The Durham Veteran Affairs Medical Center (VAMC) is located directly across the street from Duke University Hospital. All faculties at the Durham VAMC are also faculty at Duke, and many faculty members have privileges at both hospitals.

 

Residents rotate on the inpatient services and intensive care units. There are 274 inpatient beds, and 90 are allocated to the General Medicine Service. The acute care and subspecialty clinics are key components of our ambulatory rotations, and the PRIME clinic is an outstanding multidisciplinary clinic, which serves as the continuity clinic site.

 

The hospital campus also includes the 120-bed Extended Care and Rehabilitation Center  (ECRC), which is one of the sites for training in geriatrics.

 

Clinic Sites

The DOC is one of our major sites for ambulatory training. Dr. Lynn Bowlby is the medical director of this clinic. The attending preceptors are Duke faculty members and the ambulatory chief resident.

Duke Outpatient Clinic serves approximately 3,400 patients with more than 9,000 visits per year. The clinic provides care for an underserved population, with more than half the patients self-paying or receiving Medicare or Medicaid.

The DOC also has significant ethnic diversity with African American, Caucasian, Asian, Hispanic, and Native American patients.

 

 

Duke Primary Care clinics are spread throughout the Durham community. These clinics are the main practice sites for the faculty in the Division of General Internal Medicine. Residents may have their continuity clinic at one of these practice sites, and the residents are incorporated into the practice for the care of their patient panel.

 

The residents are directly supervised by one of the faculty from the Division of General Internal Medicine. These clinics have diverse patient populations and provide residents with exposure to patients with managed care coverage.

 

 

Lincoln Community Health Center is a primary health care facility that has been operating in the Durham community since 1971. The center offers a wide range of health services, including internal medicine, pediatrics, adolescent, dental, behavioral health, and prenatal care. Lincoln is the community clinic that provides care for much of the indigent population of Durham County. The Lincoln Clinic also provides care for a large portion of the rapidly growing Hispanic population in the area.

Junior and senior residents practice in the urgent care area seeing a broad variety of patients and medical problems. While translation services are readily available, Spanish-speaking housestaff receive an opportunity to practice their skills. Junior and senior residents rotate at Lincoln during their ambulatory rotations.