Sep 12, 1994
Rapid City Hospital Program
Overview
The Rapid City Hospital Family Medicine Residency Program offers a comprehensive and extensive training experience aimed at producing well-rounded family physicians. The program emphasizes providing longitudinal medical care to patients both in the outpatient clinic and the inpatient hospital setting. It is affiliated with the Sanford School of Medicine at the University of South Dakota and is designed to cultivate physicians capable of delivering high-quality primary care in rural environments.
Residents in the program benefit from a rich obstetric experience, performing over 100 deliveries during their training. The Family Medicine Residency Clinic is equipped with modern facilities, including 23 examination rooms, 2 osteopathic manipulation rooms, and 2 dedicated procedure rooms. This state-of-the-art environment enables residents to practice high-quality medicine while balancing the rigors of training with an enjoyable lifestyle in the picturesque landscapes of the Black Hills, known for its outdoor recreational activities.
Curriculum
The curriculum is structured to fully comply with the Accreditation Council for Graduate Medical Education (ACGME) standards. Training is divided into three main years, with each year consisting of specific blocks dedicated to different medical specialties. For instance, first-year residents engage in rotations in Family/Adult Medicine, Obstetrics, Orthopedics, Pediatrics, Psychiatry, and Surgery, alongside longitudinal experiences in critical care and quality improvement.
Second-year rotations include Cardiology, Emergency Medicine, Gynecology, and required rural rotations in South Dakota. By the third year, residents delve deeper into their specialties with rotations in Dermatology, Geriatrics, and further electives within Family Medicine. Notably, the program also includes mandatory out-of-town rotations, ensuring that residents gain diverse clinical experiences.1
Research Opportunities
The rapid City Hospital Family Medicine Residency encourages residents to engage in clinical research. Faculty members run several ongoing projects that residents can contribute to, providing opportunities for hands-on research experience. Participation in research allows residents to deepen their understanding of family medicine and prepare submissions for publication, further enhancing their academic profiles.
Training Environment and Support
The program fosters a supportive atmosphere where residents can focus not only on their professional development but also on their well-being. There is an emphasis on work/life balance and resilience among residents. They have access to wellness activities, personal time for appointments, and a 24-hour employee assistance program. This type of support is crucial in helping residents thrive both personally and professionally.1
Salary and Benefits
For the 2024-2025 academic year, the salary structure is as follows: PGY 1 residents earn $73,000, PGY 2 residents earn $74,500, and PGY 3 residents earn $76,500. The program covers health and dental insurance premiums, with approximately $9,893 allocated annually for this purpose. Additional benefits include 32 days of paid leave, meal allowances, and reimbursement for board certification examinations.1
Application Process
The application process for the program is competitive, requiring submission through the Electronic Residency Application Service (ERAS). Applicants must include medical school transcripts, USMLE or COMLEX transcripts, a Dean's letter, two letters of recommendation from practicing physicians, and a personal statement. Notably, the program accepts international graduates; however, it only sponsors J-1 visas, which candidates must manage independently regarding any visa issues.1
Competitiveness
The program is known to be highly competitive, welcoming applicants from DO and IMG backgrounds. To be eligible, candidates must have completed at least one year of formal training in the US at an LCME or AOA accredited medical school or residency. Additionally, applicants must meet licensure requirements in South Dakota, which stipulate a maximum of three attempts for USMLE or COMLEX exams and a requirement to secure a South Dakota resident license before beginning residency training.
Living in Rapid City
Living in Rapid City offers a variety of cultural and outdoor activities, making it a desirable location for residents. The thriving downtown area features shopping, restaurants, and museums while the surrounding Black Hills provide ample opportunities for outdoor adventures such as hiking, fishing, and camping. This combination of urban amenities and natural beauty contributes to a fulfilling living experience for residents in the program.
Web sources
SmartPick
Program data
ACGME History [3]
Program
Program Size
8, 8, 8 (3 years) [1]
Accreditation Status
Continued Accreditation
(Effective: January 28, 2026)
Composition [2]
Training
Fellowship Rate:33% [2]
Faculty-to-Residents Ratio:0.4X [1]
Residents Career Path [2]
Quality of Life
First Year Paid Sick Leave: No Limit [1]
First Year Paid Vacation: 23 days [1]
First Year Salary: $76,700 [1]
First Year Maximum Consecutive Hours on Duty: 16 hours [1]
First Year Average Weekly Hours: 65 hours [1]
Admission
USMLE Step 2 Score: 221–256 [2]
Visa Sponsorship:-- [2]
YOG Cutoff:2 [1]
Race / Ethnicity
Gender
Incoming Schools
9%
University of Nebraska College of Medicine
9%
University of South Dakota, Sanford School of Medicine
9%
Lake Erie College of Osteopathic Medicine-Erie
9%
Idaho College of Osteopathic Medicine
* 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]
Match History [4]
Roster
Location
Rapid City, SD [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 Rapid City, SD
Rapid City, SD is a medium-sized city in the heart of the Black Hills region. Here is a breakdown of what living in Rapid City looks like:
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References
1. Freida - https://freida.ama-assn.org/program/1204621547
2. Residency Explorer - https://www.residencyexplorer.org/Program/GetByIdWithMedicalSpecialty/261de2ca-e8c8-e687-0389-f509a5d5e990
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=060XX00US4610352980
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