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The West Virginia program offers the chance to start and end at Duke University, where students spend two intensive days learning from Duke students and faculty.  All programs travel to the remote area of Williamson, West Virginia, USA. Williamson is a town of about 3000 inhabitants deep in the beautiful Appalachian mountains. These inhabitants have been devastated by natural disasters and economic hardship. Only recently has the city been protected by a flood wall in response to deadly flooding along the Tug Fork River in 1977 and again in 1984. The local economy is largely fueled by coal mining, an industry that is challenged.  The primary patients are the uninsured and those covered by government poverty programs, including those who are unable to leave their home due to lack of transportation in Southwestern West Virginia and Southeastern Kentucky. Activities will include educational programming with local schools, home visits, health fairs and working at the local clinic.  For their clinical service, students are divided into teams led by trained college graduates (premeds from Duke, Hopkins or similar universities) or faculty. Students learn to facilitate several medical interventions and screenings (measuring height and weight, screening for diabetes, blood pressure, heart rate, pulse oximetry, etc.) and complete an important introductory cultural training.

West Virginia programs visiting Duke University end with presentations and meetings on campus.  This is a great way to enrich the academic portion of a GPSA experience.  However, partnership programs may choose to start and end in West Virginia.