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Duke Medicine Pavilion

Human-centric modern healing environment

Project Facts

Location Durham, North Carolina
Owner Duke Medicine
Size 600,000 SF
Certifications LEED Gold


The architectural design team dedicated substantial time to engaging with patients and caregivers to understand their preferences for an ideal medical environment. Armed with this insight, the Duke Medicine Pavilion was meticulously crafted to promote wellness, minimize stress, and ensure sustainability. 

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About the project

The Duke Medicine Pavilion significantly expanded surgery and critical care services at Duke University Hospital, allowing Duke to grow its high-priority programs and increase the capacity of its regional services. The project included operating suites featuring the latest surgical technologies, intraoperative magnetic resonance (MRI), and computer tomography (CT) imaging capabilities. 

The structural system for the central tower is framed with cast-in-place concrete pan-joists, designed for future flexibility and adaptability. The project also included a new 6-level, 300-foot-long connector to the existing building. Building Information Modeling (BIM) was used to deepen collaboration within the team for the complex connector structure. The solution minimized the relocation of the extensive network of existing underground utilities and minimized the impact on the existing hospital’s operations.

Walter P Moore also leveraged the BIM model to be one of the first projects in the nation to achieve the LEED pilot credit for Life Cycle Assessment (LCA). Material quantities from the BIM were used with LCA tools to quantitatively assess the embodied impacts of the structural and envelope materials.