Touro College of Osteopathic Medicine is a 4-year DO-granting program that welcomed its first class in 2007. The location of the TCOM in Harlem and rural Middletown shows their commitment to increasing the number of physicians who practice in underserved communities. They are also focused on increasing underrepresented minorities in medicine. Students at both the Harlem and Middletown campuses are active and involved in their community in a number of ways. TCOM follows a traditional structure of two didactic years followed by two clinical years. They work to create a supportive environment and provide students many ways to get involved in campus organizations.