Farmworker scenarios, reporting obligations, language barriers, immigration fear and care access.

Role-play with standardized nurse, social worker, or pharmacist in a care team scenario.

NC rural hospital closure, primary care shortage, opioid treatment access in rural communities.

Confidentiality, reporting obligations, resource allocation, end-of-life in rural settings.

North Carolina ties, interprofessional experience, rural or underserved community commitment.

Winston-Salem is a city shaped by tobacco (R.J. Reynolds) and textiles — industries that employed many residents and left a legacy of occupational disease and economic decline.

Forsyth County's Latino population grew rapidly due to agricultural and food processing employment — know this community's healthcare access challenges.

North Carolina finally expanded Medicaid in 2023 after years of refusal — know the argument both ways and the practical impact on Piedmont Triad communities.

Wake Forest trains physicians alongside nursing, PA, pharmacy, and social work students in shared facilities. This isn't just a talking point — show that you actually know each profession's scope.

In role-play stations, defer to the nurse or social worker when their expertise is clearly relevant. Physician dominance is actively penalized.

Articulate why team-based care produces better outcomes for complex patients, not just "it's collaborative."

OSHA reporting creates a genuine ethical conflict between patient confidentiality, public health duty, and patient fear of retaliation.

Know the distinction: physicians are not mandatory reporters to OSHA in most circumstances, but document everything, counsel the patient, and address the medical injury regardless.

In a farmworker scenario, the patient's fear of job loss and deportation is a clinical barrier — address it as such before discussing policy obligations.

"Since 2011 I've sat on MMI panels across Canada, the USA, and the UK — scoring thousands of candidates across medicine, dentistry, PA, and nursing. Universal MMI is built on everything I've learned sitting on the other side of that table."

Yes. Wake Forest opened a new medical school building in Charlotte in 2023. Both campuses train MD students, with separate MMI cohorts. Confirm your campus assignment when invited.

North Carolina was one of the last states to expand Medicaid under the ACA, finally doing so in December 2023. Expansion covers approximately 600,000 additional North Carolinians, but gaps remain for undocumented residents and those near income thresholds.

Prioritize clinical care without requiring immigration documentation. Acknowledge the fear as a real barrier to care. Know that federal law requires emergency care regardless of immigration status, and discuss options for follow-up care (FQHCs, community health centers).

Recent entering classes have median MCAT around 515 and median GPA around 3.72. Wake Forest is academically selective but weights community service and interprofessional experience.

Wake Forest's health sciences campus brings together medicine, nursing, pharmacy, physician assistant, and allied health programs in shared educational spaces. Students complete interprofessional simulation experiences and collaborative coursework.

Winston-Salem was the headquarters of R.J. Reynolds Tobacco. The city's economy was built on tobacco, and the health legacy — high rates of COPD, lung cancer, cardiovascular disease — is still visible in patient populations. The industry's influence on health policy in NC is also a relevant ethical context.

Very important. North Carolina has significant rural primary care shortages, and Wake Forest has pipeline programs to rural NC communities. Demonstrating genuine interest in rural or underserved NC medicine strengthens your application.

Rural NC has been severely affected by the opioid epidemic, with high rates of prescription opioid misuse transitioning to heroin and fentanyl. Access to buprenorphine and naloxone in rural NC remains limited. Wake Forest has research and clinical programs addressing this.