4 wks
Orientation
Onboarding + team building
Year One Curriculum
Build the foundation
Your first year is spent in Sioux Falls, largely integrated with Sioux Falls Family Medicine residents. Certain rotations are best completed in a higher-volume referral center; a state-of-the-art simulation center builds procedural proficiency before rural practice.
53 wks
Contract length
Includes orientation + 1 wk 'time back'
13 blocks
Rotation blocks
$67,500
Annual stipend
No SD state income tax
3 wks
Vacation
Required rotations
What you will spend Year 1 doing
8 wks
Core Family Medicine
Continuity clinic + faculty-led teaching
8 wks
CFM Inpatient Team (CFMIT)
Adult and pediatric inpatient service
4 wks
Night Float
Counts toward obstetrics
4 wks
Inpatient Pediatrics
8 wks
Obstetrics
Avera or Sanford labor and delivery
2 wks
Cardiology
2 wks
Pulmonology
2 wks
Outpatient Selective
2 wks
Neurology
4 wks
GYN
4 wks
Emergency Medicine
Avera & Sanford EDs
Sample 13-block schedule
How a typical block schedule looks like for a 1st year resident
Block order is illustrative — your actual schedule is built with the program manager.
- 01 Orientation
- 02 CFM Inpatient Team
- 03 Core Family Medicine
- 04 Obstetrics
- 05 Night Float
- 06 Outpatient Pediatrics
- 07 Inpatient Pediatrics
- 08 Cardiology/Pulmonology
- 09 Gynecology
- 10 Core Family Medicine
- 11 CFM Inpatient Team
- 12 Obstetrics
- 13 Emergency Department
Beyond rotations
The parts most schedules do not show
Daily Noon Conference
In addition to required rotations, you'll attend daily noon conference — an in-house curriculum across disciplines, complemented by scheduled conferences and journal clubs for broad exposure to family medicine.
Continuity OB Clinic
A once-weekly clinic for uninsured and low-income women. You take primary responsibility for prenatal care, delivery, and postpartum care — averaging 13 continuity deliveries in Year 1 (65 total deliveries on average across residency).
Funded retreat with Pierre residents
First-year residents join second- and third-year Pierre residents for a program-funded three-day weekend at a resort you choose together.
Compensation
Year 1 financial benefits
Year 1 stipend
$67,500
Plus $1,000 relocation. South Dakota has no state income tax.
$3,000
Education allowance
Total across 3 years; rolls over
Free
Work lunch
Noon conf M–F + on-call
3 wks
Vacation
$1,000
Relocation
Curious how Year 2 builds on this
Or skip ahead rotate with us
A 4-week elective rotation in Sioux Falls is the fastest way to see how Year 1 actually feels before you match.