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Columbia University Vagelos College of Physicians and Surgeons, colloquially known now as VP&S and formerly Columbia University College of Physicians and Surgeons, is the graduate professional medical school of Columbia University.Located at the Columbia University Irving Medical Center in the Washington Heights neighborhood of Manhattan with its affiliate New York-Presbyterian Hospital. Founded in 1767 by Samuel Bard as the medical department of King's College (now Columbia University), the College of Physicians and Surgeons was the first medical school in the thirteen colonies and hence, the United States, to award the Doctor of Medicine (M.D.) degree. Beginning in 1993, P&S also was the first U.S. medical school to hold a white coat ceremony.According to U.S. News and World Report, VP&S is one of the most selective medical schools in the United States based on average MCAT score, GPA, and acceptance rate. In 2018, 7,537 people applied and 1,007 were interviewed for 140 positions in its entering class. The median undergraduate GPA and average MCAT score for successful applicants in 2014 were 3.82 and 36, respectively. Columbia for 2020 is ranked 6th among research-oriented medical schools in the United States and ranked 39th for primary care by U.S. News & World Report. In 2016, it ranked 7th in clinical medicine and pharmacy by the Academic Ranking of World Universities. The college also has the highest tuition of any private medical school in the United States.In 2018, Columbia University Vagelos College of Physicians and Surgeons became the first medical school in the nation to replace student loans with scholarships for all students who qualify for financial aid. The scholarship fund is supported by an endowment that was established by Dr. P. Roy Vagelos and his wife Diana Vagelos, for whom the 250-year-old medical school was renamed in December, 2017. The Vageloses committed more than $310 million to Columbia, $150 million of which was directed toward the scholarship fund endowment . Columbia is affiliated with New York-Presbyterian Hospital, the nation's 5th-ranked hospital according to U.S. News & World Report.