4th Year Medical Electives

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Thank you for your interest in the MAHEC 4th year medical student electives program. MAHEC also offers a variety of student rotations in family medicine, obstetrics and gynecology, general surgery, and psychiatry for both in-state and out-of-state students interested in our residency programs. Are you planning to practice in rural medicine? If yes, then come learn more about our rural family medicine residency programs in Hendersonville and Boone during a 4th-year family medicine elective rotation. You can explore each program in more detail using the links above.

Our rotations are only available to students planning to specialize family medicine, ob/gyn, general surgery, and psychiatry who will be applying to our residency programs.

Housing is available through MAHEC, contingent on availability, at a modest cost after confirmation of rotation. Once you've been approved for a rotation, you are encouraged to apply early as space is limited. Students should apply by going to

Due to limited capacity, MAHEC electives are only offered to students enrolled in LCME- and COCA-accredited United States medical schools. Please note that a car is required for these rotations.

Application Process

Apply for elective using the Visiting Student Learning Opportunities (VSLO).

  • Apply at beginning in January; MAHEC follows the timelines of UNC Chapel Hill.
    • Scheduling Cycle: May 2 to May 31
    • Notification Cycle: June 1 to June 8
  • The host institution for MAHEC is UNC Chapel Hill.
  • Elective rotation numbers:
    • FMME 421 – AI Asheville
    • FMME 430 – Ambulatory FHC AI Asheville
    • FMME 457 – Combined Family Medicine Rotation Asheville & Hendersonville
    • FMME 458 – AI Hendersonville
    • FMME 461 – Rural Inpatient FM in Boone
    • SURY 413 – Minimally Invasive Surgery
    • SURY 426 – Critical Care Surgery
    • SURY 439 – Emergency General Surgery
    • SURY 486 – Hepatobiliary & Surgical Oncology
    • OBGN 411 – AI Asheville
  • Complete application process as instructed and provide all required documents (Letter of Good Standing, Immunizations, CV, Transcript, Evaluation Form, USMLE/COMLEX Scores, Personal Statement, Photo)
  • The Visiting Student Coordinator with UNC Chapel Hill will confirm receipt of application.
  • Applications will be reviewed for consideration by program for acceptance. Space is limited.
  • Once you have completed and submitted all required documents and you have been approved and cleared, you will receive an acceptance email by Chapel Hill and MAHEC.

Please Note
Students who will be working in one of our hospitals will be required to complete a separate onboarding process with Mission Hospital, Pardee Hospital and/or Watauga Hospital. The onboarding process wit these hospitals must be completed at least two (2) weeks prior to the start of your rotation.


Questions? Please email us at

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