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 – Elizabeth Butcher, MD, MPH & TM

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 Harnett Health Internal Medicine residency program curriculum provides high-quality teaching to solidify the foundation of medicine and augment medical knowledge obtained from clinical training. Residents will be prepared for a career as a subspecialist, hospitalist, or outpatient internist. Our educational program consists of:

Morning Report

Morning report is held on Tuesday and Thursday mornings at Betsy Johnson Hospital and Central Harnett Hospital. Morning report is a resident led interactive case to teach clinical pearls and medical decision making.

Ambulatory Conference

Ambulatory Conference is a faculty led educational experience attended by residents on the ambulatory clinic month rotation. Formats and topics include:

  • Annals in the Clinic articles
  • Common ambulatory topics
  • Interactive ambulatory cases
  • Ambulatory focused board review

Wednesday Noontime Conference

Friday Afternoon Didactics

Friday afternoon didactics are protected time for learning. Residents have no clinical duties during didactics. IM Leadership faculty attend didactics to model the importance of lifelong learning. Friday afternoon didactics has many components including:

  • Subspecialist lectures
  • Resident led “Ask the Expert” case lectures
  • IM leadership and Core Faculty lectures
  • Longitudinal Community Outreach lecture series
  • Resident led Morbidity and Mortality case presentations
  • Resident led, faculty supported Journal Club
  • Board Review

Board Review

A dedicated board review series occurs Mondays over the noontime hour at Betsy Johnson hospital and may be attended virtually.

Longitudinal POCUS series

In addition to an elective POCUS rotation, a longitudinal POCUS educational series is embedded in our curriculum. Butterfly probes are available at each hospital and in the clinic for residents who become facile with POCUS.

Longitudinal Simulation Lab series

Harnett Health’s Internal Medicine program utilizes Campbell University School of Osteopathic Medicine’s 9,000 sq. ft. simulation center and simulation buses to provide its residents opportunities to perfect their procedural skills and code blue leadership skills.


All residents are offered a personal digital subscription to MKSAP for ABIM board preparation.


Residents sit for the ACP Internal Medicine In-Training Exam. Results assist in assessing the working knowledge of IM residents; evaluating the residents’ training experience; and guiding needed changes to the curriculum.


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 months inpatient/night medicine
  • 1 month critical care
  • 1 month emergency medicine
  • 2 months of ambulatory medicine
  • 1 month of cardiology
  • 1 month of geriatrics
  • 1 month of endo


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:

  • 5 months inpatient/night medicine
  • 1 month critical care
  • 2 months ambulatory medicine
  • 1 month rheumatology
  • 1 month neurology
  • 1 month nephrology
  • 1 month individual education experience (IEE)


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

  • 2 months inpatient/night medicine
  • 3 months bridge
  • 1 month critical care
  • 2 months ambulatory medicine
  • 1 month gastroenterology
  • 3 months individual education experience

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.