Dr. Finch was initially trained in Family Medicine.  Following residency in Lancaster, PA and a fellowship at Duke University, he stayed on the faculty at Duke with joint appointments in Family Medicine and Psychiatry and helped found and co-direct the Duke Addictions Program.  

After leaving Duke he worked for many years in community mental health settings before opening a private practice and later an addiction and mental health practice in Durham called Changes By Choice, while continuing to be active in training and consultation.

Dr Finch is a Distinguished Fellow of the American Society of Addiction Medicine, Past-President of the NC Society of Addiction Medicine and Director of Physician Education for the Governor’s Institute on Substance Abuse. In his role with the Governor’s Institute he develops and implements statewide clinical trainings, including co-directing the regional Addiction Medicine Conference held in Asheville each spring for the past 8 years.

His wife, Jane Blansfield Finch, is an LCSW psychotherapist who co-directs the Changes By Choice collaborative, including directing its counseling services.  His dog, Bertie, is a part-time (unlicensed) “therapy-dog” in that practice. 

Education, Licensure and Certification

Fellowship: Duke University Division of Family Practice,  Family Medicine Clinical Teaching Fellowship, Durham, NC 1984 - 1985  

Residency:  Lancaster General Hospital Family Practice Residency (Temple Univ. affiliated), Lancaster, PA 1981 - 1984  

Medical: University of South Florida College of Medicine, Tampa, FL 1978 - 1981  Degree:  M.D.

Premedical: University of Florida, Gainesville, FL 1976 - 1978   Major: Zoology  

Undergrad:  Florida State University, Tallahassee, FL 1967 - 1972   Degree: B.S. Psychology

North Carolina License to Practice Medicine 
Certified American Society of Addiction Medicine 1994
Certified American Board of Family Practice since 1984
Certified American Board of Medical Examiners 1981
Certified Authorization to prescribe buprenorphine (Subutex/Suboxone) 2003

Positions Held

Private Practice, Addiction Medicine, Durham, NC, June 2002 - present 

Medical Director, Southlight Wakeview Methadone Treatment Center, Raleigh, NC, 1998 - 2007

Medical Director, Addiction Medicine Services, Durham County Mental Health Center, Durham, NC, 1990 – 2006 

Director, Community-Based Substance Abuse Hospital Consult Project, Governor’s Institute on Alcohol and Substance Abuse Research Triangle Park, NC, 1995-1997 

Education Director, Governor’s Institute on Alcohol and Substance Abuse, Research Triangle Park, NC, 1991-1999

Assistant Director/Medical Director, Duke Alcoholism and Addictions Program, Duke University Medical Center, Durham, NC, 1987 - 1989

Assistant Professor, Duke Family Practice Residency Program, Duke University Medical Center Durham, NC, 1985-1990

Medical Director, Oakleigh at Durham, Residential Treatment Program for Substance Abuse, Durham, NC, 1987

Medical Consultant, Durham County Substance Abuse Services, Durham, NC, 1985 - 1990

Detoxification Counselor, Cambridge City Hospital Alcohol Detoxification Unit, Cambridge, MA 1974 - 1976