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Become a rural healthcare leader in your community. midwest values. meaningful medicine.

Over 50 years. Over 500 physicians trained.

Rooted in community. Ready for rural medicine.

Rotate With Us Apply via ERAS

Sioux Falls at a Glance

50+

Years Training Physicians

Established 1973

500+

Physicians Trained

And practicing across the region

<30,000

Practice Population

Where our graduates practice — communities under 30,000

80%

Stay in the Upper Midwest

SD, Iowa, Nebraska, or Minnesota

Dedicated patient base at the Center for Family Medicine clinic Interactive Medical Student Rotations ACGME-accredited, USD Sanford School of Medicine affiliated

Program overview

more honest than any brochure. take a look


Sioux Falls Family Medicine Residency program overview
Watch on YouTube · ~3 min

Why Sioux Falls

Built for the Upper Midwest, not retrofitted for it

  • 01

    Dual Health-System Sponsorship

    Train at Avera Health and Sanford Health, two of the region’s largest health systems. Learn from a variety of care teams, gain broad clinical experience, and build connections that support you through residency and into your career.

  • 02

    9 Residents Per Year — The 9-9-9 Program

    With nine new residents each year, you’re part of a close-knit team of 27. Attending physicians get to know you, your strengths, and your goals, offering personal guidance as you grow into the physician you want to become.

  • 03

    Dedicated OB Clinic

    Care for growing families and build confidence managing complex pregnancy conditions alongside our OB-GYN and Maternal-Fetal Medicine colleagues. Residents average more than 55 deliveries over three years, gaining hands-on experience with experienced physicians beside them.

  • 04

    Rural Focus. A World of Perspectives.

    Care for patients from many backgrounds, including Sioux Falls’ refugee communities. Learn how culture and life experiences shape care while building the broad clinical skills to serve families throughout our region.

Three-year program

Grow your skills. Find your stride. Shape your future.

Full curriculum overview

Year One

A strong start for the road ahead.

Gain extensive inpatient experience at Avera McKennan and Sanford Health while beginning to build relationships with your own patients in weekly continuity clinic. Take a leading role in managing OB care, with faculty guidance as your skills and confidence grow.

  • Core Family Medicine — 16 weeks
  • Inpatient Pediatrics
  • Emergency Medicine
  • Obstetrics & Night Float
  • Outpatient Selectives
View Year One details

Year Two

Broaden your experience. Deepen your connections.

Spend two half-days each week at the Center for Family Medicine, growing your skills and relationships with your patients. You’ll also care for patients at Falls Community Health, a Federally Qualified Health Center (FQHC), gaining experience serving families across the community.

  • Rural Family Medicine
  • Core Family Medicine
  • Emergency Medicine
  • Obstetrics
  • Inpatient Team
View Year Two details

Year Three

Find your stride. Shape your future.

With more time for electives, tailor your training to your interests and the communities you hope to serve. Explore global health, LGBTQ health, perinatology, and other specialties as you prepare for the next chapter in your career.

  • Global Health Elective
  • LGBTQ Health
  • Perinatology
  • Endocrinology
  • Custom Selectives
View Year Three details

Where you train

Dual sponsorship across two of the region's largest systems

Sponsoring Institution

Avera Health

One of the region's largest faith-based health networks. At Avera McKennan, you'll train inside an integrated hospital that's deeply tied to communities across the Upper Midwest.

  • Avera McKennan Hospital — primary inpatient site
  • Pediatric Specialists
  • Orthopedics and Sports Medicine

Sponsoring Institution

Sanford Health

The nation's largest rural health system, headquartered right here in Sioux Falls. At Sanford, you'll work with the systems and patient populations you'll see for the rest of your career in regional practice.

  • Sanford USD Medical Center
  • Diverse outpatient and specialty rotations
  • Strong research and fellowship pathways

Rural Rotation Sites

South Dakota and surrounding rural communities

Milbank, SD Mobridge, SD Madison, SD Parkston, SD Winner, SD Orange City, IA Pipestone, MN

Where you’ll live

Make yourself at home in Sioux Falls.

South Dakota’s largest city brings together a friendly community, affordable living, and plenty of ways to enjoy the outdoors. It’s a place to build your career, put down roots, and feel at home long after residency.

Live weather — Sioux Falls, SD

Fetching weather…

4 semi-pro sports teams · 12 golf courses · 8 swimming pools

225K+

Population

80+

Public parks

30 mi

Bike trails

700+

Restaurants

$310K

Median home price

$1,100

Median rent/mo

Rural Family Medicine Residency

Small program. Deep community roots.

Spend year one in Sioux Falls and years two and three in Pierre, with just two new residents each year. Train for rural practice in a separate program closely affiliated with Sioux Falls Family Medicine Residency, with its own application.

Voices from the program

Get to know us through those who’ve called us home.

“The advantage in Sioux Falls is that there are not several other specialized residency programs competing for the educational process, so our residents are the ones that manage and help physicians in these specialized areas.”

Brad Kamstra, DO

Brad Kamstra, DO

Program Director

“Because of refugee relocation, we see so much global health and diseases you would not see elsewhere. To get that training without even leaving Sioux Falls is pretty amazing.”

Amy Hogue, MD

Amy Hogue, MD

Associate Program Director

“It prepared me in all aspects of family medicine. I got to see so many different things that usually now when I am seeing them in practice I am comfortable and familiar with them.”

Kat Dahl, MD

Kat Dahl, MD

Alumna · Class of 2021

“Center for Family Medicine prepared me to practice anywhere I want with competence and kindness. I made lifelong friendships with residents, faculty, and staff and feel more than prepared to start my rural practice.”

Meghan Grassel, MD

Meghan Grassel, MD

Class of 2026

Brad Kamstra, DO — Program Director

Brad Kamstra, DO

Program Director

Sioux Falls Family Medicine Residency

From the Program Director

"Family medicine treats every generation, from newborns to geriatric patients. No other specialty offers that range, or that flexibility."

The Sioux Falls program is built for that. We're backed by two major health systems, Avera McKennan and Sanford Health, and affiliated with the University of South Dakota Sanford School of Medicine. That dual sponsorship means broader clinical exposure and a stronger professional network before you ever graduate.

Our residents work on real patient safety initiatives and quality improvement projects. Our board pass rate reflects the training, and the time our faculty puts in for every resident, every year.

Our goal is simple: train physicians who will be exceptional in whatever setting they end up practicing. Take a look at what we've built here.

Brad Kamstra, DO

Program Director, Sioux Falls Family Medicine Residency

Come get to know us

Picture yourself here.

Spend an afternoon, a week, or a month with us. Meet our people, experience the training, and get a feel for life here before you apply.

Explore your path: Visit or rotate Apply through ERAS Interview (October through January) Match

Questions? Call 605-339-1783 or send us a message.