Summary
Carilion’s Department of Family and Community Medicine has nearly 200 physicians and just under 100 nurse practitioners and physician's 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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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.

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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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Washing hands
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Take 3 #344 3-16-20
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COVID-19 Primer: FAQ, Suspected Cases, Hand Hygiene
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Lifting weights helps keep bones strong
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Take 3 #343 3-9-20
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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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Depression
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Depression in 1° Care, Treatment Resistance, Lifestyle Psychiatry
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Connecting with patients
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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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Screening for AAA, Fasting for Health, Umbilical Hernia Management
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Take 3 #332 12-16-19
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The Inflammation Edition - Chronic Inflammation, Anti-Inflammatory Lifestyle and Diet
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Gout
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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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Take 3 #329 11-25-19
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The Annual Thanks-Giving 4th Aim Edition-Awe Gratitude Gastronomic Restraint
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SAD
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Tetanus and Medicare, Colon CA Screening, SAD
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Take 3 #327 11-11-19
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Vaccination Update, Red Meat Consumption, Conflict of Interest
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Patient receiving physical therapy
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The Providing Safe Ambulatory Care Edition
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Take 3 #325 10-28-19
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Take 3 #325 10-28-19
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New CAP Guidelines, E-Scooter Injuries
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Quit smoking
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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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Pancreatitis Testing, Racism in Healthcare, Wearable Tech and Health
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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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HIV Risk, Caring for Transgender Persons
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TB Screening in Healthcare, PPD Shortage, Medical Reversals
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Screening for HIV, Climate Change, Measles Travel Advisory
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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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CBD Oil Reprise, Cannabis Dependence, Publication Bias
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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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Take 3 #297 3-25-19
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Physician Burnout, PERMAH Wellbeing, 1° Prevention of CVD
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Take 3 #296 3-18-19
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Choose Wisely Derm, Journal for Weight Loss, Statin Intensity in T2D
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Take 3 #295 3-11-19
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Pelvic Examinations, Recurrent BV, Osteoporosis in Men
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Take 3 #294 3-4-19
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Deprescribing Meds, Benzodiazepine, E-cigarettes
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Take 3 #293 2-25-19
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BEERS Criteria, Legacy Prescribing, Gallstone Disease
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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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Take 3 #290 2-4-19
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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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Take 3 #288 1-21-19
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New Migraine Treatments, Best Diets 2019, Statins in the Elderly
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287Influenza Chemoprophylaxis, Statin Use in DM, ADA DM Follow-up
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Influenza Chemoprophylaxis, Statin Use in DM, ADA DM Follow-up
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Take 3 #286 1-7-19
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Diabetes Standards of Care 2019
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Take 3 #285 12-24-18
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Loneliness, Time Management, Physicians and Golf
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Take 3 #284 12-17-18
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T2D Management, Shoveling Snow, ARB Recall
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Take 3 #283 12-10-18
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Physical Activity (PA) Guideline, PA Promotion, Screening for Unhealthy Alcohol Use
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Take 3 #282 12-3-18
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Cholesterol 2018, A-Fib PPS, Hand-Foot-Mouth in Adults
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Thanks-Giving 4th Aim Edition - Awe, Gratitude, Gastronomic Restraint
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Take 3 #279 11-12-18
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Cardiorenal Syndrome, Violence-Abuse, Gun Violence
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Take 3 #278 11-5-18
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Xofluza for Flu, Epilepsy Society Choosing Wisely, Grief
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Take 3 #276 10-29-18
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A-Fib Follow-up, Gardasil, Air Travel in Pregnancy
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Take 3 #275 10-22-18
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The Atrial Fibrillation Edition-Guidelines, Co-Management, PAF.
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The Heart Failure Edition-HFpEF, Co-Management of HF, HFrEF
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Aspirin for Primary Prevention, Acute COPD, E-Cigarettes and Youth
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Take 3 #272 10-1-18
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The 2018 COPD Edition - GOLD Revisited and COPD Co-Management.
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Our Technology
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Research
Research Summary
Family and Community Medicine sees patients young and old, and we are dedicated to providing personalized care in a way that is both skillful and compassionate. We see you as the unique individual you are—not just as a set of symptoms or diseases. We are committed to finding new and better ways to treat chronic disease.
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Multisite Intervention and Neuroimaging Delay Discounting - Carilion MINDD Study

PROTOCOL DESCRIPTION
The purpose of this study is to look at decision-making in prediabetics. The study requires people over the age of 18 who have prediabetes, plus hypertension and/or hyperlipidemia. The study requires three visits to VTCRI over approximately the next month, and a 1-year follow-up visit. Each visit will last about 1.5 to 2 hours. The third visit will include an fMRI scan.

ELIGIBILITY CRITERIA
 

  • Be 18 years of age or older
  • Prediabetes Diagnosis: Subjects will have a diagnosis of prediabetes (higher than normal blood sugar, though not yet high enough for a type 2 diabetes diagnosis)
  • Hypertension (high blood pressure) and/or hyperlipidemia (high cholesterol)
  • MRI eligible

Primary Investigators:
Mark Greenawald, M.D.
Warren Bickel, Ph.D.
 

Contact Information
Virginia Tech Carilion Research Institute
Addiction Recovery Research Center
Phone: 540-315-0205
VTMINDD@gmail.com

Contact and Careers
Careers Intro
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.
Job Postings
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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