The Duke Rural Family Medicine Residency program strives to deliver excellent medical education through the integration of outstanding patient care, education, research, and community partnerships—all through a lens to increase equity.

The program helps residents achieve a mastery of clinical medicine with intimate connections to the community and launches them toward a rewarding career in rural family medicine.

Residents in the Duke Rural Family Medicine Residency program spend the first year immersed in the world-class training at Duke Health, and then transition to a rich rural health center and community hospital for the second two years of training and embrace full spectrum family medicine. Residents will begin their continuity ambulatory clinics at the rural Duke Primary Care Oxford clinic, allowing them to develop a panel over the full three years of residency. This 1+2 training track was born out of a commitment to health equity and aims to meet the needs of underserved rural populations.


The Learning Environment

The Duke Rural Family Medicine Residency program offers a collegial and diverse environment that fosters the development of clinical skills, as well as strong and enduring relationships with colleagues, mentors, and patients. Duke University is committed to the personal and professional needs of each resident and cultivates an environment of mutual respect and professionalism for a rich and rewarding educational experience.

The Duke Rural Family Medicine Residency program aims to allow budding family medicine providers to fully “spread their wings” as physicians to perform procedures and take care of medical diagnoses that might be referred to a specialist in a more urban environment. The training track offers an intimate setting where residents will get to know the community and learn to identify and serve its unique needs, while providing care to diverse populations. 

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Duke Rural Track Family Medicine Residency Program 2022

Selective Service Registration

All male applicants (as determined by gender assigned at birth for purposes of this requirement) who are US citizens or immigrants must have registered with the Selective Service System within 30 days of their 18th birthday, or arrival date into the USA.  Individuals are eligible to register until the age of 26.  Failure to register is a violation of federal law, and can face significant penalties, including loss of eligibility for citizenship for immigrants.  Individuals who have not registered are not eligible for a variety of benefits including federal student aid, federal job training, and any job in the Executive Branch of the government (e.g. VA, Medicare, federal prisons), and are not allowed to work in federal facilities even as a resident or fellow.

Most Duke GME programs require rotations at federal facilities such as VA hospitals or prisons.  All trainees in those programs must be eligible to work at those facilities.  All applicants should ensure that they have registered for the Selective Service System if appropriate.  If they have not registered, they should discuss this with their potential program director. Additional details can be found at


Duke Rural Family Medicine Residency Curriculum
exterior of duke family medicine center

Training Sites Year 1: Duke Hospital, Duke Regional Hospital, Maria Parham Health, Durham VA Hospital

For Year 1, residents in the Duke Rural Family Medicine Residency program are part of the Duke Family Medicine Residency, doing most of Year 1 rotations in Durham, and remain connected with that program through shared didactics and programming throughout the entire training. Ambulatory clinic will be at the Family Medicine Center at Duke Primary Care Oxford, allowing residents to begin developing a patient panel.  The first year OB rotation is at Maria Parham Health, the community hospital in Henderson, NC which is also the inpatient home for years 2 and 3. Home base is Duke Primary Care Oxford in Granville County, North Carolina. Duke Family Medicine Center is where the weekly didactic sessions occur.

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exterior of Duke Primary Care Oxford clinic

Training Site Years 1, 2, and 3: Duke Primary Care Oxford

Duke Primary Care Oxford serves as the main training site for residents in the Duke Rural Family Medicine Residency program for Years 2 and 3. Located in Granville County, North Carolina, Oxford is located about 30 miles northeast of Durham. The health care team at Duke Primary Care Oxford includes family medicine physicians along with physician assistants and nurse practitioners who specialize in providing medical care for children, teens and adults. Other support includes a clinical PharmD, population health nurse, and a LCSW who provides adult counseling services. 

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exterior of maria parham health

Training Site Years 2 and 3: Maria Parham Health

Located in Henderson, North Carolina, Maria Parham Health is the main hospital training site for the Duke Rural Family Medicine Residency program during Years 2 and 3. Maria Parham Health, a Duke LifePoint Hospital, is the region’s health care leader. Fully accredited by The Joint Commission and the College of American Pathologists, Maria Parham has combined the qualities necessary to offer the best in community medicine—physicians representing a wide range of specialties, highly trained nurses and clinical specialists, and the latest technology.

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