University of North Carolina Hospitals Program

The University of North Carolina Hospitals Program in Internal Medicine and Pediatrics offers a comprehensive combined residency experience aimed at developing skilled and compassionate physicians proficient in both disciplines. The program is designed to merge the training elements of Internal Medicine and Pediatrics, fostering a unique Med-Peds identity among residents.

Program Overview

The program is deeply rooted in the philosophy that residents thrive when fully integrated into both the Internal Medicine and Pediatrics departments. This integration ensures that Internal Medicine-Pediatrics (Med-Peds) residents receive the same supervision, responsibilities, and opportunities as their categorical colleagues, enhancing their educational and clinical experiences 1.

Curriculum

The curriculum is carefully constructed to provide a balanced training experience across both fields. Residents engage in a combined Med-Peds continuity clinic experience, where they manage a panel of pediatric and adult patients throughout their training. Additional highlights of the curriculum include:

• A diverse patient mix, exposure to urban and rural settings, and community engagement.
• Regular participation in grand rounds and departmental conferences covering both pediatrics and internal medicine topics.
• Opportunities for scholarly activities and research projects aligned with faculty mentorship 7.

Training Sites

Residents rotate through several key training sites, including the University of North Carolina Hospitals, WakeMed, and the Moses Cone Hospital System. This exposure is critical for obtaining a well-rounded residency experience that encapsulates both tertiary care and community practices 8.

Unique Aspects

One of the program's distinguishing features is its Global Health Pathway, established to enhance residents' careers in global health through defined mentorship, a structured didactic curriculum, clinical experiences, and opportunities for scholarly work 14. Additionally, the program supports integration through faculty who specialize in both Internal Medicine and Pediatrics, ensuring focused mentorship tailored to the unique needs of Med-Peds residents 1.

Application Process and Requirements

Applicants must apply through the National Residency Match Program (NRMP) and submit their applications via the Electronic Residency Application Service (ERAS). Key application requirements include:

• Three letters of recommendation.
• Transcripts of USMLE or COMLEX examinations.
• Completion of the ECFMG certification for International Medical Graduates by the time of rank list submission.
• Clinical experience in the U.S. (not merely observership).
• Graduation from medical school within two years of the application year.

Importantly, the program supports the J-1 visa for international applicants, facilitating their participation in the residency program 23.

Competitiveness

The UNC Med-Peds residency program is known to be competitive, accepting approximately 350 applications for only 6 available positions each year. The average number of applicants invited for interviews ranges from 50 to 70, highlighting its selective nature 6.

Resident Compensation and Benefits

Residents benefit from a comprehensive package that includes competitive salaries, health insurance, a book stipend, and funding for travel associated with academic conferences. Annual retreats, typically located in scenic settings, have also been included to promote wellness and camaraderie among residents 910.

Resident Life and Community

Living in Chapel Hill and the surrounding Triangle area is highlighted by vibrant community engagement and a rich cultural scene, providing opportunities outside of the rigorous medical training. Residents often participate in community service activities, emphasizing the program's commitment to serving underserved populations 710.

Vacation and Time Off

Residents are entitled to 21 calendar days of paid vacation and a six-day holiday period during either Christmas or New Year's, enabling them to maintain a healthy work-life balance during the extensive training period 4.