The Pikeville College School of Osteopathic Medicine (PCSOM) is the 19th school of osteopathic medicine in the country. The mission of the Pikeville College School of Osteopathic Medicine is to provide men and women with an osteopathic medical education that emphasizes primary care, encourages research, promotes lifelong scholarly activity, and produces graduates who are committed to serving the health care needs of communities in Eastern Kentucky and other Appalachian regions.