Training Program Name: Montana Family Medicine Residency (MFMR) Residency Program Discipline: Family Medicine Type of Application: Expansion Eligible Entity Type: Montana Family Medicine Residency, a community-based family medicine residency is part of a GME consortium centered at RiverStone Health Clinic, a federally qualified health center. Year First Began Training Residents: 1995 Organization Website Address: www.riverstonehealth.org Brief Overview: ACGME RiverStone Health Clinic (RSHC) has operated as a public model federally-qualified health center since 1984 as Yellowstone City County Health Department dba RiverStone Health. RSHC includes an “urban” clinic in Billings, Montana with rural clinics in Joliet, Bridger, and Worden Montana and two school-based health centers at Orchard Elementary and Medicine Crow Middle School in Billings, both Title 1 schools. The community health center also serves patients at the RiverStone Health Dental Clinic in Billings and Healthcare for the Homeless (HCH) Clinics at two locations in Billings. The Montana Family Medicine Residency, one of only two family medicine residencies in Montana, is fully integrated into the operation of RiverStone Health, which was one of the original eleven HRSA teaching health centers. Total FTE Positions Requested: 6 (2-2-2) Resident FTE FTE Positions for AY 2022-2023: 2 (2-0-0) MFMR opened in 1995 to attract medical school graduates to Montana for Graduate Medical Education (GME), knowing that most residency graduates stay to practice in the state in which they train. MFMR’s mission is “to develop, empower, and educate the next generation of full spectrum Family Physicians who provide excellent care for Montana with emphasis on vulnerable populations.” Located in Billings, Montana, MFMR is a 501 (c) 3 non-profit corporation configured as a GME consortium of three partners: Billings Clinic, RiverStone Health and St. Vincent Healthcare. The fiscal, operational an
d educational oversight is provided by RiverStone Health, and the family medicine practice site is RiverStone Health Clinic. The need for family physicians in Montana is pronounced. Montana ranks 25th for the number of active physicians per capita and the number of primary care physicians per capita. Even more troubling is 30% of Montana physicians are 60 or older. The problem is exacerbated by the rural and frontier nature of Montana. 15 of the 56 counties in Montana do not have a primary care physician. Hence the need to train additional family medicine physicians to practice in urban, rural and frontier areas of Montana after residency, serving all populations. MFMR has established a solid track record for training physicians to meet the challenges of practicing in rural and underserved areas and nearly 60 percent of MFMR graduates now practice in Montana.