
Family Medicine Residency



About Hugh Chatham Health
Nestled in the western piedmont of North Carolina in Elkin, Hugh Chatham Health is a private not-for-profit community healthcare system with a network of physician clinics and an 81-bed acute care hospital. Hugh Chatham employs more than 1,000 team members and 70 providers at 27 locations, representing a variety of specialties and subspecialties. Hugh Chatham Health has provided high-quality medical care to residents of North Carolina for over 93 years and has been nationally recognized for patient satisfaction, patient safety and clinical quality.
The Hugh Chatham Health Family Medicine Residency Program was developed with the intent of increasing access to quality healthcare in rural North Carolina. The program’s mission is to develop service driven family medicine providers who have the knowledge and capability to provide exceptional care to individuals in rural communities. Beginning in 2026, the program will admit four residents per year, for a total of twelve residents throughout the three year program.
Our Vision is to improve the health of our patients, their families, and our communities by recruiting and retaining a diverse group of physicians who practice patient focused, evidenced based medicine.
The full spectrum program includes rotations in pediatrics, obstetrics, inpatient and outpatient family medicine, public health and population health. Family physicians on staff deliver babies, practice inpatient medicine, manage outpatient primary care and provide long term care at local nursing facilities. Select specialist opportunities available with the majority of training occurring within our rural, independent healthcare system.
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.
Program Director, Family Medicine Residency/Medical Director of Primary Care
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.”
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.
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.