Longitudinal Integrated Curriculum at Asheville

The Application Phase academic calendar at Asheville is comprised of two types of clinical experiences –inpatient and longitudinal outpatient. The inpatient experience is 18 weeks and includes surgery, internal medicine, psychiatry, pediatrics, neurology, OB, and ED.

Students participate in the longitudinal portion for the remainder of the year. Each student is assigned to preceptors for the core specialties (internal medicine, OB, pediatrics, family medicine, and psychiatry), where they see a panel of their “own” continuity patients and 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:
    • Responsive, supportive, individualized attention from the administrative team
    • Flexible schedule for self-directed learning, including research
    • Added experience in cardiology, emergency medicine, neurology and radiology
    • Fully integrated ethics and humanism curriculum 
    • Art of Medicine series and Master Clinician case presentations, a collaborative discussion between students and faculty across specialties
    • Rural surgery experience for all students (and other specialty rural longitudinal clinics for interested students)
    • Opportunity to work at ABCCM (free clinic)
    • Low student faculty ratio

Other Curriculum Components:

Orientation: Asheville students complete 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 review of grading, One 45, Clerkship/Course expectations, Shelf Exam prep, access to MAHEC digital 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, 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, with the exception of the surgery shelf exam that is administered at the end of the inpatient weeks.  Students are evaluated regularly by their faculty.

Individualization Phase Curriculum: The fourth year curriculum reverts to block months.  Asheville campus students have the same fourth year requirements as Chapel Hill students. 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. We offer other support for students' educational and health care needs.

Outcomes:

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