Montana Family Medicine Residency Program

Specialty:Family medicine
ACGME Code:1202921590
NRMP Code:1216120C0
Status:Continued Accreditation

Overview

Montana Family Medicine Residency Program (MFMR), based in Billings, is a premier training ground for family medicine practitioners, uniquely positioned in Montana's largest city. Established nearly 30 years ago, MFMR has been a key player in shaping healthcare in the state. The program's affiliation with major medical systems, including RiverStone Health, Billings Clinic, and St. Vincent Hospital, ensures residents gain a comprehensive education in family medicine while also serving the community's diverse needs.

The residency is structured to provide broad exposure to full-spectrum family medicine. It benefits from a state-of-the-art Continuity Clinic located at the RiverStone Health Clinic, a Federally Qualified Health Center that offers comprehensive outpatient care. This allows residents to practice in a setting that closely mirrors the challenges they will face in their careers, including managing complex medical conditions and addressing the needs of underserved populations.

Location and Community

Billings itself is a family-friendly city with a vibrant culture and numerous outdoor recreational activities, including hiking in the Beartooth Mountains and skiing at nearby Red Lodge. The program's commitment to community involvement allows residents to participate in various outreach activities and engage with the local population, which includes Native American communities.

Curriculum and Training

MFMR offers a dynamic curriculum tailored to the needs and interests of the residents. The training includes rotations in various fields relevant to family medicine, allowing residents to gain expertise in areas such as pediatrics, obstetrics, geriatrics, and chronic disease management. The curriculum emphasizes experiential learning through a mix of hands-on patient care and didactic education, fostering a comprehensive understanding of family medicine in a rural setting.

Residents are also given opportunities to participate in specialized fellowship tracks, such as Wilderness Medicine, Public Health and Advocacy, and Obstetrics. These tracks provide additional training in niche areas, catering to the interests and career aspirations of residents. The Wilderness Medicine Fellowship, for instance, includes outdoor trips and didactics focused on medical care in challenging environments.

Research and Scholarly Activity

The residency emphasizes research and scholarly pursuits. Residents are encouraged to participate in quality improvement projects, present at conferences, and contribute to the broader medical community through scholarly activities. This commitment not only enhances their learning but also prepares them for leadership roles in healthcare.

Application and Selection

MFMR seeks candidates who are dedicated to serving underserved populations and who demonstrate a commitment to full-spectrum family medicine. The application process requires applicants to submit essential documents through ERAS, including a personal statement, letters of reference—ideally including one from a family physician—and medical school transcripts. International medical graduates must provide ECFMG certification. Importantly, the program does not accept visa sponsorship, and candidates should hold a valid visa to be eligible to apply.

Competitiveness

The program is known to be competitive, attracting a diverse pool of candidates, including both U.S. graduates and international medical graduates (IMGs). It values applicants who show an interest in rural medicine and community health outcomes. The supportive environment of MFMR, along with its strong emphasis on wellness and resident support, enhances the overall experience for its trainees.

Faculty and Mentorship

Residents receive guidance from a team of highly experienced faculty members affiliated with the University of Washington School of Medicine. The mentorship philosophy underscores building lasting relationships, fostering professional growth, and creating a nurturing atmosphere conducive to learning. Faculty members engage actively in residency training, providing both academic and emotional support throughout the residency journey.

Community Engagement and Wellness

MFMR emphasizes the importance of resident wellness, integrating wellness initiatives into the program. This includes social events, wellness resources, and support systems, recognizing the challenging nature of residency training. Moreover, the program encourages residents to be involved in community service, which not only benefits the residents but also contributes positively to the healthcare landscape of Montana.

Visa Support

The program does not provide visa sponsorship, thus applicants who are not U.S. citizens or permanent residents need to possess a valid visa to apply. The program's structure requires that all applicants understand this stipulation as part of their application procedure.

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Program data

ACGME History [3]

Accreditation Last updated: Jul 16, 2026
Initial accreditation4
Full accreditation5
Continued28
Warning0
Probationary Accreditation0
Withdrawal0

Program

Program Size

10, 10, 10 (3 years) [1]

Accreditation Status

Continued Accreditation

(Effective: January 28, 2026)

Composition [2]

MD · 22%
DO · 56%
U.S. IMG · 15%
Non-U.S. IMG · 7%

Training

Fellowship Rate:4% [2]

Faculty-to-Residents Ratio:0.6X [1]

Residents Career Path [2]

Full-time Practice · 73%
Academic · 12%
Fellowship · 4%
Other · 12%

Quality of Life

First Year Paid Sick Leave: 12 days [1]

First Year Paid Vacation: 20 days [1]

First Year Salary: $65,693 [1]

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

First Year Average Weekly Hours: 57 hours [1]

Admission

USMLE Step 2 Score: 225–261 [2]

Visa Sponsorship:-- [2]

YOG Cutoff:5 [1]

Race / Ethnicity

Gender

Incoming Schools

15%

Rocky Vista University College of Osteopathic Medicine

7%

Midwestern University Arizona College of Osteopathic Medicine

7%

Saint James School of Medicine Anguilla

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:  1216120C0
2020
4 of 10
2021
8 of 8
2022
4 of 10
2023
8 of 10
2024
9 of 9
2025
2 of 9
2026
2 of 9
Filled Position
Unfilled Position

Roster

Location

Billings, MT [5]

Population
117,116
Median income
$77,719On par
Education
36.2%Above
Employment
60.6%Below
Health
7.9%Above
Age
38On 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 Billings, MT

Billings, MT is the largest city in Montana, offering a mix of outdoor activities and urban amenities. Here's a breakdown of living in Billings:

Crime Rate and Safety

Billings has a lower crime rate compared to national averages, making it a relatively safe place to live.

Fun Activities

Residents can enjoy outdoor activities like hiking, fishing, and skiing. The city also has cultural attractions, restaurants, and shopping centers.

Climate

Billings has a semi-arid climate with hot summers and cold winters. Be prepared for both extremes.

Races and Population

The population of Billings is diverse, with a mix of White, Native American, and Hispanic residents among others.

Education

Billings is home to Montana State University-Billings and Rocky Mountain College, providing educational opportunities.

Cost of Living

The cost of living in Billings is slightly above the national average, but housing costs are relatively affordable compared to bigger cities.

Nearby Cities

Larger cities like Bozeman, MT and Cody, WY are around 2 to 3 hours away from Billings by car. Bozeman is known for Montana State University and outdoor recreation, while Cody offers proximity to Yellowstone National Park.

Pros

  • Outdoor recreational opportunities
  • lower crime rate
  • educational options.

Cons

  • Extreme temperature variations
  • slightly higher cost of living.

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References

1. Freida - https://freida.ama-assn.org/program/1202921590

2. Residency Explorer - https://www.residencyexplorer.org/Program/GetByIdWithMedicalSpecialty/b783d8d6-5b24-65a3-ec4c-2fb151c2ca65

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=010XX00US

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