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

Step 1: Apply for elective using the Visiting Student Learning Opportunities (VSLO)

  • Apply at find-electives 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:
    • Acute Care Surgery Acting Internship - SURY 439
    • Critical Care Surgery - SURY 426 4
    • Acting Intern in Inpatient Family Medicine - Asheville FMME 421
    • Acting Intern in Inpatient Family Medicine - Hendersonville FMME 458
    • Combined Asheville and Hendersonville Outpatient Experience - FMME 457
    • Acting Intern in Ob/Gyn - OBGN 411 2
    • SURY 486 2 Acting Intern in Hepatobiliary and Surgical Oncology
    • FMME 461 Rural Inpatient and Outpatient Family Medicine, Boone, NC
  • 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.

Step 2: Completing Onboarding Process for MAHEC

An affiliate agreement with your school is required before you can start your rotation(s).

  • 60 days prior to the start of your rotation, submit the following:
    • MAHEC application, confidentiality statement, background check forms
    • Letter of good standing from school including verification of BBP and HIPAA training
    • Current flu vaccination
    • 9-panel drug test to include: marijuana, cocaine, methamphetamines, benzodiazepines, PCP-phencyclidine, opiates, methadone, barbiturates, and propoxyphene
    • Current PPD
    • Current certificate of insurance (professional liability)
    • School student evaluation form
    • COVID-19 vaccination card
  • Additional documents as required by Mission, Pardee and Watauga Hospitals

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 with these hospitals must be completed at least two (2) weeks prior to the start of your rotation.


Questions? Reach out via e-mail:

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