You are at an exciting time in your professional journey. The next three years will shape you professionally and personally for a lifelong career of service, and we’re glad that you found your way here. While medicine has made amazing strides in the past 100 years, the systems we have do not deliver equally for all. Many changes are needed, but we clearly need physician leaders with the competence and care for our communities.
In Hendersonville, we think that ALL should have high quality and affordable healthcare, and as a Teaching Health Center (THC), we get to this kind of real family medicine. Being a THC means that our residency is combined with a Federally Qualiﬁed Health Center (FQHC), and we see all patients, regardless of ability to pay. In this partnership, our residents and our community both win.
Rural medicine is full of challenges: disproportionate mortality rates, higher rates of addiction, and mental illness. It is also an “opportunity desert” that has depressed access to housing, education, and employment. As a community-based program, we see these challenges as opportunities during every patient encounter as well as in larger community health projects. From day one in our program, you will engage in the issues and be the change in your community.
Our curriculum is designed around giving you professional value. The ﬂexibility to “choose your own adventure” is more than a slogan, it embodies the heart of how we want to form the next generation of Family Physicians. In your intern year, you will start shaping the curriculum that serves you for a lifetime of practice. You will train in full-scope family medicine that is robust and unopposed, and includes dedicated procedure time, high volume longitudinal obstetrics, and clinical exposure that will equip you for your future.
In residency, you will be stretched, discover new strengths, and you will be a new person by the end. In Hendersonville, we want you to find harmony in the professional and personal. We live in the most beautiful part of the country and have built a supportive environment around personal wellness that values you as a colleague from day one. Our faculty and residents model balance, resilience, and long-term joy in a demanding profession.
It’s an honor that you are considering training with us, and we’re excited to meet you. Come and explore the education we offer, the values we share, and how we can help you develop into the physician leader of the future. Learn more about our program in this brochure.
MAHEC offers a variety of student rotations in Family Medicine, Obstetrics and Gynecology, General Surgery, Rural Medicine, and Psychiatry for both in-state and out-of-state students interested in our residency programs. Learn more about our 4th year medical student rotations
MAHEC is committed to creating an equitable and inclusive place to work, learn, and receive care. We actively recruit physicians, staff, and students from underrepresented minorities, and we strive to implement policies and procedures that value and support diverse backgrounds and experiences. MAHEC does not discriminate on the basis of socioeconomic status, race, ethnicity, sexual orientation, gender identity or expression, spiritual practice, geography, disability, or age.
There are so many great family medicine programs, but ultimately students need to find the place where they feel the right fit. Our values support us as a bedrock of who we are as a program, and we want to meet people that share in these values.
Hospital, schools, health campaigns, migrant farmworker camps, educational programs... We are involved and we lead.
|Continuous Full-Spectrum Care
Throughout residency, we deliver babies, care for children, manage critical care patients, and provide acute care. We care for all, all the time.
|Leadership and Advocacy
To make change, you have to lead change. Our residents are our colleagues and we provide the ability, tools, and avenues for our residents. Our residents make a difference from day one.
Our patient population is more than 85% uninsured or Medicaid insured. We provide outreach services to the migrant farmworker population, sit on the board of the free clinic, provide care at the health department, and manage a clinic to support individuals experiencing homelessness. We give access to care to everyone.
Being a smaller program allows us to push the standards of medical education to provide customized education at the highest quality. We constantly evaluate our program and our residents. We make sure every physician leaves having the heart, skills, and knowledge to bring lasting change to their community.
On top of these values and the great people here, we have many unique features that we hope align with the vision for your future.
During their second and third years, residents work on a community project, which is often their main scholarly activity. They collaborate with local organizations to develop a project that has a lasting impact on their community.
Examples of prior projects:
Our program has been developing full-spectrum rural physicians for over two decades, and have been very successful in placing our graduates in Western North Carolina. As Hendersonville has grown, however, we have seen a rising challenge of continuing to develop rural physicians in a town that has become more vibrant and less rural. Through multiple sites affiliated with Blue Ridge Health, our residents establish themselves at rural clinics in multiple mountain towns outside Henderson County. In their second and third year, residents spend 1-2 days per month at these smaller clinics to develop their own patient panel and improve their skills in rural medicine.
Point-of-care ultrasound (POCUS) is used in our hospital and continuity clinics with brand new handheld Butterfly devices. Ultrasound is taught in formal courses held 2-3 times yearly, as well as in didactics. Further hands-on training is incorporated into our procedural skills rotation and residents are encouraged to use skills daily in their continuity clinics as well.
Despite the national reduction in scope of practice in family medicine, our program has remained committed to full-spectrum training. Our goal is to train a generation of physicians who are ready to practice anywhere in the world and tackle whatever community needs they encounter. We continue to work with our local health systems to expand the scope of practice of family doctors and to improve the health of Western North Carolina.
Our residents are a diverse group of learners with a diverse number of interests, and our curriculum can be individualized for residents based on their anticipated needs. With maximal elective time built into the curriculum and an away month in second and third year, our residents have the opportunity to shape their own experiences to match their interests. Some residents have spent this time to gain expertise in alternative medicine, medical Spanish, curriculum development, innovative practice models, surgical obstetrics, and much more. Our small size allows residents the flexibility to work on their interests and to mold a personalized curriculum around their goals.
Small is beautiful! Some would compare us to larger University programs and call us “unopposed” but we think a better definition is community-based. In Hendersonville, that means that when you call the pulmonologist, they know your name! We thrive as a residency because of an excellent group of community faculty that see you as a junior colleague and want to help you grow along the way.
Small communities like ours still have big problems. Here in Hendersonville, we have so many great resources and non-profits looking to make an impact on the community, and our residents are encouraged to make those connections and take on the problems that matter. Whether in the clinic, hospital, or community at large, you can lead that change.
With over 600+ family medicine programs, you’re bound to find the one that fits your personal and professional needs. For us, flexibility is a key element of how we fulfill our mission of “Training to Serve.” We think we have the Goldilocks of class size, but we also find that this gives us the flexibility to let a resident build a curriculum for their professional needs. If a resident wants a longitudinal curriculum in obstetrics, or psychiatry, or OMT, that excites us and we can help you take that desire and achieve your goals.
The clinic is the classroom in Hendersonville, but we don’t think your faculty is the teacher. Instead, your patients will be your greatest teachers, and your faculty the facilitators. Since this person in the exam room will be the most valuable part of your education, we have designed our curriculum to reflect that and be “patient first” in our clinics. This means improved continuity, improved patient satisfaction, and you as a physician knowing the people you care for.
Some programs will have you meeting new continuity patients even in your third year, but there really isn’t much time to build those relationships before you graduate. From day one in Hendersonville, you have your full panel, and each year have an equal number of office visits to build that connection and grow with those you care for.
Our family practice service (FPS) is a full-spectrum service that cares for OB, pediatrics, and adult inpatient medicine. We care for the entire panel of Blue Ridge Health patients in multiple clinics across Western North Carolina. Residents spend three months during their first and second years on the FPS, and two months in a leadership role during their third year. Our longitudinal call structure ensures that residents continue to be confident and comfortable with inpatient medicine throughout their residency. Many of our graduates have gone on to practice hospitalist medicine as a result.
Our family practice service is the primary team for our intensive care patients. We do more than make social visits or watch as others care for our patients. Our residents are the first call when our patients require intubation, procedures, or resuscitation. In addition to gaining this experience during your family practice rotation, residents have a dedicated intensive care rotation at Pardee Hospital and have the opportunity for an elective month of pulmonary and critical care at Mission Hospital. A hallmark of our residency is that Pardee is large enough to have a busy ICU, but small enough that our residents retain primary responsibility to care for our patients there.
Pardee Hospital in Hendersonville is where residents will get the bulk of their delivery experience, and it is one of the few hospitals in Western North Carolina where family doctors are practicing operative obstetrics. Our residents graduate with between 60-120 deliveries, depending on their interest, and have gone on to become faculty and full-spectrum physicians across the country because of their comfort with obstetrics. Due to an underserved patient population without easy access to specialists, residents become comfortable with managing higher risk prenatal patients who would usually be managed by specialists in an urban environment or larger program.
During the first year, residents spend two months in inpatient pediatrics at Mission Hospital in Asheville and are taught by pediatric hospitalists, intensivists and sub-specialists. They admit pediatric patients from all over Western North Carolina and are the only inpatient pediatricians to admit, which allows for a wide range of cases. Residents become comfortable caring for newborns and coordinating care with specialists, as well as managing common and complex illnesses.
Residents also acquire ongoing inpatient pediatrics experience on the inpatient service in Hendersonville. Because of the thriving OB practice, many children are recruited by residents into clinic after participating in deliveries. Residents enjoy additional outpatient experiences at the local Health Department and in pediatric blocks during their first and third year.
Mental health is an area of great need in our community, and our residents see behavioral health as a vital component to family medicine. We have a dedicated LCSW faculty member who is responsible for the behavioral health education of the residents, which comes as both didactic education and co-managing patients in the clinic.
Residents also lead group visits for behavioral health issues. Rotations during second year in community medicine and behavioral health provide experiences in counseling and residents learn about available community resources. Additionally, physician wellness is a key part of our behavioral health curriculum and a major focus of our program in general.
For one month during intern year and another month during third year, residents train in the second busiest emergency room in Western North Carolina, where they focus on actively managing critically ill patients, as well as gain procedural experience. Residents will often perform additional procedures in the ER while on call for the inpatient service. Family doctors in rural areas are expected to care for acutely ill patients in an emergency setting, and our residents are comfortable caring for our patients in this environment. Our residents also have an ER month in their second year dedicated to pediatric emergency medicine at Mission Hospital.
Our residents spend one month during intern year on a surgery rotation rotating with the surgical group from Pardee Hospital. During this month, their emphasis is on evaluation for surgical intervention, basic surgical skills, endoscopy, and post-surgical care. Residents also use this opportunity to become adept at intubations and procedural techniques that are useful during their longitudinal call. During third year, our residents have a dedicated Procedural Skills rotation where they will have an entire month dedicated to both outpatient and inpatient procedural skills.
One month during intern year and one month during second year are spent with local orthopedic and sports medicine practices. Residents learn outpatient management of orthopedic problems and participate in surgery. During the second year, residents rotate through sports medicine clinics and physical therapy. Residents are encouraged to learn sports medicine procedures and techniques for use with their continuity patients. Residents will also have the opportunity to be involved with local sports teams and events.
While residents primarily work in the FQHC setting, they also have dedicated time in the second and third year to explore multiple practice models. Curriculum focuses on personnel management, coding, billing, and patient flow & satisfaction. A one-month rotation during the third year focuses on skills in practice leadership. During this time, residents will also complete a practice improvement project and focus on their community impact project.
We are one of the few programs in the country where residents can take the opportunity to practice overseas during each year of their residency. Residents can travel to rural Honduras through Shoulder to Shoulder as early as intern year, and have one month of dedicated time during each of their subsequent years to travel and practice away from Hendersonville. Additionally, we have dedicated time during didactics to address international and wilderness medicine topics.
During their second and third years, residents are eligible to participate in our integrated Lifestyle Medicine Residency Curriculum, which includes 40 hours of didactics and 60 hours of applied activities. Over the course of 2-3 years, residents will complete 400 patient encounters to develop competency in each lifestyle medicine domain. Residents will participate in their own intensive therapeutic lifestyle change program and have opportunities to participate in collaborative research affiliated with the Blue Zones Project in Brevard, NC.
Several of our residents have taken advantage of elective time to gain experience and credentialing in wilderness medicine. Residents participate in didactics as well as periodic workshops and outings. They are given the opportunity to teach lectures for a wilderness EMT course. The residency is within close proximity to Dupont State Forest, Pisgah National Forest, and multiple wilderness areas. As part of orientation, new interns to the Hendersonville residency have a rafting trip on the Nantahala river and practice rescue techniques.
The scarcity of rural providers makes procedural skill training a focus of our program. Ultrasound is a major priority of our procedural training curriculum and we have added handheld point-of-care ultrasound (POCUS) devices in the hospital and outpatient clinics. We also equip residents in more formal MAHEC training courses throughout the year. Our didactic curriculum includes simulation center trainings on difficult airways and intubations, central line placement, and further work on point-of-care ultrasound. Each resident’s curriculum can be tailored to match their anticipated needs, but every resident will graduate feeling comfortable with a broad range of procedural skills.
Residents have afternoon didactics weekly and during several lunch and morning events throughout the week. These conferences cover a broad range of primary care topics including: patient management, behavioral medicine, Ob/Gyn, community medicine, and practice management. Learning sessions are led with active teaching methods in mind. Regular monthly conferences within the residency include lunch discussions of hospital cases, obstetrics cases, difficult outpatient cases, physician wellness, and resident meetings.
Our call schedule is one of the most important aspects of our program. During intern year, our residents spend a total of four weeks on night float while rotating at Mission Hospital. The primary goal of intern year is to prepare the resident for longitudinal call at Pardee Hospital, where the resident will be actively caring for critically ill patients. Our residents will be on call once per week, on average, and one weekend per two months. Residents practice as a full-scope hospitalist including ICU and obstetrics with faculty support. Whereas most programs have changed to a night float system, our graduates feel prepared to continue practicing obstetrics and inpatient medicine because they had continuous full-scope training throughout their residencies.
Blue Ridge Health - Justice Street is one of two main outpatient clinics of our Teaching Health Center (THC) where residents and faculty see patients regardless of ability to pay. Built in 1999, it is a 12,000 square foot facility with 24 patient rooms, two procedure rooms, a behavioral health meeting room, a teleconference room, and a precepting area. This clinic serves a wide breadth of patients with full-spectrum family medicine, nutritionist, and behavioral health services offered. There are also laboratory services and an on-site 340b pharmacy that offers significant discounts to our uninsured and underinsured patients. It is located across the street from Pardee Hospital, allowing easy access between clinic and the hospital.
Blue Ridge Health - Chimney Rock is the other main outpatient clinic of our THC. It is on the site where Blue Ridge Health was initially founded in 1963. At this location, residents and faculty see a similar patient demographic, but also have a higher volume of Hispanic and migrant populations. Here and at all sites, full interpreter services are present to give culturally competent care. At this facility, dental services, mammography, and radiology are offered in addition to the above services at Justice Street. Similarly, the on-site 340b pharmacy offers significant medication discounts to our patients. The clinic is a short 10-15 minute drive to the hospital.
Established in 1953, Pardee Hospital is a non-profit community hospital. Family Medicine is the only training program at the hospital, so residents have access to a wide range of medical cases and experiences. It is a busy 222 bed hospital that has received high marks in orthopedics and surgery by several national rankings. It also houses the second busiest ER in Western North Carolina, which has 34 ER rooms. Over 300 babies are delivered at Pardee Hospital each year. It has an ICU where family physicians have admitting privileges.
Mission Hospital is located 19.8 miles away from Pardee Hospital, making the rotations an easy commute for our residents. Mission Hospital is a part of the Mission Health System and the medical center that serves as the tertiary referral center for the entire Western North Carolina region and parts of TN, SC, WVA, VA and beyond. This comprehensive health system brings together the capabilities of its two founding hospitals, Mission and St. Joseph's. Together, they are licensed for 815 beds. The medical staff comprises approximately 600 physicians.
The mission of the Hendersonville Family Medicine Residency Program is to train superior family physicians for community-oriented rural practice in Western North Carolina. We welcome well qualified candidates to apply to our program.
An interview at our program includes dinner with residents the evening before, a stay in a historic B&B, time with faculty, a tour of our clinical sites and lunch at our facility. We offer a personalized community tour for your spouse/partner while you are interviewing at our program.
If you believe that you are a good match for our program, we would welcome your application. We will review all applications submitted through ERAS and will contact and schedule interviews for those who appear to be the best fit for our residency program.
Orientation for first year residents occurs prior to the start of each academic year, so that new residents can begin their first rotation on July 1 with a basic understanding of their new educational environment.
In addition to a variety of activities designed to orient new residents to the hospital, Family Health Centers, and MAHEC, social activities are organized to allow residents to get acquainted with each other, faculty, and staff. These activities culminate in a weekend retreat. Hendersonville residents begin orientation with a rafting trip down the Nantahala and learn water-rescue techniques.
Orientation will begin in mid-June. First-year residents will be compensated $1,500 for these 2 weeks of orientation.
The Hendersonville Family Medicine Residency Program (Removed Pardee Hospital) is affiliated with the Mountain Area Health Education Center (MAHEC) in Asheville and the University of North Carolina at Chapel Hill. The program has been accredited by the Accreditation Council for Graduate Medical Education (ACGME), Residency Review Committee for Family Practice.
All participating physicians on Pardee Hospital’s staff are board certified or board eligible. Pardee Hospital is fully accredited by DNV Healthcare.
The Graduate Medical Education (GME) programs will select from among eligible applicants on the basis of residency program-related criteria such as their preparedness, ability, aptitude, academic credentials, communication skills, and personal qualities such as motivation and integrity.
An applicant must meet or exceed the following minimum qualification(s) to be eligible for selection and appointment to MAHEC’s GME residency programs:
Special laws and regulations apply to international medical graduates who wish to enter the United States to undertake graduate medical education. MAHEC's policies and procedures regarding graduates of international medical schools comply with federal and state laws and regulations and MAHEC's commitment to graduate medical education.
Graduates of medical schools outside the United States and Canada must have a currently valid certificate from ECFMG. Applicants must successfully pass both Step 1 (basic medical) and Step 2 (clinical knowledge and skills) of the United States Medical Licensing Examination (USMLE).
While MAHEC does not sponsor a visa, the international medical graduate applicant must also possess a current/valid visa option or other status governed by the U.S. Immigration Regulations to participate in a GME program.
Finally, the North Carolina Medical Board requires that physicians who are graduates of schools that are not accredited by the LCME or the AOA (foreign medical schools) must be individually certified by ECFMG, have successfully completed at least three years of accredited graduate medical training, and have passed the USMLE or its equivalent to be eligible for application for full licensure. An international medical graduate must complete all other application requirements required by MAHEC and the GME program.