Pacific Northwest University of Health Sciences College of Osteopathic Medicine is a 4-year DO-granting program that welcomed its first class in 2008. Pacific Northwest University of Health Sciences has a “Recruit-Educate-Return” model that aims to accept applicants from medically underserved areas and educate them with hopes that they will return to practice in those underserved areas. Students are encouraged to take part in preexisting clubs, start their own club, or be involved in the community. PNWU-COM has a preference for applicants from Alaska, Idaho, Montana, Oregon, Washington, or rural/underserved areas. They also have clinical regional sites in Alaska, Idaho, Montana, Oregon, and Washington. PNWU-COM has a confidential system for reporting concerns to ensure that student wellness and related issues are prioritized.