The Curriculum

The FMRWM curriculum is designed to create family physicians who have exceptional, comprehensive medical skills and are able to rise to the unique challenges of living in and practicing medicine in rural and underserved communities.

The curriculum emphasizes resident time in continuity clinic and recognizes the importance of rotations in rural communities; we have nine rural communities engaged in providing the settings and resources for our two required rural blocks. These rotations are highly coveted by our residents and many of them choose to spend additional elective time in these communities.

Unique to our program, FMRWM education begins with a full 28-day Introduction to Family Medicine section, designed to acquaint residents with the Family Medicine Center, the faculty and staff, and the Missoula community. This month places an emphasis on resiliency, self care, and professionalism, in addition to providing foundational experiences such as ALSO and NRP. Each class spends many hours together, increasing cohesion and affording residents supportive relationships that are valuable throughout the three years.

Curriculum Details

Each year of residency is broken into 13 rotations, with each one being 28 days long.

First Year

Introduction to Family Medicine (1 rotation)
Adult Medicine (3 rotations)
Pediatrics (1 rotation of ambulatory, 1 rotation of emergency)
Gynecology (1 rotation)
Obstetrics (2 rotations)
Surgery (1 rotation)
Orthopedics (1 rotation)
Behavioral Health (1 rotation)
Elective or vacation (1 rotation)

Second Year

Adult Medicine (2 rotations)
Critical Care (1 rotation)
Pediatrics (1 rotation of inpatient)
Rural Medicine (1 rotation)
Cardiology (1 rotation)
Obstetrics (2 rotations)
Geriatrics (1 rotation)
Community Medicine (1 rotation)
Emergency Medicine (1 rotation)
Elective or vacation (2 rotations)

Third Year

Adult Medicine (3 rotations)
IM Elective (1 rotation)
Pediatrics (1 rotation of ambulatory)
Rural Medicine (1 rotation)
Family Medicine Clinic (1 rotation)
Obstetrics (2 rotations for intensive OB tier, 0 for non-intensive)
Emergency Medicine (1 rotation)
Sports Medicine (1 rotation)
NICU (1 rotation)
Elective or vacation (1 rotation for intensive OB tier, 3 for non-intensive)

Elective Options

  • Allergy/Immunology
  • Endocrinology
  • Gastroenterology
  • Infectious Disease
  • Neurology
  • Rheumatology
  • Addiction Medicine
  • Dermatology
  • Developmental Disabilities
  • ENT
  • Genetics
  • Missoula Medical Aid in Honduras
  • Osteopathic Manipulation Therapy
  • Pain Management
  • Sleep Medicine
  • Rural Rotations

Residents may create other elective experiences with the assistance of their faculty advisors.