CIHA-MAHEC Internal Medicine Rural and Tribal Health Track
Residents training in the Rural and 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 |
