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The UNC Department of Family Medicine is committed to providing high quality health care to vulnerable and underserved populations. All residents in our core program receive training in caring for the underserved and gain experience treating patients from these populations in our UNC Family Medicine Center on campus. For residents interested in expanded training in caring for rural populations, as well as underserved populations with an emphasis on Latino Health and Spanish-speaking patients, we offer the Rural Health Track. 

The Program

The Rural Health Track provides residents with their continuity experience at a Federally Qualified Health Center and the opportunity to work with a higher volume of Spanish speaking patients and rural populations. The Rural Health Track is an exceptional opportunity for residents interested in a career focused on: the care of underserved populations, engagement in community health, and innovation and leadership in health care delivery.

The Rural Health Track is designed for residents looking to enhance their competency in caring for diverse patient populations that have often experienced significant health disparities. Residents pursuing the Rural Health Track will gain a deeper knowledge of the social determinants of health and explore potential remedies that address these issues on a local, regional, and national scale.

Residents in the Rural Health Track participate in our core residency program and are exposed to the same curriculum and rotations as all UNC Family Medicine residents. However, they will have their continuity clinic experience in a rural Federally Qualified Health Center (instead of the UNC Family Medicine Center) that serves a large Spanish-speaking population (see below sites). In addition, residents in the Rural Health Track are required to participate in the Area of Concentration devoted to Caring for the Underserved.

Prospect Hill Community Health Center

Prospect Hill Community Health Center served as the original site of the Rural Health Track, with residents first seeing patients in this location starting in 2013. Prospect Hill Community Health Center (PHCHC) is a Federally Qualified Community Health Center located in a rural, medically underserved area 27 miles northeast of Chapel Hill. Of the two sites in the Rural Health Track, PHCHC is the less urban. Caswell county boasts a population of 22,600, including 22.1% elderly, with 13.2% of residents uninsured, and 17.1% living below the poverty level. In addition, 45.7% of residents were not in the labor force, as compared to 38.7% of North Carolina residents.PHS Sign

A few things to know about the Prospect Hill:

  • PHCHC is the oldest community health center in North Carolina, with over 40 years of service to its surrounding community.
  • PHCHC serves a diverse population of over 50% Spanish speaking patients, and has a busy maternal child health program, as well as a Farm Worker Outreach program.
  • The clinic has an onsite Pharmacy, Dental Clinic, WIC program, Integrated Behavioral Health and Social Worker.
  • The clinic performs Point-of-Care Ultrasound with a dedicated MSK Ultrasound Procedures clinic and routine Third Trimester OB US.
  • Additionally there is a Long Acting Reversible Contraception (LARC) clinic that provides free contraception to our patients.
  • PHCHC opened a renovated 4,000-square-foot facility in June 2011, and the health center has a dedicated group of faculty and support staff.
  • There is a specialty procedures clinic which offers MSK injections with ultrasound guidance, special dermatologic procedures, and additional ultrasound guided procedures.

Siler City Community Health Center

Siler City Community Health Center is our newest site for the Rural Health Track, where residents first began seeing patients in 2019. Siler City Community Health Center (SCCHC) is a Federally Qualified Community Health Center located in a rural, medically underserved town 34 miles southwest of Chapel Hill. Siler City is a working-class community that was named the 2015 North Carolina Small Town of The Year. SCCHC is located in a neighborhood setting, one block from the high school, and next door to the health department and a mental health center. SCCHC is very closely integrated with Chatham Hospital, a community based critical access hospital where residents also spend time. As of 2019 estimated data, 13.4% of Chatham County residents were uninsured, and in Siler City, 26.9% of the population live below the poverty level. The Hispanic-Latino population of Siler City is 42.5%.                                                                                                                                                                                

A few things to know about SCCHC:

  • Siler City opened in 2002 to serve Chatham, Randolph, and surrounding counties and has a dedicated group of faculty and support staff.
  • SCCHC serves a diverse population with over 50% Spanish speaking patients and has a busy maternal child health program.
  • The clinic is located in close proximity to Chatham Hospital, which is fully staffed by our departmental family medicine faculty.
  • The clinic has an onsite Pharmacy, Dental Clinic, WIC program, Integrated Behavioral Health, nutrition services, and a Social Worker.
  • We perform Point-of-Care Ultrasound with routine MSK procedures and first and third Trimester OB US.
  • There is a specialty procedures clinic which offers MSK injections with ultrasound guidance, special dermatologic procedures, and additional ultrasound guided procedures.

 

Applying to the Rural Health Track

The Rural Health Track has a separate match number from our core program (where residents have their continuity clinics at the UNC Family Medicine Center). The separate match numbers allow applicants to rank their preferred site for their continuity practice. Spanish language proficiency is preferred, but not required, for participation in the Rural Health Track. We encourage all applicants to the Rural Health Track to apply to our core program also. Through our core program, residents still have the opportunity to participate in the Area of Concentration in Care of the Underserved and gain experience caring for underserved populations in our UNC Family Medicine Center.

Click here to see a video about the Rural Health Track.

Updated October 2020