COVID Vaccines: MAHEC community pharmacies at Biltmore and Enka can administer COVID vaccines to patients 7 and older without a prescription (not currently covered by children's Medicaid). Patients 18-64 require a high-risk condition that is documented through a self-attestation form available at the pharmacy. Patients 65 and older do not require an attestation. Walk-ins welcome, but appointments can also be scheduled!
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CIHA-MAHEC Internal Medicine Rural & Tribal Health Track

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Curriculum Structure

Residents training in the CIHA-MAHEC Internal Medicine Rural & Tribal Health Track follow the same principles of graduated responsibility and competency-based training as our core program. They also benefit from the same supportive structure of the tandem-block schedule, which is outlined under our core program curriculum.

Over the course of three years, residents in the track spend over 50% of their time in rural or tribal health areas (the duration increases over time as noted below). Throughout the program, each resident has their continuity clinic weekly during non-inpatient blocks at Cherokee Indian Hospital Authority.


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
Cardiology Consults 4 weeks Mission Hospital
Infectious Disease Consults 2 weeks Mission Hospital
Emergency Medicine 4 weeks Mission, Cherokee
Ambulatory Block 4-6 weeks Cherokee
Geriatrics - Ambulatory 4 weeks Cherokee
Rural Health 2 weeks Cherokee, Other
Hematology/Oncology - Ambulatory 2 weeks Messino Cancer
Neurology - Ambulatory 2-4 weeks Asheville Neuro
Dermatology 2 weeks Multiple Sites
Elective 2-4 weeks Multiple Sites

Rotations: Manager Phase Weeks Location
General Internal Medicine Wards (M/L) 12 weeks Mission Hospital, Cherokee
Nephrology Inpatient Consults 4 weeks Mission Hospital
Night Medicine - ICU 4 weeks Mission Hospital, Cherokee
CCU 4 weeks Mission Hospital
Endocrinology - Ambulatory 4 weeks MAHEC, Cherokee
Rheumatology - Ambulatory 2 weeks Asheville Rheumatology
Social Medicine 4 weeks Cherokee
IM Specialty Block 2-4 weeks Cherokee
Procedure/Ultrasound 2 weeks Multiple Sites
Individualized Rotations (electives, scholarship, UNC) 8-12 weeks Multiple Sites

Rotations: Leader Phase Weeks Location
General Internal Medicine Wards - L 8 weeks Mission Hospital, Cherokee
Cardiology - L 4 weeks Mission Hospital
Medical ICU - L 4 weeks Mission Hospital
Gastroenterology/Hepatology 4 weeks Mission Hospital
Palliative Care/Hospice 2-4 weeks Cherokee
IM Specialty Block 4 weeks Cherokee
Transition to Practice - Individualized 4 weeks Cherokee
Electives - Individualized 16-20 weeks Multiple Sites

Clinic

  • Cherokee-based
  • 1 day per week during intern year (on ambulatory/electives)
  • 1-2 days per week during PGY2/PGY3 year
  • Novel Integrated Care Team surrounds patients with the resources to optimize health and wellbeing
  • Team-based practice with behavioral health, nutritionist, and pharmacy integration

Conferences

  • Video conference to ambulatory morning report
  • In-person attendance to Tuesday academic half-day
  • Supplemented by conferences/meetings at Cherokee
  • Attendance at all other usual program structures, retreats, etc.

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