Nov 14, 1999
Gundersen Lutheran Medical Foundation Program
Overview
The Gundersen Lutheran Medical Foundation Program in Transitional Year is designed to provide residents with a broad clinical foundation that is essential for pursuing subspecialty training. The program offers a comprehensive experience tailored to meet individual career goals through hands-on training, starting from the first day.
Residents will practice alongside experienced teaching doctors, gaining exposure to both inpatient and outpatient care while handling routine and complex cases in a multi-specialty setting. The program includes eight required rotations, complemented by five elective specialty rotations, allowing residents to enhance their training in various medical fields such as dermatology, cardiology, and more. Residents report to a designated staff doctor for each teaching service, fostering a nurturing educational environment that prioritizes the quality of patient care and medical education 1.
Program Structure and Curriculum
The Transitional Year Residency is structured to ensure a robust clinical education that includes diverse clinical opportunities and customizable experiences aligned with each resident's interests. The curriculum features the following required rotations:
- General Medicine Ward (3 rotations)
- General Surgery
- Trauma & Emergency Center
- Pulmonary/Intensive Care Unit
- Cardiology/Critical Care Unit
- Ambulatory (select one): Urgent Care, Family Medicine, Pediatrics, or Surgery
In addition to the required rotations, residents can choose from a wide array of elective rotations that cover key specialties. This array includes Allergy, Anesthesia, Cardiology, Dermatology, Gastroenterology, Neurology, Sports Medicine, and many others, providing ample opportunity for residents to focus on their areas of interest 3.
Research and Scholarly Activity
The program emphasizes the importance of research throughout residency, encouraging residents to engage in scholarly activities. This usually involves undertaking a research project, quality improvement initiatives, or other academic work. Each resident is supported by physician mentors and is provided access to a comprehensive research support team, including biostatisticians and media specialists, ensuring that they are well-equipped to undertake research endeavors 1.
Resident Life and Wellness
Resident life at Gundersen emphasizes not only professional but also personal growth and well-being. The program is committed to support work-life balance through various initiatives:
- Providing affordable housing situated conveniently close to the medical center.
- Creating time for personal wellness and promoting team-building activities among residents.
- Encouraging residents to partake in volunteer activities and community outreach to foster both individual and community resilience.
This focus on holistic development is aimed at ensuring that residents maintain their compassion for patients throughout their residency 2.
Visa Support
The program is international medical graduate (IMG) friendly and provides visa support for candidates. It is capable of sponsoring J-1 visas, which are typically issued for educational and training purposes. This makes the program accessible for qualified IMG applicants who meet the necessary criteria 1.
Application Process and Requirements
To apply for the Gundersen Transitional Year Residency, applicants need to submit their application through the Electronic Residency Application Service (ERAS) by November 1. Eligibility for the program includes graduation from medical school within the last two years, maintaining good academic standing, and possessing acceptable United States Medical Licensing Examination (USMLE) scores. Additional application requirements may be found through the American Medical Association residency and fellowship database 2.
The program is highly competitive, with a strong emphasis on matching candidates who exhibit a commitment to excellent patient care and a collaborative spirit. While the program values diversity, medical graduates from U.S. institutions, as well as osteopathic and international medical graduates, are encouraged to apply.
Training Sites
Gundersen Health System encompasses an integrated network of medical facilities across three states with over 65 clinics and six critical access hospitals. This structure ensures that residents gain a comprehensive understanding of healthcare delivery in both urban and rural settings, enhancing their medical training and preparing them for future careers in their chosen specialties 1.
Faculty and Mentorship
The faculty at Gundersen comprises highly experienced clinicians who are dedicated to fostering the next generation of physicians. Staff members are supportive mentors and actively facilitate tailored educational experiences based on residents' feedback and career aspirations. This unique teaching atmosphere enhances learning and development throughout the transitional year 4.
Alumni Success
Since its inception in 1951, the program has produced over 500 graduates who have gone on to prestigious residencies across the nation. Alumni have advanced to specialties at leading healthcare institutions, demonstrating the program's effectiveness in training competent and compassionate healthcare providers 5.
Web sources
SmartPick
Program data
ACGME History [3]
Program
Program Size
12, 0, 0 (1 years) [1]
Accreditation Status
Continued Accreditation
(Effective: December 4, 2025)
Composition [2]
Training
Fellowship Rate:100% [2]
Faculty-to-Residents Ratio:21.2X [1]
Residents Career Path [2]
Quality of Life
First Year Paid Sick Leave: 30 days [1]
First Year Paid Vacation: 15 days [1]
First Year Salary: $68,675 [1]
First Year Maximum Consecutive Hours on Duty: 24 hours [1]
First Year Average Weekly Hours: 60 hours [1]
Admission
USMLE Step 2 Score: 240–275 [2]
Visa Sponsorship:H1B, J1, F1 [2]
YOG Cutoff:2 [1]
Race / Ethnicity
Gender
Incoming Schools
58%
University of Minnesota Medical School
17%
Medical College of Wisconsin
8%
Creighton University School of Medicine
8%
University of North Dakota School of Medicine and Health Sciences
* Multiple schools share the same admissions rate.
Rotation Duration by Site
Benchmarks
Match & stats
2026 Residency Applicant & Interview Insights
Signals
Hometown State
Medical School State
Step 1 Fail
Step 2 Fail
Applicant Type
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]
No data available for COMLEX
Level 2 Score
Match History [4]
Roster
Location
La Crosse, WI [5]
- 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 La Crosse, WI
Crime Rate and Safety
La Crosse has a moderate crime rate compared to other cities in Wisconsin. The city is generally safe, but like any urban area, it's important to stay aware of your surroundings.
Fun Activities
La Crosse offers a variety of recreational opportunities, including hiking, biking, and water sports on the Mississippi River. The city also has a vibrant arts scene, with galleries, theaters, and music venues.
Climate
La Crosse experiences all four seasons. Summers are warm and humid, while winters can be cold with significant snowfall. Spring and fall bring milder temperatures and beautiful foliage.
Races and Population
La Crosse has a diverse population, with a majority of residents identifying as White. The city also has significant populations of Hispanic, African American, and Asian residents.
Education
La Crosse is home to several universities and colleges, including the University of Wisconsin-La Crosse. The city has a strong educational system and numerous opportunities for lifelong learning.
Cost of Living
The cost of living in La Crosse is lower than the national average, making it an affordable place to live. Housing costs, utilities, and groceries are all reasonably priced.
Proximity to Bigger Cities
La Crosse is about 2.5 hours away from Minneapolis, Minnesota, and 3.5 hours from Madison, Wisconsin. Both cities offer additional cultural, dining, and entertainment options for residents.
Pros
- Affordable cost of living
- outdoor recreational opportunities
- diverse population.
Cons
- Winter weather can be harsh
- limited public transportation options.
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References
1. Freida - https://freida.ama-assn.org/program/9995600147
2. Residency Explorer - https://www.residencyexplorer.org/Program/GetByIdWithMedicalSpecialty/4acea978-1e90-7a00-2305-2244e8c324ef
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=050XX00US55063
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