
Family Medicine Residency



Welcome
Welcome to Elkin – Nestled in the scenic Foothills of the North Carolina Blue Ridge Mountains.
We are proud to introduce our Rural Tract Family Medicine Program for the 2026 Match. In partnership with our Sponsoring Institution, Campbell University, we have spent the past three years designing a program that supports and empowers the next generation of rural family physicians. This program is ideal for those passionate about delivering ambulatory family medicine in rural settings.
Our mission is to cultivate service-driven family physicians equipped with the knowledge, compassion, and skills to provide outstanding care in underserved communities. We’ve crafted a forward-thinking curriculum centered around resident education and wellness, offering more daytime learning opportunities and minimizing nighttime shifts. The charm of small-town life, combined with our collaborative, supportive culture, makes Elkin the perfect setting for this next stage of your training. This program was built not only to teach, but to inspire and support your personal and professional growth.
About Hugh Chatham Health
Founded in 1930, Hugh Chatham Memorial Hospital has a long-standing tradition of high-quality patient care guided by the principles of service, teamwork, accountability, respect, and safe care. Today, Hugh Chatham Health is a nationally recognized, award-winning, multispecialty healthcare organization serving three counties directly, with 25 locations, 70 providers, and a service area spanning more than six counties.
Our commitment to excellence has earned us national recognition for patient satisfaction, safety, and clinical quality. Our recent partnership with Atrium Health Wake Forest Baptist enhances both the breadth and accessibility of services for our community. We take great pride in our inclusive and supportive culture, where every team member is a valued part of the Hugh Chatham family.
Our Partners
We are honored to collaborate with a wide range of educational partners. Recognizing that mental health is essential to overall wellness and relevant in every patient encounter, first-year residents participate in an outpatient Behavioral Health block. This includes one-on-one work with a local psychiatrist on inpatient and emergency department consultations, as well as outpatient psychiatric care. Residents also gain experience at a local behavioral health center, learning about mental illness, addiction, and group therapies. Additionally, residents have the option to work with Surry County EMS Mobile Integrated Healthcare to better understand community outreach and initiation of buprenorphine treatment in the field. Pediatric training is another strength of our program. Residents complete inpatient pediatrics, a Level II nursery rotation, and one outpatient pediatrics block with the Department of Pediatrics at Atrium Health Wake Forest Baptist’s Brenner Children’s Hospital in nearby Winston-Salem (just 30 minutes away). A second outpatient pediatrics block offers one-on-one training with an experienced pediatrician in Elkin at High Country Community Health.
PGY-1
- Orientation (5 weeks) – 1 week of general orientation, 2 weeks of inpatient care at Hugh Chatham Memorial Hospital (HCMH) with the hospitalist service, 2 weeks of outpatient care at the HCH Family Medicine Residency
- Inpatient Adult Medicine – 2 blocks
- OB-Gyn – 1 block
- General Surgery – 1 block
- Emergency Medicine – 1 block
- Women’s Health – 1 block of
- Behavioral Health – 1 block
- Geriatrics and Transitional Care – 1 block
- Inpatient Pediatrics – 1 block
- Pulmonary and Imaging – 1 block
- Cardiology – 1 block
- Elective – 1 block
PGY-2
- Inpatient Adult Medicine/Transitional Care – 3 blocks
- OB-Gyn – 1 block
- Outpatient Pediatrics – 2 blocks
- Emergency Medicine – 1 block
- Neurology – 1 block
- Orthopedics – 1 block
- Family Medicine/Rural Health – 1 block
- Health Care Systems – 1 block
- Elective – 2 blocks
PGY-3
- Inpatient Adult Medicine/Transitional Care – 3 blocks
- Dermatology/Podiatry – 1 block
- Emergency Medicine (Pediatric Concentration) – 1 block
- Family Medicine Outpatient – 3 blocks
- Sports Medicine – 1 block
- NICU – 1 block
- Elective – 3 blocks
Application Process
- ERAS Application
- USMLE step 1&2/COMLEX 1&2
- Personal statement
- Letters of recommendation (3 or 4, 1 from a family physician)
- MSPE (Dean’s Letter)
- Medical school transcript
Benefits
Salary
- PGY-1 $63,000
- PGY-2 $64,500
- PGY-3 $66,000
CME/Education
- $1,500/year
- Yearly AAFP Resident Membership
Time Off
- 20 days sick/vacation per year
- 3 days bereavement (HCH policy)
- 5 days CME/Interview per year
Other
- 2 embroidered lab coats
- 1 institution casual coat
- One time ABFM or ACOFP Certification exam fee
Our sponsoring academic institution, Campbell University School of Osteopathic Medicine (CUSOM), provides didactic and organizational support to enhance resident experience.
SCHOOLS:
- Public (Top 10% in the state, highest graduation rate in the state)
- Elkin City Schools has earned the NC School of Distinction status from 2001-present
- 15 miles to Surry Community College
COMMUNITY ACTIVITIES
- Country club with 18-hole golf course, swimming pool, restaurant and banquet facilities
- Town of Elkin Recreation and Parks Department with walking trails, mountain bike trails, lighted tennis courts, swimming pool, walking track, fitness classes, exercise room, basketball gym, pickleball courts and climbing wall
- Stone Mountain State Park/Blue Ridge Parkway/Blowing Rock
- Skiing in Boone and Blowing Rock
- Water activities on the Yadkin River, Kerr Scott Lake and Lake Norman
- Winston-Salem and Charlotte nearby for shopping and restaurants
- Reeves Theater
- Wine country with 45 local wineries
- Hiking, fishing, camping in the Blue Ridge Mountains, just 15 minutes away
For additional information, visit Explore Elkin!
Program Leadership
Chief Operating Officer/Vice President for Care Innovation
Mary Blackburn brings more than 30 years of healthcare management experience to her roles as Chief Operating Officer at Hugh Chatham Health in Elkin, NC. HCH is an independent, 81 bed hospital with 26 physician practices and a large home health agency. Since joining HCH in 2007, she has held several positions, including Chief Practice Officer, VP for Growth and Market Development, Chief Clinical Officer and Acting CEO.
Mary has been at the forefront of HCH’s focus on sustainability through innovation, responsible for clinical services, provider recruitment, regulatory compliance and risk management, and strategic planning initiatives focused on growth and care transformation. This has included population health strategies such as partnering for care with local employers, establishing new access points for unscheduled care, and joining a multi-state accountable care organization. HCH has forged various shared-services and programmatic partnerships including a joint venture with a tertiary partner to own and operate a critical access hospital.
A respected thinker and influencer in the field, Mary serves on numerous boards and currently is the board chair for the CHESS Value ACO and for the Strategic Partners Board of the North Carolina Healthcare Association.
Mary has extensive experience as a licensed emergency nurse. As a U.S. Army Captain, she held leadership and clinical instructor roles at Fort Sam Houston, at Walter Reed Army Medical Center; and at Eisenhower Army Medical Center. Mary is a Fellow in the American College of Healthcare Executives. She holds a Bachelor of Science in Nursing from Georgetown University and a Master of Science in Nursing from Duke University. When not working, Mary is an avid reader, she is active in the community, and enjoys time with her husband and five children.
Brianna Hitchner was born and raised in Philadelphia, PA. She completed her undergraduate degree in Exercise Physiology at the University of Delaware and returned to Philadelphia for medical school at The Philadelphia College of Osteopathic Medicine. As the daughter of a carpenter, she was specifically drawn to the hands-on component of Osteopathic Medicine and knew that she would like to incorporate it into her practice one day.
Brianna completed her residency at New Hanover Regional Medical Center in Wilmington, NC. During residency, she had a focus on women’s health, maternity care, and Osteopathic Manipulative Treatment (OMT). While in Wilmington, she also worked at a local Federally Qualified Health Center and a Hospice Care Center.
Shortly after residency, Brianna moved to New Mexico to work with the Indian Health Service. There she provided inpatient, outpatient and obstetric care. As with Family Medicine physicians across the country, during the COVID pandemic, she served the Navajo Nation in a wide variety of roles. She provided care on COVID wards, developed a low acuity respiratory ER, and developed a COVID car clinic that served hundreds of patients per day. Although a very difficult time in medicine, she is proud of the care that she provided and cherishes the patients and colleagues that she met during that time.
In 2022, Brianna moved back across the country to North Carolina. Alongside, Dr. Meg Arboleda, she has helped to build a practice that is providing newborn through geriatric care, including obstetric care.
Her hobbies include spending time with her husband and 2 young children, hiking, gardening, and anything outdoors. Her medical interests include multigenerational care, Osteopathic Manipulative Treatment (OMT), nutrition, and Lifestyle medicine. She truly believes that sitting side by side with a patient and holding space for their story can often be more healing than medication. She finds that this is the most rewarding part of the practice of medicine.
Program Director, Family Medicine Residency
Mary-Emma Beres is the Medical Director of Primary Care at Hugh Chatham Health and the founding Program Director of the Hugh Chatham Health Family Medicine Residency Program. Originally planning on pursuing a Med/Peds and Hem/Onc career upon entering medical school at the University of North Carolina, Mary-Emma followed her heart partway through the residency application season and transitioned to family medicine. The stories of families, coupled with the “womb to tomb” philosophy of care and the opportunity to serve underserved communities, solidified her passion for family medicine.
Mary-Emma completed her residency at the University of Arizona Health Sciences Center in Family and Community Medicine. Her continuity clinic was based in an urban community health center serving the Latinx and Tohono O’odham communities. She further honed her skills and cultural understanding by electing to study Spanish in Guatemala, fostering a deep appreciation for the Spanish language and Central American culture.
Post-residency, Mary-Emma pursued a surgical obstetrics fellowship at the University of Rochester, after which she practiced in Health Provider Shortage Areas in Southwestern Virginia and Northwestern North Carolina. In this capacity, she founded the Farmworker Health Program in Alleghany and Ashe County, NC, where she provided evening clinics and vaccines to some of the hardest working individuals she had ever encountered.
Throughout her career, Mary-Emma has been dedicated to full spectrum family medicine, including inpatient care, hospitalist medicine in a Critical Care Access Hospital, nursing home care, and home visits in Independence, VA. In addition to her medical practice, she found time to coach soccer, play music, and raise three children with her husband.
Joining Hugh Chatham Health in 2017, Mary-Emma has contributed significantly to Medical Informatics, Electronic Health Record improvement and selection, adult vaccine standards of care, adolescent care, child/adolescent psychiatric care, and the education of healthcare professionals. She remains deeply committed to providing comprehensive care to families spanning multiple generations, to immigrant families, and to anyone seeking care, embodying the ethos of “whatever comes through the door.”
Assistant Program Director, Family Medicine Residency
Patrick Stevens is a board-certified family and obesity medicine physician practicing at Hugh Chatham Family Medicine – Elkin. Originally from South Bend, Indiana. Patrick now calls the foothills of North Carolina home. He earned his undergraduate degree in Biological Sciences from Indiana University and completed his medical education at Campbell University School of Osteopathic Medicine. He went on to complete his residency in Family Medicine at Spectrum Health Lakeland and later obtained board certification in Obesity Medicine.
Patrick has a strong interest in lifestyle, fitness, and nutrition. Central to his approach is the belief that healthcare should be open, affirming, and inclusive. He strives to create a clinical environment that not only welcomes all individuals but celebrates their unique identities. For him, medicine is both a science and an art, one that requires empathy, creativity, and deep human connection.
With a passion for serving underserved populations, Patrick dedicates a significant portion of his practice to the treatment of obesity, mental health, and gender-affirming care. His commitment to these areas is grounded in a deep-seated belief that every person, regardless of background or identity, deserves compassionate and high-quality care.
Patrick values building meaningful relationships with his patients, from newborns to older adults. He takes the time to listen to their stories and seeks to make a lasting, positive impact on their lives.
His choice to specialize in family and obesity medicine reflects his desire to partner with patients throughout all stages of life. For Patrick, this work is about more than treating illness, it’s about fostering long-term wellness through connection, understanding, and shared purpose.
Meg Arboleda grew up in Huntington, West Virginia. Her educational journey began at Alderson Broaddus University, where she pursued a degree in Biology and played women’s soccer. It was during this time that she first encountered global health disparities, which sparked an interest in medicine and healthcare access.
After college, Meg returned to her hometown to attend Marshall University School of Medicine. She participated in the leadership team for Marshall Medical Outreach, an organization providing healthcare services to those experiencing homelessness and lack of insurance. Through these experiences, Meg developed a passion for ensuring equitable access to healthcare for all individuals.
She completed her residency in Family Medicine at Waco Family Medicine in Texas, a Federally Qualified Health Center, with additional focus in Obstetrics and Global Health. Following residency, she continued working for Waco Family Medicine, providing comprehensive outpatient care, obstetric care including deliveries, and inpatient newborn care.
Her commitment to healthcare access led her to pursue an Obstetrics and Women’s Health fellowship at Christ Community Health Services in Memphis, Tennessee. After completing her fellowship, she relocated to North Carolina in 2022, where she established a new practice at Hugh Chatham with Dr. Brianna Hitchner.
Meg is dedicated to improving healthcare access, particularly for marginalized groups and rural communities. She has a special interest in women and children’s healthcare, striving to ensure equal access to quality medical care.
When she’s not working, Meg enjoys spending time with her husband and children outdoors. They love hiking, biking, and playing soccer together.