Nathan E. Goldstein, MD
Chair, Department of Medicine
Nathan Goldstein, MD is Chair of the Department of Medicine and the Joseph M. Huber Professor of Medicine at Dartmouth Health and The Geisel School of Medicine.
Originally from Birmingham, Alabama, Dr. Goldstein completed his undergraduate degree in biology from Carleton College in Northfield, Minnesota. He is a graduate of the Mount Sinai School of Medicine, New York, NY, and completed his Internal Medicine residency training at Mount Sinai as well. He then went to Yale in New Haven, Connecticut, to complete health services research training as part of the Robert Wood Johnson Clinical Scholars Program. He returned to Mount Sinai to complete a geriatrics fellowship and spent the next 20 years there on the faculty of the Brookdale Department of Geriatrics and Palliative Medicine. He joined the Dartmouth community as Chair in 2024. Dr. Goldstein is board certified in Internal Medicine, Geriatrics, and Hospice and Palliative Medicine.
Dr. Goldstein is a clinician investigator who has been funded by the National Institute on Aging, the National Heart Lung and Blood Institute, the Health Resources & Services Administration (HRSA), and multiple foundations. His work examines patient-physician communication in patients with advanced heart failure as well as novel models to deliver palliative care at home for people with advanced illness.
Dr. Goldstein’s vision for the department is to create an incubator for innovative clinical models, groundbreaking research, and novel education practices that integrate rural healthcare, equity and aging for the benefit of patients and their families. His additional interests include enhancing wellness and sustainability; academic scholarship; and diversity, equity, inclusion and belonging throughout the health system as well as within the residency training program.
Dr. Goldstein lives in Plainfield, New Hampshire with his husband Mitchell and their adorable bernedoodle Milo.
Graham Atkins, MbChB
Program Director
Dr. Atkins graduated from the University of Edinburgh, UK in 2005 and completed residency training in Scotland and Albany, NY. He worked briefly as a primary care practitioner in the Adirondack mountains and then pursued fellowship training in pulmonary and critical care medicine at DHMC, joining the Geisel School of Medicine faculty in 2016. He began work with the internal medicine core faculty group in 2019 with a focus on resident research.
Dr. Atkins has ongoing clinical research to define the quality gaps in rural COPD care and explore population-based approaches to close these gaps. His work in medical education includes participation in the new coaching program at Geisel, coordinating didactic teaching in the MICU, and an assistant program director role for the pulmonary and critical care fellowship.
He spends his free time watching premier league soccer and gardening with his wife and 2 young sons.
Patrick A. Francis, MD
Program Director, Primary Care Track
Associate Program Director
Patrick Francis, MD is a physician of internal medicine at Dartmouth Health. A native New Englander, he attended Dartmouth College where he majored in Asian Studies. After serving in the Peace Corps in rural western Mongolia and studying in Kazakhstan as a Fulbright Fellow, he entered Johns Hopkins University for a post-baccalaureate year of pre-medical education coursework, which led to enrolling in medical studies at the University of Rochester the following year. Following residency, he pursued an internal medicine residency at Yale, where he was a member of the primary care track program.
In 2013, he returned to Dartmouth where he provides primary care medicine and instructs medical students and internal medicine residents. He directs the Healthcare Disparities curriculum for the residency program and since September 2023 he is the program director for the residency program’s primary care track.
He and his wife are the proud, grey-haired parents of 2 young daughters, and in his spare time, he enjoys running, hiking, Nordic skiing, playing chamber music and bluegrass fiddle.
Harley Friedman, MD
Associate Program Director
Dr. Friedman earned his undergraduate degree in biology from McGill University and received his MD in 1994 from the University of Massachusetts.
Dr. Friedman completed his residency training at Beth Israel Hospital in Boston, joining the General Internal Medicine faculty at Dartmouth Hitchcock Medical Center in 1997. He was the Program Director of the residency for almost 20 years and is now exploring Medical Informatics and improving Epic.
Dr. Friedman spends his free time in his woodshop, visiting his children in college, and addressing endless home repair projects. He is fascinated by chaos theory and non-linear dynamics, and he is hopelessly addicted to Duplicate Bridge. He is a huge science fiction and fantasy fan, thinks that the Game of Thrones books are much better than the HBO series, is a big fan of The Expanse, and is always looking for suggestions to read.
James "Darrell" Laudate, MD
Associate Program Director, VA Site Director
Dr. Laudate is a Tarheel through and true having grown up in NC and then going to undergraduate school, medical school (2004-2007), and internal medicine residency (2007-2010) all at UNC at Chapel Hill. Following residency he was briefly a hospitalist at Alamance Regional Hospital, a community hospital in NC. Seeking greater career fulfillment as an academic hospitalist he spent the next 3 years in the Greater Boston area at Newton Wellesley Hospital where he had the fortune of supervising the rotating Mass General Hospital residents and Tufts medical students.
After his wife accepted a position as 1of DHMC’s staff neurologists in 2014, he continued his role as a clinician-educator as 1 of the DHMC faculty hospitalists. In 2018 he joined the White River Junction VA Medical Center as a hospitalist, the VA internal medicine residency site director, and ultimately the VA Associate Program Director for even greater involvement with our fantastic residents. At home he enjoys cooking and spending time with his wife, Allie, and his 3 girls, Samantha, Abbie, and Emilia. He also enjoys several outdoor activities, including hiking and cross country skiing (after acclimating this Tarheel to the snowy winters).
Kelly Kieffer, MD
Vice Chair for Education, Department of Medicine
Associate Program Director
Resident Clinic Director, Dartmouth Hitchcock Medical Center
Dr. Kieffer is a graduate of the Johns Hopkins University School of Arts and Sciences (B.A., 1990) the University of California, San Francisco School of Medicine (MD, 1995), and The Dartmouth Institute for Health Policy and Clinical Practice (MS, 2011). She completed her residency at Dartmouth Hitchcock Medical Center, served as Chief Medical Resident, and then joined the faculty in General Internal Medicine.
She has been the director of the resident clinic at Dartmouth Hitchcock Medical Center since 2004. She enjoys teaching medical students and residents in clinical and didactic settings, and supervising learners conducting quality improvement projects. She became the Vice Chair for Education and Director of the Department of Medicine Morbidity, Mortality, and Improvement Conference in 2015.
Dr. Kieffer spent a year in Rwanda from 2013-2014 with the Human Resources for Health program, teaching students and residents, developing educational curricula, and serving as Associate to the Head of the Department of Medicine. She continues to passionately support a bi-directional exchange of learners and teachers between the Departments of Medicine at Dartmouth Hitchcock Medical Center and the University of Rwanda.
In her personal time, Dr. Kieffer enjoys distance running, downhill skiing, gardening, reading fiction, and world travel.
David Haughey, MD
Core Faculty, Dartmouth Hitchcock Medical Center
Dr. Haughey earned his undergraduate degree in biochemistry from Hobart College (2009) and spent the next year in Lewiston, ME, where he worked as an Americorps volunteer at a family medicine practice and also tutored refugee children through Bates College. He received his medical degree from SUNY Upstate Medical School in Syracuse, NY (2014) and completed his residency training (2017) and a Chief Medical Resident year (2018) at Dartmouth Hitchcock Medical Center. Concurrent with his chief year, he completed a fellowship in Point-of-Care-Ultrasound (POCUS) through the Emergency Medicine department at Dartmouth Hitchcock Medical Center. He accepted a faculty position with the Section of Hospital Medicine in 2018 and was appointed as a core faculty member and Director of Internal Medicine Resident POCUS Training and Education in 2019. His clinical and research interests include the development of novel methods of education and training in POCUS for medical students, residents, and faculty. In his free time, he enjoys recreating in the Upper Valley and surrounding environs with his wife, daughter, and dog. In particular, he is an avid runner, biker (mountain and road), skier (primarily cross-country but also alpine), and hiker. He also enjoys cooking, reading, listening to podcasts, and adding to his embarrassingly large bow-tie collection.
Sarah Kokko, MD
Resident Clinic Director, White River Junction VA
Dr. Kokko grew up in the suburbs of Boston but eventually found herself called to the mountains of New Hampshire where she attended Dartmouth College followed by Dartmouth Medical School. She completed her residency at Dartmouth Hitchcock Medical Center, served as a Chief Medical Resident, and then joined the faculty at the WRJ VA Hospital in WRJ, VT, where she currently practices Primary Care and serves as the Site Director for the Residency’s Continuity Clinic. She lives in Lyme, NH, with her husband, 2 young children, and their dog. Outside of the hospital, she enjoys spending time with her family, especially outdoors. Most weekends they can be found hiking, skiing, biking, or playing in the sand at their town pond.
Sarah McDougall
Program Coordinator
I lived in Vermont for most of my life and made the move across the river to New Hampshire about 6 years ago. I love New England summers so much that it makes me bear the cold all winter. I live locally with my partner and our 2 adventure loving dogs. When I’m not working, I love to read and be by the ocean, cook, and be outdoors (I pretend I like hiking…don’t tell anyone).
Brianna "Bri" Eastman
Program Coordinator
I grew up in New York but moved to New Hampshire in high school and have lived all around the state since, from the seacoast to central New Hampshire to the White Mountains. I currently live near Concord, New Hampshire with my husband, son, and daughter. When I’m not working, you can usually find me chasing kids around, listening to Taylor Swift, relaxing with my family at our house, or exploring my love for all things aviation; which luckily enough, my son and husband also have!