Longitudinal Integrated Curriculum at Asheville

The third year academic calendar at Asheville is comprised of two types of clinical experiences –inpatient and longitudinal outpatient. The inpatient experience is a 12 week block and includes the surgery clerkship, inpatient medicine, pediatrics, neurology, and OB.

Students participate in the longitudinal portion for the remainder of the year. Each student is assigned to a community practice for the core specialties (internal medicine, OB, pediatrics, family medicine, neurology, and psychiatry), where they see a panel of their “own” continuity patients or work-ins.  Students work one-on-one with  their attending physician, who reviews each case and care plan with them. If their patients are admitted or referred to another provider, the student will see their patients in the hospital or accompany them to that visit as well.  See sample week below.

Weekly student schedule

 Weekly Schedule

  • Unique features of the program also include:
    • Majority of teaching done by faculty
    • A purposeful ethics and humanism curriculum interwoven with clinical practice with the goal of producing physicians who are empathetic and caring
    • Bimonthly Art of Medicine meetings where faculty and students discuss other aspects of being an effective physician, dealing with ethical issues, and finding personal balance to avoid burnout
    • Monthly Master Clinician sessions where students lead interesting case presentations followed by discussions from consulting specialists on the case
    • Participation in ABCCM free clinic for medically underserved, working with faculty and/or residents and in collaboration with pharmacy students, nursing students, and medical ethicist
    • Added experience in emergency medicine, cardiology, and radiology


Other Curriculum Components:

Orientation: Asheville students complete a one week orientation in Asheville.  This includes an orientation to Mission Hospital and its ancillary services, electronic health records, surgery skills lab, and orientation to surgical scrub/OR procedures.  Other student services include access to MAHEC library, UNC-A student health and gym services, and getting to know the community itself.

Didactics: Students meet weekly as a group for a variety of didactic sessions consisting of case studies, problem-based learning sessions, core lectures, direct observation with patients, and skills labs. 

Testing and evaluations:  All students take similar standardized testing as their cohorts in Chapel Hill, including OSCE exams and NBME shelf examinations. These will be administered at or near the end of the third year.  The surgery shelf exam is administered at the end of the inpatient block weeks.  Students are evaluated regularly by their faculty.

Fourth Year Curriculum: The fourth year curriculum reverts to block months.  Asheville campus students have the same fourth year requirements as Chapel Hill students, except for a one month rural rotation.  All required courses and many electives are available in both Asheville and rural settings.  A one month rotation in global health through Shoulder to Shoulder is available to all students.  Students are able to do other away rotations if desired.

Student Services: Students will need to find housing in the community but there is ample affordable housing.  We have a reciprocal agreement with UNCA for student health services and access to the gym and library.


  • High shelf and step 2 scores
  • Empathy and patient centeredness sustained
  • Amazing breadth of clinical experiences
  • Acceptances to top residency programs in the country
  • High student satisfaction