How to Get Into Sam Houston State University College of Osteopathic Medicine: The Definitive Guide (2025)

Sam Houston State University’s College of Osteopathic Medicine (SHSU-COM), located in Conroe, Texas, opened its doors in 2020 as SHSU’s eighth college and the third osteopathic medical school in the state. Housed in a modern 107,000-square-foot, four-story Center for Health Professions within the Grand Central Park Development, SHSU-COM is dedicated to preparing compassionate, culturally aware physicians for primary care and rural practice in eastern Texas. 

Since graduating its inaugural class in May 2024, with outstanding board pass rates and residency match results, and earning Full Accreditation with Exceptional Outcomes from the Commission on Osteopathic College Accreditation (COCA), SHSU-COM has quickly established itself as a leader in osteopathic education. Notably, it stands out as the most affordable D.O. program in the nation, making it an attractive option for students committed to serving underserved communities.

Purpose of This Guide

This comprehensive guide provides prospective applicants with a detailed roadmap to successfully apply to SHSU-COM. As an organization dedicated to empowering future physicians through admissions consulting and global health internships, IMA is committed to helping you navigate the competitive landscape of medical school admissions.

In this guide, you’ll explore SHSU-COM’s mission, programs, facilities, curriculum, student life, admissions process, financial considerations, and strategies to strengthen your application. Whether you’re a pre-med student exploring osteopathic medicine or a dedicated applicant ready to submit your TMDSAS application, this guide will equip you with the knowledge and tools to make SHSU-COM the right choice for your medical education journey.

Topics Covered in This Guide

• Key Statistics
• Mission Statement
• Accreditation & Affiliations
• Facilities
• Notable Alumni and Faculty
• Student Activities & Support Services
• Student Demographics
• Curricular Offerings
• Dual & Concurrent Degree Programs
• Premedical Coursework
• Admissions Process
• Application Components & Timeline
• Interview Format & Selection Factors
• Tuition, Fees & Financial Aid
• Tips for Admission Success
• Frequently Asked Questions
• Final Thoughts & Next Steps

Key Statistics

SHSU-COM’s key statistics provide a snapshot of its affordability, student body, and admissions requirements, making it an accessible and mission-driven choice for aspiring osteopathic physicians. Below is a detailed overview of the most critical data points for the 2025–2026 academic year:

• Location: Conroe, Texas (suburban Piney Woods, approximately 40 miles north of Houston)
• Year Founded: College charter granted in 2019; first class matriculated in 2020; first graduates in May 2024
• Institution: Sam Houston State University (founded 1879)
• Campus Setting: Suburban, within the Grand Central Park Development, a mixed-use district
• Facility: 107,000-square-foot, four-story Center for Health Professions, designed for modern medical education
• Total Enrollment (2024–2025): 574 students (244 Male / 330 Female / 0 Other)
• First-Year Class (2025–2026): 162 students (68 Male / 94 Female)
• Primary Application Service: Texas Medical & Dental Schools Application Service (TMDSAS), opens May 15, 2025; deadline October 1, 2025
• Supplemental Application: SHSU-COM portal, opens May 16, 2025; deadline December 1, 2025; $75 fee (non-refundable, no waivers)
• Interview Options: Virtual or in-person, consisting of two one-on-one interviews, a group exercise, and a written essay
• MCAT Requirement: Not waived; oldest accepted score January 1, 2020; latest accepted score October 14, 2025
• Tuition (2025–2026): $26,550 (in-state), $41,600 (out-of-state)
• Annual Fees: $33,840 (in-state), $34,480 (out-of-state); health insurance $2,193
• Average Graduate Debt: $150,793
• Financial Aid: 100% of students receive some form of aid; merit and rural health scholarships available

These statistics highlight SHSU-COM’s affordability and commitment to accessibility, making it a standout choice for students dedicated to primary care in Texas.

Mission Statement

SHSU-COM’s mission statement encapsulates its vision to address Texas’s physician shortage through a focus on primary care and rural practice: “The mission of SHSU-COM is to prepare compassionate, culturally aware physicians for primary care and rural practice in Texas. We emphasize osteopathic principles, patient-centered care, and professionalism, and we aim to increase the physician workforce in eastern Texas by recruiting students likely to return and serve their home communities.”

Commitment to Primary Care and Rural Health

SHSU-COM aligns every aspect of its curriculum, admissions process, and community engagement with its mission to expand the physician workforce in eastern Texas, a region with significant healthcare disparities. By prioritizing primary care specialties—such as family medicine, internal medicine, and pediatrics—the school addresses the critical needs of rural and underserved communities where access to care is often limited. The emphasis on osteopathic principles, including osteopathic manipulative medicine (OMM), ensures graduates adopt a holistic approach to patient care, treating the whole person rather than just symptoms.

Focus on Cultural Awareness and Professionalism

The mission underscores SHSU-COM’s commitment to training culturally aware physicians who can serve Texas’s diverse populations with empathy and professionalism. This focus is integrated into the curriculum through modules on cultural competence, ethics, and interprofessional collaboration, preparing students to navigate the unique challenges of rural practice, such as socioeconomic barriers and health literacy issues.

Recruiting for Community Impact

SHSU-COM prioritizes recruiting students from eastern Texas or those with a demonstrated commitment to rural practice, fostering a pipeline of physicians likely to return and serve their home communities. This strategy aligns with the school’s goal of reducing physician shortages in Health Professional Shortage Areas (HPSAs), ensuring graduates make a lasting impact on Texas healthcare.

Alignment with IMA’s Values

At International Medical Aid, we deeply admire SHSU-COM’s dedication to underserved populations, a value that mirrors our own mission of promoting global health equity. Through our global health internships and admissions consulting services, IMA supports students who share SHSU-COM’s vision of compassionate, community-focused medicine, helping them prepare for a transformative education at this leading osteopathic medical school.

Accreditation & Affiliations

SHSU-COM is fully accredited, ensuring its graduates meet national standards for licensure and residency training. Below is a detailed overview of its accreditation status and affiliations, which affirm the school’s credibility and commitment to excellence.

COCA Accreditation

SHSU-COM achieved Full Accreditation with Exceptional Outcomes from the American Osteopathic Association’s Commission on Osteopathic College Accreditation (COCA) in May 2024, a significant milestone following its inaugural class’s graduation. This prestigious designation reflects SHSU-COM’s adherence to rigorous standards in curriculum, faculty qualifications, student outcomes, and institutional resources.

The next COCA review is scheduled for 2034, providing long-term assurance of the program’s quality. COCA accreditation ensures that SHSU-COM graduates are eligible to take the Comprehensive Osteopathic Medical Licensing Examination (COMLEX-USA) series, a requirement for D.O. licensure, and pursue residency programs nationwide.

SACSCOC Accreditation

Sam Houston State University (SHSU), SHSU-COM’s parent institution, is accredited by the Southern Association of Colleges and Schools Commission on Colleges (SACSCOC) to award degrees from associate to doctoral levels, including the Doctor of Osteopathic Medicine (D.O.). SACSCOC accreditation validates SHSU’s academic integrity, governance, and institutional effectiveness, ensuring that SHSU-COM operates within a robust educational framework. This regional accreditation enhances the portability of SHSU-COM’s degree, allowing graduates to practice across the United States.

University Affiliation

SHSU-COM is part of Sam Houston State University, a public institution founded in 1879 with a legacy of serving Texas through education and research. SHSU offers a wide range of programs, from associate to doctoral degrees, and its affiliation provides SHSU-COM students with access to university-wide resources, including libraries, counseling services, and interprofessional collaboration opportunities with nursing and allied health programs.

Clinical and Community Affiliations

SHSU-COM has established partnerships with over 75 hospitals and clinics across seven regions in eastern Texas, facilitating clinical rotations in diverse settings, including rural clinics and critical access hospitals. These affiliations ensure students gain hands-on experience in primary care and rural practice, aligning with the school’s mission. Additionally, SHSU-COM collaborates with the American Osteopathic Association (AOA) and other professional organizations to promote research and scholarly activity, offering students opportunities to present at conferences and engage with the broader osteopathic community.

Why Accreditation Matters for Applicants

Choosing an accredited medical school like SHSU-COM guarantees that your education meets national standards, paving the way for licensure, residency placement, and a successful career in osteopathic medicine. COCA and SACSCOC accreditations reflect SHSU-COM’s commitment to excellence, making it a reliable choice for students passionate about primary care and rural healthcare. IMA encourages applicants to leverage SHSU-COM’s accredited programs as a foundation for achieving their goals, supported by our admissions consulting and global health internship opportunities.

Facilities

SHSU-COM’s facilities are designed to support a modern, hands-on osteopathic education, fostering an environment where students can excel academically, clinically, and professionally. Located in Conroe’s Grand Central Park Development, the campus integrates state-of-the-art technology with a community-focused setting, reflecting the school’s mission to serve rural Texas.

Location and Campus Setting

SHSU-COM is housed in a four-story, 107,000-square-foot Center for Health Professions, situated in the suburban Grand Central Park Development, approximately 40 miles north of Houston in the Piney Woods region of Texas. This mixed-use district offers a blend of residential, commercial, and recreational spaces, creating a vibrant yet serene environment for medical students. The campus’s proximity to Houston provides access to urban healthcare resources, while its suburban setting aligns with SHSU-COM’s focus on rural practice. Future phases of development will expand research and clinical training capacities, further enhancing the school’s capabilities.

Simulation and Clinical Skills

The Simulation Center is a cornerstone of SHSU-COM’s training facilities, equipped with multiple high-fidelity manikins that simulate acute care scenarios such as cardiac arrest, trauma, and pediatric emergencies. These manikins allow students to practice critical interventions, such as intubation and CPR, in a controlled environment, preparing them for real-world clinical challenges. The center also supports interprofessional team training, where medical students collaborate with nursing and allied health students to develop teamwork skills essential for rural practice.

The Standardized Patient Suite features three examination rooms and a debrief area, where trained actors portray patient cases to help students practice history-taking, physical exams, and communication skills. Faculty provide formative feedback through video recordings, ensuring students refine their bedside manner and diagnostic reasoning, critical for serving diverse Texan communities.

Teaching and Learning Spaces

The Large Teaching Theater accommodates up to 200 students with tiered seating, integrated audiovisual systems, and live-streaming capabilities for hybrid lectures. This space supports SHSU-COM’s systems-based curriculum, enabling faculty to deliver dynamic presentations, case-based discussions, and virtual guest lectures from practicing physicians.

The Active Learning Classroom is designed for interactive, team-based learning, featuring flexible seating clusters, digital whiteboards, and wireless polling systems. This classroom supports small-group problem-solving, encouraging collaboration and critical thinking among students as they tackle clinical cases and public health challenges.

Small Group Rooms, with six rooms seating six to eight students each, provide intimate settings for case conferences, journal clubs, and peer teaching. These rooms are equipped with audiovisual tools, fostering discussion and teamwork, which are essential for SHSU-COM’s interprofessional education initiatives.

Anatomy and Research

The Gross Anatomy Lab is a state-of-the-art facility with cadaver stations and digital dissection tables, allowing students to master human anatomy through hands-on learning. Video linkage to the teaching theater enables faculty to demonstrate dissections to larger groups, ensuring all students benefit from detailed instruction. The lab’s focus on integrating osteopathic principles prepares students for clinical applications of anatomy in OMM.

Research Laboratories include wet labs for basic science investigations (e.g., molecular biology, microbiology) and dedicated bench space for student-led projects. Faculty-student teams pursue grants focused on rural health issues, such as chronic disease management and health disparities in eastern Texas. These labs support SHSU-COM’s mission to promote lifelong scholarly activity, offering students opportunities to present at regional and national conferences.

Osteopathic Clinical Skills

The Osteopathic Principles & Practice Suite is a dedicated space with treatment tables, ultrasound machines, and video cameras to record and review OMM techniques. Students practice methods like myofascial release and cranial manipulation under faculty supervision, mastering the hands-on skills that define osteopathic medicine. The suite’s integration with interprofessional learning—through shared scheduling with nursing and allied health programs—ensures students develop collaborative skills for rural practice.

Student Commons and Support

Learning Community Hubs consist of six dedicated lounges where student cohorts meet with faculty mentors, host events, and access academic support resources. These hubs foster a sense of community, encouraging peer support and mentorship, which are vital for success in medical school.

Study and Collaboration Areas include open-access computer stations and bookable “quiet pods” for individual study. These spaces are designed to accommodate diverse learning styles, providing students with the flexibility to study independently or collaborate on group projects, such as preparing for COMLEX-USA exams.

Why Facilities Matter for Applicants

SHSU-COM’s facilities, from the advanced Simulation Center to the Osteopathic Principles & Practice Suite, create an ideal environment for students passionate about osteopathic medicine and rural healthcare. These resources ensure hands-on training, technological proficiency, and community engagement, preparing graduates to serve eastern Texas effectively. For applicants, SHSU-COM’s state-of-the-art campus underscores its commitment to a holistic education, making it a compelling choice for those seeking to make a difference in underserved areas, supported by IMA’s admissions consulting and global health opportunities.

Notable Alumni and Faculty

SHSU-COM’s community of educators and graduates reflects its mission to train compassionate, culturally aware physicians for primary care and rural practice in Texas. While the alumni network is just beginning to emerge—first graduates in May 2024—its early successes and the leadership of seasoned faculty offer applicants a clear picture of the college’s strengths.

Notable Faculty

Dr. Thomas J. Mohr, DO
Dean, College of Osteopathic Medicine
Dr. Mohr led SHSU-COM through its charter, inaugural class, and the May 2024 Full Accreditation with Exceptional Outcomes from COCA. Under his guidance, the college has aligned strategic initiatives—curriculum design, faculty recruitment, and community partnerships—with its goal to expand primary care in eastern Texas.

Dr. Dennis C. Rau, Jr., DO
Associate Dean for Osteopathic Integration & Chair, OPP
Dr. Rau oversees the Osteopathic Principles & Practice curriculum, ensuring students develop mastery of OMM techniques. His leadership integrates hands-on labs and simulation experiences that reinforce holistic patient care, critical for rural healthcare settings.

Dr. Mary Hogan, PhD
Director of Clinical Education
Dr. Hogan coordinates over 75 affiliated clinical rotation sites, matching student interests with community needs. Her work guarantees that SHSU-COM Bearkats receive broad, real-world exposure—from urban health centers to remote rural clinics—preparing them for the diversity of primary care practice.

Dr. Hatem Elshabrawy, PhD
Assistant Professor, Microbiology, Immunology & Pathology; Phase I Lead
Dr. Elshabrawy shapes the foundational sciences curriculum, embedding research projects that tackle rural health challenges. His mentorship fosters student involvement in scholarly activity and equips future physicians with critical thinking skills.

Dr. Lesley Gardiner, MD
Assistant Professor of Pediatrics; Phase II Lead
Dr. Gardiner directs clinical clerkship experiences in pediatrics and family medicine, emphasizing compassionate child and community health. Her oversight ensures students graduate with strong competencies in managing primary care across the lifespan.

Notable Alumni

Although SHSU-COM’s inaugural class graduated only in May 2024, its alumni have already demonstrated the college’s impact:

• Outstanding COMLEX-USA Pass Rates: First-year pass rates exceeded national averages, reflecting excellence in academic preparation.
• Residency Match Success: 100% of graduates secured residency positions, with a majority matching into primary care specialties (Family Medicine, Internal Medicine, Pediatrics) in Texas and neighboring states.
• Early Community Engagement: Alumni led student-run clinics and health fairs during their final year, showcasing SHSU-COM’s emphasis on patient-centered care in underserved settings.

These early achievements signal a strong foundation for future alumni distinction. As the network grows, SHSU-COM graduates will continue to exemplify the college’s mission by improving healthcare access and outcomes across rural and urban communities alike.

Student Activities & Support Services

SHSU-COM fosters a vibrant student life that balances academic rigor with personal growth, community involvement, and professional development. With a range of student organizations, comprehensive support services, and a strong emphasis on wellness and inclusion, SHSU-COM creates a supportive environment where students can thrive. IMA highlights the richness of SHSU-COM’s student activities and support services, which align with our mission to empower aspiring physicians through community engagement and personalized guidance.

Student Organizations

SHSU-COM students can engage in over 39 registered organizations, catering to diverse interests from specialty-focused groups to cultural and wellness initiatives. These organizations provide opportunities for leadership, networking, and advocacy, enhancing the medical school experience:

• Rural Health Interest Group: Organizes outreach events like health fairs and free clinics in rural eastern Texas, aligning with SHSU-COM’s mission to serve underserved communities.
• Black Student Osteopathic Medical Association: Promotes diversity in medicine through mentorship, community service, and advocacy, addressing healthcare disparities for Black patients.
• Muslim Student Doctor Association: Hosts Iftar dinners during Ramadan and Eid celebrations, creating a space for Muslim students to connect and share traditions with the SHSU-COM community.
• Minorities in Medicine Conference Committee: Plans an annual conference to address healthcare disparities, providing mentorship for underrepresented students and fostering cultural competency.

Students can explore the full list of organizations at SHSU’s Campus Labs page. These groups organize community outreach, professional development workshops, and social events, helping students build a sense of belonging while preparing for careers in primary care.

Wellness and Counseling

SHSU-COM prioritizes student wellness through comprehensive programs that promote physical, mental, and emotional health:

• Physical Wellness: Partnerships with on-site fitness centers provide access to gym facilities, while group exercise classes (e.g., yoga, Zumba) and mindfulness sessions are tailored for medical students’ busy schedules.
• Mental Health: The SHSU Counseling Center offers confidential counseling, 24/7 tele-therapy options, and peer-led support circles, ensuring students have access to mental health resources at all times.
• Wellness Curriculum: Integrated sessions on resilience, burnout prevention, and work-life balance are embedded throughout the four-year program, equipping students with tools to manage the demands of medical school and future practice.

Academic and Learning Support

SHSU-COM provides robust academic support to ensure students succeed in the rigorous D.O. program and prepare for licensure exams:

• Academic Coaching: Faculty mentors offer one-on-one guidance on study strategies, board prep planning, and time management, helping students navigate challenging courses like biochemistry and physiology.
• Peer Tutoring: Upper-class students serve as tutors for foundational courses and osteopathic principles, fostering a collaborative learning environment and easing the transition to medical school.
• Writing and Research Help: Students have access to SHSU’s writing center for assistance with essays and manuscripts, as well as a dedicated library liaison for medical literature searches, supporting scholarly projects and COMLEX-USA preparation.

Student Legal and Financial Resources

SHSU-COM offers practical resources to address students’ legal and financial needs:

• Legal Service: Free consultations on housing leases, financial contracts, and student rights help students navigate off-campus living and financial agreements.
• Financial Aid Advising: Dedicated advisors provide guidance on budgeting, loan applications, and scholarship searches, with workshops on debt management to help students plan for a financially sustainable future.

Why Student Activities and Support Services Matter for Applicants

SHSU-COM’s diverse organizations, comprehensive support services, and focus on wellness create a holistic medical school experience that prepares students for the challenges of rural healthcare. Engaging in student activities builds leadership and teamwork skills, while academic and wellness resources ensure success in a demanding curriculum. 

For applicants, SHSU-COM’s vibrant student life reflects its commitment to nurturing well-rounded physicians, making it an ideal choice for those passionate about osteopathic medicine and community service. IMA’s admissions consulting can help you highlight your involvement in similar activities to demonstrate fit with SHSU-COM’s culture.

Student Demographics

SHSU-COM’s student body reflects its commitment to diversity in background, socioeconomic status, and life experience, ensuring a culturally aware physician workforce. Below is the demographic data for the 2024–2025 academic year, with placeholders for unavailable metrics:

• Total Enrollment: 574 students
• Gender: 244 Male / 330 Female
• First-Year Matriculants (Class of 2025): 162 students (68 Male / 94 Female)
• In-State vs. Out-of-State: Data forthcoming
• Race/Ethnicity:
  • American Indian/Alaska Native: TBA
  • Asian: TBA
  • Black/African American: TBA
  • Hispanic/Latino: TBA
  • Native Hawaiian/Pacific Islander: TBA
  • White: TBA
  • Multiple Races: TBA
  • Undisclosed: TBA
• Majors of Matriculants:
  • Science: TBA
  • Non-Science: TBA
  • Graduate Degrees: TBA

Diversity and Inclusion at SHSU-COM

While specific demographic percentages are pending, SHSU-COM’s commitment to diversity is evident in its recruitment strategy, prioritizing students from eastern Texas and underrepresented backgrounds. The school’s student organizations, such as the Black Student Osteopathic Medical Association and Muslim Student Doctor Association, foster an inclusive environment, ensuring all students feel supported. This diversity prepares graduates to provide culturally sensitive care in rural Texas, aligning with SHSU-COM’s mission to address health disparities.

Why Demographics Matter for Applicants

Understanding SHSU-COM’s student demographics can help you assess whether the school’s community aligns with your values and background. The emphasis on diversity and inclusion ensures a rich learning environment, while the focus on recruiting from eastern Texas reflects SHSU-COM’s commitment to serving local communities. Applicants can highlight their own diverse experiences or ties to rural Texas in their applications to demonstrate fit, supported by IMA’s admissions consulting services.

Curricular Offerings

SHSU-COM’s Doctor of Osteopathic Medicine (D.O.) curriculum is a horizontally and vertically integrated, systems-based program designed to prepare students for primary care and rural practice in Texas. Emphasizing epidemiology, rural health, and osteopathic principles, the curriculum ensures graduates excel on licensure exams, thrive in clinical settings, and serve diverse communities effectively.

Pre-Clinical Phase (OMS I & II)

Duration: 18 months

Structure:

• Foundational Sciences: Organ-system blocks (e.g., Cardiovascular, Pulmonary, Renal) integrate anatomy, physiology, biochemistry, and pathology, providing a comprehensive understanding of human health and disease. Lectures, team-based learning, and case-based discussions ensure active engagement.
• Epidemiology and Public Health: Case-based modules focus on rural health disparities, community assessment, and population medicine, preparing students to address systemic challenges in eastern Texas.
• Osteopathic Principles & Practice (OPP): Weekly hands-on OMM labs teach techniques like myofascial release and cranial manipulation, with longitudinal integration throughout systems blocks to reinforce holistic care.
• Clinical Skills Training: Simulation-based learning in the Standardized Patient Suite and Simulation Center allows students to practice history-taking, physical exams, and communication. High-fidelity manikins simulate scenarios like cardiac arrest, while standardized patients provide feedback on bedside manner.
• Professional Development: Modules on ethics, interprofessional collaboration, and reflective practice foster professionalism and cultural competence, essential for rural practice.

Assessments:

• Block exams include multiple-choice questions and standardized patient encounters to evaluate knowledge and clinical skills.
• OMM practical exams assess mastery of osteopathic techniques.
• Progressive Objective Structured Clinical Examinations (OSCEs) provide formative feedback on clinical competencies.

Clinical Phase (OMS III & IV)

Duration: 24 months

Structure:

• Clinical Rotations: Students complete four core required clerkships (Family Medicine, Internal Medicine, Pediatrics, OB/GYN), an Osteopathic Integration Capstone, and electives across specialties like cardiology, emergency medicine, and rural health. Rotations occur at over 75 affiliated hospitals and clinics in eastern Texas.
• Rural Medicine Track: Students complete at least two 4-week rural rotations in clinics and critical access hospitals, gaining hands-on experience in underserved settings. These rotations focus on primary care, addressing conditions prevalent in rural Texas, such as diabetes and hypertension.
• Longitudinal Community Health Experience: Through the SHSU-COM Free Clinic, students serve as care team members under faculty supervision, providing primary care to uninsured patients. This experience reinforces patient-centered care and community engagement, aligning with the school’s mission.

Assessment and Feedback:

• Milestone-based evaluations are aligned with ACGME competencies, ensuring students meet clinical benchmarks.
• Faculty mentors guide individualized learning plans, providing feedback to support professional growth and readiness for residency.

Unique Features

• Rural Health Focus: The curriculum emphasizes rural medicine through dedicated tracks, public health modules, and community-based experiences, preparing students to address healthcare disparities in eastern Texas.
• Interprofessional Education: Collaboration with nursing and allied health students fosters teamwork skills, essential for rural practice where interdisciplinary care is often required.
• Scholarly Activity: Students are encouraged to engage in research, with opportunities to present at conferences like the AOA Research Conference, focusing on topics such as rural health outcomes and osteopathic interventions.

Why the Curriculum Matters for Applicants

SHSU-COM’s curriculum is ideal for students who thrive in hands-on, community-oriented learning environments and are committed to primary care and rural practice. Applicants should highlight experiences that demonstrate their alignment with these values—such as volunteering in rural clinics or engaging in public health initiatives—in their TMDSAS personal statement and supplemental essays. IMA’s admissions consulting can help you craft a narrative that resonates with SHSU-COM’s mission.

Dual & Concurrent Degree Programs

SHSU-COM offers a DO/MPH dual-degree pathway, allowing students to blend clinical practice with public health leadership, a combination that enhances their ability to address community health needs in rural Texas.

Program Structure

• Delivery: MPH coursework is delivered online via SHSU’s College of Health Sciences, providing flexibility for medical students.
• Scheduling: Asynchronous modules allow students to complete MPH requirements during summer breaks and after OMS IV, minimizing disruption to the D.O. curriculum.
• Duration: The MPH can be completed concurrently with the D.O., typically adding 1–2 semesters to the overall timeline, depending on pacing.

Curriculum Highlights

• Core Courses: Biostatistics, epidemiology, health policy, and program planning provide a foundation in public health principles.
• Electives: Students can focus on rural health topics, such as healthcare access or chronic disease prevention in underserved areas.
• Capstone Project: A practice-based project addresses a rural Texas health priority, such as improving maternal health outcomes or reducing opioid misuse, aligning with SHSU-COM’s mission.

Benefits for Students

• Enhanced Skills: Graduates gain expertise in community health assessment, program implementation, and policy advocacy, making them well-equipped to lead public health initiatives in rural settings.
• Residency Advantage: The DO/MPH dual degree provides a competitive edge for residencies in primary care and public health tracks, where skills in population medicine are increasingly valued.
• Career Impact: Graduates are prepared to address systemic health disparities, aligning with SHSU-COM’s goal of improving healthcare access in eastern Texas.

Why Dual Degrees Matter for Applicants

The DO/MPH pathway is ideal for applicants interested in combining clinical practice with public health leadership, particularly in rural contexts. If this aligns with your goals, highlight relevant experiences—such as public health research or community health volunteering—in your application to demonstrate fit. IMA’s global health internships offer hands-on public health experience, which can strengthen your candidacy for this program.

Premedical Coursework

SHSU-COM requires a strong undergraduate foundation to ensure academic preparedness for its rigorous D.O. program. Below is a detailed breakdown of required and recommended coursework, reflecting the school’s commitment to flexibility for diverse applicants.

Required Coursework

• Biology/Zoology: 8 semester hours (with lab)
  • Ensures a foundational understanding of biological systems, critical for anatomy and physiology coursework.
• Organic Chemistry: 8 semester hours (with lab)
  • Prepares students for biochemistry and pharmacology, key components of the pre-clinical curriculum.
• General Chemistry: 8 semester hours (with lab)
  • Builds a foundation in chemical principles, essential for understanding metabolic processes.
• Physics: 8 semester hours (with lab)
  • Provides insights into biomechanics and medical imaging, relevant for clinical practice.
• College English: 6 semester hours
  • Enhances communication skills, vital for patient interactions and professional writing.
• Math/Statistics: 6 semester hours (3 must be statistics)
  • Develops analytical skills, with statistics being crucial for epidemiology and evidence-based medicine.

Recommended Coursework

• Biochemistry: Strongly recommended
  • Enhances understanding of metabolic pathways, preparing students for pre-clinical coursework.
• Genetics: Strongly recommended
  • Provides insights into hereditary diseases, relevant for primary care and rural practice.
• Physiology: Strongly recommended
  • Complements anatomy training, ensuring readiness for organ-system-based learning.

Flexibility and Notes

SHSU-COM accepts online coursework and pass/fail grades for prerequisites, reflecting flexibility for applicants who faced exceptional circumstances, such as disruptions during the COVID-19 pandemic. However, in-person labs are preferred for science courses to ensure hands-on experience. Applicants should verify that their coursework meets SHSU-COM’s standards by consulting with the admissions office or using IMA’s admissions consulting services to review their academic preparation.

Why Premedical Coursework Matters for Applicants

Completing the required and recommended coursework demonstrates your academic readiness for SHSU-COM’s curriculum, particularly its focus on foundational sciences and public health. If you’re missing prerequisites, consider enrolling in a post-baccalaureate program to strengthen your application. Highlighting your academic preparation in your TMDSAS application can position you as a competitive candidate, supported by IMA’s guidance.

Admissions Process

SHSU-COM employs a holistic, mission-driven admissions process to identify applicants who are academically prepared, committed to primary care, and likely to serve rural eastern Texas. Below is a detailed breakdown of the process, timelines, and strategies to succeed.

Primary Application (TMDSAS)

• Service: Texas Medical & Dental Schools Application Service (TMDSAS)
• Opens: May 15, 2025
• Deadline: October 1, 2025 (rolling review begins immediately upon receipt)
• Components:
  • Official academic transcripts from all undergraduate and graduate institutions.
  • Activities and honors section detailing clinical experiences, research, community service, and leadership.
  • Personal statement (5,000 characters) focusing on your motivation for primary care and rural service.
  • Letters of evaluation (up to three; committee or individual letters accepted).
  • Verifiable CASPer & Duet assessments (submitted via Altus Insights), evaluating situational judgment and value alignment.
• IMA Tip: Use your personal statement to tell a compelling story about your connection to rural healthcare, such as volunteering in a rural clinic or growing up in an underserved area. IMA’s essay editing services can help you craft a narrative that resonates with SHSU-COM’s mission.

Supplemental Application (SHSU-COM Portal)

• Invitation: Sent via email upon TMDSAS verification.
• Opens: May 16, 2025
• Deadline: December 1, 2025, at 5:00 PM CST
• Fee: $75 (credit card only; non-refundable, no waivers)
• Components:
  • Demographic and biographic details, including residency status and background information.
  • Secondary essays aligned with SHSU-COM’s mission (e.g., “How will you contribute to primary care in rural Texas?”).
  • Immunization records and background check documentation.
  • Optional diversity statement to highlight unique perspectives or experiences.
• IMA Tip: Tailor your secondary essays to SHSU-COM’s focus on rural practice, emphasizing specific experiences like shadowing a D.O. in a rural setting or participating in IMA’s global health internships.

Holistic Review and Selection Factors

SHSU-COM evaluates applications holistically, considering the following factors:

• Mission Alignment: Demonstrated interest in primary care, rural practice, and serving Texas communities, particularly eastern Texas.
• Academic Metrics: Cumulative and science GPA, upward grade trends, and rigor of coursework (e.g., advanced science electives).
• Standardized Assessments: CASPer and Duet scores assess situational judgment, empathy, and value alignment with SHSU-COM’s mission.
• Clinical Exposure: Shadowing hours (virtual or in-person), volunteer service in healthcare settings, and patient interaction experience.
• Personal Attributes: Communication skills, resilience, cultural sensitivity, and leadership, evaluated through essays, letters, and interviews.
• Diversity Contributions: Backgrounds that enrich the learning environment and address health disparities, such as socioeconomic diversity or ties to rural Texas.

Interview Format

• Options: Offered virtually or in-person, allowing flexibility for applicants.
• Structure:
  • Two One-on-One Interviews (15 minutes each):
    • Traditional interview: Behavioral and verbal questions (e.g., “Why osteopathic medicine?”).
    • Scenario-based interview: Ethical dilemmas and clinical reasoning (e.g., managing a patient in a rural setting).
  • Group Activity & Student-Doctor Led Discussion: A team-based problem-solving exercise to assess collaboration and communication skills.
  • Written Essay Prompt: 300-word response on a primary-care or rural-health topic (e.g., addressing healthcare access in eastern Texas).
• Timing: Interviews are conducted from November 2025 to March 2026, with decisions communicated within two weeks.
• IMA Tip: Prepare for scenario-based questions by practicing ethical cases, and use the essay to showcase your understanding of rural healthcare challenges. IMA’s mock interview services can help you build confidence.

Timeline and Important Dates

• TMDSAS Opens: May 15, 2025
• Supplemental App Released: May 16, 2025
• TMDSAS Deadline: October 1, 2025
• Supplemental App Deadline: December 1, 2025
• Interview Period: November 2025–March 2026
• Admissions Decisions: Rolling, through May 2026
• Matriculation & Orientation: July 22, 2026

Why the Admissions Process Matters for Applicants

SHSU-COM’s holistic review prioritizes mission alignment, making it essential to showcase your commitment to primary care and rural Texas in every application component. Applying early through TMDSAS and preparing thoroughly for CASPer, Duet, and the interview can position you as a competitive candidate. IMA’s admissions consulting can help you navigate this process with personalized guidance.

Application Components & Timeline

Crafting a compelling application for SHSU-COM requires careful attention to each component, from the TMDSAS primary application to the supplemental essays and assessments. Below is a detailed breakdown of the components and timeline.

TMDSAS Primary Application

• Transcripts: Submit official transcripts from all post-secondary institutions, reflecting your academic performance in required and recommended coursework.
• CASPer & Duet Assessments: Complete these Altus Insights assessments, which evaluate situational judgment, empathy, and alignment with SHSU-COM’s values.
• Personal Statement: Write a 5,000-character essay explaining your motivation for osteopathic medicine and interest in SHSU-COM’s mission. Highlight experiences that demonstrate your commitment to primary care and rural Texas.
• Activities and Honors: List clinical experiences, research, community service, and leadership roles, focusing on activities that align with SHSU-COM’s mission.
• Letters of Evaluation: Submit up to three letters (committee or individual), including at least one from a physician (preferably a D.O.) who can attest to your clinical exposure and professionalism.
• IMA Tip: Choose letter writers who know you well and can provide detailed insights. A letter from a D.O. practicing in a rural area can strengthen your application.

Supplemental Application

• Essays: Address prompts related to SHSU-COM’s mission, such as your commitment to rural healthcare or experiences serving underserved communities.
• Diversity Statement: Optional statement to highlight unique perspectives, such as socioeconomic challenges or cultural background.
• Documentation: Provide immunization records and background check documentation to meet matriculation requirements.
• IMA Tip: Use the diversity statement to showcase how your background will contribute to SHSU-COM’s inclusive community, supported by IMA’s essay editing services.

Application Timeline

• May 15, 2025: TMDSAS opens; begin submitting your primary application.
• May 16, 2025: Supplemental application released upon TMDSAS verification.
• October 1, 2025: TMDSAS deadline; submit early to benefit from rolling admissions.
• December 1, 2025: Supplemental application deadline; complete within two weeks of receipt.
• November 2025–March 2026: Interview period; prepare for virtual or in-person interviews.
• Rolling Decisions: Decisions communicated within two weeks of the interview, through May 2026.
• July 22, 2026: Matriculation and orientation for accepted students.

Why Application Components Matter

Each component of your application contributes to a holistic portrait of your readiness for SHSU-COM’s mission-driven program. A cohesive narrative that highlights your academic preparation, clinical exposure, and commitment to rural healthcare can set you apart. IMA’s admissions consulting offers personalized support to ensure your application aligns with SHSU-COM’s values.

Interview Format & Selection Factors

Interview Format

SHSU-COM’s interview day is designed to assess your alignment with the school’s mission, interpersonal skills, and readiness for osteopathic medicine. Offered virtually or in-person, the format includes:

• Two One-on-One Interviews:
  • Traditional: 15-minute behavioral interview (e.g., “Why do you want to serve rural Texas?”).
  • Scenario-Based: 15-minute ethical and clinical reasoning interview (e.g., managing a patient with limited resources).
• Group Activity & Discussion: A team-based problem-solving exercise led by student-doctors, evaluating collaboration and communication.
• Written Essay: 300-word response on a primary-care or rural-health topic, assessing your writing skills and understanding of healthcare challenges.

Selection Factors

• Mission Alignment: Commitment to primary care and rural practice, particularly in eastern Texas, is the top priority.
• Academic Metrics: Strong GPA and coursework rigor demonstrate readiness for the D.O. curriculum.
• CASPer & Duet Scores: High scores indicate empathy, professionalism, and alignment with SHSU-COM’s values.
• Clinical Exposure: Shadowing, volunteering, or working in healthcare settings, especially rural ones, is highly valued.
• Personal Attributes: Resilience, cultural sensitivity, and leadership, assessed through essays, interviews, and letters.
• Diversity Contributions: Unique backgrounds that enhance the learning environment and address health disparities.

Why the Interview Matters for Applicants

The interview is your opportunity to demonstrate your fit with SHSU-COM’s mission and values. Preparing for scenario-based questions and the group activity can showcase your problem-solving and teamwork skills, while the essay allows you to articulate your commitment to rural healthcare. IMA’s mock interview services can help you refine your responses and build confidence.

Tuition, Fees & Financial Aid

SHSU-COM is committed to affordability, making it the most cost-effective D.O. program in the nation. Below is a detailed breakdown of tuition, fees, and financial aid options for the 2025–2026 academic year.

Tuition and Fees

• Tuition:
  • In-State: $26,550
  • Out-of-State: $41,600
• Annual Fees:
  • In-State: $33,840
  • Out-of-State: $34,480
• Health Insurance Fee: $2,193 (mandatory unless waived with proof of coverage)
• Acceptance Deposit: $0
• Additional Deposits: $0
• Included in Fees: Computer rental, health services, student activities, technology access, and library resources.

Estimated Living Expenses

• Housing & Utilities: Varies by off-campus choices (apartments, houses, condos); Conroe’s cost of living is moderate, with one-bedroom apartments averaging $1,000–$1,500 per month.
• Food & Transportation: Approximately $10,000–$12,000 annually, depending on lifestyle and proximity to campus.
• Books & Supplies: Approximately $2,000 per year, covering textbooks, medical equipment, and study materials.

Financial Aid Options

• Loans:
  • Federal Direct Unsubsidized Loans and Grad PLUS Loans cover tuition and living expenses.
  • Alternative private loans are available for additional funding.
• Scholarships & Grants:
  • SHSU-COM Merit Awards: Based on academic excellence and mission alignment, awarded to admitted students.
  • Rural Health Service Scholarships: State-funded for students committing to rural practice post-graduation.
  • External scholarships through the American Association of Colleges of Osteopathic Medicine (AACOM) and specialty organizations.
• Work-Study & Part-Time Employment: Limited opportunities in support roles on campus, such as library assistants or research aides.
• Advising & Workshops: Dedicated financial aid counselors provide budgeting and debt management sessions, helping students plan for a sustainable future.

Average Graduate Debt

The average debt for SHSU-COM graduates is $150,793, significantly lower than the national average for medical school graduates, reflecting the school’s affordability. With 100% of students receiving some form of financial aid, SHSU-COM ensures that cost is not a barrier to pursuing a medical education.

Why Financial Aid Matters for Applicants

SHSU-COM’s affordability and robust financial aid options make it an accessible choice for students from diverse economic backgrounds. Highlighting your eligibility for rural health scholarships or merit awards in your application can demonstrate alignment with the school’s mission. IMA’s financial aid advising can help you navigate scholarship applications and loan options to make your education at SHSU-COM financially feasible.

Tips for Admission Success

Securing admission to SHSU-COM requires a strategic approach that showcases your academic readiness, mission alignment, and personal qualities. Below, International Medical Aid offers expert tips to help you stand out in a competitive applicant pool.

Start Early and Strategically

Begin preparing your application well in advance to ensure all components are polished and submitted early. Build clinical exposure by volunteering or working in rural or community clinics, where you can gain hands-on experience with underserved populations. Engage in public health or service-learning projects, such as organizing health screenings or participating in IMA’s global health internships, to demonstrate your commitment to community health. Starting early allows you to gather meaningful experiences that align with SHSU-COM’s mission, strengthening your application narrative.

Highlight Mission Fit

SHSU-COM prioritizes applicants who demonstrate a genuine commitment to primary care and rural practice in Texas. In your TMDSAS personal statement, supplemental essays, and interview responses, connect your personal experiences to SHSU-COM’s mission. For example, discuss a time you shadowed a D.O. in a rural clinic or volunteered at a free health fair, highlighting how these experiences inspired your career goals. If you have ties to eastern Texas—such as growing up in a rural community or having family in the region—emphasize these connections to show your likelihood of returning to serve.

Excel Academically

Academic excellence is a key factor in SHSU-COM’s holistic review. Aim for a strong science GPA (ideally 3.5 or higher) and demonstrate rigor by taking advanced science courses like biochemistry or genetics. If your GPA is below average, consider enrolling in a post-baccalaureate or master’s program to strengthen your academic record. SHSU-COM accepts online coursework and pass/fail grades, providing flexibility to improve your transcript. IMA’s admissions consulting can help you assess your academic profile and develop a plan to meet SHSU-COM’s expectations.

Prepare for Altus Assessments

SHSU-COM requires CASPer and Duet assessments to evaluate situational judgment, empathy, and value alignment. Practice situational judgment scenarios, such as ethical dilemmas or patient interactions, to prepare for CASPer’s video response format. For Duet, reflect on how your values align with SHSU-COM’s mission, such as a commitment to primary care or cultural sensitivity. Familiarizing yourself with these assessments can improve your performance, showcasing your readiness for medical school.

Craft a Compelling Personal Statement

Your TMDSAS personal statement is your opportunity to tell a cohesive story that reflects resilience, empathy, and dedication to osteopathy. Focus on experiences that highlight your motivation for primary care and rural practice, such as a personal connection to underserved communities or a transformative clinical experience. Use vivid storytelling to illustrate your journey, avoiding generic statements. IMA’s DO School essay consulting services can help you refine your narrative, ensuring it resonates with SHSU-COM’s admissions committee.

Polish Interview Skills

The interview day at SHSU-COM assesses your interpersonal skills and mission fit through one-on-one interviews, a group activity, and a written essay. Conduct mock interviews to practice answering behavioral questions (e.g., “Why do you want to serve rural Texas?”) and scenario-based questions (e.g., managing a patient with limited resources). Prepare to discuss ethical cases and clinical vignettes, demonstrating your problem-solving abilities. IMA’s mock interview services can provide feedback to build your confidence and ensure you make a lasting impression.

Additional Reading

Expand your understanding of medical careers, admissions strategies, and related topics with these curated articles from International Medical Aid:

• What Are the Benefits of Getting a Job in Healthcare?
  Explore the diverse advantages of working in healthcare—from hands-on patient impact to flexible career pathways and opportunities for ongoing professional growth.
• How to Become a Rhodes Scholar
  Learn the step-by-step process for applying to the prestigious Rhodes Scholarship, including tips on preparing a standout application, securing strong references, and crafting a compelling personal statement.
• 5 Questions to Ask a Medical School Admissions Consultant
  Ensure you choose the right advisor by asking these critical questions about their experience, success rates, and approach to guiding you through the medical school application process.
• 8 Tips to Writing an Excellent Diversity Essay
  Discover best practices for showcasing your unique background and perspectives, structuring your essay, and demonstrating how your experiences will enrich the learning environment.
• Is Organic Chemistry Hard?
  Get an honest assessment of the challenges in organic chemistry, along with study strategies, resource recommendations, and mindset tips to help you succeed in this pivotal pre-medical course.
• Nine Reasons Why You Shouldn’t Become a Doctor
  Balance your aspirations with a realistic look at the demands of a medical career—long hours, emotional stress, and financial pressures—to ensure you make an informed decision.
• Career for Food Science & Nutrition Engineering Internships
  Explore internship options in food science and nutrition engineering, learn what skills employers seek, and understand how these experiences can complement a healthcare-focused education.

Leverage Faculty and Mentors

Seek feedback on your application materials from pre-health advisors, faculty, or D.O. mentors who can provide insights into SHSU-COM’s expectations. A letter of evaluation from a D.O. who practices in a rural setting can strongly support your application, as can feedback on your essays and interview responses. Building relationships with mentors can also provide guidance on navigating the admissions process, ensuring your application is competitive.

Stay Organized

Use a structured timeline to track TMDSAS, supplemental application, and interview deadlines. Create a checklist to ensure all components—transcripts, letters, CASPer/Duet scores, and essays—are submitted on time. Applying early (by June or July 2025) takes advantage of SHSU-COM’s rolling admissions process, increasing your chances of securing an interview. IMA’s application strategy sessions can help you stay organized and submit a polished application.

Other Schools of Medicine

While SHSU-COM offers a mission-driven focus on rural primary care and osteopathic principles, it’s wise to explore additional medical schools to compare curriculum structures, clinical opportunities, tuition costs, and campus cultures. Reviewing other DO and MD programs within Texas and nationally can help you identify the environment and resources that best align with your career goals and personal learning style.

• Kentucky College of Osteopathic Medicine (KYCOM)
• East Tennessee State University James H. Quillen College of Medicine
• Thomas F. Frist, Jr. College of Medicine at Belmont University
• University of Texas at Tyler School of Medicine
• Ponce Health Sciences University School of Medicine
• San Juan Bautista School of Medicine
• Texas Tech University Health Sciences Center Paul L. Foster School of Medicine
• Spencer Fox Eccles School of Medicine at the University of Utah
• University of Virginia School of Medicine
• Eastern Virginia Medical School (EVMS)
• Virginia Commonwealth University School of Medicine
• Virginia Tech Carilion School of Medicine
• Medical College of Wisconsin
• Washington State University Elson S. Floyd College of Medicine
• Western Michigan University Homer Stryker M.D. School of Medicine
• Perelman School of Medicine at the University of Pennsylvania
• NYU Grossman School of Medicine (NYU Langone Health)
• Cleveland Clinic Lerner College of Medicine
• Uniformed Services University of the Health Sciences (USUHS)
• University of Kentucky College of Medicine
• Creighton University School of Medicine
• University of Nebraska College of Medicine
• Washington University in St. Louis School of Medicine
• Oakland University William Beaumont School of Medicine
• Wayne State University School of Medicine
• NYU Grossman School of Medicine (NYU Manhattan)
• Touro University California College of Osteopathic Medicine
• University of Massachusetts T.H. Chan School of Medicine
• Columbia University Vagelos College of Physicians and Surgeons
• Idaho College of Osteopathic Medicine
• Tufts University School of Medicine
• University of Louisville School of Medicine
• Michigan State University College of Human Medicine
• University of South Dakota Sanford School of Medicine
• University of Chicago Pritzker School of Medicine
• Carle Illinois College of Medicine
• Northwestern University Feinberg School of Medicine
• Chicago Medical School at Rosalind Franklin University
• Southern Illinois University School of Medicine
• Rush Medical College of Rush University Medical Center
• Central Michigan University College of Medicine
• Geisel School of Medicine at Dartmouth
• University of Minnesota Medical School
• Johns Hopkins School of Medicine
• Oklahoma State University College of Osteopathic Medicine
• University of Oklahoma College of Medicine
• Marshall University Joan C. Edwards School of Medicine
• Warren Alpert Medical School of Brown University
• Georgetown University Medical School
• Yale School of Medicine
• Full List of Medical School Guides

Frequently Asked Questions

Final Thoughts & Next Steps

Sam Houston State University College of Osteopathic Medicine offers a cutting-edge, mission-driven pathway to becoming a primary care physician in Texas’s rural communities. With its affordable tuition, state-of-the-art facilities, and focus on osteopathic principles, SHSU-COM is an ideal choice for students committed to addressing healthcare disparities in eastern Texas. 

By aligning your background and aspirations with SHSU-COM’s emphasis on service, academic excellence, and cultural awareness—and by following the strategic tips outlined in this guide—you can maximize your competitiveness and join the next cohort of Bearkats dedicated to elevating healthcare across the Lone Star State.

Next Steps

• Visit SHSU-COM: Schedule a campus tour or virtual info session to explore the Center for Health Professions and connect with faculty.
• Connect with Current Students: Join Bearkat pre-med groups on social media to gain insights into student life and the application process.
• Finalize Your Application Timeline: Mark all TMDSAS and supplemental deadlines on your calendar to stay organized.
• Begin Essays & Altus Prep: Draft your personal statement and practice for CASPer and Duet assessments to ensure strong performance.
• Secure Letters & Transcripts: Request letters of evaluation and verify your academic records early to avoid delays.

International Medical Aid wishes you every success as you pursue your D.O. degree at SHSU-COM and contribute to improving healthcare for Texans in need. Our admissions consulting and global health internships are here to support you on this transformative journey. Best of luck on your application!