University of South Dakota School of Medicine Program

Specialty:Surgery
ACGME Code:4404600001
NRMP Code:2805440C0
Status:Continued Accreditation

Overview

The General Surgery program at the University of South Dakota School of Medicine is meticulously designed to train residents in becoming proficient general surgeons, particularly aimed at serving rural communities. The program equips its graduates with a comprehensive skill set, preparing them to provide high-quality surgical care anywhere.

Mission

The mission of the program is to develop rural surgeons proficient in delivering excellent surgical care to diverse patient populations.

Program Curriculum

The residency curriculum is structured across five years of training, allowing residents to gain extensive hands-on experience in various surgical domains. Each year is characterized by defined rotations:

  • PGY-1: Includes rotations in Acute Care Surgery, General Surgery II, Night Float, with additional exposure to Anesthesia and Radiology.
  • PGY-2: Incorporates surgical ICU, Plastic Surgery, and Vascular or Pediatric Surgery.
  • PGY-3: Focuses on more advanced surgical procedures including Pediatric Surgery and Surgical ICU.
  • PGY-4: Offers significant responsibility with advanced rotations in Acute Care Surgery and Trauma.
  • PGY-5: Residents act as chief surgeons, undertaking leadership roles in patient management and surgical operations.

This structure ensures residents acquire the necessary competencies through varied training experiences across different surgical fields and settings 1.

Training Sites

Training primarily occurs at the Sanford USD Medical Center's Surgical Tower. Additionally, residents have opportunities to work in various community-based settings, including:

  • Sioux Falls VA Medical Center, catering to veterans in the region.
  • Yankton Medical Clinic/Avera Sacred Heart, providing an immersive experience in rural healthcare.

This diverse training environment enables residents to adapt and thrive in various clinical settings 12.

Resident Life and Community

Life in Sioux Falls contributes positively to the residency experience, with a vibrant community offering a low cost of living, safety, and multiple recreational opportunities. Residents enjoy a schedule that allows for personal time and engagement with the local community, enhancing their overall well-being.

Residents benefit from well-structured call schedules and have access to dedicated spaces that include a large office area, lounge, and simulation labs—all fostering a collegial atmosphere and opportunities for socializing and professional development.

The program emphasizes resident autonomy and involvement in patient care early in training, promoting engagement across interdisciplinary teams that enrich the educational experience 6.

Competitiveness

The program is competitive but supportive, welcoming applicants from various backgrounds, including osteopathic and international medical graduates. Candidates are evaluated based on a holistic review of their applications, which include mandatory components such as a Dean's letter, medical school transcript, and three letters of recommendation 4.

Visa Support

The program supports international residents by sponsoring visas suitable for training purposes. Typical visa types supported include the J-1 visa and H-1B visa, which facilitate residency training for international medical graduates.

Application Requirements

To apply for the General Surgery residency, candidates must use the ERAS system for submission, along with a complete application packet including integral documents like a personal statement and USMLE transcripts. While specific requirements may evolve, certain criteria are pivotal, such as a notable academic history and impactful recommendations from established professionals 3.

Faculty and Education Quality

The core faculty comprises experienced surgeons and educators, focused on cultivating a supportive learning environment. Their diverse training backgrounds foster a rich educational atmosphere, essential for developing competent surgical leaders 10.

Research Opportunities

Residents are encouraged to engage in research activities pertinent to surgery, enhancing both learning and contributions to the wider medical community. These opportunities not only strengthen residents' CVs but also advance the program’s mission to impact surgical care positively.

Web sources

SmartPick

Program data

ACGME History [3]

Accreditation Last updated: Jul 16, 2026
Initial accreditation3
Full accreditation0
Continued12
Warning0
Probationary Accreditation0
Withdrawal0

Program

Program Size

4, 4, 4, 4, 4 (5 years) [1]

Accreditation Status

Continued Accreditation

(Effective: January 15, 2026)

Composition [2]

MD · 74%
DO · 11%
Non-U.S. IMG · 16%

Training

Fellowship Rate:56% [2]

Faculty-to-Residents Ratio:0.4X [1]

Residents Career Path [2]

Full-time Practice · 33%
Fellowship · 56%
Other · 11%

Quality of Life

First Year Paid Sick Leave: 10 days [1]

First Year Paid Vacation: 15 days [1]

First Year Salary: $66,000 [1]

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

First Year Average Weekly Hours: 75 hours [1]

Admission

USMLE Step 2 Score: 239–269 [2]

Visa Sponsorship:-- [2]

YOG Cutoff:2 [1]

Race / Ethnicity

Gender

Incoming Schools

26%

University of South Dakota, Sanford School of Medicine

11%

Chicago Medical School at Rosalind Franklin University of Medicine & Science

5%

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]

No data available for COMLEX Level 2 Score

No data available for COMLEX
Level 2 Score

Match History [4]

Track ID:  2805440C0
2020
4 of 4
2021
3 of 3
2022
4 of 4
2023
4 of 4
2024
4 of 4
2025
4 of 4
2026
4 of 4
Filled Position
Unfilled Position

Roster

Publications

11 Publications (5 yr)

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

Journal of surgical education2026

Thanks for the Signal-Now What? Program Director Perspectives on How Preference Signals Are Shaping General Surgery Residency Recruitment.

John M Woodward,1Connie Y Gan,2Darci C Foote,3Tasha Posid,4

Location

Sioux Falls, SD [5]

Population
192,517
Median income
$77,719Above
Education
36.2%Above
Employment
60.6%Below
Health
7.9%Above
Age
36On 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 Sioux Falls, SD

Crime Rate and Safety

Sioux Falls has a relatively low crime rate compared to other cities in the U.S., making it a safe place to live.

Fun Activities

Sioux Falls offers a variety of outdoor recreational activities, including parks, hiking trails, and water activities on the Big Sioux River. The city also has cultural attractions like museums and theaters.

Climate

Sioux Falls experiences all four seasons, with cold winters and warm summers. Be prepared for snow in the winter months.

Races and Population

Sioux Falls has a diverse population with a mix of races and ethnicities, creating a welcoming and inclusive community.

Education

The city has good public and private schools, as well as higher education institutions like the University of Sioux Falls and Augustana University.

Cost of Living

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

Neaby Cities

Sioux Falls is the largest city in South Dakota. The nearest bigger cities are Minneapolis, MN, and Omaha, NE, which are both approximately a 3-hour drive away. Minneapolis offers a vibrant urban experience with cultural attractions, while Omaha is known for its zoo and museums.

Pros

  • Low crime rate
  • affordable cost of living
  • diverse population
  • and plenty of recreational activities.

Cons

  • Cold winters and distance from larger cities for more diverse entertainment options.

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Nearby programs

Surgery Programs Near Sioux Falls, SD

References

1. Freida - https://freida.ama-assn.org/program/4404600001

2. Residency Explorer - https://www.residencyexplorer.org/Program/GetByIdWithMedicalSpecialty/4857f596-917d-20b0-26ee-196bdf60a01c

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