Fellowships, Tracks & Rotations

Wilderness Medicine Fellowship

The Wilderness Medical Society (WMS) sponsors our unique Wilderness Medicine Fellowship.
Quarterly didactics with regularly scheduled outdoor trips in Montana’s backcountry provide hands-on learning of medical care under harsh conditions. We focus on practical, applied learning. Resident feedback and involvement guides program development. After finishing the course, residents can apply for Fellow in the Academy of Wilderness Medicine in the Wilderness Medical Society.

Topics include:

  • Backcountry medical care
  • Global health
  • Exercise physiology
  • Temperature and altitude extremes
  • Patient stabilization and transport

Frontier Critical Access Hospital Fellowship

Since 2021, Montana Family Medicine Residency has offered a year-long Frontier Critical Access Hospital Fellowship.

This non-accredited program through Billings Clinic is focused on family medicine residency graduates who want to develop clinical skills in emergency and critical care.

Topics Include:

  • Communication, leadership and teaching skills
  • Leadership of rural teams caring for high acuity and critically ill patients
  • Trauma and critical care rotations

Fellows alternate between Billings campus and critical access hospitals, and lodging is provided in rural communities.

To apply, contact Billings Clinic Physician Recruitment

Public Health & Advocacy Track

The Montana Family Medicine Residency Public Health and Advocacy Track offers residents the skills and perspective to act as advocates for their communities.

Topics include:

  • Population health
  • Preventive medicine
  • Social and behavioral determinants of health
  • Community health advocacy
  • Health policy
  • Epidemiology
  • Legislative advocacy

The track combines experiential and didactic learning opportunities in Public Health Services at RiverStone Health, coupled with distance learning from the University of Montana. Residents receive a Track Certification of Completion from MFMR and can receive a Certificate of Public Health from the University of Montana, with the option of applying their credit toward a future Master of Public Health graduate degree.

All trackers have opportunities to interact with their legislators at the state capitol in Helena and their U.S. congressional delegation in Washington, D.C., and to set up elective time with the state medical officer in Helena.

At the beginning of the intern year, one resident will be selected from interested candidates. Acceptance hinges on past involvement in community health and advocacy, the likelihood of integrating community health into a future practice, and the likelihood of ongoing practice in Montana.

They also have the opportunity to participate in a state physician leadership program and receive credit toward a Masters in Health Administration through Montana State University-Billings.

OB Track

The OB Track seeks to provide Comprehensive Maternity Care education to three residents of each class who show an interest in increasing their experience in OB care with the goal of performing low risk vaginal deliveries after residency, applying to competitive OB fellowships, or interested in advanced maternity care.

Comprehensive Maternity Care Goals:

  • Complicated obstetric management
  • Effective cesarean first assist (primary surgical training not provided at MFMR and requires Fellowship)
  • Goal of 150 prenatal care encounters (subject to clinic availability) and 10 postpartum visits
  • Goal of 10 continuity deliveries
  • Goal of 40 vaginal deliveries
  • Goal of 5 perineal repairs (likely will have much more)
  • Goal of 5 vacuum deliveries
  • Procedures: Intrauterine Pressure Catheter, Fetal Scalp Monitor, Cooks Catheter

**Note: the numbers listed above are general goals for OB track residents, and outcomes will vary depending on several circumstances.

Additional resources allocated to OB track

  • Assigned additional OB rotation compared to peers.
  • Scheduled for one high risk Obstetrics rotation in Spokane-4-week elective in 2nd year (counts as rural rotation)
  • Optional OB electives available
  • Participate and present at OB journal clubs and prenatal staffing meetings.

Mongolia Rotation

Each year, one second- or third-year family medicine resident has the chance to spend a four-week rotation in Mongolia. In the vast, rugged expanses of Mongolia, our residents learn to provide simple health screens and consultations to rural population.

During the rotation, the resident learns to appreciate the resources available in industrialized countries and to effectively practice medicine without those technological and diagnostic tools.

MFMR partners with BioRegions to support a resident each academic year to travel to Mongolia. The program sends a multi-disciplinary team from Montana State University in Bozeman, Montana with a goal to help Mongolians lead healthier lives by collaborating with local medical providers.

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