Division faculty play an integral part in the Duke Internal Medicine Residency Program, participating in many elements of inpatient and outpatient residency training.


The division's Daniella Zipkin, MD, (second from right, and Alex H. Cho, MD, MBA (far left), along with a group of ACLT residents, on a trip to N.C. General Assembly in May 2017. Learn more about the Ambulatory Care Leadership Track below.

Inpatient Training

  • Daily rounds on the general medicine wards, allowing bedside teaching with a multidisciplinary team of residents, medical students, pharmacy students, and residents.
  • Noon conferences with four weekly lectures delivered by division faculty and specialists to cover core curriculum topics, and a weekly case conference led by the Chair of the Department of Medicine.
  • The ACP High Value Care Curriculum, a series of lectures with interactive cases, delivered by inpatient and outpatient division faculty. This new curriculum has been the basis for two program-wide initiatives under the Choosing Wisely campaign.
  • Resident and intern reports, which allow residents and interns to present cases with faculty for review and discussion.
  • Weekly Patient Safety reports, which review patient safety science and current health system data, and provide the residents an opportunity to present a safety case to the group for review and systematic analysis 
  • Morbidity and Mortality conferences, which provide in-depth review of patient safety cases with multidisciplinary discussions.

Outpatient Training

  • Clinical teaching in the outpatient clinics (Duke Outpatient Clinic, VA Prime clinic, and Pickett Road clinic) and on the inpatient wards
  • Daily morning reports at Duke Regional Hospital focused on topics relevant to general internal medicine
  • Ambulatory-focused small group teachingthrough our weekly Academic Half Day
  • An Introduction to Evidence-Based Medicinecurriculum. This four-session course introduces the process of asking and answering clinical questions through the medical literature. The course covers study design, literature searching, bias and random error, diagnostic testing, screening, therapy, harm, systematic reviews, and applying results to patients. Residents ask and answer their own clinical question during the course and share their findings with colleagues.

We have been fortunate to create a small community of residents and mentoring faculty committed to understanding and operating in primary care settings.

 Dinushika Mohottige, MD, MPH

  • The Ambulatory Care Leadership Track (ACTL) is a concentration elective for second- and third-year residents occurring during three dedicated blocks per year. The ACLT program provides expanded clinical experience in general internal medicine, teaching workshops, opportunities for scholarship, and a curriculum in leadership and health policy including yearly advocacy experiences in Washington, D.C., or Raleigh, NC, our State capitol. Residents participate in three ambulatory blocks during the year with weekly small group didactic sessions which expand upon these themes. Residents prepare their own teaching sessions and scholarly projects throughout the year, and prepare talking points on salient issues for their advocacy experiences.