Lakewood Rural Residency Program
This program is pending approval by the ACGME.

Experience rural training with a personalized, supportive learning environment
Begin your career as a rural family medicine physician at a training site that will prepare you for real-world rural practice. Based at Lakewood Health System — an independent, innovation-driven rural health system — the residency offers you a nimble, community-focused training environment with small cohort sizes, individualized mentorship, strong wellness support, and a culture deeply rooted in full-spectrum family medicine and obstetrics excellence.
This is a unique program because residents will complete one year at an urban site and two years at a rural site. You’ll find physician-mentors dedicated to your professional development and personal growth, as well as opportunities to be involved in our community beyond the hospital walls, and connections that will last a lifetime.
Apply in ERAS in September 2026 for an anticipated start of mid-June 2027.
Explore our Urban Training Partner Program: North Memorial Family Medicine Residency Program
Full-spectrum rural family medicine training with high-volume obstetrics
You will graduate with Family Medicine with Obstetrics qualifications. Gain extensive hands-on experience through over 80 births, emergency care, inpatient medicine, and outpatient continuity clinics in a critical access hospital environment. You will be well prepared for rural “last-mile” healthcare.
Kick off your first year of residency with our urban residency partner, North Memorial Family Medicine Residency Program, located in vibrant North Minneapolis. After that you will spend your second and third years in the welcoming town of Staples, Minnesota.
An innovative longitudinal curriculum that mirrors real life as a rural family medicine physician
Rather than traditional block rotations, in PGY2 and PGY3 the program offers a longitudinal model that provides a true picture of day-to-day rural practice. You will receive recurrent exposure to inpatient care, emergency medicine, and obstetrics. Spend each day learning and training alongside dedicated family medicine physicians whose mission is to help you achieve flexible, comprehensive skill development.
Mission Statement
We train physicians in full-spectrum family medicine to provide evidence-based care and enhance quality of life in rural communities.
Program aims:
- Provide comprehensive training with a wide breadth of hands-on experiences from primary care to specialties and emphasizing rural obstetrics care.
- Optimize patient care outcomes through a focus on quality improvement.
- Promote commitment to rural, underserved communities through partnership with community organizations to improve health disparities.
- Foster continuous learning and professional growth anchored in evidence-based medicine, cultivating innovative and effective physician leaders.
- Emphasize collaboration by engaging in an interdisciplinary, team-based approach for patient-centered care.
Apply, benefits and residency resources
- How to apply
- Resident stipend and benefits
- Lakewood Rural Family Medicine Residency Program fact sheet (coming soon)
- Lakewood Rural Residency Program Policy and Procedure Manual (coming soon)
- University of Minnesota Graduate Medical Education Institutional Policies
- Support resources for residents (including mental health, well-being tools, and more)

Lakewood Health System, Staples Clinic
Located on the same campus as the hospital, the Staples clinic provides primary care, urgent care, and access to best-in-class specialists such as oncology, orthopedics, endocrinology, cardiology, and rheumatology for patients of all ages. The clinic has nearly 30 family medicine providers, including physicians and advanced practice providers. Many of the clinic’s physicians practice full-spectrum family medicine and provide care in the clinic, on the inpatient floor and in the emergency department.
A personalized approach to care helps patients feel at home, building collaborative care relationships founded on trust. Residents will rotate at this site in PGY2 and PGY3.
Patient population:
The clinic serves approximately 30,000 people across three core rural counties (Todd, Wadena, and Morrison) and several more distant counties in North Central Minnesota. Residents of these communities face significant health disparities due to inequities in rural health access, high poverty, and uninsurance rates.
For example, the Staples-Motley community, which is the core service area of Lakewood Health System, has a child poverty rate approximately two times higher than that of the state of Minnesota. Around nine to 11 percent of the adult population and four to nine percent of children remain uninsured in the core three-county area.
The program’s service area has high Maternity Care Target Area (MCTA) scores of 14-18, amongst the highest in Minnesota, and the primary clinical site (Lakewood Health System) frequently provides obstetric services to patients who travel more than 40 miles to deliver. The population is predominantly non-hispanic white and English-speaking, though there is increasing racial and ethnic diversity primarily driven by migration for work in meat-packing, agriculture, and animal husbandry.
Facilities:
- 70 exam rooms, four procedure rooms
- Electronic medical record fully integrated with the hospital
- Clinic-integrated lab draw and X-ray, with full laboratory and radiology services on campus
- Dedicated residents’ space conveniently located along the continuity clinic core hallways
Broadway Family Medicine Clinic
Located in North Minneapolis on the corner of 26th Ave. and Broadway Avenue, the clinic is a short 15-minute walk or two-minute drive to North Memorial Hospital.
Broadway Family Medicine Clinic’s saying is "The community makes us relevant." Providers put patients and community first in order to maintain a rich learning environment. The Broadway clinic is a health care home that has been serving North Minneapolis for more than 40 years. Residents will spend their first year at Broadway Family Medicine Clinic.
Patient population
- African American
- White
- Hmong
- Latinx
- Native American
- Somali and other African immigrants
Features and services
- Hmong interpreter on-site
- Bimonthly colposcopy clinics
- Weekly sports medicine clinics
- Medication therapy management
- Community health worker, care coordinators, and a social worker in clinic full time
Facilities
- Electronic medical record fully integrated with the hospital
- 24 exam rooms, plus two multi-purpose consult rooms
- OB ultrasound and fetal monitoring on-site
- Musculoskeletal ultrasound
- Laboratory and x-ray services on-site
- Osteopathic manipulation rooms with adjustable tables
- Two procedure rooms
- 1,000-square-foot residents' room with print and electronic resources
- Counseling room for behavioral therapy

Lakewood Health System Hospital
Lakewood Health System Hospital (LHS) is a 25-bed, critical access hospital serving the central Minnesota counties of Todd, Morrison, Wadena, and Cass. At LHS, a dedicated group of family medicine physicians and advanced practice clinicians provide primary care, obstetrics, inpatient and emergency care in collaboration with specialty physicians and surgeons such as general surgery, obstetrics and gynecology, orthopedics, pediatrics, hematology/oncology, cardiology, rheumatology, endocrinology, otolaryngology and palliative care. Five of the family physicians provide surgical obstetric care. Together, this dedicated team performs approximately 5,000 surgeries, provides care for about 500 births, and logs almost 10,000 emergency department visits each year. Family medicine physicians are the largest group of specialists at Lakewood in that they provide care across multiple domains at the hospital and clinics.
Lakewood’s mission is to provide quality, personalized care for a lifetime. The hospital’s features include:
- High-volume critical access labor and birth unit (approximately 500 births per year)
- Level III trauma center
- Brand-new Cancer Center and nationally recognized Rural Oncology Home opened in 2025
- Robust Community Health investments: The Nest wellness facility, pickleball courts, Farmer’s Market and more
- Modern operating rooms, labor and delivery, and more
North Memorial Health Robbinsdale Hospital
North Memorial Health Hospital is a primary care focused tertiary care center where family medicine is the only full-time residency present.
- Level I trauma center (one of three in the Twin Cities) with high-volume care
- Family medicine is the largest specialty in the hospital
Children’s Health - Minneapolis Hospital
Inpatient pediatrics and pediatric ER rotations will be completed at Children’s Hospital during PGY1. Children’s Hospital is a premier pediatric training environment, providing exposure to common pediatric acute illness as well as the state’s primary Level I pediatric trauma center.

A welcoming and vibrant town
Peaceful yet packed with fun activities all year round, Staples will leave you feeling recharged and energized every day. Here are just a few highlights:
- Longest pier in Minnesota at Dower Lake
- Multiple parks including Dower Lake, Pine Grove, and Old Wadena
- Bike trails, hiking trails, tennis, and pickleball courts
- An 18-hole championship public golf course that runs alongside the pristine Crow Wing River
- Recreation on the Crow Wing River including kayaking, tubing, and fishing
- Winter sports such as cross country skiing, snowmobiling, and ice fishing
- Ample high school sporting events and coaching opportunities
- Performing arts, both high school age and community adult groups, such as men’s choir and Lamplighter theater
- Railroad Days in August with free events, activities, and a downtown parade
- Outdoor concerts in the summer
Located in the heart of Minnesota at the intersection of Highways 10 and 210, Staples offers easy access to Brainerd and the Detroit Lakes area, as well as to the Twin Cities metropolitan area, while maintaining its small-town charm.
Your Training
Primary Rotation Sites
Rotation Sites
The following list is ordered according to the size of rotation:
- Lakewood Health System Hospital and Rural Health Clinics
- North Memorial Health - Robbinsdale Hospital
- M Physicians Broadway Family Medicine Clinic
- Children’s Hospital - Minneapolis
- M Health Fairview Clinic - Roselawn
- Park Nicollet Brooklyn Center Brookdale Clinic
- Fairview Recovery Clinic
- Minnesota Urology
- Twin Cities Orthopedics - Eagan
Curriculum
Learn more about our curriculum
See the curriculum by visiting our Curriculum and Call page.
FAQs
Frequently asked questions
Do you offer family medicine rotations/clerkships?
Clinical rotations/clerkships are available to medical students by request or through established rural experience programs through the University of Minnesota such as Rural Observation Experience (ROE), Rural Early Clinical Immersion Preceptorship (RECIP), Summer Internship in Medicine (SIM), and Rural Physician Associate Program (RPAP).
Do you invite international medical graduates to interview?
Yes
Do you sponsor employment visas?
We do not sponsor employment visas.
Are there any other residency programs in the hospital?
We are the only training program in the Lakewood and North Memorial hospitals.
How big is the residency and how many residents are accepted each year?
We are a 2-2-2 program. Upon accreditation, we will accept two residents to begin in June of 2027, with two residents each year thereafter.
Do you participate in the couples’ match?
Yes
What is the size of your hospital and what services does it provide?
First year is based at North Memorial Robbinsdale Hospital, an urban facility with a Level I trauma center. Second-year and third-year residents are located at Lakewood Hospital, a 25-bed critical access hospital in Staples, Minnesota. Lakewood provides primary care, specialty care, Level III trauma center emergency care, labor and delivery services (about 500 births per year!), full service radiology, laboratory services, outpatient surgery, cancer care (including radiation oncology), and more.
How much OB do you do?
Lakewood provides care for approximately 500 births each year, including vaginal births after cesareans, operative vaginal deliveries and cesarean sections performed by both family medicine and OB/GYN physicians.
What is the call schedule?
Residents will have one week of night float in their first year.
In years two and three, residents will do a week of inpatient medicine with obstetrics every four weeks. During these weeks, residents will provide obstetrics and emergency room backup call from home.
Residents will also have one 18-hour “night float” shift per month during which time they will cover all areas of the hospital Emergency Room (ER), Labor and Delivery (L&D), and inpatient hospital medicine.
How much time is spent in ICU/CCU?
At the end of their first year (PGY1), residents complete a two-week rotation in the Intensive Care Unit (ICU) at North Memorial Hospital in Robbinsdale, alongside second- and third-year residents (PGY2 and PGY3) from the program. They return to this ICU for another two-week rotation during their third year (PGY3). While Lakewood Health System does not have a dedicated ICU or Coronary Care Unit (CCU), rural family physicians are trained to stabilize critically ill patients, a key skill in rural practice. Occasionally, patients at Lakewood may receive ICU-level care while awaiting transfer to a larger hospital with more specialized resources.
Which procedures do residents perform with sufficient frequency to qualify for hospital privileges upon graduation?
Long-acting reversible contraceptive placement and removal, vaginal births, vacuum-assisted deliveries, 1st-3rd degree perineal repairs, neonatal circumcision, skin biopsy, fracture reduction and splinting, joint dislocation reduction, joint injection/aspiration, paracentesis, thoracentesis, cardioversion/defibrillation, and intubation. There are opportunities for training in arterial and central lines, colposcopy, endoscopy, and cesarean sections, among many other acute primary care procedures. Numbers needed to obtain privileges cannot be guaranteed.

Contact Us
Alex Harsha, MD
Program Director
[email protected]
Loren Walz
Program Administrator
[email protected]

Staples, Minnesota
Staples is an easy two-and-a-half hour drive from the Twin Cities.