The international missions, or the rural missions? Rural missions are handled via the Virginia Rural Health Association (with VCOM having the only student chapter). VRHA participates with RAM missions to rural Virginia (and, I hope, some of the RAM sites in Tennessee), and organize the events without the aide of the school (we convince faculty to come with us, but that's about the extent of school involvement). International missions thus far have been handled through one faculty member's religious mission organization. Eventually, VCOM is supposed to open school-affiliated rotation and mission sites, but this has not yet occured. The Dean loves to advertise the international mission work (but isn't our mandate to provide healthcare to rural and underserved areas in Appalachia?), despite the fact that nothing is currently available to the students through the school itself.