Medical Residency & Education

Chief Residents’ View

Hello! Welcome to the Montana Family Medicine Residency located in beautiful Big Sky Country. Thanks for your interest in our program. Let us tell you a little bit more about MFMR.

Erik Nevatt, MD and Kelsey Hoffman, DO
Chief Residents, Class of 2018


Our program has many great opportunities. Billings is large enough to support an unopposed training program with a full spectrum of specialist support, all while being remote enough to provide rural training experiences. Given the sparsity of medical care in Montana and the surrounding states of Wyoming, North Dakota and South Dakota, we draw in patients from a huge area with interesting and difficult medical problems. At MFMR, we have the opportunity to work and train where we are truly needed by our patients, and can take pride in making our community a better place.

Continuity with our patients is easy as we care for them in Billings’ two hospitals, St. Vincent Healthcare and Billings Clinic, both of which offer high-quality specialty electives. Our inpatient service is one strength of our program. We spend as much time caring for inpatients as most Internal Medicine residencies. Taking care of acutely ill patients allows us to appreciate initial presentations of disease processes and prepares us to triage effectively in the outpatient setting.

We have an interdisciplinary approach at RiverStone Health, a Level 3 NCQA Certified Patient-Centered Medical Home and Federally Qualified Health Center.  Under one roof we have pharmacists, behavioral health, licensed addiction counselors, care managers, dentists, as well as resources like WIC, Family Health Services, Ryan White HIV Clinic, and Hospice. RiverStone Health provides healthcare for patients at our satellite clinics in the surrounding smaller communities, Health Care for the Homeless sites, and at a school-based clinic.

Our obstetrical training meets ACGME/AOA requirements, and offers a significant exposure to high-risk prenatal care. Many of our patients are managed by a resident and maternal-fetal medicine physician. We continue to work on increasing our obstetrical care and reaching out to populations that do not have ready access to care, such as nearby Native American families. We do have a very valuable experience caring for our pregnant moms from their first prenatal visit through their postpartum care, and sometimes with subsequent pregnancies. And being family practice doctors means we also get to care for the babies we deliver and watch them grow.

Our program is a family. We take care of each other and genuinely enjoy working together. We also go to movies, binge watch TV, and cook dinners together. Residency can be challenging at times but having people around you that you can lean on and trust makes it easier. Residents are drawn here not only for the excellent training, but also for the outdoor opportunities like hiking, downhill and cross-country skiing, snowshoeing, rock climbing, trail running, fly-fishing, and hunting, to list a few. After completing medical school in large urban areas, Montana has been a breath of fresh air for us. Significant others and children are always welcome to join in all the fun. In spite of its location in one of the least populous lower 48 states, Billings has all the amenities of a much larger city. There are many things to do around Billings, such as the Farmers Market, Strawberry & Harvest Festivals, Alive After Five, Professional Bull Riding (PBR), Art House Theater, music venues, rodeos, Billings Mustangs (minor league baseball), numerous breweries, Billings Bulls (Tier III Hockey League), and plenty of restaurants.

Thanks again for considering the Montana Family Medicine Residency.

Kelsey Hoffman, DO & Erik Nevatt, MD
Resident Chiefs for the Class of 2018