Find your stride. Shape your future.
Tailor your training to your professional goals and the areas of medicine that matter most to you. As your outpatient experience grows, you'll deepen relationships with your continuity patients, caring for people of all ages and walks of life.
$74,000
Annual stipend
No SD state income tax
3 weeks
Vacation
5 days
Paid meeting time
60 hrs/mo
Moonlighting cap
Required rotations
Where you'll learn and lead in year three
Emergency Department
Rural Rotation
Outpatient Pediatrics
Musculoskeletal
CORE Family Medicine
Internal Medicine
Longitudinal curriculum
Electives
Sample 13-block schedule
Picture your third year in Pierre
- 01 Emergency Department
- 02 Surgery Elective
- 03 Outpatient Pediatrics
- 04 Rural Rotation
- 05 Derm Elective
- 06 Inpatient Medicine
- 07 Musculoskeletal
- 08 Geriatrics Elective
- 09 CORE FM
- 10 Internal Medicine
- 11 Emergency Elective
- 12 Inpatient Medicine
- 13 Ambulatory Elective
Beyond rotations
Growing as a physician. Connecting as a neighbor.
Moonlighting opportunities
In your second and third years, you may moonlight up to 60 hours per month, earning extra income while building confidence and gaining experience in independent practice.
Indian Health Service rotation
Learn alongside local care teams through block rotations in Indian Health Service (IHS) communities across South Dakota. Build relationships, deepen your understanding of the communities you serve, and strengthen your skills in caring for Native and rural populations.
Funded retreat
Join your fellow first- and second-year residents for another program-funded three-day weekend at a resort you choose together—a chance to unwind, reconnect, and enjoy time away as a group.
Compensation
Year 3 financial benefits
Year 3 stipend
$74,000
Plus continued moonlighting and team-physician shifts. South Dakota has no state income tax.
60 hrs
Moonlighting / month
Free
Work lunch
Noon conf M–F at Avera
5 days
Paid meeting time
3 weeks
Vacation
Included every year
Insurance & coverage on us
- Health insurance (Wellmark BCBS, single + family, $0 cost)
- Dental insurance (Delta Dental, single coverage)
- Vision insurance (single coverage, employer-paid)
- Professional liability coverage
- $50,000 term life insurance
- Long-term disability ($2,500/mo benefit, premiums paid)
- 402(b) tax-advantaged retirement plan
- Two white coats
- Wellness memberships at reduced rate
- Employee Assistance Program (both health systems)
Full details on the Benefits page.
Jump to another year
Your next chapter starts here
Apply through ERAS
We welcome two new residents each year. Interviews take place October through January, with hotel accommodations provided for out-of-town candidates. Match Week in March brings the next step in your journey.