Skip to main content


Duke SCORES is made up of faculty members and trainees from the Duke Department of Surgery who are interested in health services research (HSR).



Charles D. Scales, Jr., MD


Charles Scales Jr., MD, MSHS, is an Associate Professor of Surgery and Population Health Sciences, Director of Duke SCORES, and is a faculty member in the Center for Clinical and Genetic Economics at DCRI. He is also APD for Quality Improvement and Patient Safety for the Duke Urology Residency. Prior to joining Duke's faculty, he completed the Robert Wood Johnson Foundation/VA Clinical Scholars Program at UCLA. A health services researcher by training, Dr. Scales is interested in improving care delivery for patients with urologic conditions, particularly at the interface between the generalist and specialist. He also has extensive experience in graduate medical education, having served as resident member of the Urology Residency Review Committee, on the Urology Milestones working group, and the board of directors of the ACGME. His research is funded by the NIH, National Cancer Center Network, and the Society of Urologic Chairpersons and Program Directors.

Rachel Adams Greenup, MD, MPH

Deputy Director

Dr. Rachel Greenup, MD, MPH is an Associate Professor of Surgery and Population Health Sciences at the Duke School of Medicine and Duke Cancer Institute, Deputy Director of Duke SCORES, and founder and co-director of the Duke Breast Cancer Outcomes Research Group and Core Faculty for the Duke Margolis Center for Health Policy. 

Dr. Greenup graduated With Honors from the University of Wisconsin with dual degrees in Zoology and Psychology. She completed medical school and general surgery training at the Medical College of Wisconsin. From 2007-2009 she earned a Master's in Public Health from the University of Wisconsin School of Medicine and Public Health. She went on to complete a Breast Surgical Oncology Fellowship at the Massachusetts General Hospital, Dana Farber Cancer Institute, and Brigham and Women’s Hospital and joined the faculty at Duke in 2012. In 2016, she was awarded the National Institutes of Health Building Interdisciplinary Research Careers in Women’s Health (BIRCWH) Award to evaluate how financial costs and burden relate to preference-sensitive decisions for breast cancer surgery.  More broadly, her research focuses on aligning patient-centeredness with high quality, lower cost treatment with the goal of alleviating the patient burden of cancer care.

Dr. Greenup serves on several national committees, including the Alliance in Clinical Oncology Ethics and Value Committees, the American College of Surgeons Cancer Care Delivery Task Force, the American Society of Breast Surgeons Legislative Committee, and the Editorial Boards for the Annals of Surgical Oncology and American Journal of Surgery. In 2017, she was named the American College of Surgeons & American Society of Breast Surgeons Health Policy Scholar.


Theresa Champion

Theresa Champion is the Program Coordinator for SCORES. Theresa comes to Duke SCORES after spending the previous 2 years as a Health Educator with Community Care of North Carolina (CCNC). Theresa also operated her own consulting business writing grants and training non-profit organizations on grant writing. Prior to that, Theresa served as Proposal Coordinator at the Carolina Population Center and Grants Management Officer in the Department of Psychology at UNC-CH.