Mountain Area Health Education Center (Asheville) Program

Specialty:Psychiatry
ACGME Code:4003600173
NRMP Code:3023400C0, 3023400C2
Status:Continued Accreditation

Overview

Program Overview

The Psychiatry Residency Program at Mountain Area Health Education Center (MAHEC) is designed to train psychiatrists ready to serve rural and underserved communities in Western North Carolina. The program was established to meet the critical shortage of mental health professionals in this region, where all 16 counties are designated as mental health professional shortage areas. The mission focuses on developing skilled psychiatrists adept in providing comprehensive care in various settings, particularly in integrated primary care.

Curriculum and Rotations

The program spans four years, with each year structured to build on the knowledge and competencies gained in the previous year.

PGY1

During the first year, residents engage in training across two inpatient psychiatric facilities: the Sweeten Creek Mental Health and Wellness Center and the Charles George VA Medical Center. Additionally, residents fulfill primary care requirements through rotations in internal and family medicine, as well as neurology, to gain foundational skills necessary for psychiatric practice.

PGY2

The second year emphasizes outpatient experiences, exposing residents to various settings including a treatment-resistant clinic offering Transcranial Magnetic Stimulation (TMS), a child safety/forensic pediatrics unit, and an IDD clinic. Residents also engage in continuity clinics for children and adults, alongside psychotherapy.

PGY3

In the third year, residents return to inpatient care with additional specialized rotations, such as child and adolescent psychiatry, geriatrics, and substance use disorder treatment. Activities also include participation in electroconvulsive therapy (ECT) and a general adult psychiatry unit.

PGY4

The final year offers intensive outpatient rotations, including a forensic psychiatry rotation and collaborative care consultations with rural primary care providers. Residents have ample opportunities to pursue electives, culminating their personalized training experience.

Unique Aspects of the Program

One of the key aspects of the MAHEC Psychiatry Residency is its commitment to interprofessional learning. The residency is situated within an academic health center that fosters collaboration among different specialties, including access to a medical simulation center. This structure enhances the educational experience by integrating various healthcare disciplines in real-world scenarios.

Research Opportunities

MAHEC offers numerous research initiatives, particularly in rural health and psychiatrically underserved populations. Residents are encouraged to engage in projects, attend and present at conferences, and collaborate with faculty on research that influences community health.

Training Sites

The residency features various training locations, including MAHEC’s outpatient psychiatry clinic, the Center for Psychiatry and Mental Wellness, and the UNC Health Sciences at MAHEC. These sites collectively provide comprehensive clinical experiences that reinforce residents' competencies in various psychiatric, therapeutic, and collaborative settings.

Competitiveness and Application Requirements

This program is known to be competitive, especially in terms of attracting candidates interested in rural and underserved areas. The program is considered friendly towards both DO and IMG applicants, who are welcomed to apply.

Specific Application Requirements

Eligibility criteria include graduation from a recognized medical school, passing all USMLE/COMLEX exams within a set number of attempts, and the ability to work in the U.S. Applicants must have ECFMG certification if they are IMG applicants. MAHEC does not sponsor H1B visas, only J-1 visas through ECFMG, for international applicants requiring visa sponsorship.

Salary and Benefits

Residents benefit from competitive salaries and a comprehensive benefits package that supports their personal and professional growth. This includes health insurance, paid time off, and stipends for continuing medical education (CME).

Diversity and Inclusion Commitments

MAHEC is deeply committed to diversity and inclusion, actively recruiting candidates from underrepresented medical backgrounds. The program values equity and strives to create an environment where all residents feel respected, valued, and supported.

Community Engagement

Residents are also involved in community outreach through programs and initiatives aimed at improving mental health access among underprivileged populations in the region. This engagement is often facilitated through partnerships with local organizations and initiatives.

Conclusion

MAHEC Psychiatry Residency offers a robust curriculum with diverse training opportunities emphasizing community health, rural care, and innovational practices. It provides an excellent environment for future psychiatrists committed to making a difference in the lives of underserved populations in Western North Carolina.

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Program data

ACGME History [3]

Accreditation Last updated: Jul 16, 2026
Initial accreditation2
Full accreditation0
Continued9
Warning0
Probationary Accreditation0
Withdrawal0

Program

Program Size

6, 6, 7, 4 (4 years) [1]

Accreditation Status

Continued Accreditation

(Effective: February 12, 2026)

Composition [2]

MD · 70%
DO · 30%

Training

Fellowship Rate:47% [2]

Faculty-to-Residents Ratio:1X [1]

Residents Career Path [2]

Full-time Practice · 26%
Academic · 21%
Fellowship · 47%
Other · 5%

Quality of Life

First Year Paid Sick Leave: 10 days [1]

First Year Paid Vacation: 24 days [1]

First Year Salary: $60,349 [1]

First Year Maximum Consecutive Hours on Duty: 12 hours [1]

First Year Average Weekly Hours: 50 hours [1]

Admission

USMLE Step 2 Score: 231–267 [2]

Visa Sponsorship:J1 [2]

YOG Cutoff:1 [1]

Race / Ethnicity

Gender

Incoming Schools

17%

Brody School of Medicine at East Carolina University

13%

University of North Carolina at Chapel Hill School of Medicine

13%

Lincoln Memorial University DeBusk College of Osteopathic Medicine

9%

University of South Carolina School of Medicine Greenville

* Multiple schools share the same admissions rate.

Rotation Duration by Site

Benchmarks

Match & stats

2026 Residency Applicant & Interview Insights

Signals

Number of Applicants
Number of Applicants Interviewed

Hometown State

Number of Applicants
Number of Applicants Interviewed

Medical School State

Number of Applicants
Number of Applicants Interviewed

Step 1 Fail

Number of Applicants
Number of Applicants Interviewed

Step 2 Fail

Number of Applicants
Number of Applicants Interviewed

Applicant Type

Number of Applicants
Number of Applicants Interviewed

Note: The AIR (Applicant Interview Rate) is calculated as the percentage of applicants in each category who were offered interviews. A higher AIR suggests stronger alignment with program preferences, indicating a greater likelihood of the program favoring applicants in this category.

USMLE STEP 2 CK Score [2]

COMLEX Level 2 Score [2]

Match History [4]

Track ID:  3023400C0
2020
6 of 6
2021
6 of 6
2022
6 of 6
2023
5 of 5
2024
6 of 6
2025
6 of 6
2026
4 of 6
Track ID:  3023400C2
2023
1 of 1
Filled Position
Unfilled Position

Roster

Location

Asheville, NC [5]

Population
94,589
Median income
$66,032Above
Education
55.6%Above
Employment
62.5%Below
Health
8%Above
Age
42On par
  • Above the national average
  • Below the national average
  • Similar to the national average

Housing — Rental prices [6]

Rental prices

Crime — All violent offences [7]

Rate per 100,000 residents

Living in Asheville, NC

Asheville, NC, is a vibrant city nestled in the Blue Ridge Mountains with a population of around 92,000 residents. Here is a breakdown of living in Asheville:

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References

1. Freida - https://freida.ama-assn.org/program/4003600173

2. Residency Explorer - https://www.residencyexplorer.org/Program/GetByIdWithMedicalSpecialty/27219658-7551-51e3-ba47-e9f9ed4a352f

3. ACGME - Accreditation Data System (ADS) - https://apps.acgme.org/ads/Public/Programs/Search

4. NRMP Results and Data: 2022-2026 Main Residency Match - https://www.nrmp.org/match-data/2026/03/program-results-2022-2026/

5. United States Census Bureau - https://data.census.gov/profile/City,_VS?g=160XX00US3702140

6. Zillow Research - Observed Rent Index (ZORI) - https://www.zillow.com/research/data/

7. FBI - Crime/Law Enforcement Stats (Uniform Crime Reporting Program) - https://www.fbi.gov/services/cjis/ucr