I have been the Associate Program Director for Ambulatory Care for the Duke Internal Medicine Residency Program since 2015. I precept in Duke's largest continuity clinic site caring for underserved patients, and oversee a major overhaul of the ambulatory curriculum structure we implemented in 2018 called the "threads" model. Leveraging the 4+2 schedule and the depth of our subspecialty faculty, the threads model creates templates of bundled subspecialties plus continuity clinic such that for six months at a time, residents have continuity with 3-4 subspecialty clinic attendings. Swapping every six months allows the residents to experience every subspecialty in the ambulatory setting by the end of their second year of training.
In addition to this work, I have taught long standing longitudinal curricula in Evidence Based Medicine (since 2003) and Advocacy for the residency program. The Advocacy in Clinical Leadership Track, ACLT, was established in 2012 and offers seminars in health policy and advocacy as well as learner driven advocacy platforms that are presented to law makers in Raleigh, NC and Washington DC in alternating years.
As a member of the SGIM EBM Task Force from 2010 to 2015 and Chair for 2013-2014, I launched the Bottom Line project, creating distilled evidence summaries for use by physicians in communicating current, high impact new data to patients. The evidence summaries use current best practices for risk communication, informed by our systematic review of the literature, published in the Annals of Internal Medicine in 2014. The Bottom Line Project is still alive and well with current EBM Committee leadership, and in 2019 started being published in the Journal of General Internal Medicine.