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UNC Family Medicine Center

Family Medicine - Aycock building -
The Family Medicine Center at Chapel Hill

The Family Medicine Center (FMC) located contains over 50,000 square feet for outpatient care, teaching and administration. The first floor houses the clinic. The second floor includes offices for faculty and staff and a conference wing.

What do our patients look like?

Over 60 clinicians provide over 60,000 patient visits annually. The racial mix of our patients is 56% Caucasian, 28% African American, and 16% other ethnicities.

Approximately 20% of patients are covered by Medicare, 12% are covered by Medicaid, 14% commercial, 43% by managed care plans, 10% are self pay and 1% covered by other health insurance plans.

UNC Family Medicine Center Continuity Care Clinic

Over the course of three years in the program, residents’ practices grow. Interns have a continuity panel of 75-100 patients (from 2-7 patient visits per half day) with a total of 200 or more visits. By second year, panels are between 150 and 200 (7-10 visits per half day) with 500 or more patient visits. By third year, residents average 350 patients (10-11 visits per half day) and can expect to have over 1,000 visits by the end of the year. When residents see patients in the Family Medicine Center, there is a minimum of one faculty preceptor available for questions for every four residents.

Residents learn to work as a team while developing longitudinal relationships with patients and coworkers. The clinic is structured around four separate teams of clinical support staff, residents and attendings. Within these teams, we strive for personal and team continuity with our patients, in addition to a one-on-one physician to medical assistant structure. Our clinic is strengthened by the resources we have to share with patients. On site financial counseling, nicotine dependence programming, nutritionists, social workers, lab and x-ray services, as well as pharmacists, acupuncture, and physical therapy allow us to provide comprehensive care for our patients. The clinic also houses a very robust procedural/skin clinic that the residents work in along with a Sports Medicine clinic housed in its own procedural suite. The clinic medical directors take great pride in providing each resident a diverse patient panel that appropriately grows as the resident continues through the program. Our clinic welcomes patients of all ages, including obstetric care.  Our clinic is constantly evolving to meet the unique needs of our patients including Medication Assisted Treatment (MAT) for opioid use disorders, gender affirming hormone therapy, and point-of-care ultrasound.

Special Clinics

During the course of training our residents have the opportunity to work in special clinics that are part of the FMC practice. These clinics include a skin and procedures clinic, colposcopy clinic, sports medicine clinic and exercise tolerance test clinic. Skin and procedures clinic provides experience with vasectomies, a variety of biopsies, nail, cyst, and lipoma removals, and other opportunities when they arise.

In the sports medicine clinic, there are ample opportunities for MSK ultrasound and injections. Alternative medicine contributes to this array with an acupuncture clinic within the FMC. This variety gives residents a broad exposure to a wide range of issues in outpatient clinical care and an opportunity to interact with a variety of different providers

University of North Carolina Hospitals

This 803 bed tertiary care teaching facility provides a unique opportunity for learning the management of diseases in a

UNC Hospitals

technically sophisticated environment. It also serves as the community hospital for Chapel Hill. UNC Hospitals support a comprehensive range of residencies of excellent quality and strong reputations across the country. Family practice residents work closely with, and learn with, residents in other specialties. There is a full range of diagnostic and therapeutic services available within the institution.

Family Medicine Inpatient Service (FMIS)

The Family Medicine Inpatient Service provides a strong presence for Family Medicine in the UNC Hospital system at UNC Hillsborough Hospital. A major portion of inpatient medical training for FM residents occurs on this busy service that provides care for a wide variety of conditions and acuity level that includes care of patients in an open ICU. Residents rotate through the service for 8 weeks in the first year, 12 weeks in the second year and 5-6 weeks in the third year of residency. This rotation consists of a broad spectrum of inpatient family medicine with educational emphases on the management of acutely ill patients, selection of therapeutic agents, appropriate consultation, and skills in interviewing, physical exam, point-of-care ultrasound, inpatient procedures, and critical appraisal of the literature. Multidisciplinary care is emphasized with case managers and pharmacists as key members of the team who actively participate in rounds.

Family Centered Perinatal Care (FCPC)

The Family Centered Perinatal Care service provides obstetrical and newborn services for patients seen at the FMC practice and with our FQHC Track residents at Prospect Hill and Siler City. Second and third year residents cover this service. The focus is on continuity of care by providing prenatal care, assisting in labor and delivery, and then following the new dyad to the postpartum floor and after discharge from the hospital. The FCPC service also handles the inpatient obstetrical care for patients who seek their health care at the Orange County Health Departments and other Family Medicine community practices. Our FCPC service delivers approximately 450 babies per year.

Other UNC Rotations

Family Medicine residents also complete rotations in other departments at UNC hospitals. In the first year, the Emergency Department experience provides an opportunity to evaluate and care for emergent medical problems and determine patient dispositions. During procedures, residents spend time in the ED focusing on procedural skills including suturing, I&D’s, and ultrasounding. During second and third year, residents rotate through the Pediatric Emergency Departments at UNC and Wake Med Hospitals. Portions of the ENT, dermatology, and sports medicine rotations also occur at UNC hospitals, satellite clinics of UNC and private practice clinics.

Wake Medical Center

WakeMed is an 870-bed, private, not-for-profit health care system serving eastern North Carolina. It is located in Raleigh

Wake Med hospital residency site
WakeMed Hospital, in Raleigh, North Carolina. Photo credit to WakeMed Hospitals, click the photo for more info.

approximately 35 minutes from Chapel Hill. Below are some interesting facts about this community hospital:

  • Wake Med is home to North Carolina’s first freestanding Children’s Emergency Department. It is a national model and serves more than 40,000 children each year.
  • The WakeMed Heart Center ranks number one in volume among all North Carolina hospitals in providing cardiac care and is also one of the highest volume heart centers in the United States.
  • Mobile critical care services offering ground and air transport for adults and children.
  • Hosts one of eight mother’s milk banks in the world.
  • Two nationally accredited Chest Pain Centers.
  • Pediatrics specialists in surgery, neurology, endocrinology, orthopaedics, neonatology, child development and more.

Wake Med is Wake County’s only:

  • Level I Trauma Center as designated by the North Carolina Office of Emergency Medical Services.
  • Neuro intensive care unit and dedicated neurosciences inpatient unit.
  • Children’s inpatient unit and intensive care unit – staffed around the clock by pediatric intensivists.
  • Children’s diabetes and asthma programs.
  • Emergency Services Institute focusing on research, emergency preparedness and response in the event of community emergencies and disaster either natural or man-made.
  • Patient Simulation Center for training health professionals.

With over 35,000 admissions, 100,000 visits in the emergency department, and close to 5,000 deliveries a year, residents report that Wake Med is an excellent site for community-based training. Family Medicine residents spend a total of six months at Wake in the first year and 1 month in the third year.

Wake Pediatrics

Pediatrics (1 month each on inpatient, outpatient clinic and the Pediatric Emergency Department) at Wake Medical Center has always been very popular and provides core experiences in pediatric problems. Teaching on this service consistently receives high ratings from our residents. Residents adapt to the day shift and night float system in place by the pediatrics service, serving as a member of the team covering the pediatrics floor during the inpatient month and as a cross-cover during the outpatient month.

Wake Obstetrics

The six-week obstetric rotation centers on a very busy labor and delivery service. Residents average 30-80 deliveries a month. Time is also spent in the prenatal care and GYN clinics.

Wake Surgery

Residents do a month of general inpatient surgery at Wake where they have a wide range of learning opportunities available. Residents are involved in procedures in and out of the operating room and participate in adult, pediatric, and obstetrical traumas that present to the Wake Med ED. Outpatient surgical procedures are done in the clinics and residents also see patients for pre-operative assessments and postoperative follow-up.

Chatham Hospital

Chatham Hospital (CH) is a 25-bed Critical Access Hospital, located in Siler City, NC, that is part of the UNC Health Care System. This hospital has a 76-year history of providing health care to the residents of Chatham and surrounding counties. The hospital provides surgical, medical, pediatric, and emergency services. Community based outpatient services in the area of Diabetes Education, Physical Therapy, Imaging, Cardiac Rehabilitation and Pulmonary Rehabilitation are also offered. As a critical access hospital, Chatham Hospital is able to utilize beds to provide interim care to patients who no longer require acute medical care, but need additional time and care for strengthening and recuperation before returning home. The 10-bed emergency department provides full-service around-the-clock care to more than 1,200 adults and children each month. UNC Healthcare bases a helicopter for transport on the grounds of Chatham Hospital.

Updated July 2022