Services Monument Health Rapid City Hospital Family Medicine Residency Program

Monument Health Rapid City Hospital Family Medicine Residency Program

Doctors in our Family Medicine Residency (FMR) program work with accomplished physicians to provide comprehensive, longitudinal medical care to patients at our FMR Clinic in Rapid City and at Rapid City Hospital. The program is affiliated with the Sanford School of Medicine at the University of South Dakota and was originally created to develop physicians who can provide broad-based, high-quality, primary care in a rural setting.

Residents receive extensive post-graduate level education in the medical and surgical disciplines, including the practice of obstetrics, with most residents delivering more than 100 babies during their training. The FMR Clinic is a 24,000-square-foot healing environment with 16 exam rooms, a dedicated procedure room, and on-site laboratory and radiology services.

Our residents love practicing in the Black Hills, a mecca for outdoor recreation and beautiful scenery. The opportunities to experience nature and be active allow our providers to enjoy a wonderful work/life balance.

A message from the Program Director

Program Director

Greetings from the beautiful Black Hills of South Dakota! Thank you for your interest in the Rapid City Hospital Family Medicine Residency. Family Medicine is an incredibly challenging and rewarding career, allowing the physician to partner with patients and communities to overcome health challenges and promote overall well-being. Since our program’s inception in 1995, we have been committed to training our resident physicians to provide full spectrum, comprehensive medical care in all settings with a special focus on rural communities.

Our program boasts a robust obstetric experience, a busy inpatient service, and a large, established outpatient clinic in an underserved area of Rapid City. Patients at our FMR Clinic can receive minor surgical care, cryosurgery, OB ultrasonography, colposcopy, and vasectomy. In the inpatient setting, we utilize a multidisciplinary approach to care, coupled with a state-of-the-art electronic medical records system.

Our program emphasizes work/life balance, resiliency, and self-care. Residents participate in wellness activities, have the ability to pursue personal appointments outside of work, and have 24-hour access to an employee assistance program with counseling services. Residents also have time set aside for charting and reflection. We strive to create a supportive environment in which our physicians can grow their skills and gain confidence.

If you are interested in becoming a Family Medicine physician who can practice full spectrum care in any setting, we hope you consider the Rapid City Hospital Family Medicine Residency program. We look forward to meeting you!

Bobbie Schneller, D.O.
Program Director

Hospital Experience: Family Medicine Residency Program

Being A Resident: Monument Health Family Medicine Residency Program

Community Tour: Monument Health Family Residency Program

Clinic Experience: Family Medicine Residency Program

Our Health Care System

About the Program

Mission & Aims


Our mission is to train physicians in Family Medicine who are able to provide comprehensive, longitudinal medical care in a rural setting.


Our residents will:

  • Have exposure to all aspects of family medicine so they can pursue any type of FM career.
  • Have access to tools provided by the program and guidance by faculty members to assist them with preparing for the boards with a goal of achieving a 100% ABFM board pass rate each year.
  • Learn to communicate with patients of all educational and socioeconomic levels in order to foster the physician-patient relationship.
  • Incorporate understanding of the importance of continuity of care into their experience.
  • Receive training in cultural diversity and avoiding bias related to the care they provide and within the context of their professional relationships.
  • Each have meaningful experience in quality improvement, population health, and patient safety.
  • Professional membership dues
  • Have experience with managing inpatients and outpatients within a multidisciplinary team.

Our program will:

  • Meet or exceed all ACGME requirements for training family medicine residents.
  • Foster an understanding of the importance of physician well-being for our residents, faculty and staff.

Salary and Benefits

Salaries 2023-2024:

PGY 1 resident: $70,600

PGY 2 resident: $72,100

PGY 3 resident: $74,100

*Health and dental insurance premiums are included in the above base salaries. For 2023-2024, this amount is approximately $9,581, which is reviewed annually for appropriate adjustment. It is up to individual residents to decide if they want coverage and at what level.
*South Dakota has no personal income tax.

Benefits 2023-2024:

  • Health, dental and vision insurance at resident’s expense
  • 32 days of paid leave per year (subject to ACGME and ABFM regulations)
  • Meal allowance at the hospital
  • Moving allowance for incoming residents
  • Life insurance
  • Professional membership dues
  • Step 3 and ABFM board certification examination reimbursement
  • ABFM self-study course
  • Challenger course access
  • LiveWell by Monument Health, a free employee well-being program
  • BLS, ACLS, ATLS, ALSO, NRP and PALS provided by the residency program
  • Yearly CME funds
  • Free parking at the clinic and main campus


Our curriculum is designed to provide residents with the training needed for a rewarding, diversified career in family medicine, often in a rural setting.

The training fully complies with regulations set forth by the Accreditation Council for Graduate Medical Education (ACGME), Residency Review Committee for Family Medicine (RRC-FM), and American Board of Family Medicine (ABFM).

Please note the current curriculum includes a rural training month in Year 2. Off-site rotations are also required in Year 1 for inpatient pediatrics and in Year 2 for pediatrics (ER) at Children’s Hospitals and Clinics of Minnesota – Minneapolis Campus. Housing is provided for all mandatory out-of-town rotations. A rotation stipend is paid for all out-of-town rotations whether mandatory or elective.

First Year

  • 4 months Family/Adult Medicine
  • 2 months Obstetrics
  • 1 month Orthopedics
  • 2 months Pediatrics – NICU and Inpatient (Children’s Hospital – Minneapolis)
  • 1 month Psychiatry
  • 1 month Surgery (inpt/outpt combined)
  • 1/2 month Healthcare Disparities/Community Medicine
  • 1/2 month Internal Medicine Subspecialty Selective
  • Longitudinal experiences for Critical Care, Practice Management and Quality Improvement

Second Year

  • 1 month Cardiology
  • 2 months Elective – cannot be out-of-town due to ABFM time away regulations
  • 1 month Emergency Medicine
  • 1 month Family/Adult Medicine
  • 1 month Gynecology
  • 1/2 month ICU
  • 1 month Night Float
  • 1 month Obstetrics
  • 1 month Pediatrics – Outpatient
  • 1 month Pediatrics – ER (Children’s Hospital – Minneapolis)
  • 1/4 month Pharmacology
  • 1/4 month Anesthesiology
  • 1 month South Dakota Rural – must be within South Dakota. Cannot be Rapid City or Sioux Falls
  • Longitudinal experiences for Critical Care, Practice Management and Quality Improvement

Third Year

  • 1 month Dermatology
  • 3 1/2 months Electives
  • 1 month Family/Adult Medicine
  • 1 month Geriatrics
  • 1 month Night Float
  • 1 month Obstetrics
  • 1 month Pediatrics (Outpatient)
  • 1/2 month Radiology
  • 1 month Sports Medicine/Orthopedics
  • 1 month Emergency Medicine (rural)
  • Longitudinal experiences for Critical Care, Practice Management and Quality Improvement

*Subject to change

How to Apply

Rapid City Hospital Family Medicine Residency

The Rapid City Hospital Family Medicine Residency Program is a participant in the National Resident Matching Program (NRMP).  We accept applications through the Electronic Residency Application Service (ERAS), which must include:

  • Medical school transcripts
  • USMLE or COMLEX transcripts
  • MSPE (Dean’s letter)
  • Two letters of recommendation from practicing physicians
  • Personal statement

Minimum requirements:

  • Completion of at least 1 year of formal training in the US at either an LCME or AOA accredited medical school or accredited residency. Clerkships or observerships do not count toward this requirement.
  • Eligible for licensure in South Dakota, which requires passage of each part of the USMLE or COMLEX in 3 attempts or less. No more than 7 years can elapse between completion of Step 1 and Step 3.
  • Obtain a South Dakota Resident License which is required by state law prior to entry into the training program. Contract shall be null and void if the license is not obtained or maintained.


If you do not meet the above criteria, applications may also be considered if:

  • You meet the above criteria for USMLE/COMLEX
  • Your medical school graduation date is within the last 2 years
  • You hold a currently valid ECFMG certificate (for international graduates)
  • You have permanent U.S. residency or citizenship (We will consider sponsorship of J-1 visas only and you are responsible for addressing any visa/citizenship issues as we do not have staff to do this for you.)

How to Apply

Applying for Student Clerkships

We welcome medical students on our team to provide them with a perspective on what full spectrum Family Medicine looks and feels like. While on rotation with us, students will refine their skills in history taking and physical exams, improve their diagnostic problem solving and patient management abilities, and develop expertise in patient education and discharge planning.

Students spend most mornings rounding with our busy inpatient team and participating in admissions to our hospital service. In the afternoons, students see patients in our outpatient clinic in concert with one of our upper-level residents. Students will generally spend a few days on our labor and delivery service. We have an Infectious Disease (HIV) Clinic and a Diabetes Clinic staffed by local specialists that students attend as well.

Generally, we grant rotations from September through April for students in good standing currently enrolled in medical school. Visiting medical students may be eligible for a $1,500 rotation stipend. Housing can typically be arranged in Rapid City for an amount less than the stipend. For more information, please contact:

Kyle Adams, D.O.
Monument Health Rapid City Hospital
Family Medicine Residency Program
502 East Monroe Street
Rapid City, SD 57701
Email: Kyle Adams

Frequently Asked Questions

About the Family Medicine Residency Program

How often will I be on call?

PGY 1 residents are never on an overnight call shift. They can expect to work approximately every third weekend during the day to care for our busy inpatient service. PGY2 and PGY3 residents each have a month of Night Float during which they cover overnight shifts from Sunday through Thursday. The remaining 11 senior residents cover a rotating call schedule for Friday and Saturday shifts.

Will I have to go on out of town rotations?

Yes. PGY 1 residents spend 1 month at Minneapolis Children’s Hospital for inpatient pediatrics. PGY2 residents return to Minneapolis Children’s Hospital for a pediatric ER experience. These are required rotations. The program provides a furnished apartment with internet access and cable close to shopping and restaurants. In addition, residents are provided with a stipend to help offset the costs and inconveniences of being away from home. Residents are also required to complete a rural rotation in their PGY2 year. This rotation must occur in South Dakota but can be anywhere in the state with the exception of Rapid City or Sioux Falls. Some residents select a community close to Rapid City and commute. Others will choose to move into their chosen town and pursue an immersion experience. The program also provides a stipend for the rural rotation.

How often will I be in clinic?

Our Family Medicine Residency clinic is one of the most important parts of your job as a resident physician. We pride ourselves in knowing our patients personally and providing them with excellent care. As residents grow in skill and efficiency, we expand the number of clinics they have each week and the number of patients seen in each clinic session. On average, our PGY1 residents spend 1-3 half days in clinic per week, PGY2 residents spend 2-5 half days in clinic per week, and PGY3 residents are scheduled for 4-6 half days in clinic each week. At graduation, we expect our residents to have seen 1800 patients in our outpatient clinic.

What kind of supervision will I have?

The residency program has a full complement of faculty. A faculty member is available for consultation 24 hours a day, 7 days a week. Faculty physicians attend all deliveries, staff all admissions, and are present for all procedures performed by residents. In the clinic, there are generally 2 faculty physicians scheduled for residents to consult during business hours. In addition, there is a Clinical Pharmacist on staff who is in the clinic and attends inpatient rounds multiple days per week.

Are there opportunities to attend didactics?

Yes. We have noon conferences on Tuesday, Wednesday, and Friday afternoons, with a myriad of speakers scheduled from many different specialties. Our own Faculty also present topics on a regular basis. Each month residents on the inpatient service and OB service will select interesting cases and present them to the resident group. In addition, we have monthly All-Staff and QI meetings that residents participate in to improve their practice management skills.

How much obstetric experience can I expect?

Our program emphasizes obstetrics as part of resident training. All interns will have 2 months working exclusively on the Labor and Delivery floor, where they will deliver a minimum of 40 babies. Upper level residents will also have an additional 2 months on the labor deck, supervising PGY1 residents and obtaining further deliveries and experience. Each resident is required to perform at least 10 continuity deliveries prior to graduation, and for those who are interested, there are opportunities to partner with local obstetricians in order to complete additional C-section training. Many of our graduates are performing primary C-sections in their rural communities.

Where do your graduates practice?

Our graduates practice anywhere and everywhere. Many are in rural settings, but there are other graduates practicing exclusively in the outpatient setting, in urgent cares and emergency rooms, in academic settings, as fellowship trained sports medicine physicians, and as hospitalists. To date, our program has graduated 148 residents. Of those, about 61 currently practice in South Dakota, and 33 practice in surrounding states (Iowa, Minnesota, Montana, Nebraska, North Dakota, and Wyoming).

What kind of cultural life can I expect in Rapid City?

Rapid City has a thriving downtown with great shopping, museums, and restaurants. The Black Hills are a mecca for all things outdoors including fishing, camping, boating, and hiking. We love the area because you can travel 15 minutes from the hospital and be out of town, enjoying nature. For more information about our community, please check out, and

What kind of Conferences will I have to attend?

Didactic and case presentation conferences are integrated into the educational experience and are a very important part of the residents’ overall training. A comprehensive conference schedule is developed and coordinated by the Chief Residents.

What kind of research can I expect?

Ongoing clinical research is conducted by full-time faculty members. Residents contribute to current projects or work to develop and implement new projects. Residents may also contribute to the body of medical knowledge by conducting an extensive literature review and preparing a review article for submission for publication.


Current Residents

Contact Us

Monument Health Rapid City Hospital Family Medicine Residency Program
502 East Monroe Street
Rapid City, SD 57701