Billings Clinic Internal Medicine Residency Program - Overview

• IMR
  Home
  
• Program
  Overview
• Residency
  Applicants
• Residency
  Team
• Resident
  Wellness
• Why
  Billings?

The goal of the Billings Clinic Internal Medicine Residency is to empower graduates of our program to practice in either the inpatient or outpatient setting as internal medicine specialists or to be strong candidates for future fellowship training. To achieve this, we provide broad-based, rigorous training across diverse inpatient and outpatient settings. Our residents practice in a multi-specialty clinic as well as at our tertiary care center that delivers complex care to patients from a large and geographically diverse referral region across Montana and the surrounding states.

Our teaching faculty includes dedicated general internists with strong support from subspecialists across the full spectrum of internal medicine. Clinical training is complemented by robust scholarly activity, with research opportunities available for interested residents.

Billings Clinic is nationally recognized for excellence in patient care, clinical quality, patient safety, and innovation in healthcare delivery. As a physician-led organization, we emphasize physician leadership and a collaborative, team-based approach to patient care. This commitment to quality, safety, medical education, and leadership is foundational to our residency training.

Billings Clinic and the Region

Billings Clinic is a non-profit, multispecialty, fully integrated health care system that provides primary and specialty regional medical care to a wide geographic area encompassing much of Montana, northern Wyoming, and parts of western North and South Dakota. With a regional population of more than half a million, Billings Clinic provides services to a socioeconomically diverse group of patients, encompassing the urban population of Billings, small rural communities, and several Native American reservations. As the largest health care organization in Montana, our 304-bed, more than 400-physician institution possesses expertise in nearly every aspect of adult medical care, providing residents with a robust clinical experience. In addition to our 90-bed rehabilitation and assisted living facility, residents interact with numerous satellite facilities, nursing homes, transitional care facilities and critical access hospitals in the region.

Experience Rural Healthcare!

Each of our senior residents experience the “real world” of a general internist in a rural community through our Rural Rotation Program. Residents rotate at Central Montana Medical Center (Lewistown, MT), and Livingston Healthcare (Livingston, MT), both 25-bed critical access hospitals. Housing is provided at no cost to residents when rotating at distant sites.

Central Montana Medical Center in Lewistown, MT

Livingston Healthcare in Livingston, MT

The Learning Environment

We are committed to training thoughtful, compassionate, and highly capable physicians through a supportive and clinically rigorous learning environment. Our residents benefit from:

• A collaborative culture of learning, with close interaction between residents, faculty, students, and multidisciplinary teams.
• Dedicated faculty mentors who are passionate about teaching and invested in resident growth and success, supported by a small faculty-to-resident ratio that allows for individualized mentorship and feedback.
• Broad clinical exposure at a large tertiary care center serving patients from across Montana, Wyoming, and the surrounding region.
• Training in a nationally recognized medical center with leading-edge clinical facilities, a state-of-the-art simulation center, and superior medical and allied health staff.
• Training that balances strong clinical autonomy with close supervision, feedback, and individualized support.
• Unique rural training opportunities that prepare residents to care for diverse patient populations across frontier and resource-variable settings.
• Opportunities to teach and learn alongside medical students from the University of Washington WWAMI Program and Pacific Northwest University, for whom Billings Clinic serves as a core clinical training site.
• Access to scholarly activity, quality improvement, and research opportunities for residents interested in academic and systems-based medicine.