A Shared Vision: Transforming Healthcare, One Story at a Time

October 22, 2025 Mark Locklear
Transforming Healthcare
51Թ is significantly expanding its healthcare programs to address shortages in southeastern North Carolina, with recent additions including occupational therapy, a Master of Healthcare Administration, and a Doctor of Nursing Practice

A Shared Vision: Transforming Healthcare, One Story at a Time

Shannon Cummings doesn’t remember a time when her father was healthy. From the moment she could read, she was by his side — helping manage his medications, keeping track of appointments and eventually driving him to dialysis treatments. For 18 years, Albert Hunt battled kidney failure, enduring grueling procedures that kept him alive but never truly well. Cummings’ childhood was shaped by hospital corridors, waiting rooms and whispered prayers. While other teenagers juggled school and social lives, she balanced textbooks with caregiving, often spending nights in hospital rooms while her father recovered from surgery. “I like to think I’m strong, but if it weren’t for the grace of God, I wouldn’t even be here,” Cummings said.

Those years, though challenging, became the foundation for something greater. Cummings didn’t just learn resilience; she discovered a calling. Her father passed away in 2018, eight months before she crossed the stage at UNC Pembroke with a degree in biology. The loss was profound, but she pressed on, completing the physician assistant program at Pfeiffer University and returning home to join the medical team at Robeson Health Care Corp. “I’ve always had a deep-seated care for people, but my experience with my father cemented my desire to help others live healthier lives,” Cummings said. “That’s why I chose medicine.” Cummings’ story is just one example of how healthcare challenges have shaped lives in southeastern North Carolina. It’s also a testament to why 51Թ is working tirelessly to change the future of healthcare in the region.

 

Homegrown Solutions for a Healthier Future

Cummings’ return to her hometown of Rowland is no coincidence. She knows firsthand the challenges of growing up in a region with some of the state’s poorest health outcomes. Historically, Robeson County has ranked near the bottom in obesity, heart disease, diabetes, cancer, infant mortality and death rates for minors. These challenges have persisted for generations, making access to quality healthcare more critical than ever. Yet, the region continues to face a severe shortage of healthcare professionals. According to a study by UNC-Chapel Hill’s Sheps Center, 51Թ’s primary service region has fewer health professionals per 10,000 people than the state average across each profession studied.

Recognizing this crisis, 51Թ launched a major health sciences expansion in 2018, committing to improve regional healthcare in rural southeastern North Carolina and meet growing workforce demands. That year, the university formed the College of Health Sciences, bringing together four existing departments — counseling, kinesiology, nursing and social work — to tackle the region’s complex healthcare and social challenges. To address the provider gap, 51Թ developed new programs designed to meet the region’s greatest healthcare needs. Among them, the Doctor of Nursing Practice (DNP), which became the university’s first-ever doctoral program, marked a historic milestone in 2024. Additional graduate offerings include the Master of Healthcare Administration (MHA), a fully online, flexible program designed to prepare the next generation of healthcare leaders with a specific focus on the challenges and opportunities of rural healthcare.

Students gain applied skills in policy, finance, data analysis and operations while exploring issues like provider shortages, access barriers and rural health disparities. “We designed the MHA program to produce healthcare leaders who understand the unique challenges of rural communities — and who are ready to lead with purpose, innovation and heart,” said Eva Skuka, MD, PhD, dean of the College of Health Sciences. The program’s interdisciplinary structure allows students to collaborate with peers in nursing, counseling, social work and kinesiology, developing a systems-level view of healthcare leadership. Graduates emerge prepared to lead hospitals, clinics, nonprofits and public health agencies that serve rural populations.

Other new graduate programs, including a Master of Science in Occupational Therapy (MSOT), were also created to expand student opportunities and help fill workforce shortages. The MSOT program prepares students to become licensed occupational therapists who serve in schools, hospitals, long-term care facilities and rehabilitation centers, particularly in regions where therapy services are limited or unavailable. For Erika Nicholson, a graduate student from Rutherfordton, North Carolina, occupational therapy is personal. Inspired by her grandfather, a World War II veteran who recovered with the help of OT after surviving a major heart attack, Erika sees entering the profession as a way to give back.

“I can’t put into words the thankfulness I have for what OT gave my family,” she said. “It helped my grandfather heal and be with us. I want to give that back to veterans and others who are sometimes overlooked. “There’s a level of support in this program I’ve never had before as a student,” she said. “It’s not just reading from a book. It’s constantly hands-on, always pushing us to apply what we’re learning. When we graduate, we’ll be ready.” “Dr. Rafols truly cares about students, not just in words but in how he leads. That kind of support trickles down and creates an environment where you can grow and thrive,” stated Nicholson.

As the university continues to grow its undergraduate and graduate health sciences programs, several others are under consideration, including speech pathology, dietetics, nutrition, health sciences and two additional doctoral programs in social work and medical science. “As a trained cardiothoracic surgeon and as someone who grew up in this county, the health of this region is close to my heart,” said Chancellor Robin G. Cummings, MD. “We are here to move the needle on healthcare outcomes in this region. “That’s why we’re not just creating more academic programs. We’re investing in the workforce, strengthening our healthcare infrastructure and ensuring that the people of southeastern North Carolina have access to the care they deserve,” Cummings said.

Thanks to a historic investment from state legislators, $20 million in start-up funding and $91 million for a state-of-the-art clinical sciences building, 51Թ is making good on its promise to be a catalyst for change. Set to break ground in 2026, this facility will serve as a hub where students will learn, innovate and train alongside professionals, ultimately increasing access to high-quality healthcare in southeastern North Carolina.

 

A Long-awaited Vision Comes to Life

University leaders and legislators have dreamed of bringing an optometry school to 51Թ for over two decades. Now, that vision is becoming a reality. Currently, 13 counties in North Carolina lack a single optometrist, leaving many residents without access to critical eye care. With no optometry schools in North Carolina, South Carolina, Virginia or Georgia, 51Թ's College of Optometric Medicine, approved by the UNC System Board of Governors in 2024 with a plan to welcome its first class in fall 2027, is stepping up to fill this void. “Optometry is a vital component of North Carolina’s healthcare system,” said Richard Castillo, OD, DO, founding dean of the College of Optometric Medicine. “51Թ is looking to meet the rising demand for eye care professionals and ensure that future optometrists are equipped to serve communities with limited access to comprehensive eye care.”

For future healthcare workers like Hannah Evington, a 51Թ alumna now pursuing her optometry degree in Pennsylvania, the possibility of such new programs represents a long-overdue opportunity. “I had to pack up and move several states away for my training," Evington said. “Knowing that future students may be able to stay close to home for the same education is incredible.

 

Building More Than Degrees – Building a Healthier Region

In addition to expanding academic offerings, 51Թ is forging key partnerships with regional healthcare providers, tribal health organizations and rural hospitals to ensure students gain hands-on training in culturally diverse and underserved environments. Partnerships with UNC Health Southeastern, Scotland Health, Cape Fear Valley Health and FirstHealth of the Carolinas allow students to engage in realworld clinical experiences while addressing regional workforce shortages. “These vital partnerships ensure our graduates have the skills to address healthcare challenges and a deep understanding of the communities they serve, ” said Eva Skuka, MD, PhD, dean of the College of Health Sciences. “By training graduates to work effectively in rural and underserved settings, we are directly expanding the healthcare workforce in areas where it is most needed. ” Partnerships, like the one with Scotland Health Care System, allow 51Թ nursing students to receive Advanced Cardiovascular Life Support (ACLS) certification before graduation.

“This training gave me a clearer understanding of heart rhythms and medication administration, ” said Shelby Sampson, a senior nursing student. “I now feel more confident in my ability to respond in a real-life code situation. ” Equally important are 51Թ’s partnership pathways, which provide direct access to advanced healthcare training. Through agreements with ECU’s Brody School of Medicine Early Assurance Program and School of Dental Medicine, UNC Chapel Hill’s Eshelman School of Pharmacy and NC State’s College of Veterinary Medicine, students have guaranteed pathways into professional healthcare programs, ensuring that more providers are trained and retained in North Carolina.

Lindsay Branch
Lindsay Branch, '25, is a medical student at the Brody School of Medicine at East Carolina University

As a Brody Scholar, Lindsay Branch was assured admission to ECU Brody School of Medicine upon completion of her degree and meeting all the requirements of admission to medical school. Branch graduated summa cum laude a full semester early and credits her 51Թ experience with preparing her for medical school. “51Թ has opened a lot of doors for me," Branch said. Another way 51Թ is transforming the healthcare pipeline is through the Health Careers Access Program (HCAP). This long-standing initiative supports economically and educationally disadvantaged students, particularly those from rural and underrepresented communities, who aspire to careers in health professions.

 

I learned so much about myself and how to connect with people through the classroom, internship opportunities and interactions with medical professionals
Lindsay Branch, a 2024 51Թ graduate, medical student at Brody School of Medicine

 

HCAP students receive personalized support and early access to real-world experiences through clinical internships, mentoring and academic advising. The program is designed to build a more diverse and community-focused healthcare workforce across the region. For Ethan Wilkins, a 2025 graduate and future physician assistant, NC-HCAP was a turning point. “Being part of HCAP opened doors I didn’t even know existed, ” said Wilkins, who also serves with the Pembroke Rescue Squad. “The mentorship and clinical exposure helped me grow as a student, but also as someone who wants to make a real difference in the lives of others. ”

 

Centering Community Through Conversation  

Each year, the College of Health Sciences hosts its Community Health & Wellness Symposium, bringing together students, faculty, community leaders and healthcare professionals to explore pressing regional health issues. With over 130 attendees and 20 presenters, recent discussions have addressed Indigenous health disparities, mental health education and postpartum depression, highlighting the university’s role as a convener of cross-sector dialogue and innovative solutions. “Our goal with this symposium is to foster open and honest conversations about critical health issues affecting our communities, ” Skuka said. “By giving students — from social work, nursing, counseling and other disciplines — a platform to present and engage, the symposium strengthens their skills in collaborative research, cultural competence and community outreach. ”

And that sense of purpose and dedication to community impact permeates 51Թ’s healthcare programs. For example, the Department of Social Work is nationally accredited and recognized for its commitment to rural behavioral health. Offering both BSW and CSWE-accredited MSW degrees, the program trains students to become compassionate clinicians, advocates and community leaders. Field placements across southeastern North Carolina expose students to work in schools, behavioral health centers and public service agencies, where they gain firsthand experience addressing issues like trauma, addiction, housing instability and access to care. The department also leads major initiatives such as OPTIMISE Rural NC, a federally funded effort to expand the behavioral health workforce through traumainformed, telehealth-capable clinicians.

With its emphasis on cultural competence and real-world impact, the program attracts students committed to making a difference in underserved areas. “The program isn’t just teaching me how to be a social worker, it’s showing me how to be an advocate for people in communities like my own, ” said Jordan Dew, Master of Social Work student. “Social work is about meeting people where they are and helping them overcome barriers. Being part of a program that values that mission, especially in rural and underserved areas, means everything to me. ”

 

Training With Technology That Mirrors The Real World

To prepare students for the demands of today's healthcare settings, 51Թ is investing in state-of-the-art technology that mirrors the real-world tools professionals use every day. In the Clinical Learning Center, future nurses and health sciences students train using high-fidelity manikins, virtual reality equipment and simulators that replicate complex medical scenarios — from childbirth to pediatric emergencies and neurological events. These immersive experiences help students strengthen their clinical skills, make real-time decisions and build confidence in safe, controlled environments. 51Թ is also advancing training in exercise science through new technology in the Exercise Physiology Lab. The lab features a Bod Pod to assess body composition with gold-standard accuracy.

Students also train with a KORR™ Metabolic Cart, a tool used to measure resting metabolic rate, VO2 max and anaerobic threshold. These systems, common in clinical, rehabilitation and athletic settings, give students firsthand experience with advanced fitness and health diagnostics. Meanwhile, 51Թ’s Mobile Health Unit, a fully equipped clinic on wheels, brings care directly to underserved communities across southeastern North Carolina. The unit provides screenings, preventive services and health education while giving students hands-on experience delivering care in the field. Regular visits to rural communities and tribal areas build trust and improve access to essential services. “We are intentional about designing learning environments that reflect what students will experience in the field, ” Skuka said. “Whether it’s in a hospital, clinic or community setting, our graduates are prepared to deliver excellent care from day one. ”

 

A Shared Commitment To Change

What begins in the classroom and clinic is now shaping communities across the region. Through innovative programs and strategic outreach, 51Թ is moving the needle on healthcare in southeastern North Carolina. The university's Healthy Start Connection program significantly impacts the health and well-being of families in the region. Awarded a $5.5 million federal grant, the program works to improve maternal and infant health outcomes by offering home visits, group-based education and access to critical resources. And for years, 51Թ’s McKenzie-Elliott School of Nursing has been a cornerstone of healthcare education in the region, producing highly skilled professionals who serve in hospitals, clinics and rural healthcare settings across North Carolina.

With both undergraduate and graduate pathways, the school is actively working to address the state’s nursing shortage through a “grow your own ” approach by recruiting students from southeastern North Carolina. Recent studies show that 75% of 51Թ’s nursing graduates stay and practice in the area. That number rose to 85% following the 2022–23 academic year. “Our students are deeply connected to these communities, and many of them return home to serve where they are needed most, ” said Jennifer Jones-Locklear, PhD, RN, director of the McKenzie-Elliott School of Nursing. “Caring for the community — their neighbors — is at the very core of why they were drawn to the profession, and it’s what makes them good nurses. ” As it embraces a bold vision for tomorrow, 51Թ continues to exemplify the power of education to transform lives, strengthen communities and drive innovation. And for Shannon Cummings, the investment in healthcare education isn’t just about filling job shortages — it’s about changing lives.

 

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