In 1991, the Commission on Health Care for All Virginians toured Southwest
Virginia to assess the status of primary care in the region. Local officials
and health care providers described primary care needs, barriers to access,
and resource deficiencies plaguing the region. Based on this series of
meetings, the Commission asked for a study to explore the possibility
of establishing a family practice residency program in the Southwest.
Between 1991 and 1997, a number of studies were completed and substantial
efforts were made to promote the development of a Southwest Virginia
residency program. After 1994, the Southwest Virginia Area Health Education
Center (AHEC) and the Virginia Center for the Advancement of Generalist
Medicine took the lead in exploring the matter. However, no residency
program materialized and health care problems continued unabated in the
Virginia mountains.
In an effort to address the shortage of primary care physicians in Southwest
Virginia without creating a new residency program, the Virginia General
Assembly appropriated funds in 1998 to establish the Southwest Virginia
Graduate Medical Education Consortium (GMEC).
Board members from the Southwest Virginia AHEC, a representative from the Virginia
Department of Health, and representatives from medical schools at the University
of Virginia and East Tennessee State University formed a steering committee
to organize the new GMEC program. This group applied to incorporate as a Virginia
nonprofit organization on August 27, 1998. On September 22, 1998, the State
Corporation Commission issued a certificate of incorporation for the Southwest
Virginia Graduate Medical Education Consortium, Inc.
The GMEC board of directors solicited bids from educational institutions
in Southwest Virginia to operate the program. By October 1998, the GMEC
board had decided to contract with the University of Virginia's College
at Wise. Board members formed a search committee to select an Executive
Director and recommended Tony Lawson for the position in November 1998.
Lawson is a native of Southwest Virginia and an alumnus of UVA's College
at Wise. He directed a network of community health centers in four mountain
counties for 10 years. The GMEC office opened on January 4, 1999.
Current Board members represent local physicians, public health, community
health centers, UVA-Wise and these medical schools: East Tennessee State
University, Eastern Virginia Medical School, Pikeville College School
of Osteopathic Medicine, University of Virginia School of Medicine, Virginia
College of Osteopathic Medicine, and Virginia Commonwealth University
- Medical College of Virginia