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Community-Based Longitudinal CareUNC Student Learning

Site Course Directors:

Carrie Dow Smith, MD; Jesse Hart, MD; and Stuart Levin, MD

Self-Directed Learning (SDL) Opportunities:

  • One day each week designated for subspecialty care — scheduled ahead of time or follow a patient
  • Children’s developmental services agency evaluation
  • SAFE Child Advocacy Center
  • Quality Improvement project and modules
  • Two-day hospice experience (home and facility)
  • PACE or Senior Center experience
  • Mental health evaluation experiences
  • Social worker or care management experience
  • Outpatient procedures (follow a patient)
  • 16 weeks of continuous outpatient care with interspersed activities throughout a week.
    • 1 day outpatient peds, 2 days outpatient adult, 1 day self-directed learning (SDL)/didactics, and 1 day QI project/ study time
    • 1 shelf exam and multiple OSCEs, quizzes, and assignments


  • WakeMed Physicians Practice – Pediatrics
  • WakeMed Physicians Practice – Adult Primary Care
  • Wake Internal Medicine
  • Raleigh Medical Group
  • Raleigh Children & Adolescents

Affiliated Sites:

  • Wakebrook
  • Healing Transitions

Care of Specific Populations

Site Course Directors:

John “JB” Lykes, MD; D. Michael Armstrong, MD; Marili Whitt, MD; and Jenny Kemper, MD

Structure: 16 weeks total:

  • 5 weeks psychiatry, 5 weeks inpatient peds, 5 weeks OB/GYN, 1 week at UNC
  • Weekly didactics with possible quizzes or written assignments
  • 3 shelf exams and multiple OSCEs (UNC)
  • WakeMed and UNC-Wakebrook (Raleigh)

Hospital, Interventional & Surgical Care

Site Course Directors:

James Rogers, MD; Michael Williford, MD; and Patrick Georgeoff, MD

Structure: 16 weeks total:

  • 8 weeks taking care of adults who are hospitalized on medical (Internal Medicine or Family Medicine) services.
  • 8 weeks focused on surgical services
    • 4 weeks general surgery
    • Two-2 week blocks of: ortho, urology, vascular, peds, CT or ENT
  • 2 shelf exams
  • Weekly, robust didactic with quizzes and assignments