Not all enrollment trends at the University of Missouri-Columbia are down the medical school has increased its class size by one-third this year.

The expansion, to a class of 128 from 96, is aimed at addressing a looming physician shortage created by an aging population. Most of Missouri is considered to have a shortage of health professionals, particularly rural parts of the state. The state needs an additional 367 doctors to accommodate its population, according to Kaiser Family Foundation data.

In 2006, the Association of American Medical Colleges recommended medical schools increase their enrollments by 30 percent in the following decade. The same year, St. Louis University increased the number of first-year students to 175 from 150, making it the largest medical school in the state.

Washington Universitys medical school enrollment has stayed between 120 and 124 students per class. There are no plans to increase the size of the class, which is partly influenced by the number of faculty and available space, according to the dean of admissions.

Mizzou started looking at expanding its class size soon after the 2006 recommendations, said Weldon Webb, an associate dean.

Were the No. 1 provider of practicing physicians in Missouri, so if somebody was going to increase, it should probably be Columbia, he said.

The expansion of the medical school includes a new $42.5 million classroom and laboratory building on the Columbia campus. A clinical campus opened last year in Springfield where some third- and fourth-year students train, aided by a partnership with CoxHealth and Mercy hospitals. About 44 percent of the medical schools students stay in Missouri after graduation, Webb said.

The growth of the medical school contrasts with undergraduate enrollment in Columbia, which dropped by about 14 percent this fall. The incoming class of about 4,000 freshmen is the smallest in nearly 20 years.

Reports of racism and a lack of diversity at Mizzou contributed to the drop in undergraduate enrollment and have also caused troubles for the medical school.

The medical schools credentials are at risk if it doesnt train more minority doctors, according to a 2016 report from the Liaison Committee on Medical Education, the accrediting organization for U.S. medical schools. The committee previously cited the school for its lack of diversity in 2001 and 2008.

The committees most recent recommendations give the school until 2018 to increase the number of black, Hispanic and Native American medical students, among other requirements.

Last year, less than 4 percent of Mizzous medical students belonged to one of the three underrepresented minority groups, according to national data. In the incoming class, 9 percent of students identify as black, Hispanic or Native American, school officials said.

The increased diversity of the incoming class tops St. Louis University, where 7 percent of medical students are in the three minority groups. The accrediting body placed SLUs medical school on a two-year probation in February in part for its problems recruiting and retaining low-income and first-generation students.

Washington Universitys rate of underrepresented minority medical students is 9 percent. University of Missouri-Kansas City has the states most diverse medical student body, with 12 percent.

Ebony Page of St. Louis joined Mizzous class of 2021 because of the medical schools growth and the opportunities to work in underserved communities after graduation, she said.

For me, growing up in the inner city and knowing the health disparities, a lot of it has to do with access to care, said Page, 27. To see the shortage firsthand made it important to go to an institution where it was important to them.

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Mizzou medical school will produce more doctors to address shortage - STLtoday.com