Family Medicine Residency

Family Medicine Residency Header 
The Spectrum Health/Michigan State University Family Medicine Residency program is a three year program with six positions per year. Our program is unique—residents work in both urban and rural settings, with rotations at Spectrum Health Butterworth Hospital and Helen DeVos Children’s Hospital in Grand Rapids, and Spectrum Health United Hospital in Greenville. There are two main outpatient clinic sites adjacent to each hospital. Residents will rotate at both hospital sites, but most of the inpatient rotations will be at United Hospital in Greenville.  Residents will be assigned to a clinic, based upon preference in their R1 year.  The Grand Rapids clinic has a more urban feel, while the Greenville clinic is a certified rural health center.


  • Unique curriculum
  • Minimizes call months
  • Emphasizes outpatient clinic continuity
  • Longitudinal blocks
  • Behavioral health
  • Medical specialties
  • Surgical specialties
  • Rural and urban training combined—the best of both worlds
  • Experienced faculty
  • Research opportunities
  • Population health emphasis
  • Culinary medicine didactics
  • Strong in pediatric care, with rotations at Helen DeVos Children’s Hospital
  • Refugee clinic where patients speak over 30 languages
Clinical Environment
Residents will be working in both an urban and rural setting, with rotations at Spectrum Health Butterworth Hospital, Helen DeVos Children’s Hospital and Spectrum Health United Hospital. The majority of the rotations will be at the rural community location, Spectrum Health United Hospital.

Spectrum Health Butterworth Hospital 
  • Longstanding reputation of excellence in care, diagnostics, treatment, prevention and education
  • Offers a wide range of advanced medical, surgical and specialty care services
  • Major tertiary and quaternary referral center for West Michigan and beyond
  • The only regional burn center and level 1 trauma center in West Michigan
  • Clinical leader in cardiovascular, cancer, obstetrics and gynecology, orthopedics, neurosciences, trauma and emergency care services, among many others.

Helen DeVos Children’s Hospital
  • Referral center for 37 Michigan counties
  • More than 150 physicians in 50 pediatric specialties
  • More than 8,300 inpatient admissions annually
  • More than 190,000 outpatient visits annually
  • More than 50,000 pediatric emergency department visits annually and level 1 trauma center with pediatric surgeons available 24/7

Spectrum Health United Hospital 
  • 49 acute-care beds and 39 long-term-care beds
  • Walk-In clinic
  • Heart and vascular care
  • Radiology services
  • Respiratory care
  • Sleep wellness
  • Wound care

First Year
Spectrum Health Butterworth Hospital:
  • Internal medicine: Four weeks
  • Medical intensive care unit: Four weeks
  • Obstetrics: Four weeks
  • Pediatrics: Eight weeks

Spectrum Health United Hospital:
  • Inpatient family medicine: Eight weeks
  • Surgery: Four weeks
  • Obstetrics/newborn nursery: Four weeks
  • Outpatient Rotations:
  • Orientation: Four weeks
  • Orthopedics/sports medicine: Four weeks
  • Population health: Four weeks
  • Radiology, research: Four weeks (two half days per week spent on research)

Second Year
Spectrum Health United Hospital:
  • Inpatient family medicine: Eight weeks
  • Emergency medicine: Eight weeks
  • Obstetrics/newborn nursery: Four weeks
  • Elective: 12 weeks (one half day per week spent on research)**

Outpatient Rotations:
  • Family medicine orientation: Four weeks
  • Gynecology: Four weeks
  • Ambulatory pediatrics: Four weeks
  • Surgical specialty longitudinal: Eight weeks, rotating through otolaryngology, ophthalmology, general surgery clinics, urology and dermatology

Third Year
Spectrum Health United Hospital:
  • Emergency medicine: Four weeks
  • Obstetrics/newborn nursery: Four weeks
  • Inpatient family medicine: Four weeks
  • Electives: 12 weeks (one half day per week spent on research) **

Outpatient Rotations:
  • Family medicine orientation: Four weeks
  • Geriatrics: Four weeks
  • Behavioral medicine longitudinal: Eight weeks, residents will spend time on inpatient psychiatry, outpatient and children’s psychiatry, addiction medicine painmanagement, and neurodevelopmental pediatrics
  • Medical specialty longitudinal: Eight weeks, residents will rotate with neurology, cardiology, gastroenterology, pulmonology and endocrinology
  • Orthopedics/sports medicine: Four weeks
** Possible electives: acute/urgent care, addiction medicine, advanced obstetrics, allergy, anesthesia, cardiology, critical care, dermatology-adult or pediatric, endocrinology-adult or pediatric, faculty development/junior precepting, gastroenterology-adult or pediatric, general surgery, geriatrics, global medicine, health systems management/practice management, hematology/oncology-adult or pediatric, hospice & palliative medicine, infectious disease-adult or pediatric, nephrology, neurology-adult or pediatric, neurosurgery, NICU/advanced pediatrics, pain management, parental elective, physical medicine & rehabilitation, plastic surgery, podiatry, pulmonary medicine –adult or pediatric, research, rheumatology, rural medicine, residents may design an elective in coordination with their advisor.

Continuity Clinics
First year:  Residents will spend one half day per week in their continuity clinic while on inpatient rotations and up to four half days per week while on outpatient rotations. Residents will rotate in the nursing home every other month.

Second year:  Residents will spend a minimum of one half day per week in their continuity clinic and on most rotations four half days per week will be in the clinic. Residents will rotate in the nursing home every other month.

Third year:  Residents will spend between one and six half days per week in their continuity clinic. Residents will rotate in the nursing home every other month.

Per class there will be three residents who will have clinic at the Spectrum Health Butterworth clinic and three residents who will have their clinic at the Spectrum Health United Hospital clinic.
Criteria for application to Spectrum Health Family Medicine Residency Program:

Be a participant in the National Resident Matching Program
  • Our code is: 2077120C1
  • All candidates must possess U.S. work authorization or be eligible for J-1 status
  • Graduation from medical school should be within three years or you should be recently clinically active in the practice of medicine. Research time and observerships do not qualify as clinical involvement.
Be eligible to be licensed in all 50 states and United States territories as demonstrated by:
  • Graduation from a Liaison Committee on Medical Education fully-accredited medical school.
  • Graduation from an American Osteopathic Association/Commission on Osteopathic College Accreditation fully-accredited medical school.
Information for international medical graduates:
  • Have a valid Educational Commission for Foreign Medical Graduates certification for rank by February 1.
  • Applicants must have received all of their medical school education from and graduated from a medical school recognized or approved by the Medical Board of California. The medical school’s name must exactly match the name on the board’s list of recognized medical schools.
  • Must have strong communication skills.
Minimum score requirement attained preferably on first attempt:
  • USMLE Step 1: 200 by second attempt
  • USMLE Step 2 CK: 217 by second attempt
  • COMLEX 1/2: 415/420 by second attempt
  • USMLE Step 2 CS/COMLEX Level 2 PE: Pass on first attempt only
  • All scores in prior to February 1
We do accept MS4 electives for current medical students–apply via our website. We do not offer observerships or externships. We require three letters of recommendation plus a dean’s letter. All applications will be accepted through the Electronic Residency Application Service.
For more information on our program, please contact Anne Pugliese or 616.267.2060.
All visiting medical student applications must be submitted through the Visiting Student Learning Opportunitiesprogram (formerly known as VSAS). For more information on visiting medical student opportunities, please visit our Visiting Learner page.
Spectrum Health provides a comprehensive and very competitive benefits package for our residents, staff and their families. In addition, our program provides educational monies to support your ongoing education. Download our salary and benefits document to learn more.

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