What makes your program unique?
The Duke Family Medicine Residency is a unique program designed to train leaders, innovators, and advocates in the field of family medicine. Our foundation is built upon high quality clinical education, with residents rotating in a variety of practice settings. From Day 1, residents experience life as a true family physician with their own patient panel, home call for the practice, continuity deliveries for our pregnant patients, and longitudinal training experiences. These include a population health curriculum and capstone community engagement project (PHIT), CenteringPregnancy® prenatal care, leadership training, panel management education, and annual quality improvement projects.
There is significant support for residents to attend conferences, present, and publish their ongoing research efforts, take local and national leadership positions, and develop the non-clinical skills needed to improve the field of family medicine.
How much elective time do you have?
Residents have up to 18 weeks of elective time during the course of residency to explore all aspects of professional development. Typically, 6 weeks are taken in the second year and 12 weeks in the third year. Elective time can be used to explore educational interests locally and abroad, and may focus on clinical medicine, advocacy, leadership development, and more.
What is your call schedule like?
Family medicine residents are responsible for taking home call to cover all patients seen at the Duke Family Medicine Center. Residents take home call individually and cover all after hours, weekends, and holidays. On average, residents take a total of 3 weeks of home call throughout each year. Residents also take obstetric call for the patients seen in their respective CenteringPregnancy® groups as well as for patients receiving traditional prenatal care at the Duke Family Medicine Center.
Residents do not take call for any other services. They may work overnight on a night float system on some inpatient rotations or an overnight shift in the Emergency Department.
What kind of didactic time do you provide?
Residents meet every Tuesday afternoon for faculty-led didactic sessions. A list of ABFM core topics is used to create an 18-month rotating curriculum that includes lectures, workshops, and modules. Each month, residents will participate in a population health session, journal club, a resident case presentation, behavioral medicine didactics, and Balint group (promoting resident wellness). Speakers are both DFM faculty and outside presenters recruited for their passion and expertise in a particular topic.
Research-oriented noon conference, didactic sessions, journal clubs, practice management, and M&M’s are offered at the noon hour in the Duke Family Medicine Center.
How much OB, geriatrics, and pediatric experience do you receive?
OB: the standard model of prenatal care offered at the Duke Family Medicine Center is CenteringPregnancy®, a group-based model of care. All residents receive training and are certified to be CenteringPregnancy facilitators. In addition to CenteringPregnancy, a smaller portion of patients receive traditional prenatal care through one-on-one visits. Residents spend 8 weeks on Labor and Delivery (4 weeks in first year,
4 weeks in second year), in addition to continuity deliveries of their CenteringPregnancy patients.
Geriatrics: In addition to seeing geriatric patients in clinic, residents have a panel of continuity patients at a local nursing home and participate in home visits through the Just For Us program. There is an additional required 3-week rotation in geriatrics that includes exposure to geriatric outpatient specialty care, inpatient consult service, and transition of care to nursing facilities.
Pediatrics: Residents rotate 1 month on inpatient pediatrics, 1 month in the newborn nursery, and 2 months on outpatient pediatrics in addition to seeing pediatric continuity patients at the Duke Family Medicine clinic.
Residents can also choose to do electives in particular areas of OB, pediatrics, or geriatrics.
What is your procedural training like?
There are growing opportunities for clinic-based procedural training. The DFMC offers gynecology, sports medicine, and dermatology procedural clinics that residents rotate through each year. Gynecology procedures include colposcopy, endometrial biopsy, Nexplanon insertion/removal, and IUD insertion/removal. Sports medicine procedures include ultrasound-guided joint injections and aspirations. Dermatology procedures include punch, shave, and elliptical biopsies, cyst removals, and toenail removals. There is also a new opportunity in clinic for vasectomies. During residents’ clinic schedules, they may perform foreign body removal, joint injections, cryotherapy, cerumen impaction removal, I&Ds, anoscopy, management of thrombosed hemorrhoids, laceration repair, and splinting.
There are annual resident workshops focusing on the previously listed procedures, as well as suturing, ultrasound training, circumcision, cervical exams, fetal scalp electrode and IUPC placement, and perineum laceration repairs. There is also growing opportunities for clinic-based ultrasound training including MSK, joint injections, and OB. Lastly, there are numerous opportunities to gain hands-on procedural training while on off-service rotations.