams ,.,

'.1: r.:'1'F ...........•..•..•.•..

lC,512,eYi

28,729,9'19

3,663,388

32,393,337

8,.322,11E

29,039,65"/

2C,717,54.l

:2S,000

125,000

30,274,337

~otal Deaf and Blind, Alabare2 Institute [0::, Board o f 1'('Js:-

C8S •.•• , •.. , ••.....•. , .•.•••. ...:.4_7.:..,.,;.15.;.,8.;.,9.:.,.,;.8;..;9;..;2;_ .....;:3..:0..:,..,;2;.,·_14.:..:...,.;.,3.;.3_7 7_7.:,,_9_6_4...;,_2_2_9

2. Knight v. Alabama - Financial Obligations,

ta) ope r a t i o n s end I·1c:.i.n::encrv~~ s nd Pto9r:am Suppo:::, l~s::l-

;natej , .

:rlc~~ded ir1 the above approp r i e t icn , the :ollowing pco~ra~s shall ~e rund~d:

,~.:.abanH St,ne University "jas-' t c~ r of p.cc";)un-

r. ~j!!C y P r I:'g.r a:11

8ased ~n fundl!19 forrnula calc~l].atjons provided by :he Ala·()D~!'ll:i Comm i s s i c n en ::igher Ec:J.cation. l\his appropr:'6t':c:~ .:.~'.".h(-;- sev0nt!~ ye~n:: Df e:_;;:!I~t yeal's ot f~ndiJlg t'~r this pro':jl:an,

::oa:_trJ ]nf~)l.-7"na--

ti~n ~1anageJn~nt PX8~:ram

]0,503,783

10,503,783

Page 52

1 2

HB213 92354-2

3 By Representative Lindsey

4 RFD: Education Appropriations

5 First Read: 06-MAR-07

Page 0

H3213

1

2 ENROLLED, An Act,

3 To make appropriations for the support, maintenance

4 and development of public education in Alabama, for debt

5 service, and for capital outlay for the fiscal year ending

6 September 30, 2008.

7 BE IT ENACTED BY THE LEGISLATURE OF ALABAMA:

8 Section 1. There is hereby appropriated for the

9 support of public education in Alabama for the fiscal year

10 ending September 30, 2008, for debt service, and for capital

11 outlay to be paid out of funds specified in subsection (a) of

12 Section 2 of this actl the amounts specified in subsections

13 (a) I (b), (c) t and (d) of Section 3 of this act. For the

14 purpose specified in subsection {b) of Section 2 of this act,

15 amounts are shown by programmatic area and the total for all

16 programs is shown so as to include estimated sources of funds

17 other than those listed in subsection (a) of Section 2 of this

18 act. For the purpose of this act, "ETF" shall mean the

19 Education Trust Fund and "Federal and Local Funds" shall mean

20 all gifts, grants, contributions, or entitlements, including

21 grants by the Congress of the United States, municipalities or

22 counties.

23 Section 2. (a) The appropriations provided for in

24 this act shall be paid from funds in the State Treasury to the

25 credit of the Education Trust Fund, Alabama Peace Officers'

Page 1

1 2

3

4 5 6 7 8 9

10 11

12 13 14

15

16

17 18 19

20 21

22 23

24 25 26 27 28 29 30 31 32 33 34 35 36 37 38

39 40

HB213

Education Trust.

Fund

11. Troy Univ~rs~ty, Board of Trustees:

Earmarked Funds Appropriation rotal

(a) Operations and Maintenance

and Program Support .

Of the above appropriation, $250,000 shall be expended for the Interpreter's Program and $lDO,OOO shall be expended for the Center for International Business and Economic Development.

(b) Auxiliary Enterprises

(c) Restricted Funds

(d) FTE Equity project

SOURCE OF FUNDS:

(1) ETF " .

(2) Federal and Other Funds

58,150,763

4.,000,000

62,150,763

129,529,036

187,679,799

8,128,953 15,694,867

8,128,953 15,694.,867

4,000,000

153,352,856

Total Troy University, Board

of Trustees •......•.......... ~62~,l~5~O~,~7~6~3~ ~1~S~3~,~3~5~2~,~8~5~6 2~1_5~/_5_0_3~,~6~l~9

12. West Alabama, University of, Bo~~ of Tru$tees;

(a) Operations and t1ainte:nance

and Program support

Of the above appropriation, $876, aDO shall be' experidad.i.f'oz; the:' Alabama Medi,ca.L Ed.ucati..(>n. COnsortium; $150,000 shall be expe~ded for the Regional Wellness and Fitness Center; $250,000 shall be expended for the Black Belt Treasures Initiativei $250,000 shall be expended for the Economic and Small Business Development Program; ancl $50,000 shall be expended for the National Young Farmers Education Association.

(b) Auxiliary Enterprises (c} Restricted Funds

16,968,622

Page 58

8,213,521

3,195,600

3,195,600 661,327

661,327

1

2

3 4 5

6 7 8 9

10 11 12

13 14

15

16

17 18 19 20

21 22

23 24

25 26 27 28 29 30

31 32 33 34 35

SOIJRCE OF fUNDS:

(1) ETF ......••••.•.••...••••

(2) Federal and Local Funds

Total West Alabama, Oniversity

Of, Soard of Trustees

H3213

Education Trust Fund

Earmark~ Funds App~opriation Total

16,968,622

12,070,448

....... ~1~6~r~9~6~8~1~62~2~ ~1~2~,~O~7~O~r~4~4~8~ ~2~9~,~03~9,~O~7~O

3D. Oth.Ol;·:

1. Deaf and g~ind, ~abama Institute for, Board of Trust_s:

(a) Adult Programs

(b) Children and Youth Pro-

grams •.••.•.••••••.•.••••.•

Ie) Industries for the Blind (d) Ear Institute Program

SOURCE Of FUNPS:

(1) ETF ..

(2) Federal and Other Funds

11,228/33B

18,519,725

31,347,431 9,410,287

4,431,145 21,786,772

35,778,576 31,197,059

250,000

250,000

52,236,056

33,509,304

Total Deaf and Blind, Alab~~a Institute for, Board of Trust-

ees , ~5~2~,~2~3~6~r~O~5~6 ~3~3~t~5~O~9~,~3~O~4~ ~8~5~t_7_4~5~/~3~60

:2. Kni9ht v , Alabanta - F.inan-

cia2 Obligations:

(a) Support of state Universi-

ties Program, Estimated

Pursuant to the Settlement Agreement and Final Order in the Knight v. Alabama case CV-83-M-1676, the appropriation above includes the following:

Alabama State University-Trust for Educational Excellence

1,000,000

12,331,958

12,331,958

Page 59

:2

102600-5

ACT No. 2008- 5!l;t

1

SBSl

3 By Senator Sanders

4 RFD: Finance and Taxation Education

5 first Read: 27-MAY-08

Page 0

3851

1 SE51

2

3

4 ENROLLED, An Act,

5 To make appropriations for the support, maintenance

6 and development of public education in Alabama, for debt

7 service, and for capital outlay for the fiscal year ending

8 September 30, 2009.

9 8E IT ENACTED BY THE LEGISLATURE OF ALABAMA:

10 Section 1. There is hereby appropriated for the

11 support of public education in Alabama for the fiscal yea_r

12 ending September 30, 2009, for debt service, and for capital

13 outlay to be paid out of funds specified in subsection (a) of

14 Section 2 of this act, the amounts specified in subsections

15 (a), (b>, (e) I and (ct) of Section 3 of this act. For the

16 purpose specified in subsection (b) of Section 2 of this act,

17 amounts are shown by programmatic area and the total for all

18 programs is shown so as to include estimated sources of funds

19 other than those listed in subsection (a) of Section 2 of this

20 act. For the purpose of tbis act f "ETF" shall mean the

21 Education Trust Fund and "Federal and Local Funds" shall mean

22 all gifts, grants, contributions, or entitlements, including

23 grants by the Congress of the United States, municipalities or

24 counties.

Page 1

1

2

3

4 5 6

7 8

9

10

11 12 13 14 15 16 17 18 19 20

21 22

23

24

25 26 27

28 29

30 31

32 33 34 35 36 37

Ie) Restricted fund~

SOURCE OF FUNDS:

(l) ETF ••••.••.••••..•••••••.

(2) Federal and Other Funds

'l'otal South Alabama, Uni ver-sity of, Board of Trustees

11. Troy Un~~r~ity, Board Qf 'l'ru8t:GEl8:

(a) operations and Maintenance

and Program Support

Of the above appropriation, $50,000 shall be expencted for the Interpreter's Programi $50,000 shall be expended for the Center for International Business and Economic Development; and $50,000 shall be expended as an additional allocation for the Phenix City Campus,

(b) Auxiliary Enterprises

(c) Restricted Funds

SOURCE OF FUNDS:

{i) ex!" , .

12) Federal and Other Funds

SBSl

Education Trust E~rmarkad Funda Appropriation To-

FunQ tal

44,887,500

121,854,973

431,035,522

121,854,973

431,035,522

55,095,406

200,303,978

145,208,570

11,359,559

H, 359, 559 17/343,374

1'1,343,371

173,911,503

Total 1'roy Uni versi ty, Board

of Trustees ...•.............. 5_5~,_0~9_5~,~4~0_8 1~7_3~,9~1~1~,~5~03~' 2_2_9~/O_O_6~.9~1 __ 1

12. Welilt iUlUlrunA, OniVQrsity of, B044d of Trustees:

(a) Operations and Maintenance

and Program Support

of the above appropriation, $645,000 shall oe expended for the Alabalna Medical Educ a t i.on consortium; $250,000 shall be expended for the Economic and Small Business Development

15/201,477

$,795/358

23,9%,835

Page 51.5

1 2 3 4 5 6 7 8

9

10

11

12

13 14 15

16 17 18 19

20 21 22

23

24

25

26 27 28 29

30 31

32 33

34 35 36

Program; $125,000 for the R~gianal Wellness and Fitness Center; $45,000 shall be expended for the National ¥oul,g Parmers education Association; and $225,000 shall be expended for the Black Belt Treasures InitiatJve.

(b) Auxiliary Enterprises

IC) Restricted Funds

SOURCE OF FUNDS:

(1) ETF •••••••• , ••••.••.•.••.

(2) Federal and Local Funds

Total West Alabama, University cf, Board of Trustees

30. Oth(;lr:

l.. 2>eaf' ana 13.l:i.nd, lUabatma Institute for, B~a~d of TrustilEU':

(AI Adult Programs .•..... , ... (bl Children and youth Pro-

grams .•.••...••..........•.

(e) Industries for the Blind

SOORCE OF FUNDS;

(I) E'l'F , , .

(2) Federal and Other Funds

SB51

Education T~st EarmbZk9~ Funds Appropriation To-

Fund ta~

3,337,416 658,777

3,337,416

658,77"1

15,201,477

12,791,551

15,201,477

27,993,026

12,791,551

5,955,910

17,422,068

30,858,992 9,295,480

35,361,074 31,196,511

4,502,082 21,901,031

51,620,630

32,359,023

10tal Deaf and Blind, Alabama Institute for, aoard of Trust-

ees , ~5~1~,~6~2~O~,~6~3~O ~3~2~,~3~5~9~,~O~2~3 8_3~1_9_7~9~,~6_5_3

2. Knight v . Alab&ma. - ~inan-

cia1 Obligation~:

(a) Support of State Universities Program, Estimated

Pursuant to the Settlement Agreement and Final Order in the Knight v. Alabama case

9,743,354

9,743,354

Page 59

1 2

SB570 112515-2

ACT# 2009-_.33 ...... 9 _

3 By Senator Sanders

4 RFD: Finance and Taxation Education

5 First Read: 07-APR-09

Page 0

SB570

1 SB570

2

3

4 ENROLLED, An Act,

5 To make appropriations for the support, maintenance

6 and development of public education in Alabama, for debt

7 service, and for capital outlay for the fiscal year ending

8 September 30, 2010.

9 BE IT ENACTED BY THE LEGISLATURE OF ALABAMA:

10 Section 1. There is hereby appropriated for the

11 support of public education in Alabama for the fiscal year

12 ending September 30, 2010, for debt service, and for capital

13 outlay to be paid out of funds specified in subsection (a) of

14 Section 2 of this act, the amounts specified in subsections

15 (a) I (b) r (c), and (d) of section 3 of this act. For the

16 purpose specified in subsection (b) of Section 2 of this act,

17 amounts are shown by programmatic area and the total for all

18 progr?ills is shown so as to include estimated sourceS of funds

19 other than those listed in subsection (a} of Section 2 of this

20 act. For the purpose of this act, "E'l'F" shall mean the

21 Education Trust Fund and "Federal and Local Funds II shall mean

22 all gifts, grants, contributions, or entitlements, including

23 grants by the Congress of the United States, municipalities or

24 counties.

page 1

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