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All courses in the Application Phase curriculum are offered at all of our four campuses: Charlotte, Asheville, Wilmington and Central (Chapel Hill and surrounding areas). Regardless of site, all courses have the same course objectives and assessments. However, each site is characterized by a unique curricular structure incorporating varying amounts of integration, self-directed learning and longitudinal emphasis. All sites offer both inpatient and outpatient experiences. All sites offer the breadth and depth of core clinical experiences that represent the clerkship year in a medical school.

Courses Structure

There are four courses within the Application Phase:

Care of Specific Populations Course (MTEC 301, 15 credit hours)
The Care of Specific Populations Course (CSP) is comprised of three blocks: ObGyn, Pediatrics and Psychiatry. During these blocks you will participate in care of women, children and patients with psychiatric illness in both inpatient and outpatient settings. Each block is 5 weeks long. Assessments for the Pediatrics and Psychiatry blocks will be incorporated into the respective 5 week time period. The final week, Week 16, will be spent preparing for and taking final assessments for the ObGyn block including shelf exam and OSCE.

Hospital, Interventional, and Surgical Care Course (MTEC 302, 15 credit hours)
The Hospital, Interventional, and Surgical Care Course (HISC) is comprised of Adult Inpatient Medicine Block and Surgery Block. The Adult Inpatient Medicine Block is composed of clinical experiences on inpatient adult medicine services (general and specialty services). The Surgery Block is composed of clinical experiences on the various general surgery services and surgical sub specialty services.

Community Based Longitudinal Care Course (MTEC 303, 15 credit hours)
The Community Based Longitudinal Care Course (CBLC) course is a 16-week longitudinal experience based in outpatient settings The weekly structure includes three primary care clinical days, one self-directed learning day, half a day of time dedicated to quality improvement, and half a day for curriculum or other learning.

Social and Health Systems 4 (MTEC 304, 1 credit hours)
Social and Health Systems 4 (SHS4) is a year-long course, meeting once monthly, that provides a forum in which students can reflect upon and discuss their clinical experiences from various perspectives. The course includes two components: Population Health and RICE (Critical Reflection, Inter-professional Education, Communication Skills and Ethics).

Grading and Assessment

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.

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 more 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.

Grade Breakdown and Assessments
All Application Phase courses, with the exception of the Social and Health Systems 4 Course, use the following guidelines to establish grade breakdowns:

  • 20% – NBME Subject Examination. Failure on the shelf exam will be defined as less than 5th percentile based on most recent available quarterly national data.
  • 10-20% – Integrated Exam*
  • 10-20% – Standardized Patient / Direct Observation Assessment*
  • 30-50% – Clinical Preceptor Assessments*
  • 5-10% – Professionalism
  • 5-10% – Written Assignments

*Any student who scores more than 2.0 SD below the mean on any of the key assessments, indicated above with asterisk, or who demonstrates difficulty with professionalism will be reviewed by the Course Committee for remediation or possible failure.