Primary care is defined by PCLT to be:
- Family Medicine (adults, children, pregnant women, minor surgery)
- Primary Care Pediatrics (children only)
- General Internal Medicine (adults only)
- Medicine/Pediatrics – primary care (adults and children)
- Obstetrics and Gynecology – general practice
- Pediatric/Psychiatry – general practice
- Medicine/Psychiatry – general practice
- Geriatrics – primary care
Overview of the 4 Years
PCLT students participate in a 2 ½ day pre-orientation in late July at Duke prior to the general School of Medicine orientation. This focuses on leadership skills and team-building. Leadership training continues with weekly PCLT team meetings and monthly student-led dinner programs. PCLT students organize a community service project in both fall and spring. They participate in evaluation of their skills. Students complete the rest of the Duke SOM curriculum with students in the traditional MD track.
PCLT students participate in a 7-month Longitudinal Integrated Clerkship (LIC) where they learn medicine alongside faculty in their clinics in family medicine, pediatrics, general internal medicine, and gynecology. In addition, PCLT students serve a community agency working on health issues one half day each week during LIC. Students follow pregnant patients through pregnancy and delivery in a Centering model of group prenatal care. They follow patients to surgery, therapy, and specialty visits. They meet weekly in the Primary Care Seminar to share experiences and learn clinical medicine topics.
PCLT students complete an orientation to the Durham community and learn about community engagement.
There are inpatient immersions in internal medicine, neurology, surgery, psychiatry, and pediatrics. PCLT students attend a Behavior Health Seminar as well as population health seminars each designed especially for PCLT with primary care in mind. PCLT students attend the Clinical Skills Foundation and Clinical Skills Course with students in the traditional track.
PCLT students develop and implement a population health improvement research project. All projects have a required community or stakeholder engaged component. PCLT has a dedicated director of research to guide students’ research efforts. PCLT students complete a continuity clinic experience. All students have the option of a 10 or 12-month third year.
More about Year 3
PCLT students choose from a variety of clinical electives available to all students. Along with traditional students, they complete a subinternship, critical care training, radiology training, and the Capstone course.