Duke Medicine: Primary Care Capacity Building

Resource ID Posted Format
261 May 3, 2012 Reference
Association of American Medical Colleges (AAMC)


Duke University, like many top-tier academic health centers, has a reputation for offering cutting edge clinical care, with a national and global reputation for excellence in research. What is less known about Duke, however, is the story of how the university—through strategic investment, community engagement, and information technology—has built a primary care system that is increasingly coordinated and integrated throughout both the health system and the communities it serves.

Five factors are behind Duke’s success: building trust with the community, diversifying the primary care portfolio, integrating research, investing in primary care education, and leveraging information technology. While Duke and its community are unusual in many ways, the success factors detailed in this paper can be replicated in many other academic medical centers (AMCs) across the nation as they navigate changes in the wake of health reform.


  • Readiness for Reform (R4R), Rounds, Thoracic Surgery, Clinical Guidelines, Efficiency of Care Delivery, Integrating Quality (IQ)


  • Patient Care
  • Systems-based Practice

Professional Interest

  • Community Health
  • Healthcare Systems
  • Interdisciplinary
  • Quality Improvement

Intended Audience

  • Practicing Health Professional
    • Physician
    • Public Health
  • Professional & Faculty Development
  • Professional School
    • Medical Student
  • Professional School Post-Graduate Training
    • Resident

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