The target populations that we serve are largely underserved with very poor health outcomes and indicators. All students spend the first two years at the main campus in Tallahassee (Leon County) and during this time they have required clinical experiences in the surrounding counties of Gadsden, Taylor, Jackson, Jefferson, and Madison. Recent research has shown these counties to have some of the worst health indicators of the state of Florida. The overall health outcomes in these counties ranks from 46th to 63rd among the 67 counties in Florida. Gadsden and Madison rank 62nd and 63rd respectively, according to CountyHealthRankings.org. They include high rates of unhealthy behaviors such as smoking, obesity and teen birth rates; poor social and economic factors such as low high school graduation and employment rates; and health professional shortages. During the third and fourth years of increased clinical experience, FSUCOM students work with community physicians, hospitals and clinics that also serve these underserved populations. Medicaid and uninsured patients make up at least 27% of the population seen by our students.