Internal Medicine Residency

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We are excited that you are looking at our new MAHEC Internal Medicine Residency Program as a potential site for your future training.

Mountain Area Health Education Center (MAHEC) has a long history of excellence in graduate medical education training and we are thrilled to join their family of residency programs. We will build on the longstanding successes by working with the MAHEC organization, our talented faculty, our engaged community and our residents to build one of the most unique internal medicine training programs in the nation. Our goal is to train the well-rounded internist in a supportive yet challenging environment in which one develops not only as a physician but as a leader and teacher in our community.


Our very experienced leadership team consists of physician educators with track records in medical education innovation. Our forward-thinking curriculum balances optimal training in the largest Area Health Education Center in North Carolina with training in a busy, tertiary care, state-of-the-art hospital system. In these and other settings we are able to emphasize training in the delivery of rural care, the reduction of health disparities, the care of the older patient, community-based care and the care of special populations such as patients with substance use disorders. We also provide training experiences in all specialties of internal medicine through our fantastic partnership with Mission Hospital, where our residents will care for patients on medicine services, ICUs, cardiology services, specialty consultation services and in the emergency department. Unique rural-based rotations, public health opportunities, and scholarship experiences provide additional learner-centered, mission-focused training experiences. These skills are practiced and reinforced in our core seminars, which take place in our large, state-of-the-art simulation center in our weekly academic half day.


One of the core values of our program is service to community. We are committed to responding to the needs of our community and the region in which we live. Residents and faculty teach and learn together in a collaborative learning community, all with the aim of providing improved care of the population we serve. The curriculum includes experiences that put you in the heart of the communities of Western North Carolina as well as opportunities to play a role in the reduction of health care disparities in the region. We expect our trainees to lead and teach in our community.


We created a program that will challenge you to become your best self as an internist over three years of training. We also focused on creating a supportive environment that fosters your development and allows flexibility so that you succeed in your personal and professional goals. The schedules and curricula are designed to provide you with the training that you need AND to ensure that you have time to focus on your wellbeing and your personal interests. We incorporated specific resilience training, reflection opportunities, and wellbeing experiences. You are a valued colleague; we will grow together as we learn how to balance professional commitment and personal growth.

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.


Stephanie Call, MD, MSPH Stephanie Call, MD, MSPH
Internal Medicine Residency Program Director
phone 828-407-2415


Stephanie Frady Stephanie Frady
Internal Medicine Residency Program Coordinator
phone 828-771-3550
Jenna Joyner, BS Jenna Joyner, BS
Internal Medicine Residency Program Coordinator
phone 828-257-2985

This contact information is not for patient use. If you are a patient, please call Internal Medicine directly at 828-771-3500.

Our Commitment

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.

Mission Statement

Our Internal Medicine Residency Program aims to train and educate diverse, well-rounded, competent, caring, compassionate physician leaders who:

  • Deliver the highest quality medical care to patients in a variety of settings including rural communities
  • Create a collaborative setting for innovation, intellectual and personal growth and interprofessional work
  • Contribute to the science and art of medicine and medical education through innovation, scholarship and dissemination
  • Provide expertise in caring for underserved patients and populations
  • Lead and foster change in healthcare delivery and health systems, including improving quality, safety, diversity in the workforce, and access
  • Celebrate lifelong learning in our rapidly changing healthcare environment

Values Statement

  • Excellence: We deliver quality activities and services that our customers and partners value.
  • Diversity: We promote equity and inclusivity.
  • Integrity: We act with fairness, transparency, and the highest level of ethics.
  • Collaboration: We value partnerships and support interprofessional approaches.
  • Improvement: We continuously innovate and improve our work.

Foundational Principles

  • Civility: We treat all people with respect and kindness, all the time.
  • Inclusivity: We value the contribution of people different than ourselves and the merits of an organization that reflects differences in our teams and our community.
  • Empowerment: We value engagement, commitment, and ownership of MAHEC’s mission, work, and budget.

General Curriculum Structure

Our program is designed in a competency-based advancement structure. Individuals are continuously observed, assessed and provided with feedback in all experiences. Goal-setting is based on Internal Medicine milestones. Once an individual achieves competency in a goal, they set new goals and are advanced in their level of responsibility. As such, we use a competency-based language to define stages of development rather than a time-based language. Our learners move through phases of development - from Learner (PGY1 year) to Manager (usually end of PGY1 year into PGY2 year) to Teacher/Leader (usually mid PGY2 year to end of training). The stages are defined below.

Learner - In the learner phase of training, an individual works under close supervision and coaching to achieve basic milestones in Internal Medicine. We use a deliberate practice model in which learners set milestone based goals, work to develop knowledge, skills and attitudes with direct observation and feedback from faculty, seniors and team members, and then based on feedback, set new goals. Supervisors are trained in "supervised autonomy" as a principle so that learners are not "directed" but coached to grow.

Manager - Once a learner reaches competency in all learner-level milestones, they advance to the manager phase of training. In this phase, one works to establish independence in the management of common Internal Medicine ambulatory and inpatient patient presentations. Our managers do not supervise learners, nor are they supervised by upper level residents. They work collaboratively on manager-level rotations with attending physicians to establish competence. Residents consider this the most challenging and most rewarding phase of training as they truly grow into clinical independence in this phase.

Teacher/Leader - Once a manager is considered independent in managing most common medical conditions, they advance to the teacher/leader phase of training. In this phase, they continue to gain the necessary experience over time in managing many medical conditions and they work on teaching and leadership skills. Their milestones during this phase are worded as phrases such as "can teach others...", "leads a healthcare team", "coordinates care across...", "role models for others...". It is in this level of training that our residents lead teams on the wards, in the ICUs, specialize in consultative care and serve in advanced roles in the ambulatory practice setting.

Schedule Structure

Our unique tandem block schedule was designed by residents and studied in an Internal Medicine residency. The schedule was created with the following goals in mind:

  • Separate inpatient/ambulatory responsibilities with dedicated curricula
  • Continuity in continuity clinic
  • Excellent coverage for continuity patient panel when on inpatient
  • Keeping inpatient teams together for evaluation, teamwork purposes
  • Maintaining four-week experiences for learning purposes

The tandem block schedule pairs four-week direct patient care inpatient experiences (wards/icu/specialty services - designated as "I" in schematic below) with other experiences (ambulatory, consults, research, electives - designated as A) in an alternating eight-week block schedule. The "A" designation indicates that the resident has continuity clinic three ½ days per week during that rotation. The residents are partnered together in practice partnerships so that one of the partners is always in clinic that week and manages outpatient responsibilities for the patient panels during that time. Residents do not have clinic during "I" blocks.

The schematic below represents two residents’ schedules for the first 16 weeks of a year. Each column is two weeks. John and Stacey are clinic partners. They are in clinic 3 ½ days per week on A blocks.

Block Number (each block is two weeks)
Resident 1A 1B 2A 2B 3A 3B 4A 4B
John ICU (I) Pulm (A) ICU (I) Pulm (A) Wards (I) Amb (A) Wards (I) Amb (A)
Stacey Geri (A) Wards (I) Geri (A) Wards (I) Amb (A) Cards (I) Amb (I) Cards (I)

Rotations: Learner Phase Weeks Location
General Internal Medicine Wards 12 weeks Mission Hospital
Medical ICU 4 weeks Mission Hospital
Night Medicine 4 weeks Mission Hospital
Emergency Medicine 4 weeks Mission (other)
Ambulatory Block 4-6 weeks MAHEC
Geriatrics - Ambulatory 4 weeks Multiple Sites
Rural Health 2 weeks Multiple Sites
Hematology/Oncology - Ambulatory 2 weeks Messino Cancer
Neurology - Ambulatory 4 weeks Asheville Neuro
Dermatology 2 weeks Multiple Sites
Cardiology Consults 4 weeks Mission Hospital
Infectious Disease Consults 2 weeks Mission Hospital
Elective 4 weeks Multiple Sites

Rotations: Manager Phase Weeks Location
General Internal Medicine Wards 8 weeks Mission Hospital
Nephrology Inpatient Consults 4 weeks Mission Hospital
VA General Inpatient 4 weeks VA Hospital
Night Medicine - ICU 4 weeks Mission Hospital
CCU 4 weeks Mission Hospital
Rural Health - Immersion 4 weeks Cherokee Health
Endocrinology - Ambulatory 4 weeks MAHEC
Rheumatology - Ambulatory 4 weeks Asheville Rheumatology
Social Medicine 4 weeks MAHEC and partners
Procedure/Ultrasound 2 weeks Mission Hospital and MAHEC
Individualized Rotations (electives/scholarship) 10 weeks MAHEC +

Rotations: Leader Phase Weeks Location
General Internal Medicine Wards 8 weeks Mission Hospital
Cardiology 4 weeks Mission Hospital
Medical ICU 4 weeks Mission Hospital
Night Medicine 4 weeks Mission Hospital
General Medicine Co-management/Consult 2 weeks Mission Hospital
Gastroenterology/Hepatology 4 weeks Mission Hospital
QSW Rotation 2 weeks Mission Hospital and MAHEC
Palliative Care - Individualized 2 weeks Four Seasons, VA, and Mission Hospital
Infectious Diseases - Individualized 2 weeks Mission Hospital +
Transition to Practice - Individualized 4 weeks Mission Hospital and MAHEC
Electives - Individualized 14 weeks Mission Hospital and MAHEC


  • Cardiology - ambulatory, consult, cardiac testing/imaging
  • Dermatology
  • Emergency Medicine
  • Endocrinology
  • Gastroenterology/Hepatology - ambulatory, consults
  • Geriatrics – ambulatory, nursing home care, home visits
  • Hematology/Oncology
  • HIV - ambulatory
  • Infectious Disease - ambulatory
  • Information Technology
  • International Health
  • Lifestyle Medicine
  • Nephrology - ambulatory, dialysis, consults
  • Neurology - ambulatory, consults, inpatient
  • Ophthalmology
  • Otolaryngology
  • Palliative Care, Hospice Medicine
  • Pulmonary - ambulatory, consults, sleep
  • Psychiatry
  • Quality Improvement Project
  • Radiology
  • Rehabilitation Medicine
  • Research/Scholarship
  • Rheumatology - ambulatory
  • Rural Health
  • Sports Medicine
  • UNC Electives

Longitudinal Curricula

  • Advocacy, Policy
  • Business of Medicine
  • Career Planning and Advising
  • Clinical Reasoning
  • Communication Skills
  • EBM and High-value Care
  • Leadership
  • Physical Examination Skills
  • Primary Care
  • Procedure and POCUS
  • Quality and Safety
  • Resident as Teacher
  • Scholarship
  • Social Medicine
  • Wellbeing
  • Leadership
Time Monday Tuesday Wednesday Thursday Friday
7:30 am Ambulatory MR Ambulatory MR (Journal Club) Ambulatory MR Ambulatory MR (Lifestyle Medicine)
11:45 am Inpatient MR Inpatient MR Noon - Grand Rounds (UNC) Inpatient MR (M&M)
Afternoon Academic Half Day (Active Learning)


Residents PGY3

Residents PGY2

Residents PGY1


of residents are Women


of residents identify as Underrepresented in Medicine


of residents are Married

Resident Medical Schools

We are proud to recruit from all over the world!

MAHEC Biltmore Campus


Mountain Area Health Education Center (MAHEC) was established in 1974 and serves a 16-county region in Western North Carolina. MAHEC is the largest Area Health Education Center in North Carolina and evolved to address national and state concerns with the supply, retention, and quality of healthcare professionals. MAHEC’s approach to caring for patients is based on an advanced care team model. MAHEC's Biltmore campus houses residency training programs in family medicine, internal medicine, obstetrics and gynecology, general surgery, pharmacy, and dentistry. The brand new internal medicine residency clinic is housed in the MAHEC Family Health Center building and includes 44 exam rooms, laboratory and radiology facilities, large spaces for precepting and teaching, a group visit space, and a resident workroom. The space has been designed to support a collaborative care model which includes behavioral health and pharmacy services.

MAHEC's Biltmore campus is also home to UNC Health Sciences at MAHEC, an academic health center in partnership with UNC-Chapel Hill that includes programs from the UNC School of Medicine, UNC Gillings School of Global Public Health, and UNC Eshelman School of Pharmacy.

Mission Hospital


YouTubeMission Hospital is a part of the Mission Health system and a regional referral center for tertiary and quaternary care for 16 counties in Western North Carolina and parts of Tennessee, South Carolina, West Virginia, and Virginia. Mission Hospital in Asheville is an 815-bed hospital, featuring state-of-the-art facilities and offering care in all internal medicine specialties. The complex includes a brand new, 630,000 square-foot North Tower housing a 220-bed acute and critical care facility. The emergency department at Mission averages over 95,000 patient visits per year. The medical staff comprises approximately 650 physicians, with nearly all subspecialties available.

Business North Carolina ranked Mission Hospital the #1 “Best Hospital” in North Carolina for 2017 and 2018, and Mission Hospital ranked among the top 1% of “Best Hospitals” nationally in 2016 by Healthgrades. Internal Medicine residents spend over 40% of their training at Mission Hospital, rotating on general internal medicine services, neurology, cardiology, critical care units, cardiology critical care units, and in the emergency department and on consultation experiences with all internal medicine specialties. Residents also rotate with a variety of Mission-affiliated specialty practices in Asheville.

The Charles George VA Medical Center


The Charles George VA Medical Center is a Joint Commission-accredited, tertiary referral, 1C facility that provides a full spectrum of health services to Veterans residing in a 23-county area of Western North Carolina. The medical center has 119 authorized acute care beds (including a 16-bed inpatient psychiatric unit), two state-of-the-art ICUs, 120 authorized community living center (CLC) beds, and 18 beds authorized for a substance use residential rehabilitation treatment program. The medical center also operates community-based outpatient clinics (CBOCs) in Franklin, Rutherford County, and Hickory, NC.

Cherokee Indian Hospital Authority


Cherokee Indian Hospital Authority (CIHA) blends state-of-the-art healthcare within a system of inpatient and outpatient resources across the Qualla Boundary and its outlying clinics. It is a unique educational experience in health systems as the health system is tribal owned and in a rural setting. Residents will rotate 4 weeks during their PGY2 year in both the ambulatory and inpatient settings serving a wide variety of patients and disease states in Cherokee County. Clinical experiences will include inpatient care in a 16-bed hospital unit, ED care, primary care clinics, specialty clinics and addiction medicine experiences. Residents will also engage in a structured curriculum in cultural humility during this rotation. The site director has an extensive history of experience with education and enjoys innovative teaching methods.

Other Training Sites

Internal medicine residents rotate at a variety of rural health sites in Western North Carolina over their three years of training, including both ambulatory and inpatient experiences. In addition, electives are offered at the University of North Carolina Hospitals System and at a variety of other sites in and around Asheville, NC.

Interview Process

We will proceed in the 2023-24 match season in alignment with the AAIM Recommendations for the Internal Medicine Residency Interview Season. All applications will be reviewed based on holistic review principles and practices as outlined by the AAMC. We follow the framework outlined by the AAMC for resident assessment at multiple steps in our recruiting process. All faculty members and staff are trained in implicit bias, specifically as it pertains to the assessment of applicants; our process is designed to incorporate principles of mitigating bias.

We will start our review process on September 27th and will release invites in four different waves. Our first wave of invites will be released on October 11th. The second wave of invites will be released on October 20th. A third wave will be released on November 14th. A final wave of invites will be released on December 14th. All applicants whose application is submitted by October 1st will be notified by October 20th of their status: invited, under review, or declined. All applicants under review will have a final status identified by December 14th.

All applicants that accept an interview invitation within 48 hours will be guaranteed an interview slot.

All interviews for the 2023-24 season will be conducted virtually. Our half-day interview will include the following activities:

  • Program overview
  • Morning report session
  • Interviews with Program Director and faculty
  • Overview of outpatient clinic and Mission Hospital
  • Resident panel sessions
  • Benefits and Asheville information session
  • Informal resident meet and greet scheduled separately from interview date

Interview dates for the 2023-24 season are listed below.

  • Tuesday Mornings (7:00 am–11:30 am EST)
    • October 31
    • November 7, 14, 21, 28
    • December 5, 12, 19
    • January 9, 16, 23
  • Friday Afternoons (11:00 am–3:30 pm EST)
    • November 3, 10, 17
    • December 1, 8, 15, 22
    • January 5, 12, 19

Application Requirements

We review all applications through ERAS. We require the following components in the application in order to assist us with a full, holistic review:

  • ERAS application
  • Personal statement
  • MSPE
  • Four letters of recommendation, one of which must be a Department Chair’s Letter or Department Summary Letter
  • USMLE or COMLEX documents (prefer Step 1 and 2 but may be reviewed if only one available)
Questions regarding the application process should be directed to Jenna Joyner at

Eligibility and Selection Criteria

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.

Minimum Requirements

An applicant must meet or exceed the following minimum qualification(s) to be eligible for selection and appointment to MAHEC’s GME residency programs:

  • Be a graduate of a medical school in the United States or Canada, accredited by the Liaison Committee on Medical Education (LCME); or
  • Be a graduate of a college of osteopathic medicine in the United States, accredited by the American Osteopathic Association (AOA); or
  • Be a graduate of a non-LCME- or AOA-approved medical school who also meets one of the following additional qualifications:
    • holds a currently-valid certificate from the Educational Commission for Foreign Medical Graduates (ECFMG) prior to appointment; or
    • holds a full and unrestricted license to practice medicine in a United States licensing jurisdiction in his or her current ACGME specialty/subspecialty program; or
    • has graduated from a medical school outside the United States and has completed a Fifth Pathway program provided by a LCME-accredited medical school.
  • Passed USMLE Steps 1 and 2 or COMLEX 1 and 2 within three attempts, as required by the North Carolina Medical Board.
  • Be eligible for a NC resident training license.
  • Be eligible to work in the U.S. (citizen, permanent resident, eligible visa including J1). MAHEC does not sponsor H1B or other visas.

International Medical Graduates

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.

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