The Duke Family Medicine Residency Program trains physician leaders who partner with health care and community teams to meet the health needs of patients and populations.

There are three overlapping training domains:

Leadership development

Leadership development focuses on the skills needed to manage teams of professionals who provide either direct or indirect patient care, to lead advocacy efforts, and become change agents.

Research/analytic skills acquisition and development

Research/analytic competency focuses on the skills required to develop interventions, measure outcomes, and disseminate results.

Population health improvement

Population health improvement focuses on working with and improving the health of communities.

Inpatient rotations are concentrated in the first year and continuity clinics increase in the second and third years. Procedure training, sports medicine, and emergency room care are also emphasized.


Each resident has a family medicine physician faculty advisor. Advisors review performance and evaluations with the resident, and provide mentoring on a regular basis. The advisor serves as the resident’s advocate in the educational system, and assists in planning and arranging electives and developing individualized educational plans to reach present and future goals.


Electronic systems support both clinical learning and mandatory RRC tracking. The Duke Family Medicine Center was one of the first clinics to implement the system-wide Maestro Care EMR (Epic) which connects all Duke University Health System records with other health systems in the state.

The resident electronic evaluation system allows each resident to log procedures, duty hours, and evaluations online. This data is used to assist the resident in obtaining hospital privileges when entering practice after graduation.


Third-year residents, and occasionally second-year residents are permitted to moonlight, with prior approval. Residents have moonlighted in a variety of clinical settings, including urgent care and the emergency department.

Resident Support

The program is committed to the personal and professional development of its residents. Orientation at the beginning of the first year introduces residents to Duke, the Duke Family Medicine Center, the program, and the community. The second orientation continues the community aspect of the training program, as well as providing obstetrics training. First-year residents meet at least monthly, and second- and third year-residents meet weekly to provide support and foster a cohesive group identity. During the weeklong reorientation at the beginning of the second year, residents transition to upper-level roles. A weekend retreat is held annually for all residents and key faculty. In addition, the faculty advisor provides individual support throughout the three years of residency. Program directors meet with residents on an ongoing basis. 

Substance Abuse Testing

As of November 1994, all house staff who register for employment at Duke University Hospital and Graduate Medical Education will undergo entry Substance Abuse Testing. This testing is a condition of employment. Any applicant who refuses to submit to screening or whose drug test is confirmed positive will have his or her offer of appointment rescinded.