z
Model Family Practice Clinic Moves
Into Expanded Broad Street Offices
North Carolina
(Continued from page 1)
The model family practice clinic
operated by the medical center and Watts
Hospital will move into expanded offices
soon to provide training for more family
doctors and offer medical care to larger
numbers of Durham residents.
Dr. William J. Kane, who becanrte
director of the Duke/Watts Family
Practice Residency Training Program Jan.
1, said the new office at 719 Broad St.
will have 14 to 16 examining rooms. The
present clinic at 1010 Broad Street has
only four examining rooms.
The name of the model clinic has been
changed from Durham Health Care to the
Family Medicine Center.
Kane said there are now 10 residents
in the three-year training program, and
eight first year residents will be added in
July. In July of 1975 another first-year
class of eight will be added, he said, and
from then on the program will be
stabilized at a level of 24 trainees.
"We are pt’obably serving about 2,000
area residents right now," Kane said. "In
a year or two when we have a full
complement of residents we hope to be
providing primary medi(ial care for about
8,000 people."
The clinic operates just like a private
group medical practice. Each resident
spends certain hours in,the clinic and is
assigned a certain number of families as
his private patients. Patients call for
'appointments just as they would at a
private physician's office. The rest of the
time the residents spend rotating through
various services at Duke and Watts
hospitals.
Kane said expansion of the family
practice training program at Duke and
Watts is coming at a time when interest in
primary care medicine is increasing
among medical students.
There are only about 1,800 residency
positions for family doctors in the nation
right now, Kane said, and in the past
some programs have had a hard time
finding enough applicants to fill the
positions. But he said it is expected that
in 1975, for the first time, there will be
more applicants than openings.
Kane said committees at Duke are also
NEW FAMILY PRACTICE MAN-Dr.
William J. Kane, shown here in his office
at Watts Hospital, is new director of the
cooperative Duke/Watts Family Practice
Residency Training Program. A model
family practice clinic will be expanded
within the next few weeks. (Photo
courtesy of Watts Hospital)
designing a "family medicine tract" of
elective courses which third and
fourth-year'medical students interested in
becoming a family doctors may take. The
courses are expected to be offered as part
of the medical school curriculum next
fall.
Kane himself is a 1972 graduate of the
University of Rochester and Highland
Hospital (New York) residency program,
one of the oldest in the nation for
training family physicians.
He received his board certification in
family practice in August, 1972. The
Pennsylvania native is a 1969 graduate of
the Temple University School of
medicine.
Before coming to Duke, Kane spent a
year and a half in private practice as a
family doctor in Hamilton, N.Y. He
succeeds Dr. Lyndon K. Jordan, who
resigned in September to return to private
practice in Smithfield.
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would like to get $10 which is what we paid for
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requiring emotional care, it is a resource
for its local community, the western part
of the state and the Southeast. Dr.
Charles Neville, its able director, has also
initiated a residency training program
which will be interdigitated with the one
at Duke Hospital.
Sea Level Hospital-In 1969, the late
Mr. D. E. Taylor donated the 80-bed Sea
Level Hospital to the Duke Medical
Center. Serving northeast Carteret
County, it has all the assets and liabilities
of a small rural hospital in a sparsely
populated area. It is a beautiful and rustic
setting and we are indebted to the five
physicians and the administrator, Mr.
Jack Johnson, for their dedicated service.
In the years to come, we look forward to
increasing the traffic of faculty, staff and
students going back and forth.
Residency or fellowship affiliations as
well as faculty consultative service have
also existed for years with the McCain
Sanatorium near Pinehurst and the VA
hospitals in Oteen and Fayetteville.
Faculty, resident staff and students
participate regularjy in mental health and
maternal-child welfare programs in
Warren and Halifax counties. It is not an
unusual event for an expectant mother
with a serious complication of her
pregnancy to return in the car with our
staff for further evluation at Duke
Hospital.
Cabarrus Memorial Hospital-Our
newest affiliation is with the Cabarrus
Memorial Hospital. By mutual agreement
with the hospital staff of the institution
and with their financial support, there
now exists a major affiliation with most
of our clinical services. The affiliation
entails daily visits of Duke clinical faculty
and fellows to Cabarrus to make rounds,
see patients in consultation and provide
bedside continuing education. Since we
do not have our own airplanes and
charter air service is still too expensive,
travel is accommodated by car with an
average of two round trips a day.
Carolinas' Camp for Diabetic
Children--For the past five years, the
faculty and staff of the Departments of
Medicine and Community Health
Sciences have participated regularly in the
activities of the Carolinas' Camp for
Diabetic Children in Pisgah Forest.
Circuit Clinics-For several decades.
Dr. Lenox Baker and his orthopaedic
staff have held clinics in several
communities, including Ahoskie,
Asheboro, Cabarrus, Clinton, Concord,
Greensboro, Goldsboro, Lumberton,
McCain Sanatorium, Morehead City and
Wilson. These visiting clinics have been
maintained by Dr. Leonard Goldner and
his staff. It has been a saving for the
patients who have avoided the need for
travel to Duke, it has been Qf mutual
benefit to the physicians of that
community and our staff to see the
patients together.
During the past decade. Dr. Joseph
Wadsworth and his staff in
ophthalmology have initiated the same
type of clinics in the following
communities: Eagle Springs, Goldsboro,
Halifax County, Jackson County,
Kinston, Laurinburg, Lillington,
Louisburg, Nashville, Oxford, Rocky
Mount, Snow Hill, Warrenton,
Wilmington and Yanceyville.
In the Department of Pediatrics, Dr.
George Brumley, chief of the Neonatal
Division, provides consultative services to
nurseries throughout the state in
evaluation of services and program
augmentation. They also conduct a
postgraduate program at the Tarboro
Hospital. The Duke Developmental
Evaluation Clinic (DEC) staffs a DEC in
Oxford. In addition, the Ambulatory
Division of Pediatrics operates
consultative public health clinics in
Roxboro and Warrenton.
Who Comes to Duke Hospital?
Overall, 86% of the patients coming to
Duke Hospital are from North Carolina.
During fiscal 1972-73, these patients
included large numbers of persons who
could not afford to pay any or part of
their care. The deficit incurred was
$4,093,660. This deficit was made up by
the private patients attending Duke
Hospital. There was not a single dollar of
direct support from the state or county.
Duke Hospital has no endowment of
its own and in this manner differs from
other leading private teaching hospitals
such as The Johns Hopkins Hospital and
the Massachusetts General Hospital. It
receives no subsidy from the state such as
that provided N.C. Memorial Hospital in
Chapel Hill.
It is of further interest that one-third
of our patients come from Durham
County; unlike Mecklenburg County,
Durham does not fully support its
indigent care needs which amounted to
approximately $1,481,000 during fiscal
1972-73.
Health Manpower
Of the 4,772 physicians now
practicing in North Carolina,
approximately 635 physicians received
their M.D. from Duke and over 500 other
physicians received all or part of their
internship/residency training at Duke. The
total amounts to over 1,100 physicians in
North Carolina who received all or part of
their medical training at Duke.
Whereas there has been a paucity of
family physicians produced, many of the
internists, pediatricians,
obstetrician-gynecologists and surgeons in
the small to medium-sized communities
in North Carolina do provide primary
medical care. With the Family Practice
Program described above, we do hope to
make a substantial improvement in the
number of family practitioners produced.
"Hello, can you tell me please
hovif the patient in room 401 is doing?'