As a primary care discipline, family medicine serves as the entry point into healthcare for most patients. According to Duke University, primary care is defined as “first contact and continuing care” for patients with any undiagnosed concern. In this context, family medicine plays a central role by offering comprehensive, lifelong care and coordinating access to specialized services when needed. Since 1995, the OMI has partnered with Duke University on this important endeavor.
One of the key components of continuing care is effective communication. With that in mind, this week’s program consisted of lectures and workshops where fellows were divided into three small groups focusing on clinical case presentations, narrative medicine, and motivational interviewing. As stated by Dr. John W. Ragsdale III, course director and Duke’s division chief in the department of family medicine and community health, “the exchange of ideas outside of traditional learning environments often brings fresh perspectives and creates enduring friendships. Many of us are processing what feels like a lot of change, and it has been helpful for me to share experiences with my colleagues from diverse backgrounds and experiences. This is part of what makes the OMI/Duke seminar enduring and special.”
The focus of this year’s course was on adult medicine, following OMI’s three-year rotating curriculum. Throughout the week, a variety of critical topics were covered, such as contraception, menopause, health policy, insomnia, and cancer survivorship and screening updates. Experts on these topics Drs. Joi Spaulding, John A. Vaughn, and Dr. Frederick Chen (Washington University) joined as lecturers along with Dr. Ragsdale. As a family medicine resident, we also welcomed Dr. John Leschisin from Duke.
The week highlighted the essence of family medicine: not only as a clinical discipline, but a field grounded in human connection and trust. Through shared learning, open dialogue, and meaningful interactions, fellows and faculty were reminded that strong relationships are at the core of effective healthcare. As participants return to their countries, they carry not only updated knowledge but also renewed motivation to strengthen their healthcare systems.

Subah Yesuf, MD
OMI fellow from Ethiopia

Pisar Pind, MD
OMI fellow from Estonia

Thanh Duy Linh Tran, MD
OMI fellow from Vietnam