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Dr Koinis spent nine years at Case Western Reserve University in Cleveland completing his BSE and MSE in polymer science as well as medical school. Realizing his passion was caring for people oriented rather than being research based, he headed south to rural Blackstone, VA as part of the Medical College of Virginia’s Family Medicine residency program, finishing in 1983. He joined a practice in Oxford, NC, doing several years of obstetrics and 24 years of running a hospital practice. Oxford is the county seat of Granville County, a rural county in northern Piedmont of North Carolina with a racial makeup in 2017 of 58% White, 30% Black, and 8% Hispanic. Along with his practice, he joined Duke Primary Care in 1995, where he currently is the Practice Medical Director. He has taught a variety of medical students, residents, and mid-level students in his office throughout his career, dating back to 1983. Since 2016, he has precepted 2nd and 3rd year family medicine residents in a full day weekly continuity clinic. He has been part of the core faculty for Duke Family Medicine since 2018. Locally, Dr. Koinis has served on both his local hospital board and health department board. He was director of the Stovall Medical Center Community Oriented Primary Care project in 1989-1992, part of a national Kellogg grant. He spent 30 years as a county medical examiner.