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Academic years are scheduled into 13 block rotations, each 28 days in length. Over the three years of residency training, residents are guaranteed a minimum of six blocks of elective time along with the required training rotations listed below. 

First Year

First year of residency has no elective rotations and provides a broad base of training upon which to build a future practice. In-house call is approximately one in four. First year residents maintain a continuity outpatient clinic of 1-2 half days per week. 

  • Orientation – 4 weeks
  • Obstetrics – 8 weeks
  • Inpatient Teaching Service – 12 weeks
  • Pediatrics (Inpatient and Outpatient) – 8 weeks
  • Behavioral Science – 2 weeks
  • Surgery – 4 weeks
  • Emergency Medicine – 4 weeks
  • Orthopedics/MSK – 4 weeks
  • Ear, Nose, Throat – 2 weeks
  • Pharmacology – 2 weeks
  • Radiology – 2 weeks 

Second Year 

Second year of residency continues to develop experience and provides opportunities for electives. Second year residents maintain a continuity outpatient clinic of 3-4 half days per week. 

  • Inpatient Teaching Service – 16 weeks
  • Obstetrics – 8 weeks
  • Emergency Medicine – 4 weeks
  • Nursing Home – 2 weeks
  • Pharmacology – 2 weeks
  • Inpatient Pediatrics – 4 weeks
  • Ultrasound – 2 weeks
  • NICU – 2 weeks
  • Selective/Electives – 12 weeks 

Third Year 

Third year of residency includes ample time for electives. Each resident acts as chief resident for six to eight weeks. Third year residents maintain a continuity outpatient clinic of 4-5 half days per week. 

  • Chief Resident – 6 or 8 weeks 
  • Dermatology – 4 weeks 
  • Neurology – 2 weeks 
  • Community Health/Home Visits – 6 or 8 weeks 
  • Devils Lake (Rural Rotation) – 4 weeks 
  • Obstetrics – 4 weeks 
  • Pharmacology – 2 weeks 
  • Critical Care – 4 weeks 
  • Cardiology – 4 weeks 
  • Nursing Home – 2 weeks 
  • Orthopedics/MSK – 2 weeks 
  • Selectives/Electives – 12 weeks 

Selectives and Electives 


Residents will select six blocks of elective rotations during their residency training. Three of the electives must be chosen from the list of selectives found below. The other three electives can be chosen from the selective list or can be any other specialty or experience of the resident’s choice. The program encourages and works with residents to set up external​rotations at an off-site location of the resident’s choice. 

Selectives include: Ophthalmology, Urology, GI, Endocrinology, Nephrology, Hematology/Oncology, Infectious Disease and Neurology 

Additional electives include, but are not limited to: Procedures, Sports Medicine, Palliative Care, Anesthesiology 

Click Here to View a Rotation Schedule Example


Residents build and maintain a continuity of patients at one central clinic location in Grand Forks, approximately one mile north of Altru Hospital. Each resident has their own workspace, including desk, computer and phone, at the clinic. All faculty members, including behavioral health and pharmacist, have offices at the clinic and are available to precept while residents are in clinic. 

At the beginning of residency, resident’s patients are scheduled in 60-minute intervals, decreasing to 40-minutes after six months of training. Second-year decreases to 30-minute appointment intervals and third-year residents to 20-minute appointment intervals. 


Conferences are held at noon four days of the week to provide didactic learning experiences in the broad range of family practice. Lectures are presented by faculty, community physicians, residents, and other experts in their field. Lunch is catered at all noon conferences. 

Topics include, but are not limited to: 

  • Emergency Medicine 
  • Orthopedics
  • Perinatal
  • Journal Club
  • Gynecology
  • Ethics
  • Sports Medicine
  • Psychiatry/Wellness
  • Ultrasound
  • Root-Cause Analysis and Apparent Cause Analysis
  • Pharmacology
  • Safety Forum
  • Practice Management
  • Pediatrics 

Resident Education 

The afternoon of the fourth Tuesday of each month is devoted to resident education, providing an opportunity to devote more time to in-depth study of various topics and procedures. Often this includes workshops covering casting and splinting, colposcopy, or methods of musculoskeletal assessment.


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