Sam Houston State University College of Osteopathic Medicine (SHSU COM) is Texas's public DO medical school, located in Conroe, TX (its parent university, Sam Houston State, is in Huntsville), in the Piney Woods region of East Texas. Opened in 2020 as part of Texas's initiative to address physician shortages in rural and underserved areas, SHSU COM is the first medical school at SHSU and uses the Texas-specific TMDSAS application system. The school has a strong mission to train physicians who will serve East Texas and rural Texas communities, which face significant primary care shortages.
What makes it different
TMDSAS application (not AACOMAS) — Texas public schools use TMDSAS, making SHSU COM administratively distinct from most DO programs. Approximately 90% of seats are reserved for Texas residents, making this one of the most in-state-focused DO schools in the country. SHSU COM is one of the newest DO schools in the US (opened 2020), with a developing clinical infrastructure and a strong East Texas community health mission; its entering class is now approximately 160 students.
Course & teaching
Integrated curriculum. 4-year DO curriculum with OMM integrated throughout. As a newer Texas public school, SHSU COM is developing its clinical affiliate network in East Texas. Years 1–2 at the Conroe campus; Years 3–4 rotations at hospitals and community health centers across the East Texas Piney Woods region and broader Texas. The rural East Texas clinical environment is central to the training experience.
Research strengths
SHSU COM (DO) has notable research strength in Rural health in East Texas, Osteopathic manipulative medicine, Primary care, Community health disparities, Agricultural and forest worker health.
Interview
SHSU COM (DO) interviews via Traditional faculty and student interview. SHSU COM conducts traditional interviews at its Conroe campus, typically consisting of faculty and student sessions each approximately 30 minutes. The interview day includes a campus tour, program overview, and financial aid presentation. As a Texas public DO school using TMDSAS, interview questions cover osteopathic philosophy, DO shadowing, commitment to East Texas and underserved rural communities, and the applicant's understanding of Texas's unique healthcare challenges. Strong in-state preference means interviews are predominantly with Texas residents, and interviewers probe commitment to rural and underserved Texas communities.
Intake
Approximately 160–165 students per year.
At a glance
Founded in 2020, based in Conroe, TX. Programmes offered: Rural Medicine, Primary Care, Osteopathic Manipulative Medicine, Family Medicine, East Texas Community Health.