RESIDENT/FELLOW MANUAL 2012-2013 docx

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Table of Contents
Introduction ................................................................... Section 1
Purpose of This Manual ..................................................................1.1
Acknowledgment ...........................................................................1.2
Family Medicine Asheville Residents ..............................................1.3
Geriatric Medicine Fellows ............................................................1.3
Hospice and Palliative Medicine Fellows........................................1.3
General Practice Dental Residents ..................................................1.4
Family Medicine Hendersonville Residents ....................................1.5
Obstetrics and Gynecology Residents .............................................1.6
Faculty ...........................................................................................1.7

Institutional Organization .............................................. Section 2
History of the NC Area Health Education Program ..........................2.1
NC AHEC Map ..............................................................................2.2
History of MAHEC .........................................................................2.3
Mission Statement ..........................................................................2.4
Diversity Statement ........................................................................2.5
Strategic Plan .................................................................................2.6
Organizational Chart ......................................................................2.7
Facility Locations / Information.......................................................2.8
Division of Administration .............................................................2.9
Department of Fiscal Services .......................................................2.10
Department of Human Resources .................................................2.11
Division of Dentistry ....................................................................2.12
Division of Family Medicine ........................................................2.13
Division of Obstetrics and Gynecology ........................................2.14
Division of Regional Services .......................................................2.15

Graduate Medical & Dental Education Policies ............. Section 3
Institutional Commitment to Graduate Medical & Dental Education 3.1
Graduate Medical and Dental Education Committee(s) ...................3.2
Institutional Master Affiliation and Program Letter of Agreements ....3.3
Internal Review of GME Programs & Fellowships ...........................3.4
Eligibility, Selection & Transfer of Applicants ..................................3.5
International Medical Graduates .....................................................3.6
Resident Contract/Letter of Agreement ............................................3.7
Licensing, Renewals & Certification................................................3.8
Nonrenewal & Renewal of Resident/Fellow Contract ......................3.9
Promotion of Residents ................................................................3.10


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GME Policies & Procedures .......................................... Continued
Evaluation of Residents, Fellows, Faculty & Program.....................3.11
Fair Hearing for Resident/Fellow Grievance(s) ..............................3.12
Disciplinary Action and/or Dismissal of a Resident/Fellow ............3.13
Counseling and Support Services for Residents/Fellows ................3.14
Impairment ..................................................................................3.15
Productive Work Environment .....................................................3.16
Resident/Fellow Participation in Educational & Professional Activities3.17
Residents‖/Fellows‖ Organization Forum .......................................3.18
Resident/Fellow Participation in Committees ................................3.19
Moonlighting ...............................................................................3.20
Leaves of Absences for Residents/Fellows .....................................3.21
Medicare Supervision of Residents by Teaching Physicians ...........3.22
Supervision of a Residents/Fellows ...............................................3.23

Resident/Fellow Files - Content, Access & Retention .....................3.24
Resident/Fellow Anonymous Evaluation of Compliance ................3.25
Dress Code ..................................................................................3.26
Personal Appearance....................................................................3.27
Margaret R. Pardee Memorial Hospital / Dress Code .....................3.28
Margaret R. Pardee Memorial Hospital / Meals .............................3.29
Margaret R. Pardee Memorial Hospital / Medical Record ..............3.30
Mission Hospital / Dress & Appearance ........................................3.31
Mission Hospital / Resident Meals ................................................3.32
Mission Hospital/ Completion of Medical Records ........................3.33
Continuation of Benefits after leaving MAHEC ..............................3.34
Non-Competitive Agreement ........................................................3.35
Reduction in Size or Closure of the GME & Dental Program(s) ......3.36
Duty Hours and Work Environment for Residents/Fellows ............3.37
Exception in Weekly Limit on Duty Hours ....................................3.38
Annual Reports to Organized Medical Staffs .................................3.39
Transferring Residents/Fellows as a Result of Disaster ...................3.40
Interactions between Vendors and GME Programs ........................3.41
Accommodation for Disabilities ...................................................3.42
International Travel ......................................................................3.43
Third Party Comments..................................................................3.44
Complaints ..................................................................................3.45
Record Review............................................................................. 3.46
Appropriate Treatment of Residents and Medical Students ............ 3.47
Resident & Fellow Fatigue and Stress ............................................ 3.48

Benefits ........................................................................... Section 4
Professional Liability Insurance.......................................................4.1
Health and Dental Insurance for Residents .....................................4.2
Flexible Benefits Plan .....................................................................4.3

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Benefits ......................................................................... Continued
Life Insurance/Accidental Death and Dismemberment ....................4.4
Certificates of Prior Coverage under the Plan ..................................4.5
Long-Term Disability Insurance ......................................................4.6
Mental Health Benefits ...................................................................4.7
Workers Compensation ..................................................................4.8
Educational Funds ..........................................................................4.9
Licensing Fees Paid ......................................................................4.10
United Services Credit Union .......................................................4.11
Pre-Paid Legal Services .................................................................4.12
Additional Benefits .......................................................................4.13

General MAHEC Policies and Procedures ...................... Section 5
Employment Verification/References ..............................................5.1
Salaries 2012-2013 ........................................................................5.2
Payday/Payroll Deductions .............................................................5.3
Direct Deposit of Payroll ................................................................5.4
Eating Facilities ..............................................................................5.5
Building Closings ...........................................................................5.6
Smoking ........................................................................................5.7
Illegal Drugs ..................................................................................5.8
Employee Assistance Program (EAP) ...............................................5.9
Risk Management, Corporate Compliance & Safety Office ............5.10
Deficit Reduction Act & the False Claims Policy ...........................5.11
Security .......................................................................................5.12
Incident Report ............................................................................5.13

Risk Management Top Ten List .....................................................5.14
Claims/Lawsuits vs. MAHEC Staff .................................................5.15
Confidentiality Policy ...................................................................5.16
Media and Public Relations ..........................................................5.17
MAHEC Drug & Alcohol Free Workplace ....................................5.18
Vehicle Insurance Coverage .........................................................5.19
Travel Policy and Procedure .........................................................5.20

Program Requirements ................................................... Section 6
ACGME Common Program Requirements
ACGME Institutional Requirements
RRC Family Medicine Program Requirements
RRC Geriatric Medicine Fellowship Program Requirements
RRC Hospice and Palliative Medicine Fellowship Program Requirements
RRC Obstetrics and Gynecology Program Requirements
CODA Standards

Index............................................................................... Section 7
Manual Index


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1.1

PURPOSE OF THIS MANUAL

This manual contains current GME and GPR policies, ACGME Institutional and Program
Requirements, CODA Requirements, MAHEC employee policies and benefits, and other
general information for you as a MAHEC employee. You should familiarize yourself with

the manual and use it as a reference.
The Resident Physician & Dentist Contract/Letter of Agreements, state laws, ACGME
Institutional and Program Requirements, CODA Requirements, and policies and
procedures of MAHEC and GME/GPR formally specify terms of employment.

1.2

ACKNOWLEDGMENT

Pertinent information is contained in the resident manual to help make your orientation
and your residency training goes smoothly. Comments and/or suggestions for making this
manual more useful are encouraged. For our records, please sign below to verify that you
were notified that the resident manual is available online with hard copies available in the
GME office and in each program office.
I have been notified of how to access a copy of the MAHEC Resident Manual that
outlines the benefits and policies related to the graduate medical and dental
education programs and personnel of MAHEC. I will familiarize myself and comply
with the information contained in the manual.
The information in this manual is subject to change as situations warrant; I
understand that changes may supersede, modify, or eliminate the policies in this
manual. The organization has a responsibility for keeping me informed of policy
changes through my supervisor or through official notices. There exists at all times
an implied mutual trust in this agreement. In the event that I need clarification on
any policy, I understand it is my responsibility to contact my Program Director or
the Graduate Medical and Dental Education office for assistance.
Nothing in this document will diminish or abrogate the responsibility and authority
of the Director of the Residency Program(s) subject to MAHEC, NC AHEC Program,
and UNC-CH policies and authorities related to graduate medical and dental
education.
I understand I have an obligation to inform my supervisor or manager and the

Department of Human Resources/Risk Management of any changes pertaining to
my employment or employment benefits.

SAMPLE
Signature

Date


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1.3

FAMILY MEDICINE ASHEVILLE RESIDENTS / 2012-2013

First Year
Jessica Anewalt, MD
Samantha Fawcett, MD
Helen Travis Paulson, MD
Jesse Pace, DO
Kate Rasche, MD
Meredith Soles, MD
Bart Steen, MD
Matthew Swanson, MD
Genevieve Verrastro, MD

Medical School
Saint Louis University School of Medicine
University of Iowa Roy J & Lucille A Carver College of Medicine
Florida State University College of Medicine

Arizona College of Osteopathic Medicine of Midwestern University
Albert Einstein College of Medicine of Yeshiva University
University of North Carolina at Chapel Hill School of Medicine
University of North Carolina at Chapel Hill School of Medicine
University of Washington School of Medicine
University of Massachusetts Medical School

Second Year
Yu Kwan Chan, MD
Rebecca Cramer, MD
Jan Esker, MD
Julia Oat-Judge, MD
James Romano, MD
Bruce Ulrich, MD
Vince van Acht, MD
Bryant Ward, MD
Liza Young, MD

Medical School
University of Maryland School of Medicine
University of Wisconsin School of Medicine and Public Health
Ohio State University College of Medicine
Johns Hopkins University School of Medicine
Drexel University College of Medicine
University of Illinois College of Medicine
West Virginia University School of Medicine
The Brody School of Medicine at East Carolina University
Ohio State University College of Medicine

Third Year

Christina McDonald, MD
Susan McDowell, MD
Lisa Niedergeses, MD
Elsie Osei-Nkansah, MD
Ginger Poulton, MD
Timothy Poulton, MD
Eric Smith, MD
Benjamin Stepp, MD
Susan Wilhoit, MD

Medical School
Georgetown University School of Medicine
Virginia Commonwealth University School of Medicine
University of Iowa
East Tennessee State University
University of Michigan Medical School
University of Michigan Medical School
East Tennessee State University
University of North Carolina Chapel Hill
University of Louisville School of Medicine

Geriatric Fellows
Matthew Moye, DO
Blythe Winchester, MD

Medical School
Edward via Virginia College of Osteopathic Medicine
University of North Carolina Chapel Hill

Hospice & Palliative Medicine Fellow

Alhley Albers, DO

Medical School
AT Still University-Kirksville
College of Osteopathic Medicine


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1.4

GENERAL PRACTICE DENTAL RESIDENTS / 2012-2013

Dentist
Ashton Janet Butler, DDS
Marissa DeAngelis, DDS
Garrick McGrath, DMD
Britney Taylor, DDS

1.5

Dental School
University of Maryland Baltimore College of Dental Surgery
Virginia Commonwealth University School of Dentistry
Georgia Health Sciences University College of Dental Medicine
University of Tennessee College of Dentistry

FAMILY MEDICINE HENDERSONVILLE RESIDENTS / 2012-2013

First Year

Ryan Eichhorn, DO
Harry Holt, MD
Cristin O‖Grady, MD

Medical School
Edward via Virginia College of Osteopathic Medicine
Eastern Virginia Medical School
Tufts University School of Medicine

Second Year
Adrian Mancheno, MD
Amanda Maxwell, MD
Brent Meadows, DO

Medical School
Pontificia Universidad Catolica del Ecuador
University of North Carolina School of Medicine Chapel Hill
Philadelphia College of Osteopathic Medicine

Third Year
Evan Beasley, MD
Anibal Martinez, MD
Grey Tilden, MD
Amanda Williams, DO

Medical School
Louisiana State University
Universidad de La Republica
University of Alabama
Pikeville College School of Osteopathic Medicine

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1.6

OBSTETRICS AND GYNECOLOGY RESIDENTS / 2012-2013

First Year
Laurel Berry, MD
Breanna Bolivar, MD
Jon Larrabee, MD
Karen Wang, MD

Medical School
Florida State University College of Medicine
Wright State University Boonshoft School of Medicine
Oregon Health and Science University School of Medicine
University of Maryland School of Medicine

Second Year
Jennifer Bliss, MD
Sarah Bradley, MD
Regan Gage, MD
Jonathan Freeman, MD

Medical School
University of Texas School of Medicine
University of Missouri School of Medicine
George Washington University School of Medicine

Texas Tech University

Third Year
Elizabeth England, MD
Bennett Gardner, MD
Nathaniel Jones, MD
Richard Loftis, MD

Medical School
East Tennessee State University
Medical College of Georgia
East Tennessee State University
Medical College of Georgia

Fourth Year
Rongrong Fan, MD
Brandi Spence, MD

Medical School
Columbia University College of Physicians and Surgeons
Loma Linda University School of Medicine


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1.7

FACULTY

Family Medicine Residency - Asheville

Faculty
Mike Coladonato, MD
Blake Fagan, MD
Dan Frayne, MD
Benjamin Gilmer, MD
Melissa Hicks, MD
Stephen Hulkower, MD
Suzanne Landis, MD
Eric Pyeritz, MD
Lisa Ray, MD
John Rowe, MD

Adjunct Faculty
Walter Accles, PA
Mary Lynn Barrett, LCSW
Bill Hitch, PharmD
Valerie Krall, LPC, LPA
Maggie Weshner, EdD
Courtenay Wilson, PharmD

Geriatric Medicine Fellowship Program
Faculty
Amy Cohen, MD
Neil Garroway, MD
Anna Hicks, MD
Tim Plaut, MD

Hospice and Palliative Medicine Fellowship
Faculty
John P. Langlois, MD

Jennie Barnhardt, MD
Darilyn Dealy, MD
Dan Mackey, MD
Jeff Stillson, MD
Marianne Soufas, MD
Jeffrey Tait, MD
Carlos A. Vargas, MD

Adjunct Faculty
Kate Zurich, PA-C
Courtenay Wilson, PharmD
Maggie Weshner, EdD


9
Family Medicine Residency - Hendersonville
Faculty
Steve Crane, MD
Diana Curran, MD
Bryan Hodge, DO
Richard Hudspeth, MD
Geoffrey Jones, MD
Hayam Shaker, MD
Natascha Lautenschlaeger, MD
Andrew Morris, MD
Magdalena Michael, MD

Adjunct Faculty
Barbara Davenport, CNM
Martha Dysart, CNM

Vicki Fleury, CNM
Jim Hall, PhD
Lynne Parsons, PsyD
Deb Phillips, LCSW
Beth Saft, DO
Cynthia Van Deusen, FNP, GNP
Ruth Christos, FNP
Susan McKenney, FNP

General Practice Dental Residency
Faculty
Ed Coryell, DDS
William T. Ryals, Jr., DMD

Adjunct Faculty
Bill Hitch, PharmD, BCPS

Obstetrics & Gynecology Residency
Faculty
Elizabeth A. Buys, MD
Carol C. Coulson, MD
Andrea F. Currens, MD
Casey Graybill, MD
Ursula Harkness, MD
Margaret A. Harper, MD
James Holman, MD
Kellett Letson, MD
Arthur Ollendorff, MD
Kiran Sigmon, MD
Allen H. Van Dyke, MD

Jennifer Warren, MD

Adjunct Faculty
Ann Brown, CNM, MSN
Dolly Pressley Byrd, CNM
Alison Christopher, CNM
Shelley Galvin, MA
Elizabeth Korb, CNM, MSN
Susan Meade, FPNP
Mollie Milner, MSW, LCSW
Amanda Murphy, CNM
Linda Rowe, RN, LCSW


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2.1

HISTORY OF THE NC AREA HEALTH EDUCATION PROGRAM

The North Carolina (NC) Area Health Education Centers (AHEC) Program, established in
1972, is a unique partnership between university health science centers and communities.
The focus of the partnership is to improve the supply, geographic, and specialty
distribution, retention, and quality of health and human service professionals and support
personnel to meet the primary health needs of the citizens of North Carolina. Nine
regional AHECs serve the health workforce development needs of North Carolina. Area L
AHEC, Charlotte AHEC, and South East AHEC were the first three regional centers in 1972.
By 1974, Eastern AHEC, Greensboro AHEC, Mountain AHEC, Northwest AHEC, Southern
Regional AHEC, and Wake AHEC were established.
The NC AHEC Program will continue to be the responsibility of the Board of Governors of

the University of North Carolina. The Program is based in the Office of the Dean of the
School of Medicine at the University of North Carolina at Chapel Hill (UNC-CH).

2.2

NC AHEC MAP


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2.3

HISTORY OF MAHEC

MAHEC was founded in 1974 as a nonprofit educational corporation with a regional Board
of Directors including representatives from Mission Health and the Western Carolina
Medical Society/BCMS. MAHEC is governed by a regional Board of Directors. As an
educational organization, its operational divisions include Family Medicine, Obstetrics and
Gynecology, General Dentistry, and Regional Services. Its administrative division includes
the following departments: Office of the President and CEO; Fiscal Services; Human
Resources; GME oversight; Marketing and Design; Education and Information Technology
(EdIT); Risk Management and Corporate Compliance; Health Sciences Library and
Knowledge Services; Facilities Management; Community Services; Patient Financial
Services, Center for Quality Improvement and Center for Healthy Aging.

2.4

MISSION STATEMENT

The mission of Mountain Area Health Education Center (MAHEC) is to provide education,

information, technology, research, training, and services to improve health outcomes in
Western North Carolina through partnerships and neutrality.
We continue to improve the quality of healthcare through recruitment, retention,
distribution, appropriate utilization, and development of a diverse healthcare workforce.

2.5

DIVERSITY STATEMENT

Mission Statement for a Work Environment
Free of Racism and Prejudice
MAHEC aspires to be free from individual and institutional expressions of racism and
prejudice. We value and support the diversity and individuality of our staff and the people
we serve. MAHEC advances the development of a diverse health care workforce within its
own organization and across Western North Carolina, in which each person has full
membership.


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2.6

STRATEGIC PLAN

Vision:
The Mountain Area Health Education Center (MAHEC) is the center of excellence for
improving the health of Western North Carolina (WNC) utilizing best practice and
innovative education models that can be replicated nationally.

Targets/Priorities:

Improving the recruitment, distribution, and retention of healthcare providers,
with a special emphasis on primary care and prevention
Increasing the representation of minorities and disadvantaged populations in all
health disciplines
Enhancing the quality of care and improving healthcare outcomes
Addressing the healthcare needs of underserved communities and populations

Strategic Targets include:
Diversity
Education and Information Technology
Graduate Medical Education
Healthy Communities
Recruitment, Retention, and Utilization
Research and Evaluation
Student Training


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2.7

ORGANIZATIONAL CHART


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2.8

FACILITY LOCATIONS / INFORMATION

Mountain Area Health Education Center, Inc. (Education Building)
121 Hendersonville Road
Asheville, NC 28803
Phone (828) 257-4400

FAX

(828) 258-2097

Dental Health Center (DHC)
7 McDowell Street, Suite 110
Asheville, NC 28801-4103
Phone (828) 252-4290 FAX

(828) 210-0068

Family Medicine – Asheville (FHC)

Cane Creek Location

118 Weaver Boulevard
Asheville, NC 28804
Phone (828) 258-0670

1542 Cane Creek Road
Fletcher, NC 28732
Phone (828) 628-8250
Fax
(828) 628-8633

FAX

(828) 257-4738

Family Medicine – Hendersonville (HFHC)
709 North Justice Street, Suite B
Hendersonville, NC 28791
Phone (828) 696-1255
FAX

(828) 696-1257

OB/GYN Specialists
119 Hendersonville Road
Asheville, NC 28803
Phone (828) 771-5500

FAX

(828) 771-5454


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2.9

DIVISION OF ADMINISTRATION

As an educational organization, MAHEC program divisions include Family Medicine,
Obstetrics and Gynecology, General Dentistry, and Regional Services. Its administrative

division includes the following departments: Office of the President and CEO; Fiscal
Services; Human Resources; GME oversight; Marketing and Design; Education and
Information Technology (EdIT); Risk Management and Corporate Compliance; Health
Sciences Library and Knowledge Services; Facilities Management; Community Services;
Patient Financial Services; Center for Quality Improvement; and Center for Healthy Aging.
MAHEC‖s Board of Directors is a regionally-based, 18 member board with representatives
from Mission Health Board, Pardee Hospital Board, Western Carolina Medical
Society/BCMS, WNC Health Network Board, and the health and human service
professionals in MAHEC‖s 16 county service area. The President and Chief Executive
Officer is a voting member of the Board of Directors. Dr. Dale Fell is the 2012 Board
Chair.
The Office of Risk Management, Corporate Compliance and Safety
Contact the Office of Risk Management and Corporate Compliance when you have
questions or concerns regarding (1) legal, risk management and corporate compliance
issues; (2) workers‖ compensation injury or illness claims; (3) MAHEC insurance such as
professional liability, auto, property & casualty coverage; and (4) Safety/OSHA concerns.
Education and Information Technology Services (EdIT)
This department provides and supports a dynamic computing and network system
environment for all of MAHEC's programs and services, including electronic medical and
dental record systems. Edit provides initial training for MAHEC applications, such as
GroupWise. The department works in collaboration with partner organizations in WNC
and with the NC AHEC Program on information technology issues that are in support of
MAHEC's vision, mission, and strategic plan. The department also manages the computer
learning center and provides technical support to distance learning initiatives.
Library and Knowledge Services
Partner with your librarians for access to up to date information, and to save valuable time.
Benefit from training in database searching and information retrieval, customized
information delivery, expert reference and literature search services, specialized research
services, and timely article delivery. Via the AHEC Digital Library your librarians facilitate
your access to core online resources including MEDLlNE, Cochrane, ACP Journal Club,

full-text journals and textbooks, and links to essential online resources, as well as a current,
clinically-focused collection of books, CDs, DVDs, and podcasts. Through MAHEC's
affiliation with UNC-Chapel Hill, librarians facilitate resident access to additional databases
and online information resources.


- 16 Marketing and Design
Marketing and Design coordinates marketing efforts for all MAHEC divisions. The
department is responsible for all printed materials (brochures, flyers, catalogs, posters, etc.),
advertisements, corporate identity items such as logos and business cards, signage,
electronic marketing, and other forms of external communication. All design work is done
in-house by Marketing and Design staff and materials are produced by commercial
vendors. We are located on the 2nd floor of the Education Building. If you have a
marketing need – big or small – we can be reached at (828) 257-4442.

2.10 DEPARTMENT OF FISCAL SERVICES
The department is responsible for developing and maintaining systems to record, report,
safeguard and manage the financial aspects of the organization. We provide financial
statements and other reports for our Board of Directors, President/CEO, managers, banking
institutions, creditors and other business partners. These internal and external partners
utilize this data to analyze and monitor MAHEC‖s financial health.
In addition, the department processes invoices, travel reimbursements and other cash
disbursements. Payroll services are handled by the department, which includes processing
paychecks, state and federal tax deductions and direct deposits. Please make sure that
Fiscal always has your correct mailing address for mailing of W-2s. Upon exit of
Residency, please provide your new mailing address. If you have any questions regarding
accounts payable call (828) 257-4410 or call (828) 257-4424 for payroll related questions.
The accounting manager can be reached at 257-4412 or the staff accountant at 257-4426
for additional assistance.
Department of Facilities Management

The Facilities Management Department provides and coordinates services for all MAHEC
buildings, housing units and vehicles, including space planning, renovations, maintenance,
housekeeping, grounds, security, service contracts, furniture and photocopiers purchase
and maintenance, and Student Housing.
Our offices are located in the Bridge Building. If you have any questions regarding
services, or if you have facilities related needs, please call (828) 257-4411. Our office is
open during regular business hours and we have staff on call (at this number) 24 hours a
day, seven days a week for facilities related emergencies.


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2.11 DEPARTMENT OF HUMAN RESOURCES
The Department of Human Resources supports MAHEC staff in many areas which include:
new employee orientation, benefits review and administration (i.e. health, dental, life,
disability insurance); paid time off (PTO/holidays); leaves of absence; tax deferred 403B &
457 plans; hiring/promotion of employees; staff training and development; pay;
performance management; employee counseling; discipline/grievance procedures;
wellness, and general employment policies. We are located on the second floor of the
Education Building; office hours are 8:00 a.m. - 5:00 p.m. Monday through Friday. Please
call (828) 257-4499 or stop by if you have questions or suggestions.

2.12 DIVISION OF DENTISTRY
MAHEC‖s General Dental Residency Program is a fully accredited one-year General
Practice Residency, offered to recent graduate dentists wishing to expand the scope and
depth of the their knowledge and skills.
The Dental Health Center opened in March 2007 and is a state-of-the-art facility with new
dental equipment, electronic medical records, digital radiography, computer center, and
teleconferencing capabilities.
The emphasis of the program is comprehensive dentistry, to include treatment planning

and sequencing of complex restorative cases, implantology, cosmetic dentistry and
removable prosthodontics.
Residents will experience rotations in the hospital environment to include basic
anesthesiology, pediatric dentistry and family medicine. Residents will also receive clinical
and didactic instructions from visiting dental specialists in endodontics, periodontics,
prosthodontics, pharmacology and other areas of interest.
This General Practice Residency also has an extensive didactics program covering all areas
of dentistry to include several sessions on practice management.

2.13 DIVISION OF FAMILY MEDICINE
The Division of Family Medicine encompasses several major programmatic activities. The
most important of these are:
Family Medicine Residency Programs:
MAHEC‖s Family Medicine Residency Programs in Asheville and Hendersonville, affiliates
of the Department of Family Medicine of the UNC School of Medicine, provide an
accredited, three-year, postgraduate education program for physicians wishing to specialize
in family medicine. Their primary purpose is to improve the quality, quantity, and
distribution of primary-care physicians in western North Carolina, in accordance with the
aims of the statewide AHEC Program.


- 18 This is accomplished by:
Training family physicians who may choose to practice in the familiar surroundings of
the MAHEC region after their graduation;
Providing a curriculum which utilizes local practicing physicians, thus creating a
learning environment beneficial to them and to the Family Medicine resident;
Offering an opportunity to recruit physicians to the region who desire a rural practice
setting but do not want to give up an association with a medical teaching program.
The programs are dedicated to the personal and professional growth of the residents during
their training, and then in their practice within the region. The effect of the family on

health and illness is emphasized through the Family Systems Approach. The programs
create a network of opportunities for residency teaching, undergraduate medical teaching,
continuing education, and community resource development—all directed at making the
rural areas of WNC more attractive and satisfying practice sites for the graduates.
Residents and faculty in the Family Medicine Residency Program provide primary care
services to area families at the MAHEC Family Health Center, located at 118 W.T. Weaver
Boulevard in Asheville and at the Hendersonville Family Health Center located at 709 N.
Justice Street, Suite B in Hendersonville.
Geriatric Medicine Fellowship Program
The MAHEC Geriatric Medicine Fellowship Program is an affiliate of the Department of
Family Medicine of the UNC-Chapel Hill School of Medicine and provides an accredited
one year post-graduate education program for physicians who have completed their
residency in family or internal medicine.
The fellowship combines MAHEC‖s longitudinal clinical sites, interactive/workshop
didactics, and community based clinical sites to provide each fellow with mastery of
clinical Geriatric Medicine, experience in assessing and developing Geriatric-appropriate
systems of care, and self-development as both a primary care and sub-specialist physician,
with specific attention to the many roles and opportunities available to board-certified
geriatricians.
The fellows become part of our interdisciplinary geriatric team, integrating nursing,
pharmacologic and behavioral medicine specialists with physicians from geriatric, internal
and family medicine. Through participation in the on-the-ground activities of the team in
our two CCRC settings, as well as our weekly team meetings, the fellows are able to
―follow‖ our elder patient panel in the whole range of clinical settings:
o ambulatory care
o house calls
o residential Assisted Living
o post acute care/Long Term Care
o acute care hospitalizations

- 19 Fellows participate in both out-patient and in-patient Geriatric Consultations, and have
structured opportunities to learn ―how to teach‖ in a wide variety of settings both lay and
medical. Through the fellowship‖s close collaboration with community leaders in elderrelated care, fellows have the opportunity to work with and learn from our adjunct faculty
specialists in neurology, geripsychiatry, urogynecology and elder-focused gynecology,
―memory care‖, and palliative care/hospice. Early in the year, the fellows get to know these
adjunct faculty specialists through clinical sites and didactic events, and then throughout
the year, these specialists continue to partner with the fellows as they care for our elder
patient population. The program is currently developing an integrated pathway for dualcertification in Geriatric Medicine and Palliative Care.
Hospice and Palliative Medicine Fellowship Program
The MAHEC/CarePartners Hospice and Palliative Medicine Fellowship Program is an
affiliate of the Department of Family Medicine of the UNC-Chapel Hill School of Medicine
and provides an accredited one year post-graduate education program for physicians who
have completed their residency in Anesthesiology, Emergency Medicine, Family Medicine,
Internal Medicine, Neurology, Obstetrics and Gynecology, Pediatrics, Physical Medicine
and Rehabilitation, Psychiatry, Radiation Oncology, or Surgery.
The MAHEC/CarePartners Hospice and Palliative Medicine Fellowship is an educational
collaboration of two strong and experienced organizations. CarePartners Hospice and
Palliative Medicine has been serving patients at or near the end of life for over 30 years and
has grown into a large and well-respected clinical presence in Western North Carolina.
MAHEC has been providing high-quality, innovative post-graduate training in the same
region for more than 30 years. Our program brings the strengths and skills of both these
organizations together to create a stimulating and exciting training program for qualified
physicians wanting to develop, enhance and carefully refine their knowledge and skills in
Hospice and Palliative medicine.
MAHEC/CarePartners HPM Fellows function as fully integrated members of our
Interdisciplinary Teams. They work intensively in Solace: our state-of-the-art 27-bed
inpatient hospice unit. They are part of our inpatient Supportive and Palliative Care service
providing consultations for goals of care discussions and symptom management in all parts
of Mission Hospital, our 800 bed regional hospital, and providing additional services to

patients in their homes and in our Palliative Care outpatient clinic. Fellows collaborate
with team members of all disciplines in Hospice Home Care, serving the needs of an
average census of 230 patients in diverse settings from rural to urban, mobile home to
mansion, private home to skilled nursing facility.
Quality teaching is critical to quality education. In all settings fellows are supervised by
experienced Hospice and Palliative Medicine physicians. Community faculty supplements
the teaching with specialty rotations and electives in a broad range of specialties.


- 20 An afternoon each week is dedicated to conferences covering a wide range of topics from
core clinical knowledge and skills and training in practice management and research skills,
to exploration of literature and media related to palliative care and the end of life in our
Palliative Care Book Club. Our novel curriculum includes a Flex-Month, where fellows
may chose to focus additional time in a core area of particular interest.
The program recognizes that Hospice and Palliative Medicine is not only intellectually
challenging, but emotionally and spiritually demanding. As a result we emphasize personal
growth and self-care. Fellows meet regularly with a designated hospice chaplain and with a
bereavement counselor, in addition to their faculty mentor, to discuss and explore the
issues that arise through this important work, and to develop the attitudes and skills that
promote long-term success and resilience.

2.14 DIVISION OF OBSTETRICS & GYNECOLOGY
The MAHEC Department of Obstetrics and Gynecology (OB/GYN) was formed in 1988 to
meet the gynecologic and high risk obstetric care needs of the large, underserved
population of Western North Carolina. Since its inception, it has become known
throughout the region as providing quality referral and outreach services. In January 1992,
a residency training program in obstetrics and gynecology was added which received full
accreditation in January 1995. The residency program graduated its first residents in
June 1995. The program expanded to four residents per year in 1996.
Current staffing includes seven generalist obstetrician gynecologists and four maternal fetal

medicine physicians, five certified nurse mid-wives, a nurse practitioner, 16 residents, and
approximately 90 employees who work in the clinical, business, behavioral medicine or
administrative areas of the department. Nurse practitioner and nurse-midwife students, as
well as medical students and an OB Fellow, are also precepted in the department.
The residency program is affiliated with the University of North Carolina at Chapel Hill
(UNC - CH) School of Medicine, and all faculty members hold appointments in the
Department of Obstetrics and Gynecology at UNC-CH. The Division Chair is a full-time
employee of UNC-CH and is assigned on a full-time basis to the program in Asheville. The
department provides a full range of obstetrical, gynecological and behavioral medicine care
services.
Low-Risk Obstetrical Care:
The department provides obstetrical care, including pre-conceptual evaluation, prenatal
care, full obstetrical ultrasound and other fetal assessment services, delivery, and
postpartum care for approximately 1600 patients annually. In addition, we provide
delivery services for all prenatal patients seen at Buncombe County and Madison County
Health Departments.


- 21 -

Certified Nurse Midwives:
The Certified Nurse Midwives operates a private nurse-midwife practice at the departments‖
outpatient clinical setting. The patients deliver at Mission Hospital. The MAHEC OB/GYN
Faculty provides consultation for these patients with assistance from residents.
Gynecology:
This division provides comprehensive gynecologic care including primary preventive care,
immunizations, family planning, pediatric/adolescent gynecology and endoscopic surgery.
In addition, services are offered to patients through a number of specialty clinics that are
outlined below.
Reproductive Endocrinology/Infertility Services:

The department offers evaluation and medical/surgical treatment reproductive and
endocrine disorders as well as fertility treatment and follow-up. Residents also receive
training in advanced reproductive technologies.
Urogynecology and Pelvic Reconstructive Surgery Services:
The Department offers complete evaluation and treatment for the patients with pelvic floor
support and incontinence problems. Residents will be trained in urodynamics and
operative urogynecology by departmental faculty and on rotation with WNC private
practice urogynecologists.
Vulvar Speciality Clinic:
The Department has a vulvar specialist who offers a clinic focusing on comprehensive
evaluation, management and treatment of vulvar disorders. Residents participate in vulvar
clinic as an aspect of their benign gyn experience.
Research and Education:
The Department maintains a high level of research activities. Our dedicated Director of
Research and Education provides necessary support for a wide range of research topics and
projects.
Behavioral Medicine Care Services:
Clinical services offered by the Division of Behavioral Medicine include but are not limited
to: (1) Clinical assessment, brief intervention and referral of patients referred by any WHC
or ROGS care provider and clinical staff; (2) Behavioral health consultation; (3) Screening
assessment and referral to OB patients; (4) Strategic intervention for patients with
immediate concerns; (5) Substance use screening and referral particularly for OB patients;
and (6) Acting liaison between WHC and ROGS and community resources such as
Western Highlands Network, Perinatal Health Partners, Maternal Care Coordinators,
Diagnostic Evaluation Center, Counselors and Psychotherapists and hospital Social Work.


- 22 -

2.15 DIVISION OF REGIONAL SERVICES

The vision of the Division of Regional Services is to be the provider of choice in Western
North Carolina (WNC) for education, information, consultation, technical assistance, and
workforce development and to enhance the community‖s ability to improve the health of
its residents. The programs and services are provided in collaboration with health and
human service professionals, community leaders, and health science students, serving as a
national model for these programs and services.
The Division of Regional Services conducts programs designed to meet the education and
training needs of health and human service professionals in allied health, dental health,
medicine, mental health, nursing, pharmacotherapy, and healthcare leadership and
management. Collaboration and the diversity of the healthcare workforce are emphasized
in providing programs and services. Staff development and career counseling are provided
for many disciplines. Courses and programs are offered in a variety of formats, allowing
professionals to meet all of their continuing education credit and professional development
needs here in the region.
Also, customized programs can be designed to meet the unique needs of individual
healthcare agencies by bringing programs on site to agency employees. Consultation,
technical assistance, and special projects to meet workforce supply and demand needs are
part of the services provided by the Division. In addition, the Division provides training
and technical assistance in managing and developing workforce diversity, including
recruitment and retention. The Division designs and implements programs that support
pre-entry and retention activities in order to prepare students from disadvantaged
backgrounds to successfully enter and complete a health professional training program. As
early as kindergarten underrepresented minority and disadvantaged students are introduced
to health careers through enrichment and exposure activities, health careers information
and materials, including the NC Health Careers Manual, and cultural awareness and
diversity trainings.
The departments in the Division include Continuing Medical, Dental, and Allied Health
Education, Healthcare Leadership and Management Education, Mental Health Education,
Nursing Education, Pharmacotherapy, Health Careers and Diversity Education and
Regional Services Administration and Operations.

- 23 -

Graduate Medical and Dental Education Policies and Procedures
The following GME/GPR policies are summaries. The full policies and procedures
can be found in each program office as well as the GME office.

3.1

INSTITUTIONAL COMMITMENT TO GME/GPR
GME POLICY #02
GPR POLICY #08

MAHEC's Board of Directors, President and Chief Executive Officer (President and CEO)
and Designated Institutional Official (DIO), teaching providers, and staff are committed to
excellence in its Graduate Medical and Dental Education programs and in the direct care of
individuals and families through organized programs, facilitating the resident‖s ethical,
professional, and personal development, through curricula, evaluation and resident
supervision, while supporting safe and appropriate patient care.
MAHEC serves as the sponsoring institution for the Graduate Medical and Dental
Education programs, exercising the authority and control of a sponsoring institution as
defined by ACGME and CODA. MAHEC is organized for the implementation and
evaluation of the programs in a scholarly environment and is committed to excellence in
both medical and dental education as well as patient care. MAHEC is committed to
maintaining substantial compliance with ACGME Institutional Requirements and ensuring
that its ACGME-accredited programs are in substantial compliance with Institutional,
Common, and specialty/subspecialty-specific Program Requirements. MAHEC is
committed to maintaining substantial compliance with CODA requirements.
MAHEC is committed to providing the leadership, organizational structure, and resources

necessary to achieve and maintain substantial compliance with ACGME and CODA
requirements, providing an ethical, professional, and educational environment in which
the curricular requirements as well as applicable requirements for scholarly activity and the
six (6) areas of general competencies for all residents/fellows and the competencies
required by their discipline will be met. This commitment includes, but may not be
limited to:
1. Maintaining and revising a written statement of institutional commitment,
including providing the necessary educational, financial, and human resources
to support all programs, that is reviewed, dated and signed within at least one
year prior to the institutional site visit and indicates the support of the governing
authority, the administration, and leadership.
2. Maintaining an organized administrative system, which includes the Internal and
Board Graduate Medical Education Committees (GMECs) to the responsibilities
of the GMEC as specified in the Institutional Requirements.


- 24 3. Designating an institutional official (DIO) and GMEC who has the authority and
responsibility for the oversight and administration of the GME programs,
fulfilling responsibilities that include:
a. Assuring compliance with ACGME Common, specialty/subspecialtyspecific Program, and Institutional Requirements.
b. Assuring compliance with CODA standards.
c. Establishing and implementing procedures to ensure that the DIO or
designee reviews and cosigns all program information forms and any
correspondence or document submitted to ACGME by the program
directors that either addresses program citations or requests changes in
the programs that would have significant impact, including financial, on
the program or institution.
d. Presenting an annual report by the President and CEO and DIO, or Chair
of the GMECs to the medical staff(s) and the governing body(s) of the
major participating sites of the GME programs.

5. Providing the DIO sufficient financial support and protected time to effectively
carry out his/her educational and administrative responsibilities to the
Sponsoring Institution.
6. Providing program directors sufficient financial support and protected time to
effectively carry out their educational and administrative responsibilities to their
respective programs.
7. Providing sufficient salary support and resources (e.g., time, space, technology,
supplies) to allow for effective administration of the GME Office and all of its
programs.
8. Providing faculty and residents with ready access to adequate communication
resources and technological support. Residents must have ready access to
specialty/subspecialty-specific and other appropriate reference material in print
or electronic format. Electronic medical literature databases with search
capabilities should be available.
9. Providing a policy that addresses administrative support for GME programs and
residents in the event of a disaster or interruption in patient care. The policy
includes assistance for continuation of resident assignments.
MAHEC will comply with duty hour requirements as specified in Institutional, Common
Program and specialty/subspecialty-specific Program Requirements with accountability for
monitoring assumed by the GME Committee(s) (GMECs). MAHEC will provide regular
assessment of the quality of the educational programs, the performance of the residents,
and the use of outcome assessment results for program improvement.