Family Medicine Residency Team

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Cherie Holmes headshot

Cherie Holmes, MD (she/her/hers)

Cherie is the Designated Institutional Official (DIO) for the Cheshire Medical Center, Dartmouth-Hitchcock GME program. An orthopaedic surgeon, she is Cheshire’s Chief Medical Officer (CMO).

Cherie attended Dartmouth College and Georgetown Medical School. After her residency at Harvard, she practiced four years with the US Navy at Bethesda Naval Hospital, where she was an Assistant Clinical Professor of Surgery and spent time in the Persian Gulf during the first Gulf War. Like her Family Medicine colleagues at Cheshire, Cherie has had the pleasure of caring for whole families, from grandparents to grandchildren, over her long career in the Monadnock region.

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Chris Larocca headshot

Christopher LaRocca, MD (he/him/his)

Chris is the Director of Graduate Medical Education and Family Medicine Residency Development at Cheshire. He’s lived most of his life in New England since attending Dartmouth College and then Dartmouth Medical School. After completing his Family Medicine residency at a rural training site of the University of Massachusetts program, Chris returned to New Hampshire, where he has practiced Family Medicine in the Monadnock region since 1987. 

Medical student education at the Geisel School of Medicine at Dartmouth has been a passion, and recently he has broadened his interest to graduate medical education. Chris has a particular interest in medical humanities, including narrative medicine. In the beautiful New Hampshire surroundings, hiking, biking, kayaking, and barn and garden chores keep Chris and his family busy. And, just to keep things interesting, Chris loves to root against all New England sports teams.  

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Karl Dietrich headshot

Karl Dietrich, MD MPH (he/him/his)

Karl is the inaugural program director of the Cheshire Medical Center, Dartmouth-Hitchcock Family Medicine Residency. Karl grew up in New Hampshire, and after exploring careers in wildlife biology and as a high school science teacher, he found his calling in medicine. He earned his MD and MPH from the Geisel School of Medicine at Dartmouth and completed his Family Medicine Residency at Memorial Hospital of Rhode Island/Brown University. 

Karl previously served as core faculty and Associate Program Director at the Swedish First Hill Family Medicine Residency in Seattle, WA. He is passionate about medical education and is thrilled to help bring a residency training program to the region. His clinical interests include addiction medicine, sports medicine, quality improvement, and health equity — he loves the capacity of Family Medicine to address social justice. With his family, Karl enjoys taking advantage of all the outdoor activities the Monadnock region offers, cooking and baking, and being back amongst New England sports fans. 

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Christine Symonds headshot

Christine Symonds (she/her/hers)

Program Coordinator Christine Symonds was born and raised in the area, and other than a short year spent in Boston, has made Keene her home. Christine joined the Medical Center in 2007 working as a physical therapist assistant (PTA).  

Her love of organizing and doing administrative work allowed her the opportunity to coordinate student clinical experiences in Cheshire’s Education Department. Christine’s talents have been instrumental in creating the first residency program at Cheshire. When not working, Christine enjoys spending time with family — especially her grandsons — tending the Monadnock-Sunapee Greenway trail, road biking, watching HGTV, and reading.