About the MLPR

The Management Leadership Pathway for Residents (MLPR) allows residents to gain administrative experience through rotation-based management training and mentorship from Duke Health Senior Leaders. Participants in the MLPR complete the requirements by adding an additional year to their training and use existing elective and research time allowed by the home residency program.

Trainees who successfully complete the MLPR program will:

  • Experience the full breadth and depth of the health system and understand healthcare issues beyond a given specialty, hospital, or training program
  • Learn the clinical, research, and educational enterprises of an academic health system within the framework of financial, managerial, regulatory, and entrepreneurial forces
  • Acquire expanded knowledge of administrative, financial, and organizational issues related to the management of health at individual, system, community, and population levels
  • Participate in senior-level working groups, meetings, and retreats, with unprecedented access to the nerve center of a world-class academic health system, its three hospitals, numerous clinical centers and institutes, and school of medicine
  • Interact with other MLPR trainees to explore project ideas and other areas of common interest
  • Collaborate with a growing cohort of physician-executives at Duke Health


Many MLPR Alumni have gone on to serve as physician executives immediately after completing their residency at Duke.

For information about the MLPR and current rotation offerings, download the MLPR Handbook and Course Catalog.

“MLPR was one of the most impactful experiences of my education and career development to date. Learning experientially through project-based work allowed me first-hand understanding of how we can develop health systems centered around improving patient care and safety. The rotational aspect of the program gave me a longitudinal view of the complex healthcare landscape, allowing me to develop a system-level view of current challenges and opportunities.” 
Hubert Haywood, MD, MBA
MLPR Graduate