Curriculum

Academic Studies:

Each resident must complete a Master’s in Public Health (or equivalent) degree in an accredited School of Public Health or department within a medical school. The MPH may be completed in any of the academic units of the UNC School of Public Health, so long as degree requirements do not significantly impinge upon completion of other Residency requirements.  Residents must take required courses in epidemiology, biostatistics, environmental health, health services management and administration, and the behavioral aspects of health  Through the MPH or other didactic experiences, residents must also complete training in applied epidemiology, advanced biostatistics, advanced health services management, clinical preventive services, and risk/hazard control and communication.

Preventive Medicine Seminar Series

The Preventive Medicine Residency Program offers a 9-month long series of seminars on a wide variety of preventive medicine topics each year. The series begins in late August/early September and concludes in early June. Speakers include PMR faculty, faculty in the Schools of Medicine (Department of Social Medicine as well as other Departments) and Public Health, preventive medicine professionals in the NC Division of Public Health and other rotation sites, and other experts on public health issues.  Periodically, residents will lead journal clubs and present works-in-progress for feedback from residents and faculty.  Every other year in May a trip to the state legislature is planned, including visits to legislators, committee hearings, and the general assembly.

Research Experience

Completion of one or more major research projects is a goal for every resident. Residents will apply the methodologic skills learned in the coursework to a public health area of interest. Residents may conduct independent research or work with a PMR faculty member, advisor or other faculty member on existing projects.

Public Health Agency Rotation

Each resident must spend at least 2 months working in a public health agency at the local, state, or federal level; residents are encouraged to conduct rotations in at least 2 of these levels. The state health department has a number of branches and divisions in which residents may pursue activities of their interest. Residents may also set up rotations in federal agencies, such as the Centers for Disease Control and Prevention (CDC), the Office of Disease Prevention and Health Promotion, the Agency for Healthcare Research and Quality, or others. These rotations may be done in a block period of time or spread out over a longer time period.

Healthcare Administration/Quality Improvement Rotation

Each resident will complete at least one project using quality improvement and management information system strategies to fulfill one of the public health/general preventive medicine competencies.

Clinical Patient Care Rotation

Residents are required to spend 2 months each year in a clinical setting conducting individual and population-based care.  These clinical activities may take place at UNC Hospitals or at other clinical sites.   If working within UNC Hospitals, the resident must function as housestaff and may not be classified as medical staff.  In addition to primary care sites within and outside UNC, additional sites for clinical rotations include UNCH and UNC occupational health clinics, UNC student health, and local health departments.

Teaching Rotation

Residents participate as co-seminar leader with SOM faculty in the course Clinical Epidemiology and Evidence Based Medicine.  The experience of teaching 2nd year medical students contributes to a deeper understanding and development of core preventive medicine competencies by residents. Additionally, the experience of leading discussions with groups of students contributes to the development of general competencies in communication with target audiences.

Elective Experiences/Additional Rotations

Each resident is expected to further develop his or her competencies through selection of elective rotations that complement the PHA, HPA/QI, research, and clinical rotations described above.  Residents may conduct more than one rotation in each of the above categories; in addition, residents are encouraged to seek out additional rotation sites where public health/preventive medicine is practiced.  Residents are encouraged to identify projects or sequential rotations that provide an understanding of how organizations work together to address a health issue of common interest. Residents funded by agencies or by training grants may have additional required rotations or activities.