The outpatient medicine clinic in the longitudinal curriculum is intended to provide you the opportunity to get to know and follow a cohort of patients with a broad range of the core problems of Internal Medicine.  Your goal will be to learn about your patients’ problems in depth.  Thus the goal is for you to see a few patients each session and to understand them well.  Your ambulatory experience should not be mostly shadowing—students should independently interview, examine, and assess patients, prior to seeing the patient with the preceptor.  Students will be expected to read and study the diseases or syndromes that their patients may have.

The inpatient experience is intended to provide students with experiences in the evaluation and management of acutely ill adults, the trajectory of recovery from acute illness episodes, and an introductory understanding of the acute care hospital and its function within the health system.

The curriculum in Integrated Internal Medicine is based upon the core competencies of the University of North Carolina SOM 3rd year core competencies as well as the American College of Graduate Medical Education (ACGME). The curriculum is a developmentally progressive one focusing on core syndromes and diagnoses derived from the Clerkship Directors in Internal Medicine (CDIM).  Students’ panels of patients are selected to ensure students experience as many of these core conditions as possible.

Students will be asked to keep a careful record of all diseases or syndromes seen and record learning objectives completed. This will be accomplished via the Asheville Campus patient encounter log.


Clerkship Director:   Joshua Bernstein, MD

Faculty: Stephen Brown, MD, Jennifer Nicolini, MD, Victoria Morehouse, MD,  Laurie LeMauviel, MD, David Clements, MD, Felix Sarubbi, MD, Randy Silverstine,MD