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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 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 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 HPSAs based on statute or through regulation, no matter where they are located:


  • 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


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 full-time (at least 32 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 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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