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About the Program

Rooted in the Midwest. Growing family physicians since 1973.

Sioux Falls Family Medicine Residency is a three-year, ACGME-accredited program jointly sponsored by Avera Health and Sanford Health and affiliated with the USD Sanford School of Medicine. We welcome nine new residents each year into a close-knit learning community. Our 500+ graduates carry that tradition forward, with most caring for communities across South Dakota and neighboring states.

The Big Sioux River winding through downtown Sioux Falls

Our mission

Train allopathic and osteopathic family physicians who can practice anywhere in the Upper Midwest — especially the places that need them most.

Evidence-based medicine. Real patient care. Community service. A curriculum built for rural and regional practice, not just any office in any city.

A half-century in Sioux Falls

Deep roots. A lasting commitment to rural care.

Since May 1973, Sioux Falls Family Medicine Residency has prepared physicians to meet the needs of rural communities across the Upper Midwest. More than 50 years and 500 graduates later, that purpose remains at the heart of our training.

Jointly sponsored by Avera McKennan and Sanford Health, residents learn across two major health systems with a combined hospital capacity of nearly 900 beds. Continuity clinics at the Center for Family Medicine and Falls Community Health Center help residents build lasting patient relationships. We’re affiliated with the University of South Dakota Sanford School of Medicine and fully ACGME-accredited.

About 80% of our graduates practice in South Dakota, Iowa, Nebraska, or Minnesota, carrying forward a tradition of caring for our neighbors and strengthening the communities we call home.

By the numbers

Years training family physicians
50+
Physicians graduated
500+
New residents per year
9
Combined hospital beds (Avera + Sanford)
~900
Stay in SD, IA, NE, or MN
80%
Rotating med students per year
52+

Our heritage

Five decades of growth. The same community commitment.

What guides us

Four commitments at the heart of our program.

From rotations and electives to the faculty who teach beside you, these commitments shape how we train, care, and grow together.

Robust OB training

55 / yr

First-year deliveries (avg.)

Continuity OB starts in Year 1 with a weekly clinic for uninsured and low-income mothers. First-year residents average 13 continuity deliveries and 55 total deliveries — far above what most programs offer.

Strong procedural skills

5

Certifications covered

ATLS, ALSO, NRP, PALS, ACLS — all covered. You graduate able to do the procedures that rural and small-city family medicine requires, not just refer them out.

Care of the underserved

FQHC

Embedded in curriculum

Falls Community Health Center is a federally-qualified health center built into the curriculum. You'll see Sioux Falls' refugee population — clinical diversity most rural programs never encounter.

Integrated behavioral health

On-site

Behavioral health director

Dr. Aaron Bergman, PhD, directs behavioral health on-site. Mental health teaching is woven through the residency, not added as a separate rotation.

Our objectives

Helping you become the physician your community needs.

Competency-Based Training

Build your skills with clear milestones and personal guidance. Your progress reflects the knowledge, judgment, and abilities you demonstrate as you grow into a confident family physician.

Prepared for Rural and Regional Care

Every rotation helps you build the broad skills, sound judgment, and resourcefulness to be the physician your community counts on—even when you’re the only family doctor in the room.

Learning That Lasts a Lifetime

Regular noon conferences and journal clubs help you build the curiosity and habits to keep learning, stay current, and care for your patients well throughout your career.

Thoughtful Care at Every Age

Learn to provide comprehensive, evidence-based care throughout life, with a focus on prevention and helping patients and families stay well.

Care Across Ages and Settings

From newborns to older adults, build the skills to care for the whole family. Gain experience in continuity clinic, inpatient care, obstetrics, and emergency medicine, preparing you for the breadth of family practice.

Care for the Whole Person

Learn to care for each patient’s physical, emotional, and social needs, with behavioral health woven into everyday practice. Our director of behavioral health is right here in the building, offering guidance and support as you learn.

Life in the program

A close-knit program. A welcoming place to call home.

With nine residents per class, you’ll be known as a person and have fellow residents to lean on. Friendships grow through shared experiences, everyday moments, and the encouragement you give one another.

Each year, enjoy a program-funded three-day retreat at a nearby resort chosen by residents. Faculty are close at hand, helping you build independence while offering guidance when you need it.

Beyond training, Sioux Falls offers a manageable cost of living, outdoor recreation, downtown dining along the Big Sioux River, and local sports to enjoy. With no state income tax, it’s a place to build your career and put down roots.

The Falls of the Big Sioux River
Sunset over the Arc of Dreams sculpture
The Sioux Falls bike trail system
Terrace Park Japanese Gardens

Come get to know us

Find your fit. Learn alongside us.

Whether you join us for an afternoon of shadowing, a one-week visit, or a four-week elective, we’ll help find the experience that fits your stage of training.