Designing Clinical Research 2012-2013 Program Application: Fill & Download for Free

In this technocracy dominated era, there's no dearth of technological approaches to improve clinical trial (CT) participation. Ranging from alert systems linked to electronic health records (1) to online registries (2, 3, 4), the usual technology-based suspects have made their appearance on the scene to no avail. For e.g., available free to anyone online, ResearchMatch allows any US resident to register as a potential CT participant (volunteer). Hosted at Vanderbilt University and funded by the NIH, this registry launched in December 2008. Yet >7 years on, its name recognition is limited and <100000 volunteers have signed up (2).Obviously, core of the problem requires a human, not technological, touch. Meantime, the general population gains the bulk of its knowledge about CTs from entertainment fare online or on TV and from news (5, 6, 7, 8). Obviously such sources are more likely to fuel and sustain misconceptions rather than anything remotely close to the truth about CTs. Essentially, the current CT ecosystem woefully under-utilizes two of its foundational pillars,1) Referring physicians and other healthcare providers who lead patients to CTs (9, 10).2) Current and previous CT participants, i.e., potential Patient Advocates.Even more inexplicably, pertinent questions relating to the CT process remain unansweredWhat's the difference between healthcare providers who either do or don't participate in CTs, and between those who either do or don't refer patients to CTs?What are the recruiting strategies used by successful CTs (11, 12, 13)?Why don't organizers of successful CTs routinely record and report their recruiting strategies? Clearly trial funders should mandate their doing so.What level of engagement remains with CT participants after a trial's over? Do trial organizers and their staff stay in touch with them? While volunteers are enrolled in a trial, which can be for several months to even years, do trial organizers develop a rapport with at least their most enthusiastic participants, and teach and encourage them to advocate and recruit newer volunteers on their behalf within their families and communities (14, 15)? Given the current state of affairs, clearly not and yet wouldn't doing so set up a virtuous positively reinforcing cycle leading to cumulatively increasing CT participants? Instead, why is the system set up to recruit and forget once the trial's over? Isn't this an egregious example of re-inventing the wheel every time?~70 years since the 1st double-blind, placebo-controlled randomized CT and with >210,000 ongoing registered CTs across the US and 193 other countries (see figure below from 16), it's scarcely believable but sadly true that such basic issues aren't well-studied nor their lessons freely available for others' benefit (17, 18).Upon reflection, it's only to be expected that an inherently top-down and paternalistic enterprise like human biomedical research would under-utilize Patient Advocates. After all so insular is it that its very basics such as research ethics and regulatory oversight have been developed without seeking and incorporating the input of research volunteers (19), who are more frequently described condescendingly as subjects. Even peer-reviewed literature about woefully lacking CT participation rates is dominated by the voices of biomedical research aficionados. Where are the voices of CT participants? Why don't medical and scientific journals report their perspective, about their experiences and suggestions in their own words? Imbalance couldn't get starker than this (20). When was the last time the US FDA or the NIH convened meetings or town halls specifically inviting volunteer input into the CT process? Never. The current CT world is strikingly insular (21, 22).'Findings concur with previous research suggesting that CT investigators rarely communicate about clinical research outside of specific, study-based recruitment messages, which are often only provided to current patients already familiar with the medical institution...Findings from the current study, however, show that CT teams rarely promote CT research outside of the medical setting or reach out to community organizations to serve as an important conduit between the medical institution ß and hard-to-reach populations...Although investigators rely heavily on local physicians to recruit patients into their studies, there may be limited communication between the investigators and local physicians [37] and between these local doctors and their patients [28].'(8).The funders and fund recipients, i.e., clinical researchers and their support staff working largely in academic medical centers, currently control the process. They hold endless rounds of meetings and write exhaustive white papers and reports filled with earnest recommendations. These current CT stakeholders haven't yet thought to expand their fold and bring into it the ones whose voices perhaps matter the most in CT participation and logistics, patients and volunteers who've participated in CTs, i.e., Patient Advocates. We all know new drugs and therapies can't get approved unless robustly tested on large pools of volunteers, and yet those same volunteers, the very heart of human biomedical research, have no say in how the process could be structured so their ranks stay filled, not depleted.What Factors Deter CT Participation And How They Could Be MitigatedObvious ones are fears about unapproved medications and procedures, i.e., that one could be used as a 'guinea pig', as well as fears of side-effects, and that one could get a placebo instead of Rx due to randomization. Given such fears are likely pervasive among the population at large (23, 24, 25, 26), who could be more persuasive in convincing others to participate in CTs than those who've done so themselves? If previous trial participants aren't doing so, maybe there's something inherently discouraging about the process that urgently needs to be overhauled? While the medical and scientific aspects of CTs are rightfully the purview of clinical researchers and scientists, and should remain so, these patient-centric aspects are areas where Patient Advocates could help reshape the process to encourage others.Studies also suggest local community-based sources of CT information are seen as more trustworthy. These include local doctors, TV and community health centers (7). As well, informal family and community networks, i.e., family and friends, and local church and faith-based organizations (26).Cancer Clinical Trial (CT) Participation Rates Are High In Children Regardless of Race/Ethnicity But Very Low Among Adults. What Accounts For Such A Difference?Poorly envisaged top-down policies often lack mechanisms to enforce their recommendations. In US biomedical research, one of the most prominent examples is the 1993 NIH Revitalization Act that mandates inclusion of racial and ethnic minorities in federally funded biomedical research (27). 23 years on, African Americans and Hispanics represent 12% and 16%, respectively, of the US population and yet constitute only 5% and 1% of CT participants (28) while whites are over-represented (29). Why is this so? Among US CT volunteers, blacks are supposed to mistrust medical research, and language and culture are supposed to be barriers to Hispanic participation while implicit bias among clinical researchers is supposed to disfavor minority participation in CTs. However, a crucial piece of data unerringly rebuts these oft-repeated myths because there's more than adequate participation among children regardless of race/ethnicity compared to dismal rates among adults.In the US, only 3 to 5% of ~10 million adults with cancer participate in CTs (30). However, CT enrollment among <15 years old is anything but dismal. In the US, 60% of cancer patients aged <15 years are enrolled in CTs (31). That's not all. Proportion of minority pediatric cancer patients enrolled in cancer CTs (~10% blacks, ~12% Hispanic) ~matches their proportion in the population (32). This means neither do pediatric minorities systematically lack access to health research nor face systemic bias against CT enrollment. How to explain this huge difference between children and adult CT enrollment rates? What's different about the pediatric CT recruitment process? Undoubtedly, applying what works in recruiting children to CTs would hugely improve adult enrollment rates.Crux Of The Problem: Huge Gap Between Eligible And Actual Adult Clinical Trial (CT) ParticipantsReal gap in adult CT enrollment is ~10X. For e.g., in the US, ~20% of cancer patients are typically eligible to participate (33, 34) but only 3 to 5% of them do so (30). This huge gap between eligible and actual participants is the critical problem needing to be solved. Weakest link in the chain? Extremely poor inclusion of referring physicians and Patient Advocates into the CT recruitment process, i.e., we're back to square one, the need to expand the fold of current CT stakeholders to include patients and volunteers, and their physicians, and seek their input in improving CT participation and logistics. One approach could be to have CT participants access trial-related procedures and services closer to their home rather than exclusively at academic CT sites, which are often far from their homes.Clinical Trial (CT) Location Matters Hugely To CT ParticipantsTravel distance to and lack of transportation to and from the trial site are major barriers in CT participation (35, 36, 37). Even in the US, arguably the wealthiest country in the world and unquestionable global CT leader, many if not most CT volunteers need to drive >1 hour each way to reach a CT site (see figure below from 38).Bibliography1. Embi, Peter J., et al. "Effect of a clinical trial alert system on physician participation in trial recruitment." Archives of Internal Medicine 165.19 (2005): 2272-2277. https://www.researchgate.net/profile/C_Harris/publication/7519692_Effect_of_a_Clinical_Trial_Alert_System_on_Physician_Participation_in_Trial_Recruitment/links/00b7d51e41b31eddbe000000.pdf2. Harris, Paul A., et al. "ResearchMatch: a national registry to recruit volunteers for clinical research." Academic medicine: journal of the Association of American Medical Colleges 87.1 (2012): 66. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3688834/pdf/nihms335956.pdf3. Denicoff, Andrea M., et al. "The National Cancer Institute–American Society of Clinical Oncology Cancer Trial Accrual Symposium: Summary and Recommendations." Journal of Oncology Practice 9.6 (2013): 267-276. Summary and Recommendations4. Tan, Meng H., Matthew Thomas, and Mark P. MacEachern. "Using registries to recruit subjects for clinical trials." Contemporary clinical trials 41 (2015): 31-38.5. Kelch, Robert P. "Maintaining the public trust in clinical research." The New England journal of medicine 346.4 (2002): 285.6. Len-Rios, Maria E., and Qi Qiu. "Negative articles predict clinical trial reluctance." Newspaper Research Journal 28.1 (2007): 24.7. Tanner, Andrea, et al. "Communicating Effectively About Clinical Trials With African American Communities A Comparison of African American and White Information Sources and Needs." Health Promotion Practice (2015): 1524839915621545.8. Tanner, Andrea, et al. "Promoting clinical research to medically underserved communities: Current practices and perceptions about clinical trial recruiting strategies." Contemporary clinical trials 41 (2015): 39-44.9. Baer, Allison R., et al. "Engaging referring physicians in the clinical trial process." Journal of Oncology Practice 8.1 (2012): e8-e10. Engaging Referring Physicians in the Clinical Trial Process10. Robinson, M. Koa, JoAnn U. Tsark, and Kathryn L. Braun. "Increasing primary care physician support for and promotion of cancer clinical trials." Hawai'i Journal of Medicine & Public Health 73.3 (2014): 84. http://www.hjmph.org/HJMPH_Mar14.pdf#page=1211. Lai, Gabriel Y., et al. "Effectiveness of strategies to recruit underrepresented populations into cancer clinical trials." Clinical Trials 3.2 (2006): 133-141. Effectiveness of strategies to recruit underrepresented populations into cancer clinical trials12. Friedman, Daniela B., et al. "How are we communicating about clinical trials?: an assessment of the content and readability of recruitment resources." Contemporary clinical trials 38.2 (2014): 275-283.13. Friedman, Daniela B., et al. "A qualitative study of recruitment barriers, motivators, and community-based strategies for increasing clinical trials participation among rural and urban populations." American Journal of Health Promotion 29.5 (2015): 332-338. https://www.researchgate.net/profile/Caroline_Bergeron2/publication/261137533_A_Qualitative_Study_of_Recruitment_Barriers_Motivators_and_Community-Based_Strategies_for_Increasing_Clinical_Trials_Participation_Among_Rural_and_Urban_Populations/links/54c78b270cf238bb7d0ab8ab.pdf14. Friedman, Daniela B., et al. "Improving our messages about research participation: a community-engaged approach to increasing clinical trial literacy." Clinical Investigation 4.10 (2014): 869-872. http://www.future-science.com/doi/pdf/10.4155/cli.14.8715. Tanner, Andrea, et al. "Barriers to medical research participation as perceived by clinical trial investigators: communicating with rural and African American communities." Journal of health communication 20.1 (2015): 88-96.16. Trends, Charts, and Maps17. Michaels, Margo, et al. "Impact of Primary Care Provider Knowledge, Attitudes, and Beliefs about Cancer Clinical Trials: Implications for Referral, Education and Advocacy." Journal of Cancer Education 30.1 (2015): 152-157.18. Sriphanlop, Pathu, et al. "New York state health care provider participation in clinical trials: a brief report." (2016). http://www.vipoa.org/journals/pdf/9370870213.pdf19. Dresser, Rebecca. "What Subjects Teach: The Everyday Ethics of Human Research." Wake Forest Law Review 50 (2015): 301. What Subjects Teach: The Everyday Ethics of Human Research20. Holzer, Jessica K., Lauren Ellis, and Maria W. Merritt. "Why We Need Community Engagement in Medical Research." Journal of Investigative Medicine 62.6 (2014): 851-855.21. Comis, R. L., et al. "Baseline study of patient accrual onto publicly sponsored US Cancer Clinical Trials: an analysis conducted for the global access project of the National Patient Advocate Foundation." Philadelphia, PA, Coalition of Cancer Cooperative Groups (2006): 1-52.22. Friedman, Daniela B., et al. "What do people really know and think about clinical trials? A comparison of rural and urban communities in the South." Journal of community health 38.4 (2013): 642-651.23. Meropol, Neal J., et al. "Barriers to clinical trial participation as perceived by oncologists and patients." Journal of the National Comprehensive Cancer Network 5.8 (2007): 753-762. Barriers to Clinical Trial Participation as Perceived by Oncologists and Patients24. Weckstein, Douglas J., et al. "Assessment of perceived cost to the patient and other barriers to clinical trial participation." Journal of Oncology Practice 7.5 (2011): 330-333. http://nnecos.org/Resources/Documents/JOP-2011-Weckstein-330-3.pdf25. Fleisher, Linda, et al. "Application of best practice approaches for designing decision support tools: the preparatory education about clinical trials (PRE-ACT) study." Patient education and counseling 96.1 (2014): 63-71. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4171039/pdf/nihms621149.pdf26. Bell, Jennifer AH, and Lynda G. Balneaves. "Cancer patient decision making related to clinical trial participation: an integrative review with implications for patients’ relational autonomy." Supportive Care in Cancer 23.4 (2015): 1169-1196.27. Chen, Moon S., et al. "Twenty years post‐NIH Revitalization Act: Enhancing minority participation in clinical trials (EMPaCT): Laying the groundwork for improving minority clinical trial accrual." Cancer 120.S7 (2014): 1091-1096. Twenty years post-NIH Revitalization Act: Enhancing minority participation in clinical trials (EMPaCT): Laying the groundwork for improving minority clinical trial accrual - Chen - 2014 - Cancer - Wiley Online Library28. Clinical Trials Shed Light on Minority Health. FDA, April 2013. http://www.fda.gov/downloads/ForConsumers/ConsumerUpdates/UCM349488.pdf29. ThinkProgress, Tara Culp-Ressler, April 4, 2014. There Are Too Many White People In Clinical Trials, And It’s A Bigger Problem Than You Think30. Murthy, Vivek H., Harlan M. Krumholz, and Cary P. Gross. "Participation in cancer clinical trials: race-, sex-, and age-based disparities." Jama 291.22 (2004): 2720-2726. https://www.researchgate.net/profile/Cary_Gross2/publication/8520126_Participation_in_Cancer_Clinical_Trials_Race-_Sex-_and_Age-Based_Disparities/links/5471f6ea0cf24af340c3e241.pdf31. Fern, Lorna A., and Jeremy S. Whelan. "Recruitment of adolescents and young adults to cancer clinical trials—international comparisons, barriers, and implications." Seminars in oncology. Vol. 37. No. 2. WB Saunders, 2010.32. Bleyer, W. Archie, et al. "Equal participation of minority patients in US national pediatric cancer clinical trials." Journal of pediatric hematology/oncology 19.5 (1997): 423-427.33. Sateren, Warren B., et al. "How sociodemographics, presence of oncology specialists, and hospital cancer programs affect accrual to cancer treatment trials." Journal of Clinical Oncology 20.8 (2002): 2109-2117.34. Brawley, Otis W. "The study of accrual to clinical trials: Can we learn from studying who enters our studies?." Journal of Clinical Oncology 22.11 (2004): 2039-2040. Can We Learn From Studying Who Enters Our Studies?35. Kanarek, Norma F., et al. "Geographic proximity and racial disparities in cancer clinical trial participation." Journal of the National Comprehensive Cancer Network 8.12 (2010): 1343-1351. Geographic Proximity and Racial Disparities in Cancer Clinical Trial Participation36. Coakley, Meghan, et al. "Dialogues on diversifying clinical trials: successful strategies for engaging women and minorities in clinical trials." Journal of women's health 21.7 (2012): 713-716. http://online.liebertpub.com/doi/pdf/10.1089/jwh.2012.373337. Itty, Tracy Line, Felicia Schanche Hodge, and Fernando Martinez. "Shared and unshared barriers to cancer symptom management among urban and rural American Indians." The Journal of Rural Health 30.2 (2014): 206-213. https://www.researchgate.net/profile/Felicia_Hodge/publication/261289550_Shared_and_Unshared_Barriers_to_Cancer_Symptom_Management_Among_Urban_and_Rural_American_Indians/links/543556e30cf2dc341db0a397.pdf38. Galsky, Matthew D., et al. "Geographic Accessibility to Clinical Trials for Advanced Cancer in the United States." JAMA internal medicine 175.2 (2015): 293-295. Accessibility to US Clinical Trials for CancerThanks for the A2A, Joseph Philleo.

Q. Which medical schools are the cheapest in the US?A2A: Multiple lists (US, private vs public, in-state v. out-of-state, DO vs MD, Caribbean, Europe and worldwide). State residency for acceptance and tuition purposes can be established by property ownership or employment for one year.10 Most Affordable Private Medical Schools (2016)Top 10 Most Affordable Medical Schools - HospitalCareers.com10 Most Affordable Public Medical Schools for In-State Students (2016)10 Least Expensive Public Medical Schools for Out-of-State Students (2011)The 10 Most Affordable Medical Schools in the U.S. (2013)7 Most Affordable Caribbean Medical Schools (2015)5 Cheap Places to Study Medicine in Europe (2015)5 Highly Ranked Medical Schools that Save You Money (2014)10 Most Affordable Private Medical SchoolsEach of these schools charged less than $50,000 for the 2015-2016 school year, U.S. News data show.By Jordan Friedman | Editor March 29, 2016, at 9:00 a.m.Most of the schools that charged the lowest tuition and fees placed in the bottom 25 percent of the U.S. News rankings of Best Medical Schools for research. (DANIELA JOVANOVSKA-HRISTOVSKA/GETTY IMAGES)The U.S. News Short List, separate from our overall rankings, is a regular series that magnifies individual data points in hopes of providing students and parents a way to find which undergraduate or graduate programs excel or have room to grow in specific areas.Medical school is generally a large investment. But at these institutions, you might be able to get an education for a relatively lower price.[Get advice on paying for medical school.]Of the 10 private medical schools that had the lowest tuition and fees in the 2015-2016 academic year, most were ranked in the bottom one-fourth of the 2017 U.S. News Best Medical Schools rankings for research. The Baylor College of Medicine was the only institution on the list to rank among the top 20.These 10 schools charged an average of nearly $42,900 in tuition and fees. The average among all 48 schools that submitted this data to U.S. News in an annual survey was slightly more than $52,500.Columbia University had the highest tuition and fees for 2015-2016, at $61,485, while the Baylor College of Medicine had the lowest, at $31,663.Meanwhile, the No. 1 ranked medical school for research, Harvard University, charged $57,485 in tuition and fees, placing it among the most expensive schools.Top 10 Most Affordable Medical Schools - HospitalCareers.comSeptember 21, 2016U.S. News and World Report releases its yearly rankings of the best colleges and universities, including medical schools, in the country every year since 1983. Over the decades, the rankings become more comprehensive and diverse.Now the publication divides its rankings into sub-categories– best graduate schools, cheapest universities, most expensive colleges, best online programs, etc.Among this year’s list of lists is the “10 Most Affordable Medical Schools,” which not only ranks the schools according to tuition cost, but also cross-references them according their position on other USNAWR lists.The publication reports that public medical school grads who took out loans had an average $167,763 debt in 2014. For private school graduates, the figure rose to $190,053, according to the Association of American Medical Colleges.In other words, the average in-debt med-school grad essentially works their first few years—in residency, before the big bucks start rolling in—to pay back school loans.10. Rocky Vista UniversitySituated in Colorado, The College of Osteopathic Medicine at Rocky Vista University costs $48,578 a year. It comes in last of the most affordable medical schools in the private sector. With 623 students and 62 full-time faculty, they have a .1:1 faculty to student ratio. Most of the graduates go into pathology, pediatrics, or family practice. They don’t rank for best research or primary care, but at least you are close to the Rockies.9. Mayo Medical SchoolThe Mayo Medical School costs $47,440 a year, but ranks #27 for best research institutions and ties #42nd for primary care. Its has only 216 students in the program and with over 3,000 full-time faculty, they have the highest faculty to student ratio at 14.9:1. From early on, students get submersed in different fields through short term, hand-picked classes to gauge their interests. Of all their graduates 70 percent get into their first choice of residency programs. Most graduates go into the fields of anesthesiology, dermatology, surgery, and internal medicine.8. Howard UniversityHoward University’s medical program has “conferred over 25,000 doctoral and professional degrees to scientists and health care professionals, the majority whom are from underrepresented and disadvantaged populations.” The college is historically an African American college and has a rich history and famous Alumni like Pulitzer Prize-winning Author Toni Morrison and former US Supreme Court Justice Thurgood Marshall. Students can expect to pay $46,838 a year for the medical program and be a part of only about 456 other medical students. Most graduates go into the fields of anesthesiology, emergency medicine, and internal medicine.7. Touro College of Osteopathic MedicineWith 545 students and a faculty to student ratio of .04:1, the full-time cost of Touro College of Osteopathic Medicine is $45,950 a year. The school isn’t ranked for best research or primary care, but 91.5 percent of graduates who applied to residency programs got their first choice. Most graduates go into emergency medicine, family practice, and internal medicine.6. Lincoln Memorial UniversityThe Debusk College of Osteopathic Medicine at LMU costs $44,320 and is in Harrogate, TN–which is in the middle of nowhere. Only about 820 students go there and with only 41 full-time faculty, they find themselves with heavy class loads. They don’t rank for research or primary care and most graduates go into emergency medicine, family practice, and internal medicine.5. University of MiamiThe Leonard M. Miller School of Medicine at The University of Miami costs $42,610 per year. It is ranked 45th in research, but doesn’t rank on the list for primary care. With only 803 students, they have one of the better faculty to student ratios yet at 1.7:1. Most graduates go into anesthesiology, dermatology, or internal medicine.4. Edward Via College of Osteopathic MedicineAt $42,500 a year for full-time tuition, Edward Via College, lands on the list at #4. It is another school that doesn’t rank for best schools for research or primary care. With 1,374 students, they have a .1:1 faculty to student ratio. A plus to this school, is that out of all of their graduates, 82.9% who applied to residency programs were admitted to their first choice. Most of them go into anesthesiology, emergency medicine, and family practice.3. University of PikevilleAverage, full time tuition at The University of Pikeville, Kentucky is $40,120 a year. This institution doesn’t rank on the lists for best research or primary care schools. With only 479 students they have a faculty to student ratio of .1:1. Most graduates go into anesthesiology, emergency medicine, and family practice.2. Lake Erie College of Osteopathic MedicineAt $32,510 a year, Lake Erie College of Osteopathic Medicine is the second most inexpensive private college on our list of medical schools. With a student population of 2,241 students, they have a 5:1 faculty to student ratio. They don’t rank in terms of best research institutions, but they come in 57th for primary care institutions. Most students go into family practice, pediatrics, and internal medicine.1. Baylor College of MedicineWith annual tuition and fees set at $31,618 for 2014-2015, Baylor earned top honors as the most affordable medical school in this year’s rankings. Baylor scored well in other categories, too, ranking number 21 on the publication’s list of best medical research institutions, and number 11 on the list of best primary care institutions.By way of comparison, medical students at Columbia University paid the most in tuition and fees among private school students, at $59,063.This year’s list remained mostly the same from last year’s ranking, with Howard University being the only new name in the top 10.10 Most Affordable Public Medical Schools for In-State StudentsThe cost for in-state students to attend one of these medical schools is less than $23,000 a year, U.S. News data show.By Farran Powell | Reporter Aug. 2, 2016, at 9:00 a.m.The University of Texas Southwestern Medical Center was the highest-ranked school on the list in both of the U.S. News Best Medical Schools categories, placing No. 25 for research and No. 22 for primary care. (STEVE DEBENPOR/ GETTY IMAGES)While paying for medical school isn't cheap, attending a public school as an in-state student can help reduce some of the financial burden amid rising tuition costs.For those attending a public medical school as an in-state student, the average tuition price rose by about 4 percent for the 2015-2016 school year compared with the prior year, according to an annual report released by the Association of American Medical Colleges.[Explore the 2016 Best Medical Schools.]But despite the uptick in price, the average cost of attending a medical school as an in-state student compared with going to a private school is much less.Of the 67 public schools that submitted in-state tuition and fees data to U.S. News for the 2015-2016 school year, the average cost was $32,495 per year. That cost is much higher at private medical schools​, where the average price for tuition and fees is $52,515, according to the data submitted by 48 private medical schools to U.S. News in an annual survey.The average cost for tuition and fees among the 10 least expensive medical schools for in-state students was $19,355 per year.[See if you are ready to apply to medical school.]Medical students attending the Texas A&M Health Science Center – which tops the list of least expensive public medical schools for in-state students – received the biggest break, paying $16,432 as state residents. The cost of attending this Central Texas med school is nearly half the in-state average among all public medical schools.Don't see your school in the top 10? Access the U.S. News Medical School Compass to find information on medical school debt, complete rankings and much more. School officials can access historical data and rankings, including of peer institutions, via U.S. News Academic Insights.U.S. News surveyed 170 medical schools for our 2015 survey of research and primary care programs. Schools self-reported myriad data regarding their academic programs and the makeup of their student body, among other areas, making U.S. News' data the most accurate and detailed collection of college facts and figures of its kind. While U.S. News uses much of this survey data to rank schools for our annual Best Medical Schools rankings, the data can also be useful when examined on a smaller scale. U.S. News will now produce lists of data, separate from the overall rankings, meant to provide students and parents a means to find which schools excel, or have room to grow, in specific areas that are important to them. While the data come from the schools themselves, these lists are not related to, and have no influence over, U.S. News' rankings of Best Colleges, Best Graduate Schools or Best Online Programs. The tuition and fees data above are correct as of Aug. 2, 2016.Farran Powell REPORTERFarran Powell is an education reporter at U.S. News, covering paying for college and graduate school. You can follow her on Twitter or email her at [email protected] Least Expensive Public Medical Schools for Out-of-State StudentsWhile in-state options may be cheaper, some medical schools offer deals for students out of state.By Ryan Lytle | Staff Writer Nov. 22, 2011, at 9:00 a.m.U.S. NEWSStudents interested in saving money while attending medical school might be inclined to explore public school options. Although in-state schools may be able to offer more deals for their residents, there are some opportunities to go beyond your home state while keeping within a set budget.Among the 83 public medical programs surveyed annually by U.S. News, 68 reported annual out-of-state tuition and fees data for the 2010-2011 academic year. Overall, medical students attending a public school out of state spent an average of $48,386 annually in tuition and required fees. This is more than the $43,962 price tag students at private medical schools paid on average during the same time period.[Explore the 10 least expensive private medical schools.]While the out-of-state costs may be high at some programs, students can find cheaper alternatives. Among the 10 least expensive public medical school programs for out-of-state students, the average annual cost for tuition and required fees was $31,763. The College of Medicine at Texas A&M Health Science Center is the least expensive public medical school for out-of-state students, with an annual cost of $26,682—more than $20,000 less than the national average. Texas schools were well represented, with the Lone Star State fielding the top six least expensive public programs. Highly ranked students sometimes are offered “scholarships” by way of in-state tuition.The F. Edward Hebert School of Medicine at Uniformed Services University of the Health Sciences, a federal service postgraduate academy that charges $0 in tuition and fees in return for military service, was excluded from this list, as were schools designated as Unranked by U.S. News.Don't see your school in the top 10? Access the U.S. News Medical School Compass to find tuition data, residency statistics, and much more.U.S. News surveyed more than 140 medical schools for our 2010 survey of research and primary care programs. Schools self-reported a myriad of data regarding their academic programs and the makeup of their student body, among other areas, making U.S. News's data the most accurate and detailed collection of college facts and figures of its kind. While the data comes from the schools themselves, these lists have no influence over U.S. News's rankings of Best Colleges or Best Graduate Schools.The 10 Most Affordable Medical Schools in the U.S.Published on November 4, 2013 at 9:58 am by DAVID NIXON in ListsMost affordable medical schools: Wonder which are the most affordable medical schools in the US? College nowadays is a rather expensive endeavor for most students in the US. Medical schools are no exception, as they rank as some of the most costly colleges in the nation. On average, a first-year medical student will spend almost $50,000 for tuition and fees, according to 2012-2013 data. But you should not let this overwhelming price tag dwindle your hopes of becoming doctor, as there are cheaper alternatives one can choose.We would like to present you with a list we have compiled of the top 10 most affordable medical schools in the US. The following colleges represent the cheapest option for attending quality courses and obtaining a medical degree. Well, aside from obtaining a scholarship. On average, students who enroll in one of the following medical schools pay 10,000 less than their counterparts who choose one of the more expensive options. The Baylor College of Medicine in Texas, which emerged as the number one most affordable medical school in the US has a tuition that amounts, along with other fees, to a little over $30,000. That’s $20,000 than the national average.The figures used in ranking the following ten medical schools were taken from the yearly statistics released by US News. All figures are accurate as of June 30, 2013. It is important to note that college life does incur other costs, apart from tuition and fees, such as accommodation or educational material costs, which are not taken into account in our countdown. Consequently, the real cost of studying at one of the following medical schools amounts to more.Let’s take a look at the countdown, in a style similar to our coverage of America’s most expensive med schools.Note: this countdown takes into account only private medical schools in US. In addition, medical schools that do not meet the ranking criteria of US News are not considered for the purposes of this countdown.No. 10: Medical College of Wisconsin2012-2013 tuition & fees: $45,179No. 9: Wake Forest University School of Medicine2012-2013 tuition & fees: $44,696No. 8: Mercer University School of Medicine2012-2013 tuition & fees: $41,757No. 7: University of Miami Miller School of Medicine2012-2013 tuition & fees: $41,415No. 6: Edward Via College of Osteopathic Medicine2012-2013 tuition & fees: $39,530No. 5: Lincoln Memorial University – DeBusk College of Osteopathic Medicine2012-2013 tuition & fees: $39,245No. 4: University of Pikeville – Kentucky College of Osteopathic Medicine2012-2013 tuition & fees: $37,450No. 3: Mayo Medical School2012-2013 tuition & fees: $35,960No. 2: Lake Erie College of Osteopathic Medicine2012-2013 tuition & fees: $30,887No. 1: Baylor College of Medicine2012-2013 tuition & fees: $30,0687 Most Affordable Caribbean Medical SchoolsPublished on August 18, 2015 at 8:36 am by ADDISON NINOSearching for most affordable Caribbean medical schools can be a bit off for some people because they just cannot think about the possible reason why people would actually choose to study medicine in the Caribbean. Granted that it is hard to find the most affordable medical schools right now so why not check out a place like the Caribbean for possible school prospects?The Caribbean is often referred to by a lot of people as paradise with more than a lot of its tourists declaring that someday, they would like to retire there because of its own unique culture and the immense beauty. At the same time, it can be easier or sometimes harder for the students who are studying there because they are surrounded by the beauty of nature. Sometimes it is therapeutic but sometimes it makes people want to forget what they are there for.LalithHerath/Shutterstock.comStill, considering the amount of money that people would have to spend not only on the tuition fees of the schools that they would visit but also their accommodations and other things that they need to survive, it can be a bit complicated to choose a school from the US or in Europe wherein the prices are just so high. The accommodations are priced high as well.It may come as a surprise to a lot of people that the most affordable Caribbean medical schools are known to provide some of the best graduates in the medical field who have proceeded in making a name for themselves or making a mark in this world through the things that they have contributed. The facilities that the Caribbean medical schools can offer are great too. Here are some of the most affordable schools to consider.7. Caribbean Medical University -$16,000 per yearThis is also known as CMU and its location is on the island of Curacao. There are a lot of students from the USA who prefer this school over all the rest because it uses the curriculum of the US in implementing its education. This school boasts facilities that can be very beneficial for students who are studying.6. Spartan Health Sciences University – $13,000 per yearThis university is fondly called Spartan for short. This has been available since the 1980s. For the best medical schools, this is known to be one of the best that can be found in the Caribbean which explains why it is one of the most sought after medical schools there. This university also offers a variety of things such as courses for pre-med, med and even graduate school studies.5. St. James School of Medicine – $11,000 per yearOne of the things that make St. James School of Medicine unique is the fact that it has three establishments that can be found in the Caribbean alone. The schools are located on separate islands. Since the year 2001, it has managed to keep its population under control with about 1000 students all in all. This school accepts students from USA and Canada and is one of the most affordable Caribbean medical schools.4. American International Medical University – $15,000 per yearThis is a school located in St. Lucia of the Caribbean. Aside from its well known inexpensive rates as compared to other medical schools, it is also known to provide a high academic success rate. Almost all of its students are able to finish their education here and become highly skilled in their professions. Students can study here for almost 6 years.3. Windsor University School of Medicine – $9,980 per yearProbably the main reason why this medical school is popular is because of its size. It is known to be one of the largest medical schools in the Caribbean. It is also able to offer various programs to undergraduates and even graduates who would like to perfect their craft. It also has various programs that can let students go back to some of its partners in the United States.2. The University of Science, Arts, and Technology (USAT) – $9,800 per yearWhat makes this university quaint is the fact that it is located in an island, the Island of Montserrat. The school prides itself in being able to produce a lot of doctors who were able to make it to the list of some of the best doctors in the United States. Rotations can be done both in the Caribbean and in the United States as well.1. Atlantic University School of Medicine – $8,000 per yearThis is known to be one of the best medical schools that students can attend in the Caribbean. Aside from the fact that it can give the type of education that medical students need in order to make it big in the field of medicine, this is also known to be the most affordable. There are various programs that are available that can be checked out.5 Cheap Places to Study Medicine in Europe28th April 2016 Posted by: Tom HaguesGOING to university isn’t exactly the cheapest of choices, especially not when you do a medicine course and you’re studying all the ins and outs for the best part of a decade. However, as is always the case with any course and university, there are cheaper destinations for prospective doctors to go and learn the skills they need to become fully qualified. Here’s a rundown of the top five.1. POLANDHome to interesting beetroot dishes and hardy drinking spirits, Poland offers comparatively cheap medicine courses that are popular – proven by the fact that each year, medicine schools in Poland see an intake of students from USA, Scandinavian countries and Saudi Arabia, among many others. Students flock here because they’ll be given a very comprehensive, well-regarded medical education, but will pay considerably less than if they were studying in Western Europe, Australia or North America. The degrees offered by Polish universities are recognised world-wide and the institutions often work with others around the globe. A good place to start would be the Poznan University of Medical Sciences, where one of the doctors who performed the first full face transplant studied.2. SWEDENSweden operates a free university system for EU students and has recently introduced fees for students outside of the European Union. So, for European students, it doesn’t really get much cheaper than that (although it’s best to check with the university you’re applying to in case its policy is different for medicine). What’s more, Sweden’s education system is one of the most impressive in the world, so your medical degree will have been earned in an institution like no other. The normal fees for things like text books, equipment and lodgings still apply, but that seems like small fry when you consider what you’re getting value-for-money-wise. Why not take a look at the medicine faculty at this university and see what you think?3. GERMANYPut your wallet away: Germany’s medical courses are free. This makes it one of the best places to go if you’re studying on a shoestring budget and can’t afford to roll out the big cheques for each semester. Instead, you can happily chug along, safe in the knowledge that you’re getting a fantastic, world-class education from one of the most intellectually rigorous countries on the planet. Beware, however, as a very good knowledge of the German language will probably be required and you’ll have to pass a series of preliminary tests to get onto the course where these linguistic abilities will keep you in good stead. Here is one of the best places to study medicine in Germany.4. ITALYTuition fees for Italian medical courses are lower than those in the UK and the US, but aren’t necessarily the cheapest when compared to Germany or Sweden. However, the relatively low cost of living in Italy (depending on where you are in the country) more than makes up for it and the courses aren’t impossible to get on to; there’s an admissions exam for most courses but the system isn’t as rigorous as other nations in Western Europe.5. BELGIUMQuiet, unassuming Belgium is often overlooked when it comes to finding your dream European destination for studying, but that needn’t be the case. The prices for medical degrees vary wildly depending on the university and where you’re travelling from, but for an EU student the cost is usually around 800 Euros for the year. This is great news for European students, but those coming from America or Australia might have to check that the prices aren’t inflated too much for them. However, it’ll be worth it because Belgium is home to some exciting medical institutions and the country is a beautiful destination to spend a duration of a tough medical course. A good place to start would be the University of Antwerp – located in a beautiful city, it is a well-regarded institution.Want to go somewhere top-notch for your medicine degree? Check out these highly ranked medical schools that save you money.5 Highly Ranked Medical Schools that Save You Money27th October 2015 Posted by: Amy MurnanAS aspiring medical students around the world work on their university applications, the Times World University Rankings will undoubtedly receive a hefty amount of online hits. Why? Because this week, they released a ranking specifically for Clinical, Pre-Clinical and Health subjects. In other words, the Holy Grail of future doctors.Of course, the results are no surprise. Oxford, Cambridge, Harvard, Berkeley... all got a spot in the top five. You don’t need to be told (yet again) how great, or how expensive, those medical schools are. And, with United States medical tuition being the most expensive in the world, the ranking isn’t entirely helpful for students who can’t afford to pay around 50,000 USD each year.But, believe it or not, there are a few universities on the table that don’t have such off-putting fees.They are highly respected for their medical teaching, but often get overlooked when compared to the hallowed heavyweights that make up the Ivy League. We want to shine the spotlight on some of the schools that are just as capable, but perhaps less internationally well-known (read: a bit less pricey) than their peers.Erasmus University Rotterdam, the NetherlandsErasmus University Rotterdam’s medical department is ranked the best in the Netherlands. Now, the Netherlands may be a small country, but it has so many good universities for international students that this truly is saying something. Ranked 36th by the Times, it beats Utrecht, Leiden and the University of Amsterdam – schools that out-compete Erasmus on the general Times World University Rankings. Tuition fees in the Netherlands are also much cheaper than places like the UK and US, even for international students. See our list of 9 other reasons to study there.University of Glasgow, UKThe city of Glasgow might have you thinking of cold, urban streets, but actually the University of Glasgow is one of the oldest and most prestigious medical schools in the English-speaking world. The original university was founded in 1451, and its graduates include historical names like Joseph Lister, who introduced antiseptic surgery and sterile conditions in hospitals. Now, Glasgow’s medical school is one of the biggest in Europe, and is ranked 47th in the world. Lucky Scottish nationals only pay 1,820 GBP per year (international students are, unfortunately, not so lucky).Autonomous University of Barcelona, SpainIn joint 67th place is the Autonomous University of Barcelona (UAB). UAB is ranked as the best university in Spain, and has a medicine department to match. The school has access to three Health Research Institutes, and an emphasis on biotechnology and innovation. UAB also encourages exchange students and mobility programmes, having over 2,000 international students. The only downside is that it is recommended students know Spanish and English for the medical degree. But, as Spain is one of the cheapest study destinations in Europe, it’s perfect for Spanish-speakers.Sungkyunkwan University, South KoreaYou may not have heard the name, but South Korea’s Sungkyunkwan University is one of the oldest and most popular universities in Asia. Established in 1389, Sungkyunkwan has had plenty of time to make its reputation in medical teaching and now has 460 full-time faculty staff in the department. Though South Korea mainly attracts students from China, Mongolia and Japan, the government recently announced that they aim to have 200,000 international students in the country by 2023. The country itself is highly modern with plenty of English speakers, too. So, if you like the sound of a Top 100 medical degree that costs less than 4,000 GBP per year, it’s worth checking out.15 jobs you can do with a degree in medicine14th July 2014DID your parents make you study medicine even though you can't stand the sight of blood? Are you half-way through your medical degree and wondering why you ever dreamed of being a doctor? Or maybe you've graduated and can't find a job. Whatever your situation, there is a huge range of alternatives to traditional medical careers, not only in the health profession but in other sectors such as education, research, technical work and the media. Here are just a few roles open to medical graduates.1. Public Health WorkerPublic health is about protecting and promoting the health of the general population through . You might work on preventing the spread of infectious diseases or environmental health hazards, or you could be involved in strategies to improve efficiency, effectiveness and accountability of your health service.2. Health JournalistJournalism is a hugely competitive field, but those with scientific credentials and experience have the edge over the vast majority of journalists who come mostly from an arts or social sciences backgrounds. Some medics undertake this as an addition, rather than an alternative to their clinical work. Keep in mind that you may need to gain extra qualifications (albeit on a short training course) or experience in order to kickstart a successful journalism career.3. Medical TeacherMedical education could range from supporting trainee medical students or doctors, to educating the public, be it in your home country or abroad. This could be the right choice for you if you want to make an impact on educating a large number of people.4. Clinical Forensic Medical ExaminerAn interesting route to take if you have completed training as a doctor. The role of a forensic medical examiner is to deal with examining the living. Forensic pathologists are trained to carry out medical examinations on the dead.5. Crowd DoctorThis is a great career path for those who gain fulfillment from being able to help others as a doctor, but who perhaps don’t want to work in a clinical hospital environment. Crowd doctors provide medical cover to people attending large events taking place in stadiums and outdoor festivals.6. Medical PhotographerA career which will allow you to apply both your creativity and medical skills. Medical photographers use photography as well as video for both patient care as well as general information and marketing for health publications.7. Medical/ Pharmaceutical ResearcherThe medical research field is a dynamic one which is constantly developing. Medical researchers work by conducting experiments and analysing results to learn more about the human body and potential treatments. This could mean working in the pharmaceutical industry, academia, hospital labs, research institutes or medical research charities.8. Sports and Exercise MedicineSports and Exercise Medicine (SEM) is a newly recognised medical specialty. It is concerned with dealing with medical conditions and injury in people such as athletes who strongly participate in physical activity.9. Volunteer WorkMedicine is and has for a very long time been considered vital in improving the health of people living in less fortunate circumstances or in developing countries. There are many overseas opportunities in voluntary work available for qualified doctors.10. Medical Sales RepresentativeIf the dynamic and target-driven world of sales appeals to you, working as a medical sales representative could be for you. The role involves acting as the associate between health care professionals and the pharmaceutical industry.11. Medical Legal AdvisorMedical Legal Advisors are responsible for managing cases in an area of their expertise. They may often be required to attend court trials, as well as hold lectures, run workshops and write articles.12. Occupational PhysicianIf helping people who have had a medical accident or illness to stay at work, or return to work is something which interests you, this could be your ideal job. The role may also involve providing health advice, education or training to organisations and individuals to prevent injuries and ensure high standards of health and safety at work.13. Transplant CoordinatorThese professionals coordinate activities related to organ donation and transplantation. They liaise with medical, paramedical and non-medical personnel and may be involved in various stages of the process, from meeting with donors and recipients to post-surgical care and follow-up. The role tends to involve both administrative and medical tasks.14. Radiology/Diagnostic Imaging DirectorA radiology/diagnostic imaging director is in charge of keeping on top of medical imaging programs such as x-rays, CT scans, ultrasounds and MRIs. Their role is to ensure that the correct professional standards are met.15. Investment bankerInvestment banks help companies obtain funds and offer advice on mergers, acquisitions and equity research. As a healthcare equity research analyst, you could use your medical background to give advice on parts of the health industry such as biotech companies.

The answer is right here is Quora. Updated 2016. Healthcare startups can be subclassifed into 10 - 12 categories.Doctor Networking & engagementDoctors Discovery Platform / AggregatorsE-commerce /Pharmacy DeliveryPatient Education/Awareness/ NetworkPersonalized Health & Lifestyle servicesConsultation & Appointment/Practice managementHealth Record, Data & Claims ManagementDevices /Tech/ GenomicsHome -healthcareSpecialty-care/Focused CareContent/ OutsourcingList of Startups1.Doctor Networking & engagement: These startups engage Doctors in closed groups (more in lines of a vertical social network). The platforms / products are usually free from Doctors, the revenue is derived mainly from Pharmaceutical industry by e-detailing and market research.DailyRounds > dailyrounds.org - Largest Academic Doctors network with 250,000+ Doctors. Largest Doctor network in India and one of the largest in the world. Doctors share cases and get full access to drugs & ECG database , calculators and guidelines. Backed by Accel Partners, Kae Capital , Beenos & more. Based out of Bangalore. DailyRounds is a social network/medical journal for doctors founded in 2013 by three member team of Doctor, Engineer & Developer.Curofy > curofy.com - Linkedin kind of Doctors networking. Funded By RoundGlass Partner.Based Out of Delhi/NCR region. Have user base over 60,000 Doctors.Docplexus> docplexus.in - Web based discussion forum for Doctors. Verified Doctors can discuss about practice related issues, non medical issues etc. Based out of Pune. Docplexus is an online platform for doctors where they can communicate with peers and other healthcare service providers.Buzz4Health > http://buzz4health.com/ Platform for Doctors for Continuous Medical Education. Based out of Delhi.PlexusMD > PlexusMD.com Based out of Ahmedabad, PlexusMD is designed for doctors, by doctors with custom features to provide you with relevant information,Share updates and opportunities to Drive professional growth.2.Doctors Discovery Platform / Aggregators :Practo > practo.comBased out of Bangalore, help you find the right doctors for your problems, and help doctors digitize their practice. . Have raised $ 124M in 3 Rounds from 7 Investors. Also have done 4 acquisition since founding in 2008. Now have presence in 5 countries, Singapore, Indonesia, Phillipines, Brazil & India.CrediHealth > CrediHealth.com Based out of Gurgaon. Provides a way to learn about your health and get trustworthy health information at your time of need. Help people to compare and select from a comprehensive database of hospitals, doctors and treatments.Lybrate > lybrate.comFounded by Ex-Facebook Employee Saurabh Arora in 2013, an innovative online and mobile-based platform that connects patients and doctors. Based out of New Delhi It have raised $11.43M in 2 Rounds from 3 Investors.Medikoe > https://www.medikoe.com/ Based out of Bangalore, Provides you discovery of services which are personally verified and can be trustedLivehealth > https://livehealth.in/ Based out of Pune, an end-to-end collaborative report management solution. We help you get your medical reports instantly from various healthZoctr > https://www.zoctr.com/ Based out of Mumbai, provides a comprehensive portfolio of home based medical services including long term Intensive Care, Chronic Care & Wellness, Corporate Wellness and Health Check-up programs and other subscription based value added services such as Teleconsulting, Home Laboratory Pick-ups, Home/Online Pharmacy and Emergency Management Support to its customers .Have raised $1M in 3 Rounds from 4 Investors since 2013.PS Take Care> https://pstakecare.com/ Based out of Mumbai ,PSTakeCare is a comprehensive surgery care platform which takes end to end care of patients during their entire surgical journey. Recently, Portea Medical Acquired a majority stake in it.3.E-commerce /Pharmacy Delivery :===================1MG > https://www.1mg.com/1mg (formerly Healthkart Plus) is an online pharmacy network and generic medicine engine. It enables users to find information about medicines prescribed by doctors and also buy them. Users can find drugs by ailments, class, companies, and brands. Launched by Sameer Maheshwari and Prashant Tandon in 2012 and its operations are headquartered in Gurgaon, India. It have raised $22M in 3 Rounds from 5 Investors .NetMeds > http://www.netmeds.com/ Brought to you by the Dadha & Company – one of India’s most trusted pharmacies, with over 100 years’ experience in dispensing quality medicines. Based out of Chennai, it have raised: $50M in 1 Round from 1 Investor.Practo > practo.com Have recently forayed into pharma/medicine delivery in Bangalore and other citiesSpeed Medicine > http://www.speedmedicine.com/home.aspx Based out of Kolkata pharmaceutical partner dedicated towards simplifying your medication needs and ensuring faster and reliable health services.4.Patient Education/Awareness/ Network:Noora Health > http://www.noorahealth.org/Noora Health is an online platform that offers training and information to caregivers and patients after surgeries. Based out of Stanford, California and Bangalore was recently judged as one of the top innovative healthcare organisation in world by FastCompany.SocialBlood > http://socialblood.org/ Quickest way to find blood donor based on facebook platform.Tinysteps > https://www.tinystep.in/ Indias Largest Parenting Network provides networking and info sharing on baby care.Parentlane > http://www.parentlane.com/ Parentlane, is a social parenting platform empowering parents by delivering personalized, timely assistance to raise smart & healthy kids! . Based out of Bangalore, it is backed by CloudNine Hospital Founders.M urgency > http://www.murgency.com/MUrgency - One Global Emergency Response Network (On Mobile Phones). Winner of 3 startup awards in 2016.5.Personalized Health & Lifestyle services:GOQI > http://goqii.com/in-engGOQii is headquartered in California with offices in Mumbai and Shenzhen. It is dedicated to enabling a permanent shift to a healthier lifestyle with the combination of advanced wearable technology, the world's leading experts, coaches and karma. GOQii focuses on sustained engagement & goal reinforcement and offers a complete ecosystem as a single integrated solution, which is a powerful combination of technology and human connection. Have raised Total Equity Funding $13.4M in 6 Rounds from 7 Investors since 2014, and one of the healthcare startup with personal investment from Ratan TataHealthifyme > http://healthifyme.com/HealthifyMe is an application that allows its users to achieve their fitness and weight loss goals from their computers and smartphones. Based out of bangalore, it has raised $6M in 3 Rounds from 9 Investors since inception in 2012.JANA CARE > http://www.janacare.com/ Jana Care works to reverse “diabesity”, the twin epidemic of diabetes and obesity, by embedding mobile technology with diagnostics and proven behaviour change science. Based out of Newton, Massachusetts and Bangalore, the team combines experience in engineering, design, medicine and behavioural sciences.LifeinControl > http://www.lifeincontrol.com/ Based out of Hyderabad, it’s a mobile companion for Diabetes management.GoAktive > http://www.goaktive.com/ is an tech platform that gamifies wellness and fitness and conducts boot camps for its users. Founded in 2015.CureFit > Building the future of healthcare in India .Based out of Bangalore and promoted by Mukesh Bansal of Flipkart fame & funded by Accel, IDG & Kalaari Capital to the tune of $15 Million, Curefit will be an innovative combination of engagement, coaching and delivery through a combination of online and offline channels. To know more one have to decipher the secret code here> http://www.curefit.com/Cipher_and_Key.zip6.Consultation/ Appointment/ Practice management: These are the startup which are leveraging technology to connect doctor and patient in an efficient and effective way.DocsAPP > https://www.docsapp.in/Based out of Bangalore , DocsApp provides Instant and Private consultations from top experienced MD qualified Doctors on the mobile in India within 30 Min!. No need of appointment booking, travelling through heavy traffic and waiting at clinic for the doctor anymore! . Have raised $1.2M in 1 Round from 2 Investors since 2013.Lybrate > https://www.lybrate.com/Practo > practo.comDoctorInsta > https://www.doctorinsta.com/India's 1st Video Medicine Company where One can consult Care-Givers anytime, anywhere.Based out of gurgaon, have raised $3M in 2 Rounds from 3 Investors.Medfixit > http://www.medifixit.com/Zeros > https://www.zeros.co.in/E-Clinic24/7 > https://www.eclinic247.com/Welcome Care (Alternate Medicine) > welcomecure.comSeeDoc > seedoc.co SeeDoc combines advanced video, voice, mobile, and artificial intelligence with the medical knowledge and experience of India's leading Doctors. Based out of Gurgaon, Haryana.Ray Care > http://raycare.co/e-vaidya > https://www.evaidya.comS10 health > https://www.s10health.com/7.Health Record, Data & Claims Management: These cater to the enterprise as well as consumer segment to streamline the data flow across stakeholders in a secure ,easy to use way.Practo Ray > Practo.com Doctors use Practo Ray a SaaS software to manage their practiceeKincare > ekincare.com Based out of hyderabad , empowers you to take charge of your health by enabling you to monitor critical medical info and make it available anywhere.Docengage > docengage.in a comprehensive Healthcare Platform that empowers care providers to manage care life cycle end to end.Praxify > https://praxify.com/ Based out of pune, streamlines clinician's workflow and works seamlessly across various mobile devices to enable right set of information aggregation at the point-of-care, thus improving physician productivity.MocDoc > http://mocdoc.in/ Based out of chennai, it is a single comprehensive solution for Hospital & clinic management.Mediassist > https://www.medibuddy.in/ Promoted by Medi Assist TPA , empowers every retail policy holder to take full charge of their health benefit management and give them access to various self-help features.8.Devices /Tech/ Genomics: These are Product based Startup catering to areas of Medical devices/equipments , New diagnostic technology etc.Satva Medtech > http://sattvamedtech.com Based out of bangalore, focussing on child and maternal healthcare.Axio Bio Solutions > http://www.axiobio.com/ Funded by Accel and IDG it provides blood cloting/ wound managment Dressing products.Medgenome > medgenome.com genomics-driven research and diagnostics company with a mission to improve global health by decoding the genetic information contained in an individual’s genome.Relisys Medical Devices > www.relisysmedicaldevice.com Focuses on Cardiovascular device manufacturers in India.9.Home -healthcare: Provides Healthcare services at the door step ranging from sample collection to long term care.Health Care at Home > http://www.healthcareathomeindia.com/Nightingales > nightingales.inIHHC > http://www.indiahomehealthcare.com/Portea > portemedical.comCare24 > https://care24.co.in/Zozz > https://www.zozz.co/Life Circle Health Services > https://www.lifecircle.in/Healers at Home > http://www.healersathome.com/10.Specialty-care/Focused Care:Swasth India) > http://www.swasthindia.in/ Dedicated to make detection and treatment of cancer in India more convenient, affordable and trustworthy. Ratan Tata have invested in personal capacity in this venture.M urgency > http://www.murgency.com/ Focused in Emergency carePress Red > http://www.press.red/ Hyperlocal Directory to find right healthcare provider . Based out of bangalore32teeths > http://32teeths.com/ ( Innovating in Dental care Space)AdressHealth (Paediatric/ Child Health) > http://www.addresshealth.in/web/ Vision of making the pediatric primary care continuum possible. With integrated child health clinics as a base to reach out to schools, pre-schools and residential groups, runs Child Health Clinics in Bangalore, and reaches out to numerous schools and pre-schools through a carefully orchestrated School Health Programme.Diabeto (diabetes) > http://www.diabe.to/ A combination of Hardware and software tool to mange diabetesMydentist > https://www.mydentist.co.in/Cloud9 > cloudninecare.com (Maternity & Child Health)Eye-Q Hospitals> https://www.eyeqindia.com/ ,( Eye- care)Centre for Sight > www.centreforsight.net/ ( Eye- care)Clove Dental > www.clovedental.in/ (Dental care)Bourn Hall Clinic > www.bournhall-clinic.in/ (IVF)Simple Therapy > https://www.simpletherapy.com/ (Pain Management)11. Content & Databases:Mobile health content > www.mdhil.comWeb health content> www.medindia.netIndia Drug Index - Drug Databases with offline access > Offline Drug Dictionary - IDI - Android Apps on Google PlayDisclaimer - I am associated with Daily Rounds.If have suggestions/additions please edit and add.