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 generally provide outpatient primary and mental health services to populations residing in urban or rural Health Professional Shortage Areas (HPSAs) or Medically Underserved Area or Population (MUA/P).

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 outpatient primary care practices

  • Solo or group private practices

  • Critical Access Hospitals (CAHs)

  • Indian Health Service Hospitals (IHS)


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 last day of service comes two years (to the day) after your start date.


Service Hours & Activities
You must work at least 40 hours/week, for a minimum of 45 weeks each service year. That work must be within the specialty for which you trained in the MIDOCs residency and take place at the qualifying practice site.

The majority of your work week hours should be spent providing patient care. No more than eight hours a week should be spent on administrative, management or other activities. Up to eight hours per week may be spent in teaching activities.


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

For more details, see our Practice Site & Service Requirements document.