Altru Health System (Grand Forks) Program

Specialty:Family medicine
ACGME Code:1203731229
NRMP Code:1100120C0
Status:Continued Accreditation

Overview

Altru Family Medicine Residency has been a cornerstone of healthcare education in Grand Forks since 1976. The program is dedicated to training family medicine physicians to provide comprehensive medical care across various settings, with a special emphasis on rural medicine.

Curriculum Overview

The curriculum of Altru Family Medicine Residency is structured to offer a well-rounded education that encompasses hospital-based and ambulatory care, obstetrics, sports medicine, and the management of social determinants of health. Residents are engaged in an array of training experiences that include:

  • Inpatient Teaching Service: This aspect aims to create a collaborative learning environment covering a multitude of family medicine topics.
  • Obstetrics: Residents work alongside attendings and fellows to deliver both routine and high-risk obstetrical care.
  • Pediatrics: Diverse rotations provide extensive pediatric experience in inpatient units, NICU, newborn nursery, emergency medicine, and outpatient clinics.
  • Electives: Six blocks of elective time allow residents to focus on specific interests, enhancing their educational experience.
  • Home Visit Program: Residents engage with patients who may have difficulty accessing care, providing continuity for those transitioning from hospital to home.

Resident Wellness

Recognizing the demanding nature of medical training, Altru Family Medicine Residency places a strong emphasis on resident wellness. Activities such as community retreats and social events promote a supportive environment. A specific event is the Ruttger’s Retreat, allowing residents to connect with one another and their families outside of the academic setting.

Application Process and Requirements

Applications to the Altru Family Medicine Residency are processed through the National Resident Matching Program (NRMP). The program accepts J-1 visas sponsored by ECFMG and maintains an inclusive approach in its application process, welcoming applicants regardless of race, gender, or origin.

Key application requirements include:

  • Eligibility for an unrestricted full license from the North Dakota Board of Medicine.
  • A maximum of four attempts to pass the USMLE Steps 1, 2, and Clinical Skills.
  • Graduation from medical school within the last five years.
  • For International Medical Graduates, ECFMG certification and relevant U.S. clinical experience are necessary.

The complete application must include a curriculum vitae, medical school transcript, letters of recommendation, and a personal statement.

Training Sites and Facilities

Training occurs at a unified facility in Grand Forks, recognized for its collaborative approach to family medicine and featuring:

  • Dedicated nursing and support staff, a well-equipped clinic, and a modern hospital actively undergoing expansion.
  • A centralized clinic with individual workspaces for residents and access to state-of-the-art facilities, including labs and procedural rooms.
  • Exposure to rural healthcare through rotations in smaller communities, enhancing the understanding of local health challenges.

Research and Teaching Opportunities

Residents are encouraged to participate in research activities, contributing to the advancement of family medicine practice. They also have robust teaching opportunities, as the program actively involves residents in educating medical, pharmacy, and athletic training students.

Competitiveness and Inclusivity

The program maintains a competitive selection process, with a focus on individual qualifications and experiences over standardized testing metrics alone. It seeks to create a balanced cohort of residents with various backgrounds, including DO and IMG candidates, thereby supporting diversity within the medical community.

The residency offers a comprehensive array of benefits, including health insurance, professional development funding, meal stipends during on-call shifts, and paid time off.

In sum, Altru Family Medicine Residency stands out for its commitment to excellence in family medicine education, resident support, and community engagement, making it an ideal choice for those pursuing a career in comprehensive, patient-centered healthcare.

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Program data

ACGME History [3]

Accreditation Last updated: Jul 16, 2026
Initial accreditation0
Full accreditation0
Continued27
Warning0
Probationary Accreditation0
Withdrawal0

Program

Program Size

8, 8, 8 (3 years) [1]

Accreditation Status

Continued Accreditation

(Effective: January 28, 2026)

Composition [2]

MD · 42%
DO · 8%
U.S. IMG · 4%
Non-U.S. IMG · 46%

Training

Fellowship Rate:17% [2]

Faculty-to-Residents Ratio:0.5X [1]

Residents Career Path [2]

Full-time Practice · 67%
Fellowship · 17%
Other · 17%

Quality of Life

First Year Paid Sick Leave: No Limit [1]

First Year Paid Vacation: 20 days [1]

First Year Salary: $65,761 [1]

First Year Maximum Consecutive Hours on Duty: 24 hours [1]

First Year Average Weekly Hours: 45 hours [1]

Admission

USMLE Step 2 Score: 219–256 [2]

Visa Sponsorship:J1 [2]

YOG Cutoff:5 [1]

Race / Ethnicity

Gender

Incoming Schools

25%

University of North Dakota School of Medicine and Health Sciences

13%

University College Cork School of Medicine

8%

Trinity School of Medicine

4%

More than 1 school has this rank*

* Multiple schools share the same admissions rate.

Rotation Duration by Site

Benchmarks

Match & stats

2026 Residency Applicant & Interview Insights

Signals

Number of Applicants
Number of Applicants Interviewed

Hometown State

Number of Applicants
Number of Applicants Interviewed

Medical School State

Number of Applicants
Number of Applicants Interviewed

Step 1 Fail

Number of Applicants
Number of Applicants Interviewed

Step 2 Fail

Number of Applicants
Number of Applicants Interviewed

Applicant Type

Number of Applicants
Number of Applicants Interviewed

Note: The AIR (Applicant Interview Rate) is calculated as the percentage of applicants in each category who were offered interviews. A higher AIR suggests stronger alignment with program preferences, indicating a greater likelihood of the program favoring applicants in this category.

USMLE STEP 2 CK Score [2]

COMLEX Level 2 Score [2]

Match History [4]

Track ID:  1100120C0
2020
8 of 8
2021
6 of 8
2022
8 of 8
2023
8 of 8
2024
6 of 8
2025
8 of 8
2026
8 of 8
Filled Position
Unfilled Position

Roster

Publications

1 Publication (5 yr)

Peer-reviewed output from faculty and residents, last 5 years

Medical sciences (Basel, Switzerland)2025

Prospects of AI-Powered Bowel Sound Analytics for Diagnosis, Characterization, and Treatment Management of Inflammatory Bowel Disease.

Divyanshi Sood,1Zenab Muhammad Riaz,2Jahnavi Mikkilineni,3Narendra Nath Ravi,4

Location

Grand Forks, ND [5]

Population
73,170
Median income
$72,536Below
Education
34.9%Above
Employment
67.3%Below
Health
2.4%Above
Age
30On par
  • Above the national average
  • Below the national average
  • Similar to the national average

Housing — Rental prices [6]

Rental prices

Crime — All violent offences [7]

Rate per 100,000 residents

Living in Grand Forks, ND

Climate

Grand Forks experiences all four seasons, with cold winters and warm summers. Snow is common during winter months.

Population

Grand Forks has a population of around 57,000 people, with a mix of college students and local residents.

Crime Rate and Safety

The city has a relatively low crime rate, making it a safe place to live.

Education

Grand Forks is home to the University of North Dakota, offering educational opportunities and a vibrant student community.

Cost of Living

The cost of living in Grand Forks is lower than the national average, making it an affordable place to reside.

Fun Activities

Residents can enjoy outdoor activities such as hiking, fishing, and boating. The city also has parks, museums, and cultural events.

Nearby Cities

Fargo, the largest city in North Dakota, is about an hour's drive away from Grand Forks. Fargo offers more dining, shopping, and entertainment options.

Pros

  • Low cost of living
  • safety
  • access to outdoor activities
  • and a strong sense of community.

Cons

  • Harsh winters with heavy snowfall
  • limited nightlife options
  • and a smaller city feel.

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References

1. Freida - https://freida.ama-assn.org/program/1203731229

2. Residency Explorer - https://www.residencyexplorer.org/Program/GetByIdWithMedicalSpecialty/9af02095-4475-3285-d83f-6684ec235c7a

3. ACGME - Accreditation Data System (ADS) - https://apps.acgme.org/ads/Public/Programs/Search

4. NRMP Results and Data: 2022-2026 Main Residency Match - https://www.nrmp.org/match-data/2026/03/program-results-2022-2026/

5. United States Census Bureau - https://data.census.gov/profile/City,_VS?g=050XX00US38035

6. Zillow Research - Observed Rent Index (ZORI) - https://www.zillow.com/research/data/

7. FBI - Crime/Law Enforcement Stats (Uniform Crime Reporting Program) - https://www.fbi.gov/services/cjis/ucr