University of North Dakota School of Medicine and Health Sciences (Hettinger) Program

The University of North Dakota School of Medicine and Health Sciences offers the Bismarck-Hettinger Rural Track Program in Family Medicine, which is designed to provide a comprehensive training experience focused on the unique challenges of rural practice. This program is notable for its ACGME accreditation and its emphasis on hands-on patient care, bolstered by the dedication of faculty highly invested in teaching the next generation of physicians. According to the program overview, the teaching ratio is impressive, with four attendings available for every resident, ensuring an exceptional learning environment where personalized mentorship is a key feature 1.

The first year of residency is conducted in Bismarck, North Dakota, providing a strong foundation through a well-structured curriculum that includes essential rotations and clinics. One highlight is the opportunity for residents to engage in emergency care one night each week, allowing them to follow patients through various stages of care, from discharge to outpatient follow-up, thereby embodying the comprehensive role of a family medicine physician 1.

Curriculum Structure

The curriculum of the Family Medicine Residency comprises multiple components including rotations, lectures, and outpatient clinics. The first year features rotations in inpatient family medicine, obstetrics, emergency medicine, outpatient pediatrics, and other crucial areas 5. The program spans three years, with an annual intake of five first-year residents, and aims to ensure that all graduates are well-prepared for board examinations and competent clinical practice 9.

Training Rotations

In the first year, required rotations include inpatient family medicine, women's health, and emergency medicine, alongside various electives. The second year expands to include dermatology, sports medicine, and more, while the third year focuses on specialties like geriatrics, cardiology, neurology, and additional electives, fostering a well-rounded education in family medicine 5. Rural track curricula coursework often involves exposure to emergency situations and comprehensive care in a rural health context, making it ideal for those interested in underserved areas 10.

Research and Unique Aspects

One of the unique aspects of the program is its commitment to rural health. The curricula are specifically tailored to train residents who can cater to the medical needs of rural populations. This includes integrating specific training on rural medical practice within the standard rotations. The program is known for its supportive community environment, which is appreciated by residents who value strong interpersonal relationships and access to faculty guidance 8.

Application Requirements

Application to the program is competitive, and specific requirements must be met, including successful completion of USMLE Step 1 and Step 2, with no more than one failure for each exam. For those not currently enrolled in medical school, if an applicant has been out of medical school for over five years or has scores below 210, they must complete an observership prior to being considered for an interview 2.

This program is considered friendly towards DOs and IMGs, encouraging diverse applicants from various backgrounds to apply. Additionally, J-1 visas are accepted, providing support for international medical graduates 2.

Community and Facilities

The program is located in Bismarck, North Dakota, a city known for its engaged community and medical facilities. The Bismarck Center for Family Medicine is strategically situated to facilitate easy access to two sponsoring hospitals: CHI St. Alexius Medical Center and Sanford Health, providing a robust clinical environment for training 6. The facilities themselves are well-equipped, featuring exam and procedure rooms, labs, and a support staff dedicated to resident success 7.

Competitiveness and Graduate Outcomes

The UND program has a strong track record of retaining graduates in North Dakota, particularly in rural settings, highlighting its effectiveness in producing competent family practitioners who meet the need for healthcare in underserved areas. Approximately 60% of graduates remain within the state, emphasizing the program’s commitment to improving local healthcare outcomes 4.

In summary, the Bismarck-Hettinger Rural Track Family Medicine program is designed to merge comprehensive family medicine training with a specific focus on rural practice, supported by highly qualified faculty and a nurturing community environment. It stands as an ideal choice for medical graduates interested in making a meaningful impact in underserved populations.