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During the Application Phase, students spend 12 months completing core clinical clerkships in psychiatry, surgery, pediatrics, obstetrics and gynecology, internal medicine, and family medicine. Students can complete the Application Phase in one of four campus programs: Charlotte, Asheville, Wilmington and Central (Chapel Hill and surrounding areas). All Campuses have the same course objectives and assessments, but each site is characterized by a unique curricular structure incorporating varying amounts of integration, self-directed learning and longitudinal emphasis. Regardless of the campus assignment, all students will be prepared for Individualization Phase and future career endeavors.

Application Phase Requirements

Prior to beginning the Application Phase, all students must:

  • Successfully complete and pass all course work in the Foundation Phase
  • Complete STEP 1 Exam

All campus programs require students to have a car. Bus service at any campus may be limited or non-existent to clinic sites.

Students assigned to Asheville, Charlotte, and Wilmington are expected to secure their own housing for the year. Staff at each campus can direct students to housing options. Central Campus students must also secure their own housing, but may be assigned to AHEC clinical sites in Greensboro and Wilmington to complete clinical experiences. For these short-term assignments, students can apply for AHEC housing. Learn more about AHEC housing.

Application Phase Leadership

Dr. Amy Shaheen, Application Phase Director
Dr. Sarah Smithson, Assistant Dean of Clinical Education
, Application Phase Operations

Campus Leadership

Asheville Campus Director: , Assistant Dean, UNC School of Medicine, Asheville Campus

Central Campus Directors: Drs. and

Charlotte Campus Director: , Assistant Dean, UNC School of Medicine, Charlotte Campus

Wilmington Campus Director: , Assistant Dean, UNC School of Medicine, Wilmington Campus


All campuses adhere to the same assessment structure and grading standards. Each course has a Course Committee comprised of the course’s directors, site directors, and a representative for academic assistance. A Course Committee meets at a course’s midpoint to provide formative feedback and its conclusion to determine final grades. More detailed information on assessments and grade breakdowns.

Grading Standards
All Application Phase courses, with the exception of Intensive Integration Course, use the following grading standards that rely on a 100 point scale. Passing is defined as scoring greater than 2.0 SD below the mean on final score calculation. Students who fail will be required to retake the full course. Of students who meet this criteria, Honors/High Pass/Pass will be awarded using the following guidelines.

  • Honors: top 30-35%
  • High Pass: middle 40-50%
  • Pass: lower 20-25%

Narrative comments should include general comments on student performance as well as specialty specific comments to include in the MSPE.

Application Phase Committee

The Application Phase Committee develops, evaluates, and manages the Application Phase. The committee is led by Drs. Amy Shaheen and Sarah Smithson. Course directors, Campus directors and faculty, student representatives, and key administration attend the monthly meetings. Minutes of the meetings are maintained in an internal learning management system and are available upon request. Contact , Application Phase Coordinator, with requests or questions. Learn more about the structure and purpose of this and all educational committees.