The Adult and Family Medicine Clinic (AFMC) proudly offers primary care physician services. Your primary care physician is your personal health advocate and helps you manage your health care. Establishing a long-term relationship with your primary care physician gives your doctor the opportunity to become familiar with your medical history, which can be invaluable during a health crisis.
Not only do we specialize in diagnosing and managing a wide range of health issues, we also help keep you informed about health prevention and wellness.
Adult and Family Medicing offers the following services:
- Primary care (ages 13 and up)
- General health issues
- Routine check-ups or physicals
- Arranging referrals to specialists
- Patient Education
- Psychosocial Support
- Behavioral Change Promotion and Maintenance
- Marriage and Family Therapy
- Preventive Medicine and Education
- Women's Health
- Family Planning
- Sports and Work Physicals
The Adult and Family Medicine Clinic's mission is in harmony with North Hawaii Community Hospital's mission: "to improve the health staus of North Hawaii by improving access to care and providing appropriate high-quality services at a reasonable cost."
ADULT AND FAMILY MEDICINE TEAM
Malcolm MacDonald M.D., Medical Director AFMC, joined the North Hawaii Medical Group (NHMG) in 2011 as Director of the new Adult and Family Medicine Clinic. With an extensive background in multi-cultural family health care, he also over sees the Native Hawaiian Health Program. Prior to joining NHMG, Dr. MacDonald served eight years as Medical Director and Chief of Staff for three robust Community Health Clinics in North California and was the founding Medical Director for a group of Coordinated Care Programs, the Rolling Hills Clinics.
After receiving his Doctor of Medicine from the University of California-San Diego in 1987, Dr. MacDonald completed his residency training in Family Practice and Community Health at the University of Minnesota, in St. Paul. He was subsequently a scholar in the Physician Executive Program at the Harvard University School of Public Health in 1991-92. He returned to the University of Minnesota as Assistant Director of the Family Practice Residency training program from 1992 to 1996, and Dr. MacDonald reprised those dual roles from 1997 to 2000 as a Physician and Assistant Professor with the University of California-Davis Medical Group’s Family Practice Program in Chico, CA.
During his tenure as residency director, Dr. MacDonald won recognition as Outstanding Clinical Teacher at the University of Minnesota School of Medicine, 1993-1994; helped earn a multi-million dollar Robert Wood Johnson Grant Award for Physician-Initiated Access to Medical Care in 1995-1996; and was honored with the University of Minnesota Teacher of the Year award in 1996.
Dr. MacDonald is a Fellow in the American Academy of Family Physicians, and is a Diplomate of the American Board of Family Medicine. He has been an active member, and has served in numerous leadership roles, for a variety of national, state, and local medical associations.
An avid outdoorsman, Dr. MacDonald is married to Kari DuFour, and they recently relocated from their hometown of Chico, California to the Kohala Coast.
Lokenani Kealoha Souza FNP-C, APRN-Rx, CWOCN, CFCN, Family Nurse Practitioner; joined the North Hawaii Medical Group (NHMG) in 2012 as Nurse Practitioner with the Adult and Family Medicine Clinic and Kaheleaulani, a Native Hawaiian Health Program.
Loke was born in Hilo and raised in Honoka’a, Hawaii. She graduated from Hawaii Community College, Hilo with a certificate in Nursing in 2001, and Loke practiced as an Licensed Practical Nurse (LPN) for 5 years. In 2006 she graduated with a Bachelor of Science and practiced as a Registered Nurse (RN) at Queens Medical Center. In 2008 Lokenani attended Emory University in Atlanta, Georgia to become a Certified wound, Ostomy, Continence Nurse (CWOCN) and Certified Foot and Nail Care Nurse (CFCN) specialist. She returned home to the Big Island in 2009, and became a CWOCN and CFCN for West Hawaii Home Health. It was then that she realized a desire to continue her education and become a Family Nurse Practitioner (FNP) to serve the community in which she was raised. In 2011, Loke graduated with a Master of Science degree from the University of Hawaii, Manoa’s Family Nurse Practitioner Program.
Loke is an active member and treasurer in the Hawaii State Wound Ostomy Continence Nurses Society, a member of the American Academy of Nurse Practitioners, a scholar in the Native Hawaiian Health Scholarship Program, and a supporter of the Big Island Ostomy Group.
In her spare time Loke enjoys spending time with her husband, Manny D. Souza of Honoka’a, and their dog Sydney. She enjoys the Hawaiian Ranch life and will be found spending time with her family up at Kealoha Ranch, a 300-acre cattle ranch up in the Hawaiian Homes area.
AFMC accepts all major insurances, including Medicare and Medicaid. If you have any questions, please contact us directly.
The Adult and Family Medicine Clinic is located in
North Hawaii Community Hospital
67-1125 Mamalahoa Hwy.,
Kamuela, HI 96743.
Monday through Friday 8:00 a.m. to 5:00 p.m.
For non-emergencies, please leave a message.
For emergencies, please contact our Emergency Department directly at 808.881.4730