In an unusual arrangement that was described as benefiting both institutions, a for-profit Caribbean medical school has offered Kern Medical Center $35 million over 10 years for nearly exclusive rights to have its students rotate through the county facility.

For the financially struggling country hospital, the money would help improve its medical student program and overall academic mission, said CEO Paul Hensler.

The students, most of whom will be U.S. born, will come from Ross University, located on the Caribbean island of Dominica. Only 29 miles wide and 16 miles long, Dominica lies at the top of the Windward Islands in the West Indies.

The move benefits Ross by securing coveted medical school rotation spots in California, a region that has not offered as many opportunities for offshore schools.

The arrangement needs the approval of the Kern County Board of Supervisors, which will consider the matter on Tuesday. It may raise questions because Caribbean schools have a reputation for attracting Americans who can't get into U.S. medical schools.

Medical students typically spend their first two years on basic science coursework and the last two years in clinical rotations. U.S. schools often have affiliated hospitals where students can do those rotations, without having to pay additional costs.

Most Caribbean schools have no nearby associated hospitals, so they must seek out U.S. teaching hospitals willing to host their students.

KMC already receives about $750,000 per year from a variety of Caribbean schools in exchange for hosting about 100 rotation slots for med students. They also get a handful of students from UCLA, which, like other American medical schools, does not pay for the opportunity.

Medical students observe and participate in clinical care under the supervision of a faculty member or resident. Residents, on the other hand, already are licensed doctors, and are in the process of training in a particular speciality, such as family medicine.

If the KMC proposal is approved, Ross will be given priority for those slots. UCLA students will still be allowed to come, as well as students from other offshore schools with Kern County connections.

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KMC proposes $35 million deal with Caribbean medical school