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Service Obligation

MIDOCs residents commit to serving two years of full-time clinical practice at an approved service site. Below is a basic overview of the service commitment requirements.

Qualified Practice Sites
MIDOCs qualified practice sites are health care facilities that are located in urban or rural Health Professional Shortage Areas (HPSAs) or a Medically Underserved Area or Population (MUA/P) that provide primary care and mental health services.

Examples include, but may not be limited to:

  • Federally Qualified Health Centers (FQHCs)

  • Rural Health Clinics (RHCs)

  • Indian Health Service, Tribal or Urban Indian Health Clinics

  • Public Health Departments

  • Hospital-affiliated primary care practices

  • Inpatient behavioral/mental health hospitals

  • Outpatient behavioral/mental health clinics

  • Solo or group private practices

  • Critical Access Hospitals (CAHs)

  • Indian Health Service Hospitals (IHS)

 

Facilities automatically designated as qualifying MIDOCs practice site, no matter where they are located in Michigan:

 

  • Federally-Qualified Health Centers (FQHCs) and Look-Alikes 

  • Indian Health Facilities

  • IHS and Tribal Hospitals

  • Dual-funded Community Health Centers/Tribal Clinics

  • CMS-Certified Rural Health Clinics

  • Veteran's Administration Clinics/Hospitals

 

Dates of Service
Your service commitment begins on the date agreed upon by you and your practice site. Your first day of employment must be within 3 months (90 days) of completing residency.
Your service commitment is complete when both of the following requirements have been met:
 

  1. At least two years have passed since your service start date; and

  2. You have completed at least 2,880 qualifying service hours, the equivalent of two full-time service years.


If you have not completed 2,880 qualifying service hours by your two-year anniversary, your service commitment will continue until you reach the required 2,880 hours.
 

 

Service Hours & Activities

You must work full-time, defined as at least 32 hours per week for a minimum of 45 weeks, or 1,440 hours, during each service year. Your work must be within the specialty for which you trained in the MIDOCs residency and take place at a qualifying practice site(s).

The majority of your work week hours should be spent providing patient care (exception for Preventive Medicine residents). 
For more details, see our Practice Site & Service Requirements document.

 

Note: Your MIDOCs service contract is separate and independent from your employment contract with your MIDOCs-approved practice site.

 

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