The Department of Family Medicine and Community Health, with support from the Health Resources and Services Administration (HRSA), has created a two-year Primary Care Transformation Fellowship (PCTF) for physicians and physician assistants. The goal of the PCTF is to train physicians and physician assistants to lead health care transformation and improve health within their communities and community-based practice settings.

Important Dates for Cohort Entering in 2019

  • Fellowship begins: July 1, 2019
  • In-person grantee meeting in Washington, DC: March 2020 (exact date TBD)
  • Fellowship ends: June 30, 2021

About the Fellowship

The Duke Primary Care Transformation Fellowship includes coursework from the Duke Master of Health Sciences in Clinical Leadership program, primary care preceptor training, a mentored transformation project, and a fellowship seminar series.

Learn More


Interested individuals must submit a CV, letter of support from practice, a personal essay, and a project proposal. The application period has ended for the cohort entering in 2019.

How to Apply

What is Primary Care Transformation?

Primary care transformation is defined as training clinicians who understand the principles of a transformed health care delivery system and who will lead and sustain the “new primary care” linked to population health and the care of disadvantaged populations.

Characteristics of transformed health care delivery systems, identified by the Centers for Medicare and Medicaid Services (CMS), include:

  • Providers across the care continuum participate in integrated or virtually integrated delivery models
  • Care is coordinated across all providers and settings
  • High level of patient engagement and quantifiable results on patient experience
  • Providers leverage the use of health information technology to improve quality
  • Providers perform at the top of their license and board certification
  • Population health measures are integrated into the delivery system
  • Data are used to drive health system processes

HRSA also recognizes addressing social determinants of health as a characteristic of transformed health care delivery systems.

Contact Us

Please contact Courtney Simpson, fellowship coordinator, with any questions.