Tech partnered to form the Virginia Tech Carilion School of Medicine and Research Institute, which was established on January 1 2007, and accepted its first class in 2010. The medical school is a fully accredited 4-year medical school by the Liaison Committee on Medical Education. In December 2018, the Virginia Tech Carilion Research Institute was renamed the Fralin Biomedical Research Institute at VTC in recognition of a $50 million gift from the Horace G. Fralin Charitable Trust, and Heywood and Cynthia Fralin. Virginia Tech Carilion School of Medicine is adjacent to the Carilion Roanoke Memorial Hospital￼ and features the Hokie Stone used to build most buildings on Virginia Tech's campus. The school also offers residency and fellowship programs. The 13 accredited residency programs include dermatology, emergency medicine, family medicine, general hospital dentistry, internal medicine, neurology, neurosurgery, Obstetrics/Gynecology, pediatrics, plastic surgery, podiatry, psychiatry and surgery. The 11 accredited fellowship programs are adult joint reconstruction, cardiovascular disease, child and adolescent psychiatry, emergency medical services, gastroenterology, Geriatric medicine, Geriatric psychiatry, hospice and palliative care, infectious disease, interventional cardiology, and pulmonary critical care. Many physicians and executives at Carilion teach courses at VTCSOM. Radford University Carilion In early 2018, Carilion Clinic, Jefferson College of Health Sciences and Radford University joined together to announce the intent to merge Jefferson College into the Radford University family of colleges and departments. The merger was effective July 2019, and the college became Radford University Carilion. Jefferson College of Health Sciences was the oldest hospital-based college in Virginia offering undergraduate and graduate programs of study. It was founded by Dr. Hugh Trout Sr. as the Jefferson Hospital School of Nursing. Carilion Clinic partners with the college to provide residencies and fellowships for students. It is housed in Carilion Roanoke Community Hospital, and features skill laboratories and science laboratories for chemistry, microbiology, physics and anatomy and physiology. Academically, the school offers associate's, bachelor's, master's, and doctoral degrees. Hospitals Carilion Clinic operates seven hospitals located in the Southwestern region: Carilion Franklin Memorial Hospital Located in Rocky Mount, Virginia, Carilion Franklin is a 37 licensed bed hospital that provides 24-hour emergency, general medical/surgical care, and outpatient services. Carilion Giles Community Hospital Located in Pearisburg, Virginia, Carilion Giles is a 25 licensed bed critical access facility that provides 24-hour emergency care. Carilion Roanoke Community Hospital Located in Roanoke, Virginia, Carilion Roanoke Community Hospital is a magnet-designated, 34 licensed bed hospital home to outpatient