Residency Experience

First-Year Resident Curriculum & Benefit Information

Year One Curriculum

The first year of residency consists primarily of rotations at Avera McKennan and Sanford Health hospitals, supplemented by one half-day per week at the Center for Family Medicine. During clinic time, you'll begin to build a practice. You'll also care for a panel of OB patients one half-day per week at one of the sponsoring hospitals.

Below you'll find a first year resident's requirements, a sample rotation schedule, and all stipends, activities, and benefits information.

First Year Requirements

Required Rotations

  • 16 weeks Core Family Medicine
  • 8 weeks CFM Inpatient Team (CFMIT)
  • 4 weeks Night Float (Counts as Obstetrics)
  • 4 weeks Inpatient Pediatrics
  • 4 weeks Outpatient Pediatrics
  • 4 weeks Emergency Medicine
  • 4 weeks Obstetrics
  • 4 weeks Outpatient Selective (Gynecology, Geriatrics, Cardiology/Pulmonary, Musculoskeletal)
  • 4 weeks Orientation

First year resident

Sample Rotation Schedule




CFM Inpatient Team


Core Family Medicine


Pediatrics Inpatient


Core Family Medicine


Outpatient Pediatrics


Night Float


Core Family Medicine


MSK Outpatient Selective


Core Family Medicine


Emergency Medicine


Obstetrics Avera


Core Family Medicine


First year residents have a 53-week contract to accommodate orientation time, and a week of “time back” is given.

Financial benefits



For first-year residents.

PS — South Dakota has no state income tax



Toward relocation expenses for first-year residents



Total educational allowance for all three years. Any unused amount can be carried over to the next year. The educational expense money allotted may be used either for meeting costs or for educational books or materials. The ATLS, ALSO, NRP and PALS courses are provided.

Work Lunch


You will be provided a free lunch at noon conferences Monday through Thursday, and when on call at the hospitals.

Vacation Weeks


You will receive a full three weeks of vacation during your first year. First-year residents have a 53-week contract to accommodate orientation and a week of “time back” is given.

First year activities

Noon Conference

In addition to the required rotations, you’ll attend a daily noon conference which includes our in-house curriculum covering various disciplines, complemented by other scheduled conferences and journal clubs. These meetings ensure broad exposure to the wide variety of problems encountered in family medicine and give exposure to those conditions which are not so common.

OB Clinic

First-year residents will manage a once-weekly clinic for uninsured and low-income women. You will take primary responsibility for continuity in patients’ prenatal care, delivery, and postpartum care. You’ll also provide hospital care for the infant and often continue to follow them in the clinic throughout the remainder of residency. This clinic provides an excellent opportunity to manage routine pregnancies, as well as complex pregnancy conditions through collaboration with our OB-GYN and Maternal-Fetal Medicine colleagues. Past residents have averaged 13 continuity deliveries during their first year (55 total deliveries on average)! After this experience, you’ll feel much more confident managing OB patients, and you’ll be prepared should you wish to make obstetrics part of your future practice.


First-year residents will enjoy a retreat weekend with funding supplied by the program. As a group, you will select an area resort hotel for a three-day weekend of fun and relaxation.

Other benefits

  • 3 Weeks Vacation
  • Vision Insurance
  • Wellness Memberships at Reduced Rate
  • Professional Liability Insurance
  • Health Insurance
  • Disability
  • Dental Insurance
  • Life Insurance
Learn More About These Benefits