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EAST CAROLINA UNIVERSITYSCHOOL OF MEDICINEGREENVILLE, NORTH CAROLINA 27834February 4, 1971P.O. Box 2701Tel. (919) 758-6008Office of The DeanThe Honorable Robert W. ScottGovernor of North CarolinaRaleigh, North Carolina 27602Dear Governor Scott:Attached is the Report of the Survey by the Liaison Committee onMedical Education to the East Carolina University School of Medi-cine October 11-13, 1970. The Report represents an objectiveevaluation of the steps taken by the State of North Carolina andEast Carolina University in developing the two-year medicalschool.Because of the authorizing actions of the 1965 and 1967 GeneralAssemblies, the planning and development appropriation of the1969 General Assembly, the presence of Dr. Wallace Wooles and hiscore faculty associates, and your June 24, 1970 letter to Dr. C.H. W. Ruhe; the medical program was recognized officially by theLiaison Committee on Medical Education as a "medical school indevelopment" in July, 1970. Thus it joined several newly develop-ing schools across the country whose states have taken similarsteps.The East Carolina Medical School has achieved national visibilitysince July, 1970. Two recent reports on expansion of medicaleducation in the U. S. recognize our school among those now in.development and call for the establishment of nine to twelve moreacross the country. This information is contained in the CarnegieCommission Report on Medical Education and in the Report onExpansion of Medical Education of the Association of AmericanMedical Association on November 27, 1970, along with those ofother developing schools. The School is a recognized entity inthe offices of the several large foundations that traditionallysupport medical schools, as well as in the branches of the NationalInstitute of Health concerned with federal support for medicaleducation. It is ironic that such national visibility has beenachieved while so little recognition of our current status hasbeen communicated by the North Carolina press.

Gov. Robert W. Scott -2- L February 1971As a "School in Development", we were eligible to receive theadvice, counsel, and informal and formal consultations from theLiaison Committee on Medical Education. The next step towardsaccreditation comes immediately prior to entrance of the firstclass and after funding, when the University may formally requestprovisional accreditation.The following positive factors in the development of the schoolwere found by the October evaluation:1. That a clear: need exists to substantially increase the numberof North Carolina students studying medicine since North Carolina~ranks 46th; among fifty states in the proportion of medical studentsto population;2. That the school at East Carolina University will increase theinterest and number of students in the study of medicine;3. That regardless of the expansion of other North Carolinaschools, a sufficient number of qualified applicants can be ex-pected;4. That the school at East Carolina University will contributeto alleviating ane severe shortage of physicians in eastern NorthCarolina;5. ."That the Pou ek laid by the North Carolina General Assembly -and the administration. of East Carolina University is impressive;6. That the number and quality of the administrators and faculty,already employed and proposed, is Baptist7. That the plans for the library are sound and the proposedoperating budget is sound, reasonable, adequate and not excessive;8. That the provision for acquisition and care of laboratoryanimals is sound; and9. That the interim facilities are attractive and adequate forthe size of the entering class.The Report lists the following needs which are largely contingentupon funding:

Gov. Robert W. Scott -3- 4 February 19711. That additional recruitment of departmental chairmen andfaculty-is needed; :2. That the clinical arrangements for the Departments of Path-ology and Clinical Education need to be finalized;3. That the acquisition of teaching materials must continue; and4. That firm arrangements for transfer of our students to otherschools, preferably in North Carolina, to complete their clinicaltraining should continue.Tentative steps to implement these suggestions have been taken,including selection of chairmen for.each of the departmental~ vacancies and preliminary arrangements with schools in our southern region to consider our students for transfer. We have not takenfinal action in these areas since definitive action would be pre-sumptuous prior to the action of the 1971 General Assembly. Inlike manner, we did not accept nor process any applications for anentering class in 1971 in the absence of an appropriated operatingbudget. Clearly, enrolling students into a program and subsequentaccreditation requires an operating budget to provide the facultyand resources necessary. Obviously any appropriated budget couldnot be available until the adjournment of the present Session ofthe General Assembly. The additional highly qualified peoplecould not be available on such short notice between budgetaryapproval and the start of a class in September 1971.Because of these facts, it was the opinion of the Liaison Committeethat the current state of development of the medical educationprogram of East Carolina University does not justify provisionalaccreditation to accept an entering class in 1971. . However, wehave no doubt that if funding is provided by the 1971 GeneralAssembly, qualified students can be enrolled, final staff appoint-ments made, and provisional accreditation obtained prior to thebeginning of the 1972 academic session.The Report, in its final form, confines itself only to our presentstate of development. It does not contain any conjectural state-ment beyond 1971. We have ascertained that this is because theLiaison Committee, as a matter of policy, did not wish to inter-ject themselves into a decision that must be made only by theGeneral Assembly.East Carolina University is deeply appreciative of your supportand assistance'as we have worked long and hard toward establishing

Gov. Robert W. Scott -4- 4 February 1971the medical school. The attached Report is the unbiased evaluationof these efforts by recognized experts in medical education.~Sincerely yours,Edwin W. Monroe, M. D.Director of Health AffairsWallace R. Wooles, Ph. D.Dean of Medicine