Entering Student Survey Summary Report

AACOM 2016-17 Academic Year Entering Student Survey Summary Report, Abstract Each year, AACOM asks the nation's colleges of osteopathic medicine (COMs) to conduct the AACOM Entering Student Survey. The survey queries first year students on a variety of topics and compiles a comprehensive snapshot of osteopathic medical education debt, graduate medical education plans, and future specialty and practice plans. A total of 6,248 students participated in the Entering Student Survey from 33 COMs. The preliminary count of First Year new matriculants for 2016 is 7,370; the response rate for the Entering Student Survey is approximately 84.8%. Several sets of responses are noted below. Self-Reported Student Debt, Scholarships, and Income Table 1 -- Overall mean expected medical education debt for the class entering in 2016 is $169,832, up $385 or 0.2 over 2015. Eighty-four percent of entering students expect to have medical education debt on graduation. Table 1a. -- The overall median expected debt for the class entering in 2016 is $172,000 -- up $2,000 or 1. over 2015. Median expected debt for entering students at private COMs is $176,000 compared to public COMs at $160,000 -- a difference of $16,000 or 9.5%. Table 2.2 -- Compare to the overall population, a greater percentage of Black/African American and Hispanic/Latino entering students expect to graduate with medical education debt -- 9 and 86% respectively. Table 2.2 -- The percentage of Hispanic students expecting to graduate with medical education debt decreased by 8% between 2016 and 2015. Table 2.6 -- Only 7 of students reporting a parent with a graduate/professional degree expect to have medical education debt. In contrast, 9 of students reporting neither parent having a college degree expect to have medical education debt. Table 10 -- The most significant source of funds for medical education continues to be loans with students reporting 7 of funds coming from loans, followed by 1 from parents. Graduate Osteopathic Medical Education and Primary Care Specialty Plans Table 11 -- Immediate post-graduate plan options were updated to coincide with the Single Graduate Medical Education System. Ninety-two percent of students plan to pursue residency and only are undecided about future plans -- a 2 decrease from 2015. Table 12 -- Seventeen percent of students plan to participate in a GME program with an osteopathic focus and 7 are undecided. Table 13 -- Fifteen percent of students plan only AOA board certification, a decrease from the last year. Sixty-six percent plan to seek both AOA and ABMS board certification, a increase from 2015. Table 22 -- Twenty percent of students plan to specialize in one of the primary care disciplines of family practice, general internal medicine, or general pediatrics. Ten percent are undecided about specialty plans. Emergency medicine is the top planned non-primary care specialty at. Summary Report 1

AACOM 2016-17 Academic Year Entering Student Survey Summary Report, Expected Debt and Scholarships Table 1: Mean Expected Debt* Source of Debt Debt % in Debt All Schools Public Private All Schools Public Private Expected Osteopathic Medical Education Loans $169,832 $152,978 $172,619 8 79% 8 $169,447 $153,832 $172,980 85% 85% 85% $166,152 $144,932 $170,524 86% 85% 86% Expected Family Loans to be Repaid by Student $121,493 $114,112 $123,026 6% 6% $100,622 $76,254 $105,635 6% 5% $100,589 $109,393 $98,768 6% 6% 6% Expected Non-Educational Debt $25,746 $24,746 $25,916 2 2 2 $23,688 $21,903 $24,110 2 2 2 $25,522 $20,989 $26,352 2 2 2 At Entry, Loans Owing for Undergraduate Education $47,091 $45,303 $47,392 48% 46% 49% $49,888 $58,916 $47,730 49% 5 49% $42,421 $36,538 $43,596 5 49% 5 At Entry, Loans Owing for Post-Bac Education $46,080 $37,752 $47,259 36% 3 3 $44,380 $40,686 $45,094 35% 29% 36% $43,489 $34,080 $45,110 3 29% 3 Table 1a: Median Expected Debt* Source of Debt Expected Osteopathic Medical Education Loans Expected Family Loans to be Repaid by Student Expected Non-Educational Debt At Entry, Loans Owing for Undergraduate Education At Entry, Loans Owing for Post-Bac Education *All debt data are self-reported by respondents of the survey. Debt All Schools Public Private $172,000 $160,000 $176,000 $170,000 $160,000 $172,000 $170,000 $153,500 $175,167 $100,000 $50,000 $100,000 $60,000 $60,000 $60,000 $75,000 $80,000 $66,000 $10,000 $10,000 $10,000 $10,000 $10,000 $10,000 $10,000 $10,000 $10,000 $30,000 $30,000 $30,000 $30,000 $29,991 $30,000 $30,000 $28,000 $30,000 $40,000 $30,000 $40,000 $38,000 $30,000 $40,000 $35,000 $25,278 $38,425 Summary Report 2

AACOM 2016-17 Academic Year Entering Student Survey Summary Report, Expected Debt and Scholarships Table 2.1: Expected Debt Gender Male Debt Mean $175,425 $176,159 $170,917 Debt Median $180,000 $180,000 $177,856 % in Debt 8 8 85% Female $164,014 $161,849 $160,027 $160,000 $160,000 $160,000 8 85% 86% Table 2.2: Expected Debt Race/Ethnicity White Debt Mean $177,328 $174,861 $170,267 Debt Median $182,444 $180,000 $177,000 % in Debt 85% 86% 86% Asian Hispanic Black All Others* $141,274 $144,380 $139,561 $191,792 $167,238 $184,674 $165,970 $154,722 $153,654 $172,484 $192,756 $159,231 $120,000 $140,000 $120,000 $209,630 $176,567 $180,000 $144,000 $100,000 $93,730 $107,000 $200,000 $135,000 75% 75% 8 86% 9 9 9 9 95% 88% 8 9 *Includes respondents claiming American Indian and Alaskan Native, Native Hawaiian and Pacific Islander or multiple races. Summary Report 3

AACOM 2016-17 Academic Year Entering Student Survey Summary Report, Expected Debt and Scholarships Table 2.3: Expected Debt Marital Status Married/Cohabiting Debt Mean $190,466 $181,316 $188,117 Debt Median $200,000 $185,000 $200,000 % in Debt 89% 89% 9 Single $165,640 $166,778 $160,885 $162,000 $165,500 $160,000 8 8 85% Table 2.4: Expected Debt Financial Status Independent Debt Mean $186,048 $183,264 $179,207 Debt Median $200,000 $192,000 $191,000 % in Debt 9 9 9 Dependent $149,107 $148,853 $146,505 $144,000 $150,000 $150,000 7 76% 78% Table 2.5: Expected Debt Parental Income $49,999 or less $50,000 - $99,999 $100,000 - $199,999 $200,000 or more Debt Mean $171,998 $170,684 $175,098 $173,149 $177,457 $175,881 $169,197 $166,110 $164,670 $159,726 $163,417 $144,728 Debt Median $170,444 $176,823 $180,000 $179,776 $176,000 $186,750 $177,778 $168,000 $170,000 $158,000 $165,000 $130,000 % in Debt 9 9 9 9 9 9 85% 86% 8 65% 7 7 Summary Report 4

AACOM 2016-17 Academic Year Entering Student Survey Summary Report, Expected Debt and Scholarships Table 2.6: Expected Debt Parental Education Graduate/Professional Degree Debt Mean $165,561 $161,521 $159,352 Debt Median $165,500 $160,000 $160,000 % in Debt 7 8 8 Bachelor's Degree No College Degree $174,870 $175,991 $170,352 $172,083 $177,869 $175,049 $180,000 $176,000 $176,000 $173,188 $187,334 $180,000 89% 88% 89% 9 9 9 Table 3: Mean Expected Debt, Parental Income and Financial Independence/Dependence Parental Income $49,999 or less $50,000 - $99,999 $100,000 - $199,999 $200,000 or more Debt Dependent Independent $148,210 $184,040 $151,448 $182,811 $148,664 $185,159 $151,978 $151,572 $158,174 $187,600 $186,874 $187,400 Debt % Difference $153,670 $185,032 $147,023 $183,527 2 $150,317 $175,228 $141,070 $182,511 $147,345 $181,502 $128,107 $164,476 2 2 2 2 1 % in Debt Dependent Independent 88% 9 9 9 86% 9 78% 8 8 26% 55% 2 6 25% 6 96% 96% 9 9 9 95% 9 9 9 8 89% 89% Summary Report 5

AACOM 2016-17 Academic Year Entering Student Survey Summary Report, Expected Debt and Scholarships Table 3a: Median Expected Debt, Parental Income and Financial Independence/Dependence Parental Income $49,999 or less $50,000 - $99,999 $100,000 - $199,999 $200,000 or more Debt Dependent Independent $120,000 $190,000 $150,000 $190,000 $150,000 $200,000 $140,000 $200,000 $142,000 $200,000 $169,500 $200,000 $160,000 $200,000 $150,000 $190,500 $154,000 $184,772 $120,000 $200,000 $150,000 $188,000 $120,000 $165,000 Table 4: Osteopathic Education Debt, Consolidation & Repayment Plans Will Consolidate Debt Will Not Consolidate Debt Undecided Mean Years to Repay Debt 3 3 3 2 2 2 5 4 48% 11.2 11.0 11.2 Summary Report 6

AACOM 2016-17 Academic Year Entering Student Survey Summary Report, Expected Debt and Scholarships Table 5: Osteopathic Education Debt, Loan Forgiveness Participation Plans Will Participate Will Not Participate 4 4 55% 58% 58% Table 6: Percentage of Entering Students Planning Loan Forgiveness Participation By Program Hospital program Department of Education's Public Service Loan Forgiveness State loan forgiveness program National Health Service Corps Armed Services (Navy, Army, Air Force) Other Loan Forgiveness Programs 7 7 68% 4 39% 39% 5 5 5 29% 2 3 8% 9% 9% Summary Report 7

AACOM 2016-17 Academic Year Entering Student Survey Summary Report, Expected Debt and Scholarships Table 7: Expected Net Income Mean One Year After Residency Five Years After Residency Ten Years After Residency $134,166 $130,000 $200,000 $147,573 $150,000 $150,000 $142,286 $150,000 $150,000 $194,816 $203,656 $200,804 Median $200,000 $200,000 $200,000 Mode $200,000 $200,000 $200,000 $261,110 $250,000 $200,000 $277,067 $250,000 $200,000 $307,624 $225,000 $200,000 Summary Report 8

Award AACOM 2016-17 Academic Year Entering Student Survey Summary Report, Expected Debt and Scholarships Table 8: Mean Osteopathic Medical Education Scholarship/Grants* Source of Scholarship % Awarded All Schools Public Private All Schools Public Private Total Scholarships/Grants $86,479 $55,560 $96,504 25% 38% 2 $78,069 $42,825 $91,001 2 3 2 $75,207 $53,129 $80,914 26% 3 25% National Health Service Corps (NHSC) Scholarship $146,534 $104,500 $157,248 $138,268 $96,999 $149,077 $120,992 $138,450 $118,665 Armed Forces Health Professions (AFHP) Scholarship $250,759 $300,296 $245,166 6% $241,006 $213,121 $245,026 6% 6% $230,194 $210,882 $233,029 6% 5% State Government Scholarship/Grant $15,825 $7,642 $19,426 8% $14,929 $8,672 $18,156 5% 8% $24,190 $14,209 $27,152 5% 5% Award from Osteopathic Medical School $16,114 $14,840 $16,709 1 2 8% $14,270 $14,109 $14,358 9% 1 $16,102 $14,945 $16,515 1 1 9% Tuition Waiver $28,783 $47,560 $20,802 $41,990 $38,033 $47,925 $26,575 $35,610 $19,346 Osteopathic Association $11,392 $13,467 $10,147 5% $8,577 $7,456 $9,282 5% $8,335 $8,412 $8,317 Other Sources $27,584 $31,452 $26,187 5% 8% $21,870 $15,040 $24,147 6% 5% $21,206 $27,237 $19,721 6% 6% *All award data are self-reported by respondents of the survey. Summary Report 9

AACOM 2016-17 Academic Year Entering Student Survey Summary Report, Expected Debt and Scholarships Table 8a: Median Osteopathic Medical Education Scholarship/Grants* Source of Scholarship Award % Awarded All Schools Public Private All Schools Public Private Total Scholarships/Grants $20,000 $8,000 $22,356 25% 38% 2 $15,000 $10,000 $20,000 2 3 2 $14,000 $10,000 $17,793 26% 3 25% National Health Service Corps (NHSC) Scholarship $100,000 $80,000 $100,000 $128,000 $120,000 $142,500 $107,000 $120,000 $107,000 Armed Forces Health Professions (AFHP) Scholarship $250,000 $250,000 $250,000 6% $250,000 $220,000 $250,000 6% 6% $240,000 $200,000 $250,000 6% 5% State Government Scholarship/Grant $5,715 $4,000 $6,200 8% $6,000 $6,000 $5,891 5% 8% $6,200 $5,000 $6,200 5% 5% Award from Osteopathic Medical School $5,589 $5,000 $6,000 1 2 8% $5,000 $5,000 $5,000 9% 1 $5,250 $5,000 $5,863 1 1 9% Tuition Waiver $7,000 $15,000 $5,695 $20,000 $20,000 $21,500 $10,000 $22,500 $5,000 Osteopathic Association $2,000 $2,000 $2,000 5% $4,000 $4,000 $4,250 5% $5,000 $5,000 $5,000 Other Sources $5,892 $5,000 $7,250 5% 8% $6,000 $8,000 $6,000 6% 5% $5,500 $6,000 $5,425 6% 6% *All award data are self-reported by respondents of the survey. Table 8b: Award and AFHP and NHSC Scholarships Source of Scholarship Award Mean Public Private Total Scholarships/Grants Non-AFHP/NHSC Scholarships $55,560 $42,825 $53,129 $20,452 $18,101 $22,803 $96,504 $91,001 $80,914 $21,757 $21,645 $21,460 Awarded Median Public Private $8,000 $22,356 $10,000 $20,000 $10,000 $17,793 $5,500 $6,400 $8,000 $6,200 $8,000 $6,000 % Awarded Public Private 38% 3 3 3 29% 26% 2 2 25% 16% Summary Report 10

Value Range of Expected Debt/Scholarship AACOM 2016-17 Academic Year Entering Student Survey Summary Report, Expected Debt and Scholarships Chart 1: Percentage of Students with Expected Debt and Scholarships* $350,001 or more $300,001 - $350,000 6% $250,001 - $300,000 1 $200,001 - $250,000 1 $150,001 - $200,000 1 $100,001 - $150,000 5% $50,001 - $100,000 2 $1 - $50,000 1 16% $0 16% 76% with Debt with Scholarships *Bubble sizes are proportional to the percentage/number of students with debt/scholarships and may appear inconsistent due to rounding. Summary Report 11

AACOM 2016-17 Academic Year Entering Student Survey Summary Report, Expected Debt and Scholarships Table 9.1: Scholarship Award Source of Scholarship/Grant Total Scholarships/Grants AFHP Scholarships Non-AFHP Scholarships Award Mean Male Female $102,772 $88,162 $88,619 $247,568 $239,800 $226,818 $33,993 $28,160 $29,934 $68,299 $65,165 $57,649 $258,856 $242,003 $241,067 $30,041 $28,945 $29,803 Awarded Median Male Female $22,356 $10,000 $20,000 $10,000 $21,000 $10,000 $250,000 $240,000 $250,000 $249,000 $234,998 $250,000 $7,700 $6,400 $8,000 $8,000 $8,000 $6,000 % Awarded Male Female 25% 2 2 8% 8% 2 2 26% 2 2 2 2 Table 9.2: Scholarship Award Race/Ethnicity Award Awarded % Awarded White Asian Hispanic Black Mean $99,200 $85,543 $83,326 $39,690 $37,828 $39,397 $98,810 $84,562 $59,929 Median $22,356 $20,000 $20,000 $8,000 $5,500 $7,000 $32,000 $16,000 $6,500 25% 25% 28% 16% 3 3 4 $51,096 $7,500 4 $57,397 $19,305 38% $54,781 $8,000 4 All Others* $88,250 $30,914 $76,142 $23,500 $14,000 $12,500 29% 2 35% *Includes respondents claiming American Indian and Alaskan Native, Native Hawaiian and Pacific Islander or multiple races. Summary Report 12

AACOM 2016-17 Academic Year Entering Student Survey Summary Report, Expected Debt and Scholarships Table 9.3: Scholarship Award Marital Status Married/Cohabiting Single Award Mean $97,084 $98,609 $96,849 $83,940 $72,513 $68,824 Awarded Median $32,000 $40,000 $40,000 $10,000 $10,000 $10,000 % Awarded 3 29% 3 2 2 25% Table 9.4: Scholarship Award Financial Status Award Awarded % Awarded Independent Dependent Mean $101,461 $89,329 $89,386 $63,948 $55,778 $47,826 Median $24,128 $20,250 $22,000 $8,000 $8,250 $8,000 29% 28% 3 2 Table 9.5: Scholarship Award Parental Income Award Awarded % Awarded $49,999 or less $50,000 - $99,999 $100,000-199,999 $200,000 or more Mean $52,626 $55,996 $66,806 $87,279 $90,419 $69,219 $102,361 $81,884 $87,417 $93,325 $75,310 $75,711 Median $7,650 $11,500 $10,000 $20,000 $20,000 $15,500 $24,000 $10,000 $15,775 $20,000 $15,000 $11,000 3 3 3 2 25% 3 26% 2 26% 1 18% Summary Report 13

AACOM 2016-17 Academic Year Entering Student Survey Summary Report, Expected Debt and Scholarships Table 9.6: Scholarship Award Parental Education Graduate/Professional Degree Bachelor's Degree No College Degree Award Mean $91,996 $79,143 $72,695 $83,484 $80,873 $83,640 Awarded Median $20,000 $13,000 $10,000 $15,000 $20,000 $20,000 $80,450 $15,000 $72,805 $14,000 $69,885 $20,000 % Awarded 2 2 2 28% 2 2 28% 26% 3 Table 10: Sources of Funds for Osteopathic Medical Education (% of total cost provided by each source) All Schools Public Private Loans Scholarships/Grants Savings Earnings Parents Relatives Other 7 75% 76% 6% 1 1 1 69% 7 7 6% 1 1 1 75% 76% 76% 6% 1 1 1 Summary Report 14

AACOM 2016-17 Academic Year Entering Student Survey Summary Report, Expected Plans For Tables 11 and 12 we updated the Immediate Post-Graduate Plans question and included the GME Program Plans question in our 2016-17 Entering Student Survey to coincide with the Single Graduate Medical Education Accreditation System. Table 11: Immediate Post-Graduate Plans Transitional Year Residency Osteopathic Residency Gender Male Female White Asian 0. 0. 0.5% 0. 0.8% 0. 0. 2 2 2 2 16% 2 2 2 26% 2 2 1 Dual AOA/ACGME-Approved Residency 28% 2 3 2 3 26% 2 26% 28% 2 3 3 Internship Allopathic Residency 1 16% 1 1 18% 1 1 1 9% 9% 1 1 Government, NHSC, Military, VA, etc. 5% 6% 6% 5% 5% 5% 6% 6% Undecided 3 3 29% 3 29% 3 3 3 3 3 29% 3 Total 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 *Includes respondents claiming American Indian and Alaskan Native, Native Hawaiian and Pacific Islander or multiple races. Race-Ethnicity Hispanic Black All Others* 9 9 9 9 95% 89% 9 88% 25% 2 35% 3 1 25% 3 10 10 10 2 3 3 3 9% 9% 5% 3 2 10 10 10 Summary Report 15

AACOM 2016-17 Academic Year Entering Student Survey Summary Report, Expected Plans Table 12: GME Program Plans with an "Osteopathic Focus" Yes No Undecided Total 1 1 7 10 Table 13: Board Certification Plans Gender Race-Ethnicity Male Female White Asian Hispanic Black Osteopathic AOA Boards 1 16% 1 9% 1 18% 1 2 2 1 18% 2 2 2 2 1 2 2 Both AOA and ABMS Boards 66% 66% 68% 6 7 7 6 6 6 6 7 65% 6 6 6 58% 7 6 Allopathic ABMS Boards 5% 5% Other Not Planning Board Certification Undecided 16% 1 16% 1 16% 1 1 1 1 16% 1 1 Total 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 7 6 55% 9% 2 10 10 10 All Others* 2 2 28% 6 5 6 1 10 10 10 *Includes respondents claiming American Indian and Alaskan Native, Native Hawaiian and Pacific Islander or multiple races. Summary Report 16

AACOM 2016-17 Academic Year Entering Student Survey Summary Report, Expected Plans Table 14: Reasons Given for Taking ABMS (Allopathic) or Both Boards* ABMS board certification provides more opportunities Personal desire for dual certification ABMS board certification is more widely recognized Hospital privileges more readily obtained with ABMS board certification It is a requirement of the residency program ABMS board certification has more colleague acceptance Licenses more readily obtained with ABMS board certification ABMS board certification carries more prestige Other 75% 5 5 3 29% 3 25% 18% 7 5 5 29% 26% 29% 2 1 5% 7 58% 5 2 25% 2 1 *Each respondent indicating allopathic or dual AOA/ABMS-approved residency plans could choose one or more of the listed reasons influencing board certification choice. Summary Report 17

AACOM 2016-17 Academic Year Entering Student Survey Summary Report, Expected Plans For Table 15 we updated the Long-Range question in our 2016-17 Entering Student Survey to coincide with the Single Graduate Medical Education Accreditation System. Table 15: Long-Range Career Plans Group or Other Type of Private Practice 3 3 3 3 26% 29% 26% 38% 38% 3 4 3 4 3 3 3 36% 39% 3 3 2 Self-Employed, with or without a Partner Gender Race-Ethnicity Male Female White Asian Hispanic Black 8% 6% 8% 9% 1 8% 8% 9% 1 8% 1 8% 1 9% Practice in an HMO 1 16% 18% 16% 18% 1 18% 2 2 1 18% 18% 18% 2 Government, NHSC, Military, VA, etc. 8% 9% 9% 1 8% 8% 8% 8% 8% 9% 8% 1 Fellowship 1 1 1 1 1 1 9% 1 Other Professional Activity 5% 6% 5% Undecided 2 2 25% 2 2 2 2 2 2 2 3 2 26% 25% 28% 25% 28% Total 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 10 6% 8% 1 1 16% 5% 28% 2 3 All Others* 28% 4 1 16% 8% 1 1 5% 28% 18% 1 *Includes respondents claiming American Indian and Alaskan Native, Native Hawaiian and Pacific Islander or multiple races. Summary Report 18

AACOM 2016-17 Academic Year Entering Student Survey Summary Report, Expected Plans Table 16: Size of Location Planned for Practice After Residency Major Metropolitan Area (1,000,001 +) Metropolitan Area (500,001-1,000,000) City (100,001-500,000) City (50,001-100,000) City or Town (10,001-50,000) City or Town (2,501-10,000) Area 2,500 or less Undecided Total Table 17: Plans to Practice in Underserved/Shortage Area Yes No Unsure Total 4 5% 5 10 1 1 1 5% 2 10 4 4 6% 5% 5 5 10 10 1 1 1 6% 1 10 1 1 1 6% 2 10 Table 18: Percentage of Students Who Plan to Practice in Underserved/Shortage Areas Gender Male Female Race/Ethnicity White Asian Hispanic Black All Others* Marital Status Married/Cohabiting Single Financial Status Independent Dependent Parental Income $49,999 and less $50,000 - $99,999 $100,000-199,999 $200,000 or more Parental Education Graduate/Professional Degree Bachelor's Degree No College Degree 36% 4 39% 39% 65% 69% 5 46% 4 36% 5 39% 3 39% 4 48% 38% 49% 4 4 5 69% 49% 4 4 36% 5 46% 4 36% 38% 4 4 3 5 7 59% 46% 4 4 35% 5 39% 3 4 4 4 4 48% 46% *Includes respondents claiming American Indian and Alaskan Native, Native Hawaiian and Pacific Islander or multiple races. Summary Report 19

AACOM 2016-17 Academic Year Entering Student Survey Summary Report, Expected Plans Table 19: Plans to Practice in Underserved/Shortage Area by Type Inner-city Rural Other Total 46% 4 4 4 49% 49% 8% 8% 9% 10 10 10 Table 20: Percentage of Students Who Plan to Practice in Inner-city Underserved/Shortage Areas Gender Male Female Race/Ethnicity White Asian Hispanic Black All Others* Marital Status Married/Cohabiting Single Financial Status Independent Dependent Parental Income $49,999 and less $50,000 - $99,999 $100,000-199,999 $200,000 or more Parental Education Graduate/Professional Degree Bachelor's Degree No College Degree 4 48% 3 6 5 6 36% 3 49% 4 5 5 4 4 48% 4 4 39% 4 35% 5 4 79% 5 28% 4 4 4 48% 39% 4 4 4 4 4 3 46% 3 6 4 66% 26% 3 39% 4 4 4 4 4 4 4 4 *Includes respondents claiming American Indian and Alaskan Native, Native Hawaiian and Pacific Islander or multiple races. Summary Report 20

AACOM 2016-17 Academic Year Entering Student Survey Summary Report, Expected Plans Table 21: Percentage of Students Who Plan to Practice in Rural Underserved/Shortage Areas Gender Male Female Race/Ethnicity White Asian Hispanic Black All Others* Marital Status Married/Cohabiting Single Financial Status Independent Dependent Parental Income $49,999 and less $50,000 - $99,999 $100,000-199,999 $200,000 or more Parental Education Graduate/Professional Degree Bachelor's Degree No College Degree 56% 36% 38% 29% 48% 59% 4 5 4 4 5 46% 4 48% 49% 5 4 5 5 35% 5 16% 4 6 5 4 5 5 4 48% 49% 5 5 5 3 5 2 66% 6 46% 5 46% 5 5 48% 48% 5 5 *Includes respondents claiming American Indian and Alaskan Native, Native Hawaiian and Pacific Islander or multiple races. Summary Report 21

AACOM 2016-17 Academic Year Entering Student Survey Summary Report, Expected Plans Table 22: Planned Specialization Family Medicine Internal Medicine, General Pediatrics, General Emergency Medicine Internal Medicine, Subspecialty Orthopedic Surgery Pediatrics, Subspecialties Surgery Subspecialties ` OB/GYN and Subspecialties Anesthesiology Surgery, General Sports Medicine Dermatology Neurology and Subspecialties Radiology and Subspecialties Psychiatry and Subspecialties Physical Medicine & Rehabilitation Med. Ophthalmology Pathology and Subspecialties Plastic Surgery/Reconstructive Surgery Thoracic Surgery Otolaryngology Urology/Urological Surgery Geriatrics Preventive Medicine and Subspecialties Osteopathic Manipulative Medicine Allergy and Immunology Critical Care Medical Genetics Vascular Surgery Nuclear Medicine Proctology Colon Rectal Surgery Undecided or Indefinite Total Primary Care Specialties 1 5% 1 1 5% 9% 6% 1 10 1 5% 1 9% 9% 6% 6% 1 1 10 10 Summary Report 22

AACOM 2016-17 Academic Year Entering Student Survey Summary Report, Expected Plans Table 23: Primary Care Plans Primary Care Non-Primary Care Undecided Total 2 7 1 10 2 69% 1 10 2 6 1 10 Table 24: Percentage of Students Who Plan to Practice in Primary Care Specialties Gender Male Female Ethnicity White Asian Hispanic Black All Others* Marital Status Married/Cohabiting Single Financial Status Independent Dependent Parental Income $49,999 or less $50,000 - $99,999 $100,000-199,999 $200,000 or more Parental Education Graduate/Professional Degree Bachelor's Degree No College Degree Parental Profession DO/MD Non-DO/MD 16% 2 2 18% 2 1 2 2 2 2 2 2 16% 2 2 *Includes respondents claiming American Indian and Alaskan Native, Native Hawaiian and Pacific Islander or multiple races. Category includes respondents who indicated a DO/MD father and/or mother. 25% 2 2 2 2 2 2 2 1 2 2 2 1 2 1 2 2 16% 28% 26% 2 2 2 2 2 2 2 2 18% 2 2 2 2 2 Summary Report 23

AACOM 2016-17 Academic Year Entering Student Survey Summary Report, Expected Plans Table 25: Planned Specialty Choice Decision Factors Mean Influence Rating* Intellectual Content of the Specialty Like Dealing with People Skills/Abilities Lifestyle Like the Emphasis on Technical Skills Role Models Desire for Independence Previous Experience Academic Environment Debt Level Prestige/Income Potential Opportunity for Research/Creativity Peer Influence 3.2 3.2 3.2 3.0 3.0 2.9 2.5 2.5 2.4 2.3 2.3 3.0 3.0 2.9 2.5 2.5 2.4 2.3 2.4 3.0 2.9 2.8 2.5 2.4 2.3 2.2 2.2 2.0 2.0 1.8 1.9 1.9 2.0 1.9 1.9 1.8 1.9 1.9 1.8 *Scale from 0 to 4; 0 being "No Influence," 4 being "Major Influence." Summary Report 24

Response Rate Range 9 or more 75% - 89% 5-7 25% - 49% Less than 25% AACOM 2016-17 Academic Year Entering Student Survey Summary Report, Overview Table A1: First-Year Student Response Rate to the AACOM Entering Student Survey Number of COMs 25 6 3 5 2 Mean response rate for all COMs: 85% Table A2: Response Rate to Debt, Scholarship and Specialty Survey Questions Response Rate Debt Expected Osteopathic Medical Education Loans Expected Family Loans to be Repaid by Student Expected Non-Educational Debt At Entry, Loans Owing for Undergraduate Education At Entry, Loans Owing for Post-Bac Education Scholarships/Grants Total Scholarships/Grants National Health Service Corps Scholarship Armed Forces Health Professions Scholarship State Government Scholarship/Grant Award from Osteopathic Medical School Tuition Waiver Osteopathic Association Other Sources Specialty Specialty Choice 9 66% 88% 98% 4 7 68% 69% 68% 69% 6 6 68% 10 Summary Report 25