The Duke Family Medicine Center
The Duke Family Medicine Center (FMC) is the ambulatory clinic where residents and faculty practice. Established more than 30 years ago, the FMC serves as the medical home for more than 13,500 patients and has over 35,000 patient visits a year. In 2009, the National Committee for Quality Assurance (NCQA) recognized the FMC as a Level 3 Patient Centered Medical Homeóthe first practice at Duke to receive this distinction and one of the first 100 in the United States.
The diversity of the practice is reflected in a variety of dimensions. Fifteen percent of patients are under the age of 18 and 13% are over the age of 65. The practice is ethnically diverse with 51% African American, 39% White, 8% Latino, and 3% Asian patients. About two-thirds of patients are women. The FMC has approximately 4,200 hypertension patients, 1,500 individuals with diabetes, 1,500 asthmatics, 350 COPD patients, and 250 congestive heart failure patients. This diversity provides a setting in which the full spectrum of primary care is delivered and taught.
Clinical services are provided in teams of medical professionals that include faculty physicians, physician assistants, resident physicians, nurses, pharmacists, social workers and mental health professionals. These teams provide continuity care, acute care, and preventive and chronic disease care. The practice also has teams that focus on prenatal care, diabetes, hypertension and other illnesses.
Duke Family Medicine and the Family Medicine Center provide a wide range of services including:
- Care for non-emergency illnesses and injuries including acute and chronic conditions
- Physical exams for all family members
- Newborn and pediatric well-child visits, including kindergarten physicals and sports physicals
- Immunizations for children and adults
- Chronic disease management for high blood pressure, diabetes, and other conditions
- Non-operative sports medicine and musculoskeletal care
- Low-risk obstetrical care for pregnant patients
- Womenís health and gynecological procedures
- Nutrition and healthful eating counseling
- Anti-coagulation clinic for patients taking Coumadin
- Specialized care for the older adult, including home visits
- Acupuncture and alternative medicine
- Pharmacotherapy clinic
- Social work services
Located in the Marshall Pickens Building on the campus of Duke University Medical Center, the practice has 32 exam rooms including two procedure rooms and areas for group visits. All exam rooms have computer access and immediate access to the patient's electronic medical record. Lab results can be trended and x-rays digitally reviewed in the exam room with the patient. Consultant reports, surgery summaries, pathology and cytology reports are readily available. Prescriptions are sent electronically to the patientís pharmacy of choice.