Medical Residency & Education

Chief Residents’ View

Greetings! Welcome to the Montana Family Medicine Residency Program located in gorgeous Big Sky Country. Thank you for exploring your interest in our program.

Thomas O’Brien, MD and Daniela Mestre, MD
Chief Residents, Class of 2019


Our award-winning residency program has diverse opportunities both in and out of clinic. We work with faculty and specialists of all types who inspire and offer full-spectrum training of all intensities and for all patient populations. Billings allows for a residency with exceptional training opportunities that enable us to practice in clinic, inpatient medicine, as well as many training locations in remote areas where basic support and triage skills can be further developed. We care for a patient catchment area the size of New England that includes not just Montana, but also surrounding areas in Wyoming and North Dakota. The training we receive here is exceptional and the ability to benefit our communities makes our work at MFMR intrinsically rewarding.

RiverStone Health Clinic is a federally qualified health center (FQHC) and is certified as a Level 3 NCQA Patient-Centered Medical Home. The clinic facility is newly built in 2018 with large patient rooms, behavioral health rooms and care coordinator rooms clustered in four team areas, plus a shared lab, radiology suite and precepting area. Our beautiful lobby features children’s waiting areas and health education. Also on the RiverStone Health campus we have a dental clinic, pharmacy with consultation services, WIC and Family Health Services, Ryan White Clinic, the public health department for Yellowstone County, and the offices of our hospice and home care agencies. Other satellite clinics such The Orchard School Clinic, our Health Care for the Homeless sites, and clinics in other surrounding rural towns address the needs of all populations.

As family medicine residents we follow our patients in their care through all aspects of their medical care, learning the intricacies of rural clinic practice and prevention through the major interventions of surgical and ICU treatments. We practice inpatient medicine at both local hospitals, Billings Clinic and St. Vincent Healthcare, both of which offer high-quality care and provide excellent opportunities for becoming further experienced in emergency medicine, inpatient medicine, and intensive care. We also staff a 24/7 labor and delivery/mother-newborn service, working alongside obstetricians and maternal fetal medicine specialists in managing maternal care from prenatal to delivery to childcare. Our growing rural Montana population has created a need for medical services; thus, our graduates have gone on to practice in all levels of full-spectrum care.

As a collective of residents we are a family. We take great pride in how we assist, teach, and support one another on our journeys in medical training. We are great fans of the outdoors: we regularly go hiking, fishing, running, climbing, biking, skiing, camping, hunting and more. We gather together in family life for children’s birthdays, faith-based events, and a variety of town happenings. These activities and our personal coherence have been a blessing for us. We have a farmers market, festivals including afternoon live music outdoors during the summer, professional sports such as minor league baseball, rodeos, movie theaters and a stage theatre, many breweries, and restaurants of impressive artisanship.

Our now 22-year-old residency was awarded the ACGME’s DeWitt C. Baldwin, Jr. Award for fostering a respectful, supportive environment for medical education and delivery of patient care. And Billings has been recognized by Outside Magazine as ‘The Best Town of 2016,’ beating out other popular outdoor destinations nationwide. We are a great group of people living and learning in a growing town. Feel free to check in with us if you have any questions. Your interest is much appreciated, and we hope to hear more about you!

Thomas O’Brien, MD & Daniela Mestre, MD
Resident Chiefs for the Class of 2019