She is the first nurse practitioner to be hired onto staff at the Duke Outpatient Clinic, an internal medicine residency training program where she serves on the leadership team and assists with their “high utilizer” program. Prior to joining Duke, she was the lead clinician and clinic manager at the Lincoln Community Health Center Health Care for the Homeless Clinic. She continues to be involved in community efforts to assist homeless/ housing unstable patients in Durham through volunteer service. Gamble is the co-chair of the Access to Care Transportation committee and co-PI of the Durham Homeless Care Transitions program which was funded by a Hillman Innovations in Care Award.