In the snap, Shepard, 18, wore a maroon graduation gown layered over a white button-down shirt, gray dress pants and a matching tie. He looked all grown up while holding a celebratory cigar.

His wife, Katie, also works for Duke as a Neonatal Nurse Practitioner. “But she’s been looking forward to it. She has a good group of friends in here, and is excited to celebrate.” Emerson Chamberlain ...