Dr. Anthony Smith has had a front-row seat throughout ECU Health Medical Center’s evolution. When he began his medical career in 1998 through the Graduate Medical Education (GME) program at ECU Health Medical Center, he found a place he would call home for nearly 30 years.
“When I was finishing medical school at the University of Alabama at Birmingham School of Medicine and applying for internal medicine residency programs, I wanted to find an academic program that was on the smaller side, one that felt like family. ECU Health fit that bill,” Dr. Smith said. “You will not find a hospital of this size in a community of this size anywhere else in the country.”
GME at ECU Health Medical Center began in 1976 with one residency program in family medicine. Over the past 50 years, the program has continued to grow and expand to develop the next generation of physicians across eastern North Carolina.
Today, the program features 38 residency and fellowship programs and trains approximately 460 residents per year. In 2025, the program saw 39 graduating resident physicians decide to continue practicing medicine in eastern North Carolina.
“We continue to see GME expand with new programs in electrophysiology, hospice and palliative care, neurology, ophthalmology and addiction medicine, specialties that we identified as needs now and moving forward that will train physicians to meet our community’s needs,” said Dr. Mary Catherine Turner, associate dean for GME at ECU Health Medical Center and the Brody School of Medicine. “Multiple factors are at play to support that kind of growth, but the most important guiding light is alignment with our mission to improve the health and well-being of eastern North Carolina.”
Dr. Smith has witnessed that growth over the years, in residency, as a GME educator and continuing in his career practicing medicine as a hospitalist at ECU Health.
“The growth of GME that I’ve witnessed over the last 28 years has been tremendous,” Dr. Smith said. “The program continues to add residencies and fellowships, which means as a health system we are better able to serve eastern North Carolina by growing the physicians in our footprint and bring more specialized care to the area.”
Dr. Smith grew up in rural Alabama and spent four years in Atlanta before medical school. He appreciated that Greenville was quiet, with less traffic and more opportunities to care for patients on a more personal level. In GME, he found the atmosphere of learning, and the relationships he made along the way instrumental to his decision to continue practicing medicine in eastern North Carolina. Over the years, he has served as the Chief of Staff at ECU Health Medical Center and local director for the hospitals program.
“I remember that our program director, Dr. Peter Lichstein, took care of us,” Dr. Smith said. “Leaders created a schedule and an environment that was conducive to learning, one that let us balance our life. Finding out how to balance working, learning and living is a challenge for GME programs that ECU Health Medical Center addresses by putting people first.”
Dr. Smith sees GME as more than a foundational program to teach physicians — the program also addresses essential health care needs across ECU Health’s 29-county service area by giving resident physicians and fellows hands-on experience treating patients in clinical environments across the ECU Health system.
“It’s rewarding and exciting to see the program continue to develop,” Dr. Smith said. “It really goes back to the sheer impact it has had on eastern North Carolina. We know there are rural areas in this country that don’t have these resources. Eastern North Carolina is fortunate to have an internal medicine program and all the other various programs right here, close to home. Residents and fellows actively training, as well as the physicians who decide to stay after they complete their residency, are extremely beneficial to this region.”
Moving forward, Dr. Smith sees GME’s growth alongside ECU Health Medical Center and the region as a necessary step toward progress. Alongside East Carolina University and the Brody School of Medicine, Dr. Smith said the health system’s growth is a clear indicator of GME’s role in fostering a positive working relationship and environment for physicians across the region.
“Right now, the opportunity is to live our mission and vision as a system and determine ‘How do we better serve the rural places in eastern North Carolina?’” Dr. Smith said. “As we continue to grow, we must continue to be committed to reaching those rural communities.”