Summary

Carilion’s Department of Family and Community Medicine has nearly 200 physicians and just under 100 nurse practitioners and physicians assistants (advanced care providers) serving patients across western Virginia. We are proud to have introduced the first “medical homes” in Virginia which provide a patient-centered approach to primary care dedicated to a patient’s overall health.

About the department

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Carilion Clinic is one of the largest group practices in the state, serving more than 300,000 patients throughout Shenandoah and western Virginia.

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Family Medicine care teams provide seamless coordination of care, individualized to each patient. This team includes your primary care physician, advanced care practitioners (ACP), care coordinator, office nurse and off-site specialists.

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MyChart, our secure online health care management tool, provides access to prescription refills, lab results and bill payment.

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MyChart

Virginia Tech Carilion Partnership

The Virginia Tech Carilion Research Institute, headed by the neuroscientist Dr. Michael Friedlander, is growing rapidly and incorporates large and well-funded initiatives in functional neuroimaging, health behavior research, addictions, and interventional psychiatry. We are developing close linkages in each of these evolving domains and working to assure that our patients are provided access to cutting edge care and interventions, including Transcranial Magnetic Stimulation.

Mission Goals Strengths

In an effort to improve the health of the communities we serve, Carilion Clinic Family and Community Medicine is committed to providing an excellent patient experience, the highest quality care at a reasonable cost, and caring for the wellbeing of our clinical team.

If you are a medical professional, please visit our For Professionals section to find information about our clinical departments, academic activities and career opportunities.

Dept Spec Services

Acute Care

Immunizations

Medical Acupuncture/Sports Medicine

Medicare Wellness Visit

Minor Injury Treatment

Pediatric Services

Physical Exams

School, sports and camp physicals

Telemedicine

Urgent Care/Immediate Care

Well Visits

Dept Spec Conditions Treated

Chronic diseases

Diabetes

Gyncological services

Musculoskeletal injuries

Obstetric Medicine

Preventative care and wellness

Pulmonary hypertension

Skin conditions

Dept Spec Specialties within Department

Primary Care

Urgent Care

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Overview

The care team works to keep patients well, managing both acute and ongoing chronic illnesses—reducing a patient’s risk of developing a chronic disease in the future. Team members focus on preventative lifestyle management, acute onset of disease and ongoing chronic illness. Our patient-centric approach extends from pediatric services through adult and geriatric medical needs.

For more information, access Take 3: Practical Practice Pointers – our weekly newsletter for evidence and guidelines recommendations for primary care practice.

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Take 3: Practical Practice Pointers

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Access our weekly newsletter for evidence and guidelines recommendations for primary care practice.

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Take 3: Practical Practice Pointers

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Take 3 #345 3-23-20

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More COVID-19 Information Edition:
Testing FAQs, Virus Stability, Use of PPE, Use of ACE-I and ARBs

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COVID-19 Primer: FAQ, Suspected Cases, Hand Hygiene

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Hip DJD Dx, Osteoarthritis 2020, Hepatitis C Screening

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Pediatric Immunizations, Implicit Bias, PeerRx Program

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Continuous Glucose Monitoring, Adult Immunizations, GI Cocktails

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Diabetes Standards of Care 2020 Part 2, Flozin Deep Dive

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Diabetes Standards of Care Edition 2020 Part 1

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Deprescribing Statins, Connecting with Patients, Pap Interpretation

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Timing of BP Meds, "Low-T", Supporting Colleagues in Distress

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PCV13 and SDM, Best Diets 2020, Genetic Testing Fraud

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Winter 2020 Teaching Edition - Giving Feedback, Seeking Feedback, Your Office Staff as Educators

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Take 3 #333 12-23-19

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Screening for AAA, Fasting for Health, Umbilical Hernia Management

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The Inflammation Edition - Chronic Inflammation, Anti-Inflammatory Lifestyle and Diet

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Acute Gout, Recurrent Gout, Severe Hypertension

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Influenza Season Edition - Surveillance Treatment and Prophylaxis

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The Annual Thanks-Giving 4th Aim Edition-Awe Gratitude Gastronomic Restraint

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Tetanus and Medicare, Colon CA Screening, SAD

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Vaccination Update, Red Meat Consumption, Conflict of Interest

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The Providing Safe Ambulatory Care Edition

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New CAP Guidelines, E-Scooter Injuries

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Asymptomatic Bacteriuria, Smoking Cessation, Cost of Obesity

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Mild Cognitive Impairment Edition: Screening, Diagnosis, Treatment

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Take 3 #322 9-30-19-Fall 2019 Teaching Edition

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RIME Development Learning, 1 Minute Preceptor, 1 Minute Learner

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Vaping Warning, Aspirin for Primary CVD Prevention, Vaccine Question

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BRCA Testing, Meds to Reduce Breast CA, Breast CA Screening

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Flu Vaccine 2019, Wound Care Tips, Microaggression Part 2

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High Risk Med Monitoring, Pancreatic CA, Microaggression Part 1

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Sudden Hearing Loss, B2 for Migraine, Calorie Reduction and CV Risk

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Lyme Disease, Prostate CA Decision Aids, Avocado Knife Injuries

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Gallbladder Disease, HTN Diagnosis, HTN Treatment

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HPV and PCV13, Shared Decision-Making, Discontinuing Meds

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TB Screening in Healthcare, PPD Shortage, Medical Reversals

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The Summer 2019 Teaching Edition - Preparing for New Learners

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Diabetic Nephropathy, Gabapentin,, Tonsillectomy in Children

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Subclinical Hypothyroidism, Life Purpose & Health, Clinical Stamina

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Almost Summer Sun Protection Edition:
Sunscreen 2019, Sunscreen Danger?, UPF Clothing

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Measles (rubeola), Energy and Weight Loss, Bicycle Safety

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FDA Safety Warning, Hepatitis A, Emotional Support Animals

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Vaccine Hesitancy, Diagnostic Accuracy, Bias Management

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Asymptomatic Bactiuria, Sleep Myths, Grief Myths for Clinicians

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Allergic Rhinitis, Procalcitonin, Sugar Sweetened Beverages

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FIT Testing "PS", T2D in Elderly, Metformin for Diabetes Prevention

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Colon CA Screening, GI Pearls, "Dirty Dozen" Produce 2019

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Physician Burnout, PERMAH Wellbeing, 1° Prevention of CVD

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Choose Wisely Derm, Journal for Weight Loss, Statin Intensity in T2D

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Pelvic Examinations, Recurrent BV, Osteoporosis in Men

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Deprescribing Meds, Benzodiazepine, E-cigarettes

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Pediatric Immunizations 2019, CPE in Adults, HTN and Dementia

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Adult Immunization Update 2019, TMP/SMX safety, CME and MOC

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HTN BP Targets, HTN Mythbuster Re-run, HTN Management Tip Sheet

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Omega Fatty Acids, Treatment of Minor Stroke-TIA, Melatonin Primer

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New Migraine Treatments, Best Diets 2019, Statins in the Elderly

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Influenza Chemoprophylaxis, Statin Use in DM, ADA DM Follow-up

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Diabetes Standards of Care 2019

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Aspirin for Primary Prevention, Acute COPD, E-Cigarettes and Youth

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Our Technology

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Research

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Research in Family and Community Medicine

The research division of the Department of Family and Community Medicine brings together clinicians, health services researchers, and a variety of interdisciplinary collaborators aimed at:

Improving the delivery of evidence-based primary care
Studying questions of quality and value in healthcare
Understanding and improving healthcare systems
Improving education for undergraduate, graduate and continuing medical learners.

Meet our team and learn more about current projects, recent publications and frequent collaborators.

Research Links

Learn More

Faculty

Faculty

Mark H. Greenawald, MD

John W. Epling Jr., MD

Kristina D. Werner, MD

Contact and Careers

Contact Intro

For career information, contact Amy Marsh, recruitment, at amsilcox@carilionclinic.org or 540-224-5187.

To learn more about each of our family medicine practices, including contact information, visit our Family Medicine page.

For internal medicine information, see a complete list of locations on our Internal Medicine page.

Careers

Our team is comprised of talent from across the nation, and for good reason. Many employees cite the combination of being surrounded by the mountains and a low cost of living that includes world class outdoor recreation, and incredible arts and music as a major draw to the area. It's a relaxing environment that allows you to focus on the patients' well-being - and your own.

Learn More About Current Openings in Family Medicine

FAQs

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Education

Residencies Intro

The Virginia Tech Carilion Family Medicine Residency is a nationally respected teaching program affiliated with the University of Virginia, the Edward Via Virginia College of Osteopathic Medicine and the Virginia Tech Carilion School of Medicine. Several rotations take place at the Salem Veterans Affairs Medical Center. We serve patients of diverse ethnic and socioeconomic backgrounds from urban, suburban and rural areas. Inpatient care is delivered at Carilion Roanoke Memorial Hospital, the primary provider to the region's 250,000 residents and a tertiary care referral center to a population of over 1 million people. We are a nationally recognized Patient Centered Medical Home and provide training in this model. We also believe physicians who have their foundation in these values and the skills of medical informatics, population-based medicine, health promotion/disease prevention, clinical ethics, critical thinking, continuous improvement and health care management will be well prepared to practice family medicine in an ever-changing health care environment.

Fellowships Intro

The Carilion Clinic Department of Family and Community Medicine offers a post-graduate Advanced Practice Fellowship Program for Physician Assistants (P.A.s) and Nurse Practitioners (N.P.s) in Urgent Care and Rural Health. This unique, intensive program will build upon the strength of our highly successful P.A. and N.P. practice already in place, combined with the largest and most effective family practice and urgent care practice in southwest Virginia. The fellowship will be a complement to the Urgent Care and Rural Health program, as N.P. and P.A. fellows will benefit from didactic and clinical experiences that mirror family medicine physician residency training.

Fellowships

Urgent Care and Rural Medicine NP & PA Fellowship

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Summary

The Carilion Clinic Department of Family and Community Medicine offers a post-graduate Advanced Practice Fellowship Program for Nurse Practitioners (N.P.s) and Physician Assistants (P.A.s) in Urgent Care and Rural Health.

About the Residency or Fellowship

Mission Goals Strengths

Prepare P.A.s and N.P.s for careers in family practice, urgent care, and rural health settings as competent, highly functional members in health care
Provide P.A.s and N.P.s with further education, specialized clinical and professional experience that distinguishes them from non-specialty trained P.A.s and N.P.s
Retain focused and well-trained P.A.s and N.P.s who are interested in academics and higher learning as clinicians and employees of Carilion Clinic

Graduates of this one-year fellowship program will possess substantial skills, knowledge, and competencies required in the fields of urgent care, family medicine and rural health as the P.A. and N.P. professions continue to be ranked among the fastest growing career opportunities.

Overview

This unique, intensive program will build upon the strength of our highly successful P.A. and N.P. practice already in place, combined with the largest and most effective family practice and urgent care practice in southwest Virginia. The fellowship will be a complement to the Urgent Care and Rural Health program, as N.P. and P.A. fellows will benefit from didactic and clinical experiences that mirror family medicine physician residency training.

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Life in Roanoke

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How to Apply

Admission Requirements

The Carilion Clinic Advanced ACP Fellowship in Urgent Care and Rural Health accepts applications with a due date of September 1, with interviews occurring in October and November. The fellowship starts at the end of January.

Applications must include the following items:

Application form
Transcripts from undergraduate institution and P.A./N.P. program
Three letters of recommendation
CV that includes recreational and community service activities
Personal statement discussing anticipated strengths the candidate would bring to the fellowship, as well as professional knowledge, skills and/or behavior that the candidate wishes to enhance
Copy of current P.A. or N.P. license; or a letter stating when you are planning to take the licensing exam

Contact

Submit applications to:

Christina Gardner
Carilion Clinic ACP Fellowship in Urgent Care and Rural Health, VelocityCare
c/o Christina Gardner
46 Wesley Road
Daleville, VA 24083

You may also submit an application electronically (preferred): cegardner@carilionclinic.org

For additional information, please contact Christina at 540-761-4787 or by email at cegardner@carilionClinic.org.

Admissions Links

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Apply via Email Now

Curriculum

Curriculum

This dynamic program includes didactic instruction and clinical training components that two fellows will complete over 12 months. Orientation will be approximately five weeks long (EPIC, credentialing, etc).

Clinical Rotations

Rural health
Urgent care
Family medicine
Behavioral health
Pediatrics
Home health and wound care
OB/GYN
Emergency medicine
Occupational medicine
General orthopaedics
Elective rotation

Clinical time will be spent in various departments of Carilion Clinic, under the supervision and direction of Carilion faculty. Fellows will provide direct patient care managing non-emergent patients, and will be directly supervised during the care of higher acuity and emergent patients. They will be working alongside other residents, N.P.s and P.A.s during all rotations.

Didactic Sessions

Didactics include, but are not limited to

Weekly family medicine education conference
Journal club
Case based simulation
Procedure simulation
Certification courses: Fellows will become certified in ACLS and PALS.
Assigned readings

The didactic portion begins with a month of orientation and skills workshops designed to provide a strong foundation for advanced education. Fellows will attend lectures that cover the core curriculum for urgent care, family medicine and rural health, and also conduct a research project or publishable case study. There are periodic formative assessments and evaluations as part of the clinical and didactic portions of this fellowship.

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Leadership

Faculty

Christina M. Gardner, PA

Research

Research Year Collection

Overview

Residency and fellowship trainees at Carilion Clinic-Virginia Tech Carilion School of Medicine (VTCSOM) receive a superior education. Our network of hospitals, along with our primary and specialty physician practices, provides ample opportunities to gain hands-on clinical experience in an academic setting. Learn more about our Graduate Medical Education programs.