Internal Medicine

Harnett Health Internal Medicine Residency Program is dedicated to providing quality and personalized care to the residents of Harnett and surrounding communities. Our rural community is home to a medically underserved patient population, and our programs seek to improve access to care for our patients. In partnership with our sponsoring institution, we are committed to educating and training diverse and culturally competent physicians to practice in rural and underserved communities.

.Program Director – Lawrence Klima, MD, FACP, FCCP

Lawrence D. Klima, MD, FACP, FCCP serves as the Program Director of the Internal Medicine Residency and Harnett Health’s Director of Medical Student Education for the Campbell University School of Osteopathic Medicine. Prior to joining Harnett Health he was the Program Director of the Cone Health Internal Medicine Residency from 2010-2020 and the Associate Program Director of the Internal Medicine Residency at the University of Florida from 2002-2010.  While at the University of Florida he also served as the Director of the Internal Medicine Resident Continuity Clinic, Medical Director of the Lung Mass Clinic, and Director of the Medical Intensive Care Unit, all at the Gainesville VA Medical Center.  Before moving to Gainesville, he was a practicing Pulmonary Intensivist in West Palm Beach, Florida for several years.

Dr. Klima received his medical degree from the University of Florida, did his Internal Medicine internship and residency at the University of Michigan in Ann Arbor, and his Pulmonary and Critical Care Medicine fellowship at the University of Washington in Seattle.  He is board certified in Internal Medicine, Pulmonary Medicine, and Critical Care Medicine.  His professional interests include graduate and undergraduate medical education, medical ethics, and obstructive lung disease.

 

Associate Program Director – Elizabeth Butcher, MD, MPH

Elizabeth Butcher joined the Harnett Health Internal Medicine Residency Program in June 2021 as the Assistant Program Director. Dr. Butcher received her medical degree from West Virginia University School of Medicine and a Masters of Public Health and Tropical Medicine from Tulane University. She completed her Internal Medicine residency, including a fourth year chief, at Cone Health and an Internal Medicine fellowship at Geisinger Health System. After spending time in a traditional Internal Medicine private practice in eastern NC, she returned to academics and the Cone Health Internal Medicine Residency Program, joining the faculty and serving as the residency clinic’s medical director from 2010 to 2021. Her academic interests including teaching, caring for underserved populations, and coaxing useful clinic reports from EPIC. Although a native West Virginian, Dr Butcher now considers NC her home.  She enjoys visiting her family on the family farm and teaching her nieces to bake.

 

The curriculum within the Internal Medicine residency program is driven on the goal to provide a high-quality of teaching that solidifies the foundation of medicine, in order to prepare each resident for future medical training. Fundamental knowledge is gained throughout the three-year training program within the following rotations: inpatient internal medicine, night medicine, cardiology, critical care, nephrology, rheumatology, pulmonary, hematology/oncology, endocrinology, geriatrics, and electives. Each week, residents take part in didactic sessions that involve morning report, noon conferences, journal club, M&M and board review.

PGY-1

As a first-year resident, you will serve as a patient’s primary physician under the supervision of an upper-level resident and attending.  The PGY-1 schedule consists of:

  • 5 blocks of Inpatient Medicine
  • 1 block of Night Medicine
  • 1 block of Critical Care
  • 1 block of Emergency Medicine
  • 1 block of Ambulatory Medicine
  • 1 block of Cardiology
  • 1 block of Infectious Disease
  • 1 block of Gastroenterology
  • 1 Elective block

PGY-2

As a second-year resident, you will play an important role in the management of the medical team and teaching first-year residents and student learners.   The PGY-2 schedule consists of:

  • 4 blocks of Inpatient Medicine
  • 1 block of Night Medicine
  • 2 blocks of Critical Care
  • 1 block of Ambulatory Medicine
  • 1 block of Rheumatology
  • 1 block of Pulmonology
  • 1 block of Neurology
  • 1 block of Nephrology
  • 1 Elective block

PGY-3

As a third-year resident, you will continue to expand your clinical skills and leadership role.   The PGY-3 schedule consists of:

  • 4 blocks of Inpatient Medicine
  • 2 blocks of Night Medicine
  • 1 block of Critical Care
  • 2 blocks of Ambulatory Medicine
  • 1 block of Heme/Onc
  • 1 block of Endocrine
  • 1 block of Geriatrics
  • 1 Elective block

Throughout their three years of residency, residents follow a panel of patients at Dunn Medical Services. This clinic sees patients 18 years or older for acute, chronic and annual wellness visits. A clinical pharmacist and pharmacy residents work within the clinic to monitor patients on anticoagulation and assist providers in management of patients with diabetes, hypertension and poly-pharmacy. We serve a diverse, rural patient population.