University of Notre Dame in South Bend and with its old rival, Purdue. About a dozen students at both Notre Dame and Purdue were allowed to complete the first two years at their regional campuses before transferring to Indianapolis. In 1971, the state legislature established a statewide system for medical education, and five other first-year training sites were added throughout the state by 1981 at IU Northwest in Gary, Indiana University–Purdue University Fort Wayne, Ball State University in Muncie, Indiana State University in Terre Haute, and at a joint venture of the University of Evansville and the University of Southern Indiana in Evansville. By 1990 all regional campuses were able to provide the first two years of education before Indianapolis transfer. Faced with another call for more physicians in the early 2000s, all campuses offered full four-year programs by 2014, allowing students to complete their degrees at a regional campus without transfer to Indianapolis. In August 2021, IUSM–Bloomington, along with IU Health Bloomington Hospital in December, moved into the newly-built Regional Academic Health Center (RAHC), making it one of two regional campuses to be located in a hospital or on hospital property. The other campus is IUSM–Muncie, which is located on Ball Memorial Hospital property. Also located in the RAHC are the Bloomington campuses of the IU School of Nursing and the IU School of Social Work, as well as the IU Bloomington Department of Speech, Language, and Hearing Pathology. On October 19, 2022, IUSM–Indianapolis broke ground to create a new, $230 million medical education and research building. Curriculum In 2003, it was one of ten medical schools nationwide chosen by the American Medical Association to develop new methods of teaching professionalism to doctors. In order to ensure that its educational process more accurately reflected its commitment to graduating caring and competent physicians, the Indiana University School of Medicine initiated a competency curriculum in 1999. To support the values expressed in the competency-based curriculum, the IU School of Medicine simultaneously implemented a school-wide "relationship-centered care initiative" to address its informal curriculum. In 2016 the IU School of Medicine implemented a new curriculum to prepare students to meet the challenges of a complex, ever-evolving healthcare environment. The new curriculum prepares students to practice medicine in a team-based interdisciplinary setting. IUSM offers several combined degree programs: the MD-PhD, MD-MBA, MD-MPH, MD-MS, MD-JD, and MD-MA. The MD-PhD program, which offers full tuition and