Ambulatory Care Selective

ACSM 401 18	Sports Medicine in Family Medicine - Greensboro AHEC
Faculty:	Bert Fields, MD
Prerequisites:	Completion of Third - Year Family Medicine clerkship and intention to match in Family Medicine
Offered:	Blocks 2, 3, 4, 5, 7, 8, 9, 11
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	Greensboro AHEC/ Family Practice Center
Meeting Times:	8:00 am
Credit Hours:	6
Learning Objectives:	At end of course students will be able to: 1. Perform advanced exam of major joints injured in sports activities. 2. Give differential diagnosis of injuries to major joints. 3. Perform common sports medicine procedures such as ETT, splinting and or casting; joint injection, and orthotic preparation 4. Assess injured athletes at sporting event
Learning Activities:	The course should appeal to any student interested in family medicine who is contemplating pursuit of a sports medicine fellowship. The student follows the schedule of 1 of our 3 sports medicine fellows. They participate in training room evaluation, primary care sports medicine clinics, orthopedic office, student health sports medicine clinic, weekly seminar and game coverage.
AHEC:	Greensboro
Clinic Program:	Greensboro Family Practice Center
Address 1:	1125 N. Church St.
City:	Greensboro
State:	NC
Zip:	27401
Date Updated:	3/12/2008

ACSM 401 47	New Models of Care for the Underserved - Chapel Hill; and surrounding areas
Faculty:	Beat Steiner, MD, Warren Newton, MD
Prerequisites:	Completion of Third - Year Family Medicine Clerkship
Offered:	Block 5
Max. Enrollment:	8
Duration:	One elective period
Meeting Place:	Chapel Hill, with placement in surrounding clinical sites serving underserved populations
Meeting Times:	No call, weekly evening seminars
Credit Hours:	6
Learning Objectives:	At end of course students will be able to: 1. More effectively care for patients in underserved setting by incorporating advanced clinical competencies such as: 2. Effectively combining acute care, chronic care and prevention into single visits, efficient collection and use of social information about patients, comfort collecting sensitive information about financial issues from patients, rpoviding patient education to patients with low literacy, conducting group visits, ordering tests, coordinating care for ancillaries, hospital and subspecialties and prescribing medications that are consistent with the evidence and are cost effective. 3. Describe 1) current health disparities; 2) governmental and nongovernmental systems that influence health policy; 3) safety net system in the United States including Community Health Centers, Health Departments, Academic Health Centers as well as private practices; 4) changes in Medicaid and Medicare; 5) local initiatives to improve care for the uninsured and underinsured; 6) new models of care including approaches to improving access to care and improving the quality of care for chronic disease. 4. Use skills in analysis and synthesis to propose a solution to improve one area of care relevant to underserved patients in our community.
Learning Activities:	This course will provide hand-on experiences and structured learning for students interestedin reducing health disparities as part of a career in primary care, academic medicine, public health or health policy. The course consists of clinical time spent with a preceptor who has committed to caring for underserved populations. As fourth year students, we expect you to actively participate in the management of patients. We expect you to provide quality care to all patients as you have done on all rotations. But given the objectives of this course, we want you to pay particular attention to the circumstances and needs of uninsured and underinsured patients. This course allows you to learn directly from patients, focusing on areas of particular interest to you. The learning that happens in these clinical sites is augmented by weekly interactive seminars and a list of carefully selected readings pertaining to care for the underserved. At the beginning of the course, you will also identify one or more areas of study, choosing topics of interest to you from the course objective (combining acute care, chronic care and prevention into single visits, efficient collection and use of social information about patients, providing patient education to patients with low literacy, conducting group visits, ordering tests, coordinating care for ancillaries, hospital and subspecialties and prescribing medications that are consistent with the evidence and considers cost.) You will share what you learn with other students during the seminars. We expect each student to see patients in the office about 5-7 half days a week. The remainder of the time should be spent reading, focusing on your clinical area of study, and preparing for the seminars.
AHEC:	Chapel Hill
Date Updated:	2/27/2007

ACSM 401 48	Procedures in Family Medicine - Charlotte AHEC
Faculty:	Patricia White MD
Prerequisites:	Completion of Third-Year Family Medicine Clerkship and matching in Family Medicine
Offered:	Blocks 3,4,5,7,8,9
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	Carolinas Medical Center, Dept. of Family Medicine
Meeting Times:	8:00 am
Credit Hours:	6
Learning Objectives:	At end of course students will be able to: 1. Learn procedures commonly used in family medicine. 2. Learn proficiency in the musculoskeletal exam. 3. Use evidence-based medicine in "hands-on" manner in clinics with treadmills, colposcopy, sports medicine, dermatology and family medicine. 4. Experience the practice of family medicine in the office, student health, athletic events and at job sites.
Learning Activities:	Get a head start on residency. We are looking for energetic and motivated 4th year medical students interested in learning a wide variety of exam and procedural skills. The student will work with experienced faculty in the following clinics: OB, lumps/bumps, colposcopy, sports medicine at UNCC and at sporting events, dermatology and treadmills. The student will also work with a faculty mentor seeing patients in the outpatient setting of his/her choice. If desired, the student may choose a one-week sub-selective in occupational/environmental health (see sub-selective).
AHEC:	Charlotte
Housing:	Charlotte AHEC is offering new housing in a gated community with full amenities including high speed internet, pool and a fitness center. This elegant housing is just minutes from the hospital and uptown Charlotte.
Clinic Program:	Carolinas Medical Center
Address 1:	PO Box 32861
City:	Charlote
State:	NC
Zip:	28232
Special Notes:	**Selective may be combined with Occupational Medicine in Family Medicine (also offered in Charlotte). (Housing is limited for visiting students, the cost is $75.00 per week and the contact is Nicole Bayha, Student Coordinator, for further information and availability.)
Date Updated:	3/12/2008

ACSM 401 49	Geriatrics in Family Medicine - Charlotte AHEC
Faculty:	Darlyne Menscer, MD & Sindy McCrystle
Prerequisites:	Completion of Third - Year Family Medicine Clerkship
Offered:	Blocks 3,4,5,7,8,9
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	Carolinas Medical Center, Dept. of Family Medicine
Meeting Times:	8:00 am
Credit Hours:	6
Learning Objectives:	At end of course students will be able to: 1. Participate in the care of older adults in multiple sites, including nursing homes, assisted living facilities and outpatient geriatric clinic, while working with a family physician/geriatrician and nurse practitioner 2. Learn to care for patients at the end of life, including working with Hospice and Palliative Care 3. Make visits to older adults in their homes and learn to coordinate their care with Home Health Agencies 4. Visit community resources who work with older adults and their families, including the Alzheimer's Association and Adult Protective Services
Learning Activities:	A four week rotation, including patient care experiences with older adults in the outpatient, nursing home, assisted living and home setting. Care of well elderly and those with chronic illness as well as end of life and palliative care is included. Opportunities to visit community agencies that serve the elderly. May be with residents in family medicine and/or internal medicine.
AHEC:	Charlotte
Housing:	Charlotte AHEC is offering new housing in a gated community with full amenities including high speed internet, pool and a fitness center. This elegant housing is just minutes from the hospital and uptown Charlotte.
Special Notes:	**Selective may be combined with Occupational Medicine in Family Medicine (also offered in Charlotte). (Housing is limited for visiting students, the cost is $75.00 per week and the contact is Nicole Bayha, Student Coordinator, for further information and availability.)
Date Updated:	2/27/2007

ACSM 401 50	Rural Medicine in Family Medicine - Charlotte AHEC
Faculty:	James Wetter, MD and Karen Bartley, MD
Prerequisites:	Completion of Third-Year Family Medicine Clerkship
Offered:	Blocks 3,4,5,7,8,9
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	Carolinas Medical Center-Union, Monroe, NC
Meeting Times:	8:00 am
Credit Hours:	6
Learning Objectives:	At end of course students will be able to: 1. Experience In/Out-patient care in a rural setting 2. Learn unique aspects of community and occupational medicine and how it relates to practice in a small town
Learning Activities:	Are you interested in practicing in a small town? We at Carolinas Medical Center-Union in Monroe, NC offer a selective that involves inpatient and outpatient care. Our hospital is 140 beds and is similar to the community hospitals where most family physicians practice. We see our clinic patients at Union Family Practice, which is a private practice of 5 physicians and our family practice residency. Monroe is a city of 25,000 within 15 miles of uptown Charlotte. It is a rapidly growing area allowing you to see plenty of interesting patients and experience family medicine in a "real practice" environment. If you are interested in more information, please contact Kay Emerson, Program Coordinator at (704) 226-5013 or email her at kay.emerson@carolinashealthcare.org. Housing is provided at no expense to the student.
AHEC:	Charlotte
Housing:	Housing is provided at no expense to the student.
Special Notes:	**Selective may be combined with Occupational Medicine in Family Medicine (also offered in Charlotte) If you are interested in more information, please contact Kay Emerson, Program Coordinator at (704) 226-5013 or email her at kay.emerson@carolinashealthcare.org.
Date Updated:	2/28/2007

ACSM 401 51	Urban Medicine in Family Medicine
Faculty:	Irene Zink, MD and Michael Dulin, MD
Prerequisites:	Completion of Third-Year Family Medicine Clerkship
Offered:	Blocks 1,3,5,7,9,11
Max. Enrollment:	1
Duration:	One elective period
Meeting Place:	Carolinas Medical Center, Dept of Family Medicine
Meeting Times:	8:00 am
Credit Hours:	6
Learning Objectives:	At the end of this segment, students will be able to: 1. describe health disparities and challenges that urban underserved populations face 2. diagnose and treat specific disease processes found in urban underserved populations including: HIV/AIDS, other STDs, mental illness, substance abuse and addiction. 3. practice with an increased multicultural awareness and competence in the diverse population of a large metropolitan area (Charlotte) 4. describe how family physicians develop relationships with community members/leaders and use techniques of primary care research to improve health care service to a diverse community 5. identify and use community resources to improve the health of underserved populations
Learning Activities:	This selective will bring students to one of the top 5 cities in the United States in regard to population change from immigration of Latinos and other cultures. The student will be exposed to the exciting population diversity in Charlotte, NC, and observe how family physicians are working to overcome obstacles in order to provide culturally competent healthcare to this community. Through established family medicine neighborhood clinics and community resources, the student will be actively involved with caring for underserved urban populations. The option to develop and improve Spanish language skills will be available to the student if desired. In addition, other public health techniques of studying underserved populations such as Community Oriented Primary Care and geographic information systems (mapping population change) will be offered.
AHEC:	Charlotte
Housing:	Charlotte AHEC is offering new housing in a gated community with full amenities including high speed internet, pool and a fitness center. This elegant housing is just minutes from the hospital and uptown Charlotte.
Special Notes:	**Selective may be combined with Occupational Medicine in Family Medicine (also offered in Charlotte). (Housing is limited for visiting students, the cost is $75.00 per week and the contact is Nicole Bayha, Student Coordinator, for further information and availability.)
Date Updated:	3/19/2007

ACSM 401 52	Occupational/Environmental Health in Familv Medicine - Charlotte AHEC
Faculty:	Lawrence Raymond, MD
Prerequisites:	Completion of Third-Year Family Medicine Clerkship
Offered:	Blocks 3,4,5,7,8,9
Max. Enrollment:	1
Duration:	(See notes section)
Meeting Place:	Carolinas Medical Center, Dept. of Family Medicine
Meeting Times:	8:00 am
Credit Hours:	6
Learning Objectives:	At the end of this segment, students will be able to: 1. Describe the operations of a Regional Poison Center and the treatment recommended for three common toxic agents (a) to parents in the home and (b) to First Responders in the work environment. 2. Characterize health hazards to workers in a facility which repairs heavy construction equipment and ways to minimize these hazards. 3. Critique the system used by a hospital network to gauge the risks of health-care workers who have been exposed to blood-borne pathogens and airborne infectious agents.
Learning Activities:	This Sub-Selective can be chosen as part of one of the other advanced courses in family medicine offered in Charlotte. Each Student would accompany an Occupational Medicine specialist over the course of a typical week's activities in (a) Medical Center Employee Health (b) seeing patients with job-related health risks (c) observing Nurse Specialists and Medical Toxicologists in operations of a Regional Poison Center (d) taking call with urban Hazmat firefighters (e) evaluating and treating patients with (non-occupational) conditions in a Family Practice Center.
AHEC:	Charlotte
Special Notes:	** This selective is only one week long and needs to be combined with one other selective offered in Charlotte. The combined selective will still be four weeks.
Date Updated:	3/19/2007

ACSM 401 54	Obstetrics in Family Medicine - Greensboro AHEC
Faculty:	Bert Fields, MD
Prerequisites:	Completion of Third-Year Family Medicine Clerkship
Offered:	2,3,4,5,7,8,9,11
Max. Enrollment:	1
Duration:	1 elective period
Meeting Place:	Greensboro AHEC/Family Practice Center
Meeting Times:	8:00 am
Credit Hours:	6
Learning Objectives:	At the end of the course students will be able to: 1. Perform advanced examination for common outpatient medical problems. 2. Evaluate the patient in labor and care for postpartum and antenatal patients 3. Demonstrate increased proficiency in the management and delivery of uncomplicated obstetric patients 4. Demonstrate increased proficiency in perineal repair and operative delivery techniques. 5. Interpret fetal monitoring strips 6. Demonstrate the basic concepts of prenatal care and contraceptive options for women
Learning Activities:	The course should appeal to any student interested in family medicine who is contemplating pursuit of obstetrics in their practice or later completing a family medicine/obstetrics fellowship. The student is closely supervised by obstetric junior faculty (fellows). They participate in labor and delivery, obstetrics call, prepartum and postpartum rounds and obstetrics teaching conferences. This component comprises about 80% of the time. The second core component centers around work within the family medicine center. This includes walk-in clinics, prenatal clinics, and working directly in continuity clinics of residents and faculty. This comprises 20% of student time.
AHEC:	Greensboro
Date Updated:	3/19/2007

ACSM 401 58	Preventative Women's Health
Faculty:	Dr. Robert Gwyther and Faculty
Prerequisites:	Family Medicine, OB/GYN and Internal Medicine Clerkship. Sponsoring Department: Family Medicine
Offered:	Sept - Feb (except Dec)
Min. Enrollment:	1 in each available block
Max. Enrollment:	10 for the year
Duration:	One month
Meeting Place:	TBA
Meeting Times:	TBA
Credit Hours:	6
Learning Objectives:	Students will develop a strong clinical fund of knowledge in the area of Preventative Women's Health related to reproductive health, chronic disease (diabetes and obesity), infectious disease (HIV, chlamydial disease), and preventative health practices (cancer screening).
Learning Activities:	The student will primarily immerse him/herself in the clinical activities of the assigned preceptor actively working in the clinical setting with the assigned preceptor and attending conferences with preceptors. The student will actively develop clinical reasoning skills and function as a practitioner primarily in the outpatient setting. Clinical objectives will be achieved with the guidance of the preceptor and using helpful curricular materials including the Clinical Activities Tool, case-based vignettes, and peer-reviewed article review.
Evaluation:	Student clinical performance will serve as the primary focus of the evaluation. With preceptor guidance, student completion of clinical activities tool/clinical work cards, clinical case-based conferences, and journal article review with the preceptor will guide subject mastery.
Date Updated:	5/1/2008
Clinical:	Y

ACSM 401 59	Senior Women's Health
Faculty:	Dr. Robert Gwyther and Faculty
Prerequisites:	Family Medicine, Ob/Gyn and Internal Medicine Clerkshps Sponsoring Department: Family Medicine
Offered:	Sept, Oct, Nov, Jan, Feb ( Not December)
Min. Enrollment:	2 in each available block
Max. Enrollment:	10 for the year
Duration:	One month
Meeting Place:	TBA
Meeting Times:	TBA
Credit Hours:	6
Learning Objectives:	Students will develop a strong clinical fund of knowledge in the area of Senior Women's Health related to preventative health practices (cancer screening, immunizations, osteoporosis) and chronic pelvic floor disorders (pelvic organ prolapse, urinary and fecal incontinence).
Learning Activities:	The student will primarily immerse him/herself in the clinical activities of the assigned preceptor actively working in the clinical setting with the assigned preceptor and attending conferences with preceptors. The student will actively develop clinical reasoning skills and function as a practitioner primarily in the outpatient setting. Clinical objectives will be achieved with the guidance of the preceptor and using helpful curricular materials including the Clinical Activities Tool, case-based vignettes, and peer-reviewed article review.
Evaluation:	Student clinical performance will serve as the primary focus of the evaluation. With preceptor guidance, student completion of clinical activities tool/clinical work cards, clinical case-based conferences, and journal article review with the preceptor will guide subject mastery.
Date Updated:	4/25/2008
Clinical:	Y

ACSM 401 60	Global Health in Family Medicine - Asheville, North Carolina and Honduras
Faculty:	Jeffery E. Heck, MD
Prerequisites:	1. Completion of at least six months of third year clerkships (Both 3rd and 4th year students are eligible). Students interested in Family Medicine will get first priority, and if slots are available it will also be open as an elective to anyone interested. 2. Spanish skills: Students with any level of Spanish language skills will be accepted. Translators are available on the trip.
Offered:	Block 4: September 29 - October 24
Max. Enrollment:	A maximum of 8 medical students will be accepted
Duration:	Four weeks
Meeting Place:	Mountain Area Health Education Center (MAHEC) Family Medicine Residency Program, Asheville, NC and Shoulder to Shoulder site in Concepcion, Intibuca, Honduras
Meeting Times:	8:00 am - 5:00 pm first two weeks; second two weeks in Honduras. No course work on Labor day
Credit Hours:	6
Learning Objectives:	At end of course students will be able to: 1. Describe the impact of major causes of morbidity and mortality in the two thirds world and the social, economic and political determinants. 2. Using examples of evidence-based large scale interventions, describe key components that have made certain strategies more effective in reducing global disease burden. 3. Describe how traditional health care practices and cultural and language diversity can affect health care. 4. Participate in the implementation of a small scale community based interventions to address an identified public health issue with the staff of "Shoulder to Shoulder" in Honduras (www.shouldertoshoulder.org)
Learning Activities:	The first two weeks of the rotation will be in Asheville, NC. Students will participate in seminars and workshops covering specific issues associated with global health. During the second two weeks of the rotation, students will travel, as a group, to Concepcion, Honduras to work in clinics and on community health projects with Shoulder to Shoulder staff. To enroll: Permission is required. Please contact Norma.Beaty@mahec.net. In addition, a DEPOSIT of $500.00 by July 1, 2007 is REQUIRED. The balance of the course fees is due by August 1, 2007. Fees: $650 USD (plus airfare to Honduras, approx. 700 USD. (More information about airfare will be provided during the summer). Fees cover: food, lodging, and in-country transportation in Honduras. Housing in Asheville with faculty and residents will be provided. Other expenses NOT covered by the fees include tuition, travel immunizations and international health insurance as required for all students from UNC/CH.
AHEC:	MAHEC
Date Updated:	5/1/2008
Clinical:	Y

ACSM 401 63	The Science and Art of Safe and Effective Prescribing (Applied Pharmacotherapeutics)
Faculty:	Erika Steinbacher, MD; Sandy Robertson, Doctor and Pharmacy
Prerequisites:	Completion of Family Medicine Clerkship
Offered:	blocks 5, 7 and 9
Min. Enrollment:	2
Max. Enrollment:	2
Duration:	One block
Meeting Place:	Cabarrus Family Medicine Residency, Concord NC
Meeting Times:	8:30 a.m.
Credit Hours:	6
Learning Objectives:	1. Student will develop in depth understanding of pharmacotherapeutics and how that changes in different stages of life including: pregnancy, infancy and childhood, adolescent, adult and older adult patients. 2. Students will learn how different disease states affect pharmacotherapeutics, including altered metabolic states and drug to drug interactions. 3. Students will investigate key sources of prescribing error across the spectrum of family medicine patients and systems of care to reduce them. 4. Students will investigate key sources of patient errors in taking medications and systems of care to reduce them.
Learning Activities:	1. Students will interact in small group format with Pharm D's and physician faculty to enhance their understanding of applied pharmacotherapeutics in different types of patients and disease states. 2. Students will work with hospital and community-based pharmacists in clinical settings to apply what they've learned in small group sessions. 3. Students will select patients in the hospital and clinic setting to do more in depth investigation of appropriate prescribing and discuss one-on-one with the Pharm D and attending physician. 4. Students will design and implement a project to reduce inappropriate prescribing (either through physican intervention or patient education) based on what they've learned in the small group sessions and patient care and chart review.
Evaluation:	1. Interactions and preparation for small group sessions. 2. Interactions in clinical settings. 3. Individual project.
Date Updated:	5/8/2008
Clinical:	Y

ACSM 402 1	Ambulatory Care in a Large Multi-Specialty Group Practice
Faculty:	General internists, sub-specialists, family practioners, pediatrician, and general surgeons.
Offered:	All periods except 6
Max. Enrollment:	1 (2 with permission)
Duration:	One elective period
Credit Hours:	6
Learning Objectives:	Boice-Willis Clinic is a 60-member multi-specialty private group practice located in Rocky Mount. The members include general internists, family practitioners, pediatricians, sub-specialists in cardiology, (pediatric and adult), dermatology, hematology/oncology, gastroenterology, nephrology, neurology, pulmonary medicine, rheumatology, general surgeons and endocinology. Students selecting this location can design their experience based on individual interest with the assistance of the site leader. Experience can include working directly with one of several practitioners in the clinic's main office and/or outlying clinics in rural Nashville or Spring Hope or Battleboro. Rocky Mount is a growing city of over 55,000 located in eastern North Carolina. The clinic serves a large, diverse population base from the city and surrounding rural counties. All spectra of demographics and health problems are seen. The student will see patients in a variety of available office settings. There are also opportunities for visiting community agencies, nursing homes, an outpatient dialysis facility, hospice program, home health programs, etc. It is recommended that a student who matches to this selective contact Pamela Shepherd at 252-937-0312 well in advance so that the selective experience can be coordinated with the student's goals in mind.
AHEC:	Area L
Housing:	Housing is available; please contact Carol Carden, ACS Department Administrative Coordinator for Medicine at 919-966-7776
Clinic Program:	Boice-Willis Clinic, P.A.
Address 1:	901 N. Winstead Avenue
City:	Rocky Mount
State:	NC
Zip:	27804
Special Notes:	Coordinator - Pamela Shepherd 252-937-0312
Date Updated:	4/4/2008

ACSM 402 10	Urban Ambulatory Care for STD's
Faculty:	Heidi Swygart, M.D.
Offered:	3, 4, 5, 7, 8, 9, and 10
Max. Enrollment:	1 per month
Duration:	one period
Credit Hours:	6
Learning Objectives:	This elective will offer a broad public health experience in both a sexually transmitted disease clinic and an HIV early intervention clinic. Students will learn the presentation, diagnosis and treatment of common STD's. They will also learn the varied presentations of HIV and the socio-economic factors involved in the epidemiology of HIV. Direct patient care will be supervised by the clinical staff and an infectious disease specialist. There will be opportunities to work with public health investigators in contact tracing of STD's and with HIV street outreach workers as they go into high-risk HIV communities for HIV counseling and testing. Wake County is also a CDC funded site for a syphilis elimination demonstration project. Students can participate in community outreach and screening activities. The STD clinic population ranges from 12 years old and older. The average age ranges from 16-40 years old. Patients are generally in good health and present with specific complaints usually limited to STD's. Socio-economic status varies but typically is represented by mid- to lower income groups. Clinicians typically see 10-12 patients a day. The Early Intervention clinic is primarily indigent with about 75% earning less than $6,600/year and has a high drug dependency rate. These patients are primarily minorities and present with numerous general medical problems. Clinicians typically see 4-6 patients a day. The clinic is located in an urban center near downtown Raleigh. The office staff includes five public health nurses, two physician assistants, two nurse practitioners, two public health investigators, two street outreach workers, one health educator, two social workers, and two infectious disease physicians.
AHEC:	Wake
Housing:	All activities are within commuting distance
Clinic Program:	Wake County Department of Health Sexually Transmitted Disease and HIV Early Internvention Program
Address 1:	Wake Count Human Services, Clinic A
Address 2	10 Sunnybrooke Road
City:	Raleigh
State:	NC
Zip:	27610
Date Updated:	8/11/2008
Clinical:	Y

ACSM 402 13	Peachtree Internal Medicine
Faculty:	Brian Mitchell, MD and Jeff Larson, MD
Offered:	1, 2, 3, 4, 5, 9, and 10
Max. Enrollment:	1 per month
Duration:	one period
Credit Hours:	6
Learning Objectives:	Peachtree Internal Medicine is a general internal medicine practice located in Murphy, NC in mountainous Cherokee County. Two internists and one physician's assistant work together in this busy rural practice. The physicians do their own cardiac testing. The clinic is located adjacent to the small but comprehensive Murphy Medical Center, a 50-bed community hospital equipped with radiological lab, surgical and nursing home facilities. The convenient combination of the clinic and hospital with Emergency Room (adjacent to the clinic) offers students an efficient and comprehensive exposure to all aspects of patient care. A typical student day begins with inpatient rounds at 8:00 a.m. followed by 3 hours of clinic activity. Afternoons are filled with additional outpatients visits, phone calls, inpatient visits, admissions to the hospital, and occasional nursing home visits.
AHEC:	Mountain
Housing:	Housing is available, please contact Carol Carden, ACS Department Administrative Coordinator for Medicine at 919-966-7776
Clinic Program:	Peachtree Internal Medicine Clinic
Address 1:	Suite 1, 4188 East US 64
Address 2	PO Box 158
City:	Murphy
State:	NC
Zip:	28906
Date Updated:	3/2/2007

ACSM 402 14	Andrews Internal Medicne
Faculty:	Gary W. Roper, MD
Offered:	0, 2, 3, 7,8, and 10.
Max. Enrollment:	1 per month
Duration:	one period
Credit Hours:	6
Learning Objectives:	Andrews Internal Medicine is a three physician ambulatory and hospital practice in the mountains of far southwestern North Carolina. Founded in 1992 by Drs. Gary Roper, the practice serves residents of Cherokee, Graham, Macon, and Clay counties, comprising a drawing population of around 25,000. Owing to the geographic isolation of the region, many patients with complex and serious illness remain in Andrews for definitive care, thus enhancing the general internist's experience of comprehensiveness. In addition to ambulatory care, the practice also privides hospital care at nearby Murphy Medical Center, a JCAHO accredited medical/surgical facility, which is staffed largely by young, well trained physicians who have chosen to escape urban America in favor of life in the Smoky Mountains. Andrews Internal Medicine employs three physicians, Gary W. Roper, Laurence S. So, MD and Thomas V. Clayton, MD as well as three physician assistants, Raylee Weaver and Lisa Sellers and John Tucker, who provide valuable acute services in addition to their own routine populations. They have been able to give students the opportunity of seeing what we do from yet another perspective. In office exercise treadmill testing, flexible sigmoidoscopy, and minor surgery lend variety to the daily routine. The hospital practice provides a venue for students to further develop problem list thinking and patient presentation skills (the true basis of medical brilliance!). Website: http://www.andrewsinternalmedicine.com
AHEC:	Mountain
Housing:	Housing is available, please contact Carol Carden, ACS Department Administrative Coordinator for Medicine at 919-966-7776
Clinic Program:	Andrews Internal Medicine
Address 1:	2751 Business Hwy 19
Address 2	PO Box 550
City:	Andrews
State:	NC
Zip:	28901
Special Notes:	email address pam.rose@andrewsinternalmedicine.com
Date Updated:	4/4/2008

ACSM 402 17	Raleigh Adult Medicine
Faculty:	Jennifer Myatt, MD and James Soldin, MD
Offered:	March
Max. Enrollment:	1
Duration:	one period
Meeting Place:	At the clinic - 2605 Blue Ridge Road, Suite 150
Meeting Times:	8:00 am
Credit Hours:	6
Learning Objectives:	Raleigh Adult Medicine is a general internal medicine practice located in a large medical office building across the street from Rex Hospital. There are 7 general internists in this busy practice. The physicians are actively involved with teaching. There is on-site radiology and a laboratory. The patient population served by this busy practice is quite diverse, ranging in age from 16-90 years, nationality, and socio-economic status. Patients present with primary and secondary medical problems. Each physician sees 15 - 25 patients per day.
AHEC:	Wake
Housing:	All activities within commuting distance.
Clinic Program:	Raleigh Adult Medicine
Address 1:	3200 Blue Ridge Road, Suite 210
City:	Raleigh
State:	NC
Zip:	27607
Special Notes:	Initial meeting will be 8:00 a.m or 1:00 p.m. on the first day of the selective. We will be seeing patients between 8:30 and 12:30 ;and between 1:30 and 5:00.
Date Updated:	5/7/2008

ACSM 402 25	Goldsboro Medical Specialists
Faculty:	W. James (Jim) Stackhouse, MD and Samuel B. Mclamb, Jr. MD
Offered:	All periods except period 6
Max. Enrollment:	1 per month
Duration:	one period
Meeting Place:	Goldsboro Medical Specialists
Credit Hours:	6
Learning Objectives:	Goldsboro Medical Specialists is a busy two person Internal Medicine practice in Wayne County, NC, 55 miles east of Raleigh. More than 4000 patients, ages 18 to 101, are cared for in the practice. 50% of the patients are over the age of 65. The physicians provide health screening and maintenance services, as well as management of a large population of patients with cardiovascular disease, diabetes, hypertension, COPD, arthritis and cerebrovascular disease. Inpatients are managed at Wayne Memorial Hospital, a 220 bed hospital with excellent ICU and surgical facilities. Consultation services are provided on surgical patients. We find our patient relationships and practice challenging, stimulating and enjoyable.
AHEC:	Eastern
Housing:	Housing is available, please contact Carol Carden, ACS Department Administrative Coordinator for Medicine at 919-966-7776
Clinic Program:	Goldsboro Medical Specialists
Address 1:	201 Cox Blvd.
City:	Goldsboro
State:	NC
Zip:	27534
Special Notes:	Dr. Stackhouse's email address jim@stackhouse.com
Date Updated:	3/2/2007

ACSM 402 3	Internal Medicine with Subspecialties
Faculty:	Issac H. Miller III, MD and Gerardo M. Maradiaga, MD
Offered:	3, 4, 8, and 10
Max. Enrollment:	1 per month
Duration:	one period
Meeting Place:	Area L AHEC Office. Meet with Debbie Futrell, PharmD, (252) 972-6958
Credit Hours:	6
Learning Objectives:	The medical student in this selective will work under the supervision of the staff physicians of Halifax Medical Specialists. The student will be seeing office patients along with the physicians. Opportunities will also be given to participate in other outpatient diagnostic procedures, such as endoscopies, treadmill testing, pulmonary function studies, bronchoscopies, and a variety of internal medicine procedures. Also during this rotation, the student will accompany the physician to skilled nursing home facilities to evaluate patients, and when possible, the student will be able to go to community health clinics. Halifax Medical Specialists, P.A., located in the northeastern part of the state, has a large referral area. A good variety of problems are seen on a daily basis. The internet is available in the facility.
AHEC:	Area L
Housing:	Housing is available; please contact Carol Carden, ACS Department Administrative Coordinator for Medicine at 919-966-7776
Clinic Program:	Halifax Medical Specialists, P.A.
Address 1:	270 Smith Church Road
Address 2	P. O. Drawer 158
City:	Roanoke Rapids
State:	NC
Zip:	27870
Special Notes:	Coordinator -- Debbie Futrell, PharmD, (252) 972-6958
Date Updated:	3/2/2007

ACSM 402 31	Blowing Rock Medical Clinic
Faculty:	Charles Davant,III, MD, John D. Davis, Jr., MD, Glen R. Liesegang
Prerequisites:	Completion of all clinical clerkships
Offered:	All periods except block 6
Min. Enrollment:	1
Max. Enrollment:	2
Duration:	One period
Meeting Place:	Report to Ms, Sylvia Burns Blowing Rock Medical Clinic
Meeting Times:	8:30 am
Credit Hours:	6
Learning Objectives:	Blowing Rock Medical clinic is in the Village of Blowing Rock, a quaint mountain community located within the Blue Ridge Mountains. The clinic uses 4,000 square feet of space in a wing of the Blowing Rock Hospital, a 28 bed JCAH facility with a 72 bed skilled nursing unit. The medical practice has three Family Medicine Practitioners, all of which are board-certified in geriatrics. The village and surrounding area is popular among retirees and, as a result, a large percentage of patients seen regularly are elderly using Medicare health coverage. In addition to out-patient care, students will have in-patient experiences at the Blowing Rock Hospital and the Charles Davant Extended Care Facility. Students will have opportunities to enjoy all the benefits the mountain location, including hiking trails, skiing facilities, and natural wildlife habitats. Students from Duke and Wake Forest University also rotate through the clinic.
Learning Activities:	Conference: 1 hour, Ward: 8 hours, Clinic: 35 hours, ER: 2 hours, and Call: 2 hours
AHEC:	Northwest
Clinic Program:	Blowing Rock Medical Clinic
Address 1:	366 Chestnut Street
City:	Blowing Rock
State:	NC
Zip:	28605
Date Updated:	4/4/2008

ACSM 402 37	Hospice of Wake County
Faculty:	Dr. Ned Yellig, Medical Director, Dr. Joni Berry, Clinical Pharmacist and Jan Kimball, ANP
Prerequisites:	Completion of clinical clerkships
Offered:	Blocks 4, 5, 7, 8 and 9
Max. Enrollment:	1
Duration:	Four weeks
Meeting Place:	Student should report to Dr. Ned Yellig at the Hospice of Wake County Office
Meeting Times:	8:30 am
Credit Hours:	6
Learning Objectives:	This selective is to introduce the fourth year student to caring for the terminally ill. Hospice U of Wake County (HOWC) is a non-profit hospice centered in Wake County and serves Wake County residents and those from the borders of the surrounding counties. Its current average daily census is about 180 patients; whose median length of stay in hospice is around 18 days. The student will work with Dr. Ned Yellig, an internist retired from 24 years of primary care and working for Hospice for four years. He is board certified in intemal medicine and hospice and palliative medicine, is a Clinical Professor of Medicine at UNC, and has been teaching med students and house staff for over 25 years. The selective is comprised of videos and lectures on pain management, hospice philosophy, other symptom management, i;ommunicating with terminally ill patients and their families, and legal and ethical issues in death and dying; home visits with hospice personnel including Dr. Yellig, nurse case l11anagers, social workers, and chaplains; hospital palliative care consultations and hospice inpatient rounds with Dr. Yellig and Ms. Kimball; supervised interviewing and clinic,al examinations; independent patient care activities; participation in Inter-Disciplinary Team rounds; and interviews with various hospice administrative personnel to fully understand how a hospice functions. The student is expected to complete a project relating to an end of life issue of interest to the student with the focus being to expand the knowledge base of the student and Hospice of Wake County. Additionally, the student will be asked to write/create a reflection on his/her experience with hospice and/or the terminally ill patient. Hospice activities will begin between 8 & 8:30 and end late in the afternoon all depending on the activities of the day. The student is given 1-2 half days per week to work on the selective project. The office of HOWC is right off Wade Avenue extension of US 40 and about 35-45 minutes from Chapel Hill depending on traffic. Arrangements should be made with Dr. Yellig at 919-828-1998.
AHEC:	Wake
Housing:	All activites are within commuting distance
Clinic Program:	Hospice of Wake County
Address 1:	1300 St. Mary's St. 4th Floor
City:	Raleigh
State:	NC
Zip:	27605
Date Updated:	4/4/2008

ACSM 402 4	Private Practice at the Arboretum
Faculty:	Laura Toebbe, MD, and Michael Kendall, MD
Offered:	2, 4, 5, 7, 9, and 10
Max. Enrollment:	1 student in Fall, 1 student in Spring
Duration:	one period
Meeting Place:	Clinic at 3025 Springbank Lane, Suite 100
Credit Hours:	6
Learning Objectives:	The medical student in this selective will work in a private primary care office under the supervision of an internist. He or she will work primarily with Drs. Divish and Kendall but may have contact with other members of the Charlotte Medical Clinic. Students should be prepared to work in the office, make rounds of hospitalized patients and, when the doctors are on call for the members of the Charlotte Medical Clinic, the student may participate in the on-call activities. Home visits may be possible. This is a private practice of Internal Medicine in an area of middle and class residents where the student should see a lot of routine outpatient medical care, physical , check-ups and some significant acute illness which will require hospitalization.
AHEC:	Charlotte
Housing:	Housing is available, please contact Carol Carden, ACS Department Administrative Coordinator for Medicine at 919-966-7776
Clinic Program:	Charlotte Medical Clinic
Address 1:	3025 Springbank Lane
Address 2	Suite 100
City:	Charlotte
State:	NC
Zip:	28226
Date Updated:	3/2/2007

ACSM 402 47	Senior Women's Health
Faculty:	Director - Dr. Holly Jean Coward, Drs. Jan Busby-Whitehead, Terry Holt, Racquel Daley-Placide, Laura Hanson, Nurum Erdem, Andrew Greganti, Tony Caprio, Gary Winzelberg
Prerequisites:	Internal Medicine, Ob/Gyn and Family Medicine Clerkshps
Offered:	2, 3, 4, 5, 7, 8 and 9
Min. Enrollment:	1
Max. Enrollment:	1
Duration:	One month
Meeting Place:	ACC Building, 3rd floor Geriatric Clinic at 8:30 a.m. to meet Dr. Coward. If rotation does not start on Monday, check with her the week before for instructions (pager 216-1300). Contact Angela Bowden at 966-5945 ext. 265 for schedule or questions.
Credit Hours:	6
Learning Objectives:	This course will expose the student to issues important to older women, from healthy 90 year old senior athletes to frail women living in a nursing home. With advance notice, this rotation can be tailored to the special interests of the student, i.e., go to UNC Hospice, speak with social workers, house calls, Geriatric Inpatient Unit.
Learning Activities:	Students will learn to individualize the treatment of many common syndromes affecting older women including osteoporosis, hypertension, incontenence, depression, dementia, delirium, falls, and frailty. The students will work with Geriatric faculty as they see patients in the Geriatric Evaluation Clinic in the ACC and also in the clinics/health care centers of several of the area retirement villages. Students will attend division lectures, fellows' conferences and clinic conferences.
Evaluation:	Student will present a short informed discussion on a topic of interest identified during the rotation. Attendance and participation will contribute to the grade. Students will be observed interviewing patients, working with the interdisciplinary team and participation in creation of the care plan.
Clinic Program:	ACC
City:	Chapel Hill
State:	NC
Zip:	27599
Date Updated:	4/14/2008
Clinical:	Y

ACSM 402 48	Palliative Care Medicine
Faculty:	Members of the Dept of Med (Div of Hematol/Med Oncol and Geriatrics), Dept of Anesth. Dept of Psych. Dept of Ped, School of Pharm, Hospital Depts. of Pharmacy, Chaplaincy (and Local Clergy), Social Work. Nursing, and Staff of UNC Hospice
Prerequisites:	Completion of all clinical clerkships
Offered:	all periods
Max. Enrollment:	2 per block
Duration:	One elective period
Meeting Place:	Div of Hem./Onc., 3004 Old Clinic Bldg. Other locations will be provided at the time of the rotation.
Meeting Times:	8:00 am
Credit Hours:	6
Learning Objectives:	Clinic: 20 hours, Library: 8 hours, and Lecture: 5 hours 1. To understand the physiology of pain,chronic and acute. 2. To learn about the pharmacology of opioids. 3. To understand the management of pain. 4. To learn about the multidisciplinary care of patients at the end of life. 5. To learn about management of the elderly with end of life conditions. 6. To learn about the role of hospice.
Learning Activities:	This course will be offered to fourth year medical students and will provide a framework for future physicians to learn about the management of the patient at end of life. Students will participate in three clinical experiences. These experiences will include a Hospice unit, an out-patient Anesthesia Pain clinic, a Palliative Care Consultation Service. Optional rotations on Care Management/Social Work, Chaplaincy. and Psychiatry can also be done. During the month, 4 blocks of material will be reviewed with the student: 1. The physiology of pain, pharmacology of analgesics, and pain management (medical and non-medical), 2. Pathophysiology and treatment of nausea, vomiting, anorexia/cachexia and dyspnea, management of symptoms in patients with organ dysfunction, aspects of end of life care in the geriatric patient, and palliative care in pediatrics. 3. Psychosocial, spiritual and ethical issues in palliative care. 4. Communication with patients and families, and the role of hospice care. Each of these blocks will use didactic material and case presentations to provide key elements in these four critical aspects of Palliative Care. Students wiII be expected to read key articles identified by the block leader and their preceptor. Presentation of the article will be expected. Presentations will also be done at the Geriatric Medicine Joumal Club and to the Palliative Care Interest Group.
Evaluation:	Evaluation: Evaluation will be by observation of the students doing lectures and at the three clinical practice sites. Verbal feedback is provided at the end of the month. A pre and post testis done to assess the acquisition of knowledge Contact: Stephen Bemard, Room 3009. Old Clinic Bldg, UNC School of Med. Chapel Hill, NC, 27599-7305. bemmed@med.unc.edu; 919-966-4431 1. The physiology of pain, pharmacology of analgesics, and pain management (medical and non-medical). Topics: Pain, Mechanisms, Medical and Non-medical managment Pathophysiology of Chronic Pain and Pharmacology of Analgesics Medical (Pharmacologic) Management of Pain Anesthesia Techniques for Pain Control Psychological Interventions in Pain Control 2. Pathophysiology .and treatment of nausea, vomiting. anorexia/cachexia and dyspnea, management of symptoms in patients with organ dysfunction. aspects of end of life care in the geriatric patient, and palliative care in pediatrics. Topics: Pain Management in Frail and Medically Complex Elders Management of Symptoms in Individuals with Organ Dysfunction Nausea and Vomiting, Pathophysiology and Medical Management. Pathophysiology and Management of Cachexia! Anorexia of Cancer, AIDS and Dementia Palliative Care for Patients with Neurologic Disease (Neurodegenerative Disease and Dementia), Role of Radiation Therapy in Palliative Care Role of Surgical Management in Palliative Care Orthopedic issues in Palliative Care Physical Therapy in Palliative Care Management of the Pediatric Patient in Palliative Care Management of the Pediatric Patient in Palliative Care 3. Psychosocial. spiJitual and ethical issues in palliative care Topics: Anxiety, Depression and Delirium in the Palliative Care Setting Ethical Issues in Palliative Care Spiritual Issues in Palliative Care Management of Psychiatric Problems in the Palliative Care Patient and in the Palliative Care Provider-Caring for the Provider and Providing Care 4. Communication with patients and families, and the role of hospice care. Topics: The Role of the Social Worker in Palliative Care-- Family Caregivers and Support for Discharge The Nurse in Palliative Care Hospice and Palliative Care Communication with Family Caregivers
AHEC:	Greensboro (rotation takes place in Chapel Hill)
Clinic Program:	Dept of Medicine
Address 1:	3009 Old Clinic Building
Address 2	CB# 7305
City:	Chapel Hill
State:	NC
Zip:	27599
Date Updated:	4/30/2008
Clinical:	Y

ACSM 402 5	Rutherford County Internal Medicine
Faculty:	C. Phillip Whitworth, MD; jane Kirkpatrick, MD; Stephen Melson, MD; Matthew Rees, MD; Seema Reilly, MD; Gary Schafer, MD; Ruth Ann Nevils, MD; and Todd Albala, MD
Offered:	0, 1, 2, 3, 5, 8, and 10.
Max. Enrollment:	1 per month
Duration:	one period
Meeting Place:	Rutherford Internal Medicine Office, 181 Daniel Road, Forest City
Meeting Times:	2:00 pm
Credit Hours:	6
Learning Objectives:	The medical student will work in the offices of Rutherford Internal Medicine Associates under the tutelage of a board-certified internist. The student will see patients both self-referred and referred from general practitioners. He or she will be responsible for the initial history, physical examination, diagnostic work-ups, initiation of therapy and follow-up of these patients, as pertains to their immediate problems. The student will also participate in other outpatient diagnostic procedures, such as treadmill tests and endoscopies. Two half-days per week will be spent in evaluation of patients in a skilled nursing home or other community facility. Emphasis in this rotation will be on the students as active participants in the care of individuals assigned to them and their preceptor. Rutherford Internal Medicine Associates is the only internal medicine group in an area that serves approximately 50,000 people. Thus, it has more than its fair share of interesting and intriguing patients. Rutherford County has a higher than statewide average of cardiovascular and cerebrosvascular disease and higher than national average of retired people; approximately 20% of the county population is African-American and 10% Hispanic. Hence, the medical student will be able to see a good cross-section of illness in a typical, semi-rural North Carolina County.
AHEC:	Mountain
Housing:	Housing is available; please contact Carol Carden, ACS Department Administrative Coordinator for Medicine at 919-966-7776
Clinic Program:	Rutherford Internal Medicine Associates
Address 1:	PO Box 1560
City:	Forest City
State:	NC
Zip:	28043
Date Updated:	4/4/2008

ACSM 403 10	Senior Women's Health
Prerequisites:	Ob/Gyn Clerkship. Sponsoring Department: Obstetrics and Gynecology
Offered:	Aug - Feb
Min. Enrollment:	2
Max. Enrollment:	2
Duration:	One month
Meeting Place:	TBA
Meeting Times:	TBA
Credit Hours:	6
Learning Objectives:	Students will develop a strong clinical fund of knowledge in the area of Senior Women's Health related to preventative health practices (cancer screening, immunizations, osteoporosis) and chronic pelvic floor disorders (pelvic organ prolapse, urinary and fecal incontinence).
Learning Activities:	The student will primarily immerse him/herself in the clinical activities of the assigned preceptor actively working in the clinical setting with the assigned preceptor and attending conferences with preceptors. The student will actively develop clinical reasoning skills and function as a practitioner primarily in the outpatient setting. Clinical objectives will be achieved with the guidance of the preceptor and using helpful curricular materials including the Clinical Activities Tool, case-based vignettes, and peer-reviewed article review.
Evaluation:	Student clinical performance will serve as the primary focus of the evaluation. With preceptor guidance, student completion of clinical activities tool/clinical work cards, clinical case-based conferences, and journal article review with the preceptor will guide subject mastery.
Date Updated:	5/4/2007

ACSM 403 3	Maternity Care in the Urban Public Health Setting: Wake County
Faculty:	Cathi Weatherly-Jones, M.D. (Wake Health Services), Bev Peckus, NP, Ida Dawson, P.A. and public health nurses
Offered:	All months except block 6
Min. Enrollment:	1 per rotation
Meeting Place:	Wake Human Services, Clinic G, 2nd Floor. Please call Cathi Weatherly-Jones to confirm the meeting.
Meeting Times:	10:00 a.m.
Credit Hours:	6
Learning Objectives:	The Wake County Health Department provides maternity services to approximately 1,800 women each year, and offers an excellent example of the array of services available in the public health sector. A large percentage of patients served by the Wake county Health Department speak only Spanish. The student will spend the majority of his or her time seeing patients in the maternity clinic. S/he will also be involved in nutrition and complex social assessments and in designing interventions appropriate to the findings. It is possible for students to participate in home visiting. Please read the introductory material about the OB/GYN Ambulatory Care Selective experience.
AHEC:	Wake
Housing:	All activities are within communting distance. No reimbursements for travel.
Clinic Program:	Wake Human Services
Address 1:	10 Sunnybrook Rd.
City:	Raleigh
State:	NC
Zip:	27610
Date Updated:	2/22/2007

ACSM 403 4	Maternity Care in Guilford County
Faculty:	Kelly Leggett, M.D.; David Bailey, PA
Offered:	3, 4, 7, and 9
Max. Enrollment:	4 per year
Duration:	one period
Meeting Place:	Women's Hospital of Greensboro, OB/GYN office
Meeting Times:	9:30 am
Credit Hours:	6
Learning Objectives:	Guilford County Health Department and Moses Cone Memorial Hospital/Women's Hospital of Greensboro jointly provide maternity services to the underserved community in Guilford County as well as high-risk care for the surrounding counties of Randolph, Montgomery and Rockingham. The student will see patients five half-days per week in the maternity clinics and the Moses Cone Memorial Hospital High Risk Pregnancy Clinics. The student will learn about and participate in the multi-disciplinary approach to provide comprehensive assessment and care to pregnant women. Please read the introductory material about theAmbulatory Care Selective experience.
AHEC:	Greensboro
Housing:	Housing is available, please contact Krishna Foust, Administrative Assistant for Merry K. Moos ACS Department Coordinator for OB/GYN at 919-966-1601
Clinic Program:	Guildford Count Maternity Services : Women's Hospital of Greensbor Moses Cone Memoral Hospital and Guilford County Health Department
Address 1:	801 Green Valley Road
City:	Greensboro
State:	NC
Zip:	27408
Special Notes:	Please call 336-832-6873 to confirm this appointment with Dr. Leggett
Date Updated:	3/10/2008

ACSM 403 5	Women's Reproductive Health Care in the Rural Public/Private Health Setting: Scotland County
Faculty:	Harvey Kohn, M.D., Secretary is Marla Burgess
Offered:	All blocks except block 6
Min. Enrollment:	2 per year
Meeting Place:	505 Lauchwood Dr.
Meeting Times:	2:00 p.m.
Learning Objectives:	Scotland County is a typical rural North Carolina county. It is characterized by a per capita income below the state average and exceeds the state in percent of families living below the poverty level and in infant mortality and teenage pregnancy rates. This private OB/GYN practice has established a collaborative relationship with the county's health department and the school system to promote prenatal care, especially for pregnant teenagers. Dr. Kohn, lead preceptor, relocated to Laurinburg from Canada, where he had careers in academic medicine and in community-based practice. He has particular interests in childhood sexual assault and sex education. This rotation is the most appropriate of the OB/GYN choices for students who want more exposure to gynecology patients. Please read the introductory material about the OB/GYN Ambulatory Care Selective experience.
AHEC:	Southern Regional
Housing:	Housing is available; please contact Krishna Foust, administrative assistant for Merry K. Moos (ACS Department Coordinator for OB/GYN) at 919-966-1601
Clinic Program:	Carolina OB/GYN Scotland County Public/Private Practice
Address 1:	505 Lauchwood Dr.
City:	Laurinburg
State:	NC
Zip:	28352
Date Updated:	5/9/2007

ACSM 403 6	Women's Reproductive Health Care in a Planned Parenthood Setting
Faculty:	Cari Boram, Patient Services Director
Offered:	8 and 9
Max. Enrollment:	2 per year
Duration:	one period
Meeting Times:	8:30 am
Credit Hours:	6
Learning Objectives:	Planned Parenthood provides reproductive health care to both men and women; in this selective the student will focus on women's reproductive health care including contraception, diagnosis and management of sexually transmitted diseases, pre-conceptional counseling, counseling and management of the peri-menopause and menopause, and options counseling for pregnant women. The student will also be exposed to services that surround the provision of first trimester abortions. Planned Parenthood of Orange and Durham Counties is involved in numerous innovative programs to decrease unintended pregnancies including enhanced availability of emergency contraception, outreach efforts specific to the Latino community, a peer education program for teenagers and the debundling of required pelvic exams before initiation of prescription contraceptives. There is no prenatal care included in the clinical aspects of this selective. As will all volunteers and employees at Planned Parenthood, a background check will be required before the student begins the selective. For this reason, any student choosing this selective will be contacted by Planned Parenthood 1-2 months before the selective begins. If the student will not be available by or phone during that time, he/she is responsible for alerting the course coordinator (Merry K. Moos or her assistant, Krishna Foust) of how he/she can be reached.
AHEC:	Greensboro
Clinic Program:	Planned Parenthood of Orange and Durham Counties
Address 1:	1765 Dobbins Drive
City:	Chapel Hill
State:	NC
Zip:	27514
Date Updated:	3/10/2008

ACSM 403 9	Preventative Women's Health
Faculty:	Dr. AnnaMarie Connolly and faculty
Prerequisites:	OB/GYN Clerkship. Sponsoring Department: Obstetrics and Gynecology
Offered:	July - Feb July and August - 1 student per block. September to February - 2 students per block
Min. Enrollment:	1
Max. Enrollment:	2
Duration:	One month
Meeting Place:	TBA
Meeting Times:	TBA
Credit Hours:	6
Learning Objectives:	Students will develop a strong clinical fund of knowledge in the area of Preventative Women's Health related to reproductive health, chronic disease (diabetes and obesity), infectious disease (HIV, chlamydial disease), and preventative health practices (cancer screening).
Learning Activities:	The student will primarily immerse him/herself in the clinical activities of the assigned preceptor actively working in the clinical setting with the assigned preceptor and attending conferences with preceptors. The student will actively develop clinical reasoning skills and function as a practitioner primarily in the outpatient setting. Clinical objectives will be achieved with the guidance of the preceptor and using helpful curricular materials including the Clinical Activities Tool, case-based vignettes, and peer-reviewed article review.
Evaluation:	Student clinical performance will serve as the primary focus of the evaluation. With preceptor guidance, student completion of clinical activities tool/clinical work cards, clinical case-based conferences, and journal article review with the preceptor will guide subject mastery.
AHEC:	Greensboro
Clinic Program:	UNC Hospitals
Address 1:	Obstetrics and Gynecology
Address 2	CB# 7570
City:	Chapel Hill
State:	NC
Zip:	27599
Date Updated:	3/12/2008

ACSM 404 15	Pediatrics in Shelby
Faculty:	Brian Benfield, MD, Mark Binion, MD, Chris Cerjan, MD, Charles Hayek, MD, David Norman, MD, Patricia Pitcher, MD, Nancy Hendrix, MD, John Brownlee, MD and Rebecca Shoaf, MD
Offered:	Periods 0, 1, 2, 3, 5, 8, and 10.
Max. Enrollment:	2 per year
Duration:	One period
Credit Hours:	6
Learning Objectives:	The Shelby Children's Clinic was founded forty-five years ago by Drs. Paul Sarazen and Richard Bowles. It now includes ten pediatricians, one of the Pediatricians is board certified in Developmental.behavioral Pediatrics, three pediatric nurse practitioners, psychologist, as well as on-site consultation services of a pediatric endocrinologist and cardiologist, and lactation specialist as needed. The group administers in-patient care at Cleveland Memorial Hospital, a modern two hundred and fifty bed hospital with an active emergency room and a level II nursery. The doctors each see twenty five to forty patients a day in the office with a wide variety of clinical problems. About 45% of the patients are on Medicaid. Shelby is a small, cosmopolitan town with a population of twenty thousand, but the medical community attracts patients from a population of over 150,000. The clinic is located 45 minutes west of Charlotte and about 1.5 hours from Asheville.
AHEC:	Charlotte
Housing:	Housing is available, please contact the ACS Department Administrative Coordinator for Pediatrics at 919-966-2504.
Clinic Program:	Shelby Children's Clinic
Address 1:	709 N. Dekalb St.
City:	Shelby
State:	NC
Zip:	28150
Date Updated:	2/28/2007

ACSM 404 2	Carolinas Medical Center, Charlotte, NC
Faculty:	Dr. Laura Noonan
Offered:	January - June
Min. Enrollment:	1
Max. Enrollment:	1
Duration:	One month
Meeting Place:	Pediatric Clinic on 2nd Floor, Myers Park Building
Meeting Times:	9:00 a.m.
Learning Objectives:	This selective provides the fourth-year student with a solid experience in ambulatory pediatrics and an exposure to the wealth of community resources available in a large urban setting. The student primarily will work in the Myers Park Pediatric Clinic, the general pediatric teaching clinic for CMC. This busy clinic provides well child, acute and chronic care services to a multi-ethnic population of low income children. Proficiency in Spanish is an asset but is not required. Depending on the student's interests there are also opportunities to work in hospital and private office based subspecialty clinics as well as opportunities to become familiar with local resources which serve the non-medical needs of children in Mecklenburg County. There is no required overnight or weekend call but most students do arrange to take advantage of the opportunity to spend some evening hours on the in-patient service. Students with a strong career interest in pediatrics will benefit the most from this selective. Personal transportation is required.
AHEC:	Charlotte
Housing:	Housing is available; please contact the ACS Dept. Administrative Coordinator for Pediatrics at (919) 966-2504.
Clinic Program:	Department of Pediatrics Carolinas Medical Center
Address 1:	PO Box 32861
Address 2	1350 S. Kings Dr.
City:	Charlotte
State:	NC
Zip:	28207
Date Updated:	4/17/2007

ACSM 404 20	North Raleigh Pediatric Group
Faculty:	R. Frerichs, M.D.; Michelle McMillian, M.D.; Christine Flannelly, M.D.; Ann McBride, M.D.; Niraili Duball, M.D.; Christopher Wilson, M.D
Offered:	0, 2, 3, 5, 8, and 10
Max. Enrollment:	6 per year
Duration:	one period
Credit Hours:	6
Learning Objectives:	North Raleigh Pediatric Group opened in 1983 as a solo practice. It soon grew to two and then to three in 1987. We are now two full-time and four part time physicians, each board-certified in Pediatrics. Each full-time physician sees 35-40 patients per day with a good balance of routine physicals and acute illness. The patient population is predominately white collar. Frequently seen clinical conditions include, URI, asthma, otitis media, and strep throat. Students will encounter a good selection of pediatric primary care medicine. In addition to their time in the clinic, students may choose to attend pediatric grand rounds on Wednesday mornings.
AHEC:	Wake
Housing:	All activities are within commuting distance.
Clinic Program:	North Raleigh Pediatric Group
Address 1:	7205 Stonehenge Drive
City:	Raleigh
State:	NC
Zip:	27613
Date Updated:	3/1/2007

ACSM 404 3	Pediatrics in Goldsboro
Faculty:	Drs. David Tayloe, Jr., Marilue Cook, Michelle Larson, Larry Nickens, Joseph Ponzi, Siegfrien Yeh, Carey Ziemer, Christopher Griffin, Teague Horton, Cory Bean, Erika Boyd. Certified Pediatric Nurse Practioners Nancy Sayers, Lydia Asper, Mary Witt, Valerie Bailey, Ann Parson, Joseline Borchardt, and Jennifer Perkins, PA. Psychologist Joanne Villei, Psy.D. Certified Lactation Consultant Nola Claiborne, Katherine MacDonald, M.D., Fran Ballenta
Offered:	All periods
Max. Enrollment:	1 or 2 (coordinates with E.C.U.)
Duration:	One period
Credit Hours:	6
Learning Objectives:	Clients are seen from birth to early twenties; 25 percent are on Medicaid. Each of the twelve pediatricians sees 20 - 50 patients per day. Goldsboro Pediatrics now has a 3,200 square foot office in Mt. Olive that is staffed Monday through Friday with one pediatrician and two nurse practitioners. We have also started regional offices in Princeton and LaGrange. One doctor sees patients in each of these offices Monday through Friday, 8:00 a.m. - 5:00 p.m. Preceptors comment that, "We have a good time practicing pediatrics!" The pace is fast. The practice consults for various agencies, including Head Start and the public schools. Goldsboro's population is 50,000; the county's is 113,000. The economy has an agricultural base, but also includes Johnson Air Force Base and multiple small industries. Project idea: patient compliance with visits.
Learning Activities:	Areas of interest: 1. Children with special health care needs, especially ADHD. 2. Children with obesity. 3. Latino children. 4. Child abuse prevention. 5. School health (we supervise five school-based health centers).
AHEC:	Eastern
Housing:	Housing is available, please contact the ACS Department Administrative coordinator for Pediatrics at 919-966-2504.
Clinic Program:	Goldsboro Pediatrics, PA
Address 1:	2706 Medical Office Place
City:	Goldsboro
State:	NC
Zip:	27534
Date Updated:	4/3/2008

ACSM 404 5	Pediatrics in Laurinburg
Faculty:	James D. Smithwick, MD, Tharon C. Howard, MD Patrick Hunter, MD Frederick Mabry, Jr., MD, James A. McQueen, MD, Michael O'Donnell, Jeff Byrd, MD
Offered:	0, 1, 2, 3, 5, 8, and 10
Max. Enrollment:	1 per month
Duration:	one period
Credit Hours:	6
Learning Objectives:	The Purcell Clinic serves clients from birth through college, with a wide range of acute and chronic diseases. More than 55% of clients are on Medicaid, and about 50% are members of minority groups. A total of about 600 newborns are seen per year, with an average of 100-130 patients per day. The clinic serves a population of about 100,000, including the 16,000 residents of the City of Laurinburg. The preceptors describe Laurinburg as an "All-American City."
AHEC:	Southern Regional
Housing:	Housing is available, please contact the ACS Department Administrative Coordinator for Pediatrics at 919-966-2504
Clinic Program:	The Purcell Clinic
Address 1:	418 King Street
City:	Laurinburg
State:	NC
Zip:	28352
Special Notes:	All physicians are board certified. Student Affairs will coordinate with Duke rotations through the Southern Regional AHEC to assure one student in the clinic at a time.
Date Updated:	4/3/2008

ACSM 404 8	Pediatrics in Asheville
Faculty:	Wesley Garbee, MD; Norman Parks, MD; Donna Page, MD; Leigh Dodson, M.D.; Carol Wilson, M.D.; Gretchen Brown, M.D.; Susan Cohen, M.D.
Offered:	1, 2, 3, 4, 5, and 10
Max. Enrollment:	3 (1 in period 5 and 2 total in other listed periods)
Credit Hours:	6
Learning Objectives:	Client ages range from neonatal through college. Patients are insured, uninsured and covered by Medicaid, roughly in equal numbers. Physicians see 20-30 patients per day. There is a variety of patient conditions ranging from well-child care through tertiary care. Asheville is the only large city in western North Carolina. It is surrounded by small towns, rural communities, and national parks and forests. Asheville acts as a referral center, so the site does a great deal of hospital care, as well as outpatient management of complicated patients.
AHEC:	Mountain
Housing:	Housing is available, please contact the ACS Department Administrative Coordinator for Pediatrics at 919-966-2504.
Clinic Program:	Asheville Pediatric Associates, P.A.
Address 1:	2 Medical Park Drive
Address 2	Suite 100
City:	Asheville
State:	NC
Zip:	28803
Special Notes:	Housing is available; please contact the ACS Dept. Administrative Coordinator for Pediatrics at (919) 966-2504.
Date Updated:	4/3/2008

ACSM 404 9	Pediatrics in Sylva
Faculty:	Thomas DIll, MD, Charles H. Toledo, MD, Carmen Nations, MD, Penny O'Neill, MD, Judy Seago, MD; Jai Kumar, MD; Sheryl Gravelle-Camelo, M.D.; Laurie Soule, CPNT
Offered:	2, 3, and 5
Max. Enrollment:	3 per year
Duration:	One period
Credit Hours:	6
Learning Objectives:	Sylva Pediatrics Associates is the only pediatric group for Jackson, Swain, Graham and Clay counties. The practice also acts as a referral center for approximately seven counties and the Cherokee reservation. Clients range in age from 0-19 years; approximately 55 - 60% are on Medicaid. A large percent of clients live on the Cherokee reservation. Twenty-five to thirty five patients are seen per day. Inpatient service ranges from regular newborn (about 900 newborns per year) to Level II care (about 2-3 cases per month). The practice manages a variety of problems in infants and children less than 19 years of age as inpatients. The practice is in a rural setting, yet a state university (Western Carolina) is located in Sylva. The population is 20-30,000. Sylva is between the Blue Ridge Parkway and the Smoky Mountains. (Students may also spend time in our offices in Franklin and Bryson City, North Carolina.) Recreational activities include kayaking, canoeing, camping, mountain biking, fishing, and skiing.
AHEC:	Mountain
Housing:	Housing is available, please contact the ACS Department Administrative Coordinator for Pediatrics at 919-966-2504
Clinic Program:	Sylva Pediatrics Associates
Address 1:	186 Medical Park Loop, Suite 501
City:	Sylva
State:	NC
Zip:	28779
Date Updated:	3/9/2006

ACSM 405 2	Area Mental Health Developmental Disabilities anSubstance Abuse Program of Mecklenberg County
Faculty:	Linda Mundle, MD
Offered:	All periods except period 1 and 6
Max. Enrollment:	1 per month (2 if there is no one in the elective)
Duration:	one period
Credit Hours:	6
Learning Objectives:	This selective emphasizes the ambulatory treatment of mentally ill patients in an urban setting. Students are exposed to patients suffering from the entire range of mental illnesses and will assist in assessing and treating organic brain disorders, affective disorders, psychotic disorders, personality disorders, developmental disorders and substance abuse. Students learn about the care of patients in crisis, including the effective use of psychotropic medication and brief psychotherapy. Male and female patients, from preschool age to geriatric, will be seen (students have some option to choose to focus on a particular age group). Students are involved in the evaluation of new patients, including emergency patients. As members of a team of professionals coordinating treatment and rehabilitation within the community, students may work with resources such as the schools, social services, and law enforcement. Students have the opportunity to participate in providing care to mentally ill persons at rest homes, shelters, and on the street, as well as within more traditional medical settings. A multi-disciplinary Assertive Community Treatment (ACT) team meets with patients on site and throughout the city and county. Student should contact Dr. Mundle at least one week prior to start date at 704-358-2888 or lmundle@carolinas.org
AHEC:	Charlotte Charlotte
Housing:	Housing is available, please contact Myra Daniel, ACS Department Administrative Coordinator for Psychiatry at 919-966-6997 for forms.
Clinic Program:	Carolinas Medical Center/Center for Mental Health
Address 1:	501 Billingsley Road
City:	Charlotte
State:	NC
Zip:	28211
Date Updated:	3/10/2008

ACSM 406 3	Ambulatory Surgery at Wake Medical Center
Faculty:	Pascal O. Udekwu, M.D.
Offered:	4, 5, 8, 9, 10, and 11.
Max. Enrollment:	1 per month
Duration:	One period
Credit Hours:	6
Learning Objectives:	The selective will consist of six or seven half-day rotations per week in the Surgery Clinics (General Surgery, Orthopedics and Urology) at Wake Medical Center under the supervision of the clinic attending and the principal preceptor. Responsibilities involve history taking and physical examination under supervision with the development of differential diagnosis and a care plan. The student will participate in surgical diagnostic and therapeutic procedures appropriate for the clinic environment in a direct hands-on manner. Continuing patient care follow-up will be maximized for student benefit allowing a continuum within the four-week rotation. Students will be identified as such to patients and their work-ups critiqued and countersigned by appropriate attending physicians. Three half-day periods per week will be devoted to exploring community-based allied health care resources, including rehabilitation and wound care. A wide range of acquired surgical problems found in this environment (trauma, hernias, gastrointestinal, breast, endocrinological, infectious) and some developmental medical problems found in the young will be seen. A majority of the patients are of minimal means.
Housing:	All activities are within commuting distance.
Clinic Program:	WakeMed Faculty Physicians - Surgery
Address 1:	Wake Medical Center
Address 2	3000 New Bern Ave
City:	Raleigh
State:	NC
Zip:	27610
Date Updated:	3/14/2008

ACSM 406 4	Ambulatory Surgery in Chapel Hill
Faculty:	W. Woodrow Burns, MD
Offered:	5, 7, 8, 9, and 10
Max. Enrollment:	1 per month
Duration:	one period
Credit Hours:	6
Learning Objectives:	Dr. W. Woodrow Burns is a UNC graduate who completed his graduate education in surgery at the Hospitals. He has an active surgical practice with an office in Chapel Hill and Durham. He practices at the Durham Regional Hospital.
AHEC:	Greensboro
Housing:	All activities are within commuting distance.
Clinic Program:	W. Woodrow Burns, MD
Address 1:	120 Conner Drive
City:	Chapel Hill
State:	NC
Zip:	27514
Special Notes:	All activities are within commuting distance.
Date Updated:	2/7/2007

ACSM 406 5	Ambulatory Surgery in Elizabeth City
Faculty:	Joseph Jenkins, MD
Offered:	All periods except period 6
Max. Enrollment:	1 per month
Credit Hours:	6
Learning Objectives:	Dr. Antonio J. Ruiz is a graduate of Eastern Virginia Medical School and he completed his graduate surgical education at Roanoke Memorial Hospitals and the University of Virginia Medical Center. The general/vascular surgery practice at Carolina Surgical Care is representative of experiences for a general surgeon in a community practice. The surgical services include General Surgery, Vascular Surgery, Thoracic and Oncologic Surgery.
AHEC:	Eastern
Clinic Program:	Carolina Surgical Care
Address 1:	1138 North Road St.
City:	Elizabeth City
State:	NC
Zip:	27909
Special Notes:	AHEC housing is NOTavailable
Date Updated:	5/20/2008

ACSM 406 6	Ambulatory Surgery in Wilmington
Faculty:	Ellis Tinsley, Jr., MD
Offered:	All but period 6
Max. Enrollment:	1 per month
Duration:	one period
Credit Hours:	6
Learning Objectives:	Dr. Ellis Tinsley, Jr. established his practice in Wilmington, North Carolina following completion of his graduate surgical education at UNC Hospitals. All of his partners are boarded in general surgery and a surgical specialty: vascular(2), cardiothoracic(1), laparoscopic(1), and oncology(1). Under their supervision, the student will actively participate in the pre- and post-operative management of patients with a broad range of general, endovascular, thoracic, laparoscopic, and oncologic problems. Emphasis will be placed on out-patient surgery and community-based services.
AHEC:	Coastal
Housing:	Housing is available, please contact Stacey Owen, ACS Department Administrative Coordinator for Surgery at 919-966-4781.
Clinic Program:	Wilmington Surgical Associates, P.A.
Address 1:	1414 Medical Center Drive
City:	Wilmington
State:	NC
Zip:	28401
Date Updated:	2/7/2007

ACSM 406 7	Ambulatory Surgery in Rocky Mount
Faculty:	Peter Muller, MD
Offered:	All periods except period 6
Max. Enrollment:	1
Duration:	One period
Credit Hours:	6
Learning Objectives:	The Boice-Willis Clinic offers an ambulatory surgery rotation for UNC medical students who are interested in seeing a wide variety of general, vascular and thoracic surgery in a rural private practice setting with a large multi-specialty group (about 60 members). Dr. Muller graduated from the University of Pennsylvania School of Medicine, did his general surgery residency at Letterman Army Medical Center. He has practiced in Rocky Mount since 1990. He and his three surgical partners are all board certified and very much enjoyed participating in educating medical students.
AHEC:	Area L
Housing:	Housing is available, please contact Stacey Owen, ACS Department Administrative Coordinator for Surgery at 919-966-4781.
Clinic Program:	Boice-Willis Clinic, P.A.
Address 1:	901 N. Winstead Avenue
City:	Rocky Mount
State:	NC
Zip:	27804
Date Updated:	3/14/2008
Clinical:	Y

ACSM 406 8	General Surgery in Monroe, NC
Faculty:	John Cattie, MD and James D. Whinna, MD
Offered:	All periods except period 6
Max. Enrollment:	1
Duration:	One period
Credit Hours:	6
Learning Objectives:	Union Surgical Associates offers an ambulatory general surgery rotation for students who are especially interested in pursuing a career in general surgery or a surgical subspecialty. There are six surgeon preceptors with a seventh to be added in July 2008. The preceptors all enjoy teaching during clinic sessions and encourage active participation in the operating room where the student will frequently function as the first surgical assistant in the operating room. There are surgical clinics five days a week and surgical cases five days a week. You will be exposed to the entire gamut of general surgery except for thoracic and vascular surgery. This is a wonderful hands-on surgical experience for the motivated student who is interested in and willing to participate in patient care.
AHEC:	Charlotte
Housing:	Housing is available, please contact Stacey Owen, ACS Department Administrative Coordinator for Surgery at 919-966-4781.
Clinic Program:	Union Surgical Associates
Address 1:	1550 Faulk Street, Suite 1100
City:	Monroe
State:	NC
Zip:	28112
Date Updated:	5/30/2008

ACSM 407 11	North State Medical Center
Faculty:	Rick Godwin, M.D.; Thao Doan, P.A.; Tami Lee, P.A.; Noah Wichman, P.A.
Offered:	All except 1 and 6
Max. Enrollment:	4 per year
Duration:	One period
Credit Hours:	6
Learning Objectives:	Dr. Rick Godwin is an alumnus of the UNC School of Medicine, and he recently completed his Medicine-Pediatrics residency at UNC Hospitals. Currently, his patient population is approximately 50% adult and 50% pediatric; however, since he is one of only two pediatricians in Person County, he anticipates that his pediatric population will continue to grow. Also at North State Medical Center are three physician's assistants. North State Medical Center provides a broad range of ambulatory services to people of all ages. Frequently seen adult conditions include COPD, diabetes, and coronary artery disease. The patient population is predominantly lower to middle class; a large segment of the area's population works in local factories. Roxboro, the county seat of Person County, is a town of 8,000. Dr. Godwin has full hospital privileges at Person Memorial Hospital and refer patients to Duke or UNC for tertiary care. Students can expect to see a good cross section of childhood and adult primary care medicine and the wide diversity that this encompasses.
AHEC:	Wake
Housing:	All activities are within commuting distance.
Clinic Program:	North State Medical Center
Address 1:	609 Professional Drive
City:	Roxboro
State:	NC
Zip:	27573
Date Updated:	4/3/2008

ACSM 407 12	Carrboro Pediatrics and Internal Medicine
Faculty:	Dr. Nick Sartor and Keri Lawrence
Offered:	All except July and December
Min. Enrollment:	1
Max. Enrollment:	1
Duration:	One elective period
Credit Hours:	6
Learning Objectives:	Our practice provides comprehensive preventive and acute care for children and adults. We see approximately equal numbers of adult and pediatric patients in our office in Carrboro five days per week. It is predominantly outpatient with rare inpatient work which is done at UNC Hospitals. Drs. Annis, Lawrence, Branscom, Behling and Sartor specialize in internal medicine and pediatrics. We have a small lab and perform simple tests including microscopy and ECG testing. We perform minor surgical procedures and handle minor emergencies in the office. The student will see a diverse population both in age, background and health issues. Students are expected to research patient based problems in depth and focus on areas of interest.
AHEC:	Greensboro
Housing:	Practice is within commuting distance.
Clinic Program:	Carrboro Pediatrics and Internal Medicine, PA
Address 1:	127 Fidelity St.
City:	Carrboro
State:	NC
Zip:	27510
Date Updated:	4/3/2008

ACSM 407 16	Internal Medicine and Pediatrics Associates, P.A.
Faculty:	James Womble, M.D.
Prerequisites:	Completion of third year
Offered:	All periods except period 6
Min. Enrollment:	1 per month
Max. Enrollment:	2 per year
Duration:	One period
Meeting Place:	Dr. Womble's Office
Meeting Times:	8:00 a.m.
Credit Hours:	6
Learning Objectives:	Internal Medicine and Pediatrics Associates, P.A. is a privately owned, primary care medical practice for infants, children, adults and geriatric patients. This small practice is dedicated to providing personalized care with an emphasis on developing a long term physician/staff/patient relationship. Services provided include comprehensive medical care (hospitalization and clinic services), well and sick baby care, immunizations, physical exams, preventive medicine and health education, routine office gynecology, minor office surgical procedures, on-site laboratory, EKG, audiometry and sigmoidoscopy. Medical staff consists of two physicians and one nurse practitioner and the practice sees approximately 50 patients per day. About 60% of the patients have private insurance and about 20% have Medicare. Physicians have admitting privileges at WakeMed Cary Hospital.
AHEC:	Wake
Housing:	All activites are within commuting distance
Clinic Program:	Internal Medicine and Pediatrics Associates, P.A.
Address 1:	224 Suite 100 High House Road
City:	Cary
State:	NC
Zip:	27513
Date Updated:	2/22/2007

ACSM 407 6	UNC Campus Health Services
Faculty:	Depesh Patel, M.D.; Denise Dechow, M.D.; Thevy Chai
Offered:	4, 8,and 9
Max. Enrollment:	2 per year
Duration:	One period
Credit Hours:	6
Learning Objectives:	UNC Student Health Services provides a wide range of services to the University's diverse student body. The clinic usually sees twenty to thirty patients on an average day with problems ranging from allergies to heart failure. The majority of the patients are seen for contraceptive management, upper respiratory illness, skeletal and muscular injuries, and basic colds. The students will work with multiple physicians in the clinic. This site provides an opportunity for the student to work independently.
AHEC:	Greensboro
Housing:	all activities are within commuting distance.
Clinic Program:	UNC Student Health Services
Address 1:	Student health Service Building 469H
Address 2	CB# 7470
City:	Chapel Hill
State:	NC
Zip:	27599-7470
Date Updated:	2/28/2007

ACSM 409 1	Outpatient Emergency Medicine, UNC
Faculty:	Kevin Biese, M.D.
Prerequisites:	Completion of all clinical clerkships
Offered:	All blocks except block 6
Max. Enrollment:	1
Duration:	one month
Meeting Place:	(see notes section)
Credit Hours:	6
Learning Objectives:	1. Utilize the skills of patient history and physical diagnosis to diagnose and manage conditions in ambulatory Urgent Care/Minor trauma patients. 2. Develop accurate and succinct communication skills for oral presentations and consultations which provide comprehensive information transfer in the Urgent Care/Minor Trauma setting. 3. Gain understanding of the role of the Urgent Care/Minor Trauma ED setting in the community through independent reading and research. 4. Gain proficiency in the basic procedures required for the management of patients with minor injuries and illnesses. Such procedures include, but are not limited to, suture placement, incision and drainage of abscesses, management of fractures and splinting. 5. Develop an awareness of the complex ethical issues involving the practice of emergency medicine. 6. Understand the role of the emergency physician in providing medical clearance of psychiatric patients. This rotation will teach the student to evaluate, treat and determine appropriate disposition for a wide variety of urgent conditions, including minor trauma. Students independently evaluate a wide variety of presenting complaints and develop a differential diagnosis, evaluation, and treatment plan. The Emergency Medicine ACS offers a unique opportunity to care for patients that have been deemed to have non life-threatening but still urgent medical problems similar to those that present at urgent care centers or any doctor's office. These include lacerations, dermatological conditions, abscesses, extremity injuries, dental, psychiatric and ophthalmologic problems. The student will gain experience in all of these conditions thereby rounding out their medical education with the ability to care for these common problems in an acute setting. It affords the student the opportunity to care for the undifferentiated patient from the entire spectrum of society. Please contact Jennifer Link (jennifer_link@med.unc.edu) at least three weeks before starting the selective so that you can set up a meeting with Dr. Kevin Biese to prepare your learning project and be ready for the clinical work.
Learning Activities:	Students will participate in: 1. 12 eight-hour clinical shifts in the Urgent Caret Minor Trauma area- 2. 5 hours of weekly didactic conferences 3. A paper or project related to the role of the ED in the community. The student is expected to spend approximately 30% of their time on this project and will be precepted by the course director. They should contact the course director by email to set up an appointment to discuss the project during the first week of the rotation.
Evaluation:	Students will be evaluated by: 1. Each attending with whom the student is scheduled to work clinically. This evaluation is completed on line by the responsible attending. 2. A paper or project related to the role of the Urgent Caret Minor Trauma ED in the community, eg: how it relates to access to care issues, serving as safety net for the community, preventive care issues, medical resource allocation issues, or other topics of interest to the student. A reference to recent literature on the topic should be included. This paper is due at the end of the rotation, and counts 30% of the student's grade. 3. Attendance and participation at conferences
AHEC:	Greensboro
Housing:	n/a
Clinic Program:	UNC Emergency Medicine Dept
Address 1:	CB# 7594
City:	Chapel Hill
State:	NC
Zip:	27599
Special Notes:	Students will be advised of reporting time and location via their University issued email prior to rotation. They will need to complete T-system documentation orientation prior to their first shift. All schedule requests MUST be submitted at least two weeks prior to start of rotation.
Date Updated:	3/12/2008