For Prospective Residents

Welcome to Siouxland Medical Education Foundation! We are an unopposed family medicine program in Northwest Iowa providing broad spectrum training. As the only residents in the city, we are offered unparalleled exposure to specialty physicians and patients. Here you can tailor your education to fit your practice goals. Our residency consists of three years of postgraduate study with 6 residents per year. Our program is accredited by the ACGME and affiliated with University of Iowa Carver College of Medicine.

Program Highlights

  • Our clinic is the one of the largest private practices in Sioux City. We follow all clinic patients through their hospitalizations, including ICU and PICU.
  • Maternal Health Clinic. We provide antenatal care to low income and high risk populations, providing us the opportunity to see a diverse range of pathology and serve the community.
  • Macy/Winnebago Reservation Clinics. We also provide antenatal care to the Native American populations on the Macy and Winnebago Reservation during our OB months.
  • Elective high risk OB elective.
  • Monthly afternoon didactics. One afternoon a month, clinic and hospital duties are blocked for residents to have a full afternoon of lectures, simulation models, and quizzes for a varied and interactive approach to learning.
  • We provide annual sports physicals to many of the college athletes at Morningside College.
  • Moonlighting opportunities are available after you have received your permanent license.
  • Noon conferences. Presentations are given by community physicians, fellow residents, staff, or visiting faculty over the noon hour. Lunch is provided.



Qualifications

The residency program consists of three years of post-graduate study.  Entry into the first year is open to applicants who have completed medical school at an LCME-approved school.  To be considered by our program, international graduates must be either citizens or permanent residents of the U.S. and ECFMG-certified at the time of application.  Applicants must have passed both Steps 1 and 2 of the USMLE with a maximum of 3 attempts each. If Step 3 has not been passed, then the first passage of either Step 1 or 2 must not have occurred more than 5 years before the entry date into the program for which the applicant is applying.  Applicants must have passed the Clinical Skills test of the USMLE or the Performance Evaluation of the COMLEX on the first attempt and have taken no more than 5 years total to complete medical school.  When openings occur in the second-year level, applications will be accepted from physicians who have completed an internship. Upon successful completion of the graduate study program, the resident will be eligible for examination leading to certification by the American Board of Family Medicine. 



Curriculum

  • Adult Medicine: 4 months
  • Care of Neonates, Infants and Adolescents: 2 months
  • Care of the Surgical Patient: 1 month
  • Community Medicine: 1 month
  • Emergency Care: 1 month
  • Human Behavior and Mental Health: 1 month
  • Maternity Care: 2 months

  • Adult Medicine: 1 12 months
  • Care of the Neonates, Infants and Adolescents: 1 month
  • Critical Care/Pulmonology: 1 month
  • Family Medicine Night Float: 1 month (taken as 2 half-months months
  • Maternity Care: 2 months
  • Neurology: 1 month

  • Adult Medicine: 1 month
  • Care of the Neonates, Infants and Adolescents: 1 month
  • Family Medicine Night Float: 1 month (taken as 2 half-months)
  • Maternity Care: 2 months

  • Cardiology
  • Care of the Skin and Associated Organs
  • Diagnostic Imaging and Nuclear Medicine
  • Gynecological Care
  • Management of Health Systems
  • Ophthalmology
  • Orthopaedics
  • Otolaryngology
  • Urology

  • Allergy/Immunology
  • Anesthesiology
  • NICU
  • Endocrinology
  • Hematology/Oncology
  • High Risk Obstetrics
  • Hospice/Palliative Care
  • Infectious Disease
  • International Medicine
  • Maternity Care
  • Occupational Medicine
  • Parental Elective
  • Pathology
  • Pharmacotherapy
  • Pulmonology
  • Sports Medicine

RESIDENT INCOME/BENEFITS


STIPENDS AND BENEFITS The 2018/2019 stipends for residents are:
  • First-year residents - $57,500;
  • Second-year residents - $59,000;
  • Third-year residents - $60,500.

In addition, a benefits package is provided which includes:

  1. Health Savings Account (HSA) plan for resident physician with 100% of premiums covered and with option to purchase coverage for spouse and/or children.
  2. Professional liability coverage, license, membership dues, and lab coats.
  3. Disability plan.
  4. Dental insurance for resident with option to purchase coverage for spouse and/or children.
  5. Section 125 Cafeteria Plan.
  6. Employer payroll taxes.
  7. Life insurance. Paychecks are automatically deposited into your banking account on alternate Fridays.


PAID LEAVE AND EMERGENCY LEAVE Each resident is entitled to 15 working days of paid leave during each year of residency. Paid leave the last two weeks of June and the first two weeks of July is not permitted except for extraordinary reasons approved by the Residency Director. Paid leave is not allowed during Adult Medicine; Care of Neonates, Infants and Adolescents; or Maternity Care rotations without prior approval from the Residency Director. Paid leave cannot be taken during the Family Medicine Night Float rotation or during the last two weeks before a resident completes the residency program. Paid leave will not be granted between December 22, 2018 and January 2, 2019 – extra leave time for residents over this holiday period will be assigned. Paid leave is controlled so that there are not too many physicians absent from clinic at the same time. When possible, paid leave should be taken one complete week at a time. Ten of the fifteen days of paid leave need to be used in complete weeks. The other five days can be used to cover sick and other paid leave days. When it is not possible to grant the paid leave time requested, the resident will be consulted about an alternate time. Requests for paid leave must be made no less than thirty days and preferably sixty days in advance due to patient scheduling in the model office. A written Paid Leave/Conference Request form must be submitted to the Education Coordinator and approved by the Residency Director (see example following). Unused paid leave time is not carried over into the following year. Residents must have all patient charts closed before leaving for vacation.

Emergency/Personal Leave can be granted by application to the Residency Director when circumstances warrant, such as time away needed for a reason which could not have been anticipated or time away needed during a rotation or time period when paid leave would not normally be granted. The resident is responsible for making arrangements to ensure coverage of patients and duty assignments when such leave is granted. Accreditation requirements may require residents to extend their educational program to compensate for absences in excess of the maximum time away allowed.

EDUCATION LEAVE Time and expense money for educational seminars may be granted for each year as noted below. The seminar or educational activity must be approved by the Residency Director. First year – five working days (for life support certification training as scheduled by the Education Coordinator). Second and third years – five working days each year plus a total of up to $1500.00 conference allowance for the two years combined. (For allowable expenses and proper method of reporting for reimbursement, please refer to document available from our Administration.) These funds may also be used to purchase medical textbooks, software, etc.

All residents – will choose one conference day from a list of local conferences (e.g. Cardiology, Perinatal, CNOS, etc.) to go to during the academic year. This conference day does not count toward the above allocated conference days. Requests for leave to attend medical educational seminars should be made at least sixty days and preferably ninety days in advance due to patient scheduling in the model office. A written request form must be submitted to the Residency Director for approval of leave to attend educational seminars (see example following). A photocopy of the conference program is required to be submitted along with the request for leave. This leave time is allowed for conference attendance only. Additional leave will be granted for required examinations but also requires approval from the Residency Director at least one month in advance.

Re-certification in PALS, NRP, and ACLS will be scheduled for upper-level residents as necessary and the time will not be subtracted from paid leave or conference leave. Re-certification costs will be paid by the Foundation.

Residents will be required to schedule their Step 3 examination with a deadline of April 30 of the current year to take the examination. Exceptions will be reviewed and granted on a case by case basis. Residents shall discuss with their academic advisor to obtain permission for exceptions by November 1 of the residents PGY-1 year. All requests will then go through the scheduled weekly Tuesday faculty meetings with the academic advisor providing the documented request and any available resources for discussion. The full faculty votes on requests for deferment or denial of the request. This is a non-appealable decision. The Program Director will abstain from the initial vote unless a deciding vote is required. Any exceptions made will reflect on the call schedule for that resident towards the end of the year. The resident will not be able to do any inpatient rotation months the first two to three months of the academic year because of the exception. The resident will have no choice in determining their rotation schedule for their PGY-2 year.

It is highly recommended that third-year residents complete a board review course (either a live course or home study) in March. Conference days may be used for the time away for this course (or vacation days, if resident has no remaining conference days). The Foundation will pay the registration fees for an approved board review course but the residents are responsible for all costs for transportation, lodging, meals, etc. if taking a live course. If requested by the resident, these costs will be reimbursed through the resident’s conference allowance if sufficient funds are available.

MILITARY LEAVE The Uniformed Services Employment and Reemployment Rights Act does not apply to residents enrolled in a GME program. Residents who are members of the National Guard or any of the Uniformed Services of the United States may be called to duty in such uniformed service. The resident shall notify the Residency Director in writing upon learning that he/she has been called to duty in a uniformed service. Prior to leaving the program for active duty, the resident and Residency Director shall discuss the tentative plans for the resident’s return to the program including the level of re-entry. Within the abilities of the program to accommodate the resident’s re-entry in the program, the duration of absence from the program, and the resident’s activities during the absence, the program will make every effort to ensure that the resident re-enters the program at the level commensurate with his/her abilities.

LICENSURE All residents are responsible for completing their applications for resident and permanent Iowa medical licenses and for South Dakota training licenses. The Education Coordinator will provide you with information about the application procedure. The Foundation will pay the application fees. Turn in the receipts for financial reimbursement to the financial supervisor.

Medical license and drug certification renewals will be paid by the Foundation for the period of residency only. Fees for renewal periods which extend past a resident’s graduation date will be pro-rated and the resident will be responsible for the balance.

MALPRACTICE INSURANCE Professional liability insurance is provided by the Foundation. The policy provides coverage for all residency-related activities, most preceptorships within covered MMIC territory. When planning to moonlight, the resident will need to provide malpractice coverage andobtain the insurance certificate to be submitted with the moonlighting request. In a situation which the Foundation’s policy would not cover, it is the resident’s responsibility to arrange coverage. Our current liability coverage is a claims policy which is structured so that no tail is required at the end of residency training.

HOSPITAL MEALS Lunches will be provided free of charge to residents in the medical staff lounges at both hospitals



Our Residents

3rd Year Residents

Kornelia Kellogg

Hometown: Sacramento, CA

Undergraduate Education: Seattle Pacific University

Medical School: Des Moines University College of Osteopathic Medicine

Personal Information/Interests/Hobbies: I was born in Uzbekistan and came to the U.S. at age 7. (I still speak Russian.) I am married to Grant. We both enjoy the outdoors, reading, and spending time with family, friends, and church community. We love learning from people from other cultures.

Why I chose Siouxland Medical Education Foundation: I want to do medical missions overseas, so I was drawn to the strength of the OB training and the opportunity to be at an unopposed program where there are no other residencies in town. The confidence of the residents was very impressive. I also wanted to stay in the Midwest where people are generally friendly and down to earth.


Erin Kastl D.O

Hometown: Omaha, NE

Undergraduate Education: Morningside College, Sioux City

Medical School: Kansas City University or Medicine and Biosciences

Personal information/Interests/Hobbies: I enjoy horseback riding, camping, playing board games with my husband, and cooking.

Why I chose the Siouxland Medical Education Foundation: I really wanted a community-based, unopposed residency program that was strong in OB and Sioux City fit these qualifications. Most importantly, the people at this program were all friendly and I felt like I would get along well with everyone here.


Laramie Lunday M.D.

Hometown: Belcourt, ND

Undergraduate Education: University of North Dakota, Fargo

Medical School: University of North Dakota School of Medicine, Fargo

Personal information/Interests/Hobbies: I enjoy spending time with my children: Adriana (9) and Laiden (8). I like to stay active by competing in crossfit, running, swimming, and biking. I enjoy being outdoors as much as possible.

Why I chose the Siouxland Medical Education Foundation: I was interested in a full scope family medicine program that had no other residency programs in the area. Sioux City is relatively close to my family. The program seemed very supportive and family-friendly.


Katie Savio, D.O.

Hometown: Fremont, NE

Undergraduate Education: University of Nebraska, Lincoln

Medical School: Lake Erie College of Osteopathic Medicine, Erie, PA

Personal Information/Interests/Hobbies: I enjoy playing volleyball and softball. And I love following college sports, particularly football and volleyball – Go Big Red! I also like to cook, go to the movies, and travel.

Why I chose Siouxland Medical Education Foundation: Sioux City has everything I was looking for in a training program – an unopposed, community-based program, very strong OB experiences, procedural training opportunities, and allows me to get back to the Midwest. I felt at ease with everyone I met on interview day and knowt hat this program will be able to train me well to practice rural family medicine.


Ashley Tiahrt, M.D.

Hometown: Laurel, NE

Undergraduate Education: Chadron State College, NE

Medical School: University of Nebraska College of Medicine, Omaha

Personal information/Interests/Hobbies: I enjoy running, hiking, gardening, walking my dogs, and spending time outdoors with my husband, John. I also love spending time with friends and family and dabbling in arts and crafts.

Why I chose Siouxland Medical Education Foundation: I was interested in an unopposed program that had strong obstetrical numbers. I plan to return to small town Nebraska and I’m confident I will be well prepared for a rural family medicine practice. During my time here on rotation during medical school, I really enjoyed working with the residents and could tell that the faculty were truly invested in helping each resident become the best physician possible.


Chris Wolf, D.O.

Hometown: Sioux City, IA

Undergraduate Education: University of Iowa, Iowa City

Medical School: Des Moines University College of Osteopathic Medic

Personal information/Interests/Hobbies: : My hobbies include golf, hunting, fishing, disc golf, and craft beers. I am a huge fan of the Iowa Hawkeyes and Kansas City Chiefs. Mostly I love spending time with my wife, Meghan, and our young daughter, Peyton.

Why I chose Siouxland Medical Education Foundation: I really love the family atmosphere at SMEF. The faculty are incredibly supportive. It is an amazing opportunity to train in my hometown in an unopposed Family Medicine program that provides great education in a community setting. Lastly, I have the opportunity to explore my interest in sports medicine.


2nd Year Residents

Tou Lee Xiong M.D.

Hometown: Saint Paul, MN

Undergraduate Education: University of California, Davis

Medical School: University of Minnesota Medical School

Personal information/Interests/Hobbies: I love the outdoors, wildlife, and plants. I’ve lived in, explored, and hiked the Pacific coast and mountains of California, the semi-arid plans and Rocky Mountains of Colorado, and the woodlands and lakes of Minnesota. Each state has enriched me with its unique culture and beauty. I now look forward to discovering Iowa. I also have a passion for orchids. I find their exotic beauty and the challenge of keeping them a satisfying endeavor.

Why I chose the Siouxland Medical Education Foundation: I chose Sioux City for several reasons. I was impressed by the warmth and camaraderie of the residents and faculty. This will be important as I spend the next several years of my life with this family. The city is not too big and not too small. It offers a small town feel while having enough to do. I also like that the residency program is the only one in the city, giving me the opportunity to learn from a wide range of medical specialists and practices..


Alana Ryan, D.O.

Hometown: Overland Park, KS

Medical school: DO, Lincoln Memorial University-DeBusk College of Osteopathic Medicine

Personal: I was born and raised in the suburbs of Kansas City and attended the University of Kansas, where I studied genetics and met my husband, Travis. We have 2 dogs, Boris and Myrtle. In my free time I enjoy kayaking, skiing, boating, cooking and baking, gardening, and Jayhawk basketball. My professional interests include obstetrics, surgical procedures, and palliative care.

Why SMEF: After years of studying across much of the south and Midwest my husband and I were excited for an opportunity to be close to his family (he’s from Remsen, Iowa) and for me to train at a full-spectrum unopposed program. We plan to stay in the central Midwest after graduation, hopefully serving in a rural community.


Destiny M. Miller, M.D.

Hometown: Vail, Iowa

Medical School: MD; Ross University School of Medicine; Picard, Dominica; West Indies

Personal Information/Interests/Hobbies: I was born and raised in West Central Iowa where I then attended Briar Cliff University and majored in Nursing and Pre-Med. Prior to going to medical school, I worked as an RN, BSN for two years at a small, critical access hospital in Manning, Iowa. My interests and hobbies include enjoying the outdoors, photography, fishing, target shooting and spending time with family and friends. My fiancé, Brandon, and I have two cats named Roo and Lincoln who both keep us on our toes. I am an avid Iowa Hawkeye fan…GO HAWKS!!! My interests within family medicine include: rural medicine, obstetrics, and small procedures.

Why I chose Siouxland Medical Education Foundation: I chose SMEF because of the opportunities it provides and for its location. I plan on practicing full-spectrum, Family Medicine in rural Iowa and I feel that SMEF will prepare me well for this while also allowing me to be relatively close to my family. The community based, unopposed program allows for us to get great hands on experience and the opportunities for learning are endless!


Maria Johnson, M.D.

Hometown: St. Louis, MO

Medical School: University of Missouri – Kansas City School of Medicine

Personal Information/Interests/Hobbies: My interests and hobbies include baking, cooking, decorating, reading, gardening and hiking with my husband and dog. My interests within family medicine include: geriatrics and pediatrics.

Why I chose Siouxland Medical Education Foundation: I chose SMEF because I wanted the opportunity to practice full-scope family practice to ensure I am comfortable handling anything that is thrown at me in the future. I also really loved the camaraderie I observed between the residents, faculty and staff during my interview.


Mallory Forsyth, M.D.

Hometown: Olathe, KS

Medical School: MD; University of Kansas School of Medicine- Wichita

Personal Information/Interests/Hobbies: My interests and hobbies include hiking, traveling to national and state parks, road trips, reading, caring for my chocolate labs and following KU basketball, the Royals and Chiefs.

Why I chose Siouxland Medical Education Foundation: I chose to come to SMEF because I plan on practicing in rural Kansas and wanted a Midwest program that would be able to prepare me to practice full spectrum medicine. I am interested in sports medicine, office procedures, pediatrics and obstetrics.


Ngoc Mai, M.D.

Hometown: Lincoln, NE

Undergraduate training: University of Nebraska - Lincoln

Medical School training: University of Nebraska Medical Center

Personal Information/Interests/Hobbies: Huskers, FC Barcelona, any kind of sports and outdoor activity particularly tennis, soccer, basketball, football, art – painting, traveling to new places and going to national parks

Professional Interests: Sport medicine and preventative care

Why you choose Siouxland Medical Education Foundation: I was interested in a full scope unopposed family medicine program that would prepare me for any kind of circumstances . I was also impressed with how the program really emphasized on the balance of work and personal well being.


Evan Davis, M.D.

Hometown: Kansas City

Undergrad: University of Missouri - Rolla

Med School: Saint Louis University

Hobbies: Tabletop gaming, confectionery

Professional Interests: Hospital medicine

Why SMEF: The people. Of all the programs I investigated, this one had the most welcoming environment and the greatest bond both among residents and with staff/faculty. I additionally enjoyed the blend of patients here – we treat a wide variety of ages and socioeconomic backgrounds, which I felt would prepare me well for the challenges of any environment in which I might eventually practice.


1st Year Residents

Cora Ruhl, M.D.

Hometown: Leon, KS

Undergraduate training: Tabor College in Hillsboro, KS.

Medical School training: KU School of Medicine – Salina

Personal Information/Interests/Hobbies: I grew up in rural KS with four brothers. I enjoy family get-togethers and any other time I get to interact with my family. In my down time I enjoy puzzles, coloring, and reading. I also like music and the arts, mentoring, teaching, and community service.

Professional Interests: Rural medicine, OB, ER, preventative health

Why you choose Siouxland Medical Education Foundation: I am interested in rural medicine, so I was very impressed with the rural focus at Siouxland. Everyone I met seemed genuinely interested in who I am and what I want out of residency. The people at Siouxland are warm and friendly, and I felt like I fit in well.


Dylan Smith, M.D.

Hometown: Table Rock, NE

Undergraduate training: Wayne State College

Medical School training: University of Nebraska Medical Center

Personal Information/Interests/Hobbies: I grew up in small town of less than 300 people in Southeast Nebraska. In my free time, I enjoy traveling, running, lifting weights, attempting to cook, and watching Nebraska football. Go Big Red!

Professional Interests: I am interested in returning to rural community and providing a full spectrum of care including sports medicine and as many procedures as possible.

Why you choose Siouxland Medical Education Foundation: Knowing that I eventually want to return to a rural community, I wanted an unopposed program that would prepare me for whatever might walk through the door. With a strong overall training, including OB, I feel that that SMEF is definitely the right program for me.


Kristin Maylott, D.O.

Hometown: Enfield, Connecticut

Undergraduate training: University of New Haven, West Haven, CT

Medical School training: Kansas City University of Medicine and Biosciences, Kansas City, MO

Personal Information/Interests/Hobbies: My favorite thing to do is go on adventures with my dog, Karma. I also enjoy hiking, camping, snowboarding, Crossfit, yoga, acroyoga, reading, playing guitar, and roadtripping!

Professional Interests: Rural and Preventative Medicine

Why you choose Siouxland Medical Education Foundation: I chose SMEF because I completed a rotation with them and really enjoyed my time with the residents and faculty. I formed a great connection with the residents and really felt like they took me in to their “family.” I am interested in rural medicine and the unopposed training at SMEF provides a great foundation, as well as, the skills and experience necessary to practice in a rural area. Also, I wanted a program that provided healthcare for an under- served population and SMEF participates in community health as well as prenatal care for patients on the reservations. After spending a month with SMEF, I felt the environment was very positive, supportive, and the perfect fit for me!


Sean Nelson, M.D.

Hometown: Portage, WI

Medical School: MD; University of Nebraska Medical Center, Omaha, NE

Personal Information/Interests/Hobbies: I joined the military at 18 as a construction worker by specialty straight out of high school. I spent 6 years in the service, 5 1/2 of them overseas. After honorably discharging, I worked as a police officer for 4 years in rural Nebraska, and then changed careers to work as an EMT on the local ambulance service for another 3. Through my experiences, I’ve honed in on the way I would be most happy in continuing to protect and serve my community. Hopefully my diverse background will add insight and experience to the team, wherever I go.

Why I chose Siouxland Medical Education Foundation: I chose to come to SMEF because of the opportunity for exceptional training in full-spectrum Family Medicine at a community-based and truly unopposed residency program. There were other “unapposed” programs, but which shared the hospital with numerous other residents in various specialties from other programs. The access to procedures to enhance my training here was unparalleled. My wife’s family lives in Omaha, so the location was a bonus as well.


Lauren Norman, M.D.

Hometown: St. Louis, MO

Medical School: MD; St. Louis University School of Medicine, St. Louis, MO

Personal Information/Interests/Hobbies: I grew up in St. Louis, MO. I went to undergrad at Southern Illinois University Carbondale. My personal hobbies include perusing Pinterest for recipes and crafts, I love to cook and bake in my spare time. I enjoy watching dramatic TV shows and documentaries and listening to music. I love a good road trip, but any travel in general works for me! My favorite activity is spending time with my husband and our 2 kid, our dog, and our guinea pig. My interests within Family Medicine include obstetrics, public health, international medicine, and pediatrics.

Why I chose Siouxland Medical Education Foundation: As a medical student I tried my best to apply to mostly unopposed Family Medicine programs. I didn’t want to have to compete with other residents for procedures, deliveries, i.e. learning opportunities! I chose to come to SMEF because I knew I would be able to get the full spectrum training I wanted so that I’d be prepared for the future. For the most part, this place felt like home when I visited, the faculty and the residents were so warm and inviting. I don’t exactly know where I will end up after residency, but I know I’ll be prepared after training here at SMEF.


Mary Catherine Mohr, D.O.

Hometown: Alexandria, MN

Medical School: DO, Des Moines University, Des Moines, IA

Personal Information/Interests/Hobbies: I love adventure sports and the outdoors! I rock climb, ski, hike, camp, canoe and ride horses. In undergrad I studied art, writing, and invertebrate zoology, and did research on beetles in the Amazon rainforest. I’m also a board game enthusiast, and have a large collection of games to play with friends. In my down time I like to draw, write poetry, play videogames or watch movies. I love Family Medicine because it is so versatile, with the ability to see patients in all walks of life, but I have particular interest in geriatrics and women’s health.

Why I chose Siouxland Medical Education Foundation: I chose to come to SMEF because it offered full-spectrum Family Medicine that is community-based and unopposed. Training here will prepare me to work almost anywhere. The diverse patient population found in Sioux City gives plenty of opportunity to see and do things that might be more common in an urban practice, while also serving the surrounding rural populations. This is a great place to get trained as a competent and experienced Family Medicine physician who will feel comfortable working in many different practice environments.


Our Faculty

Leah Johnson, MD - Executive/Residency Director

Dr. Johnson is a 1999 graduate of the University of Minnesota Medical School and a 2002 graduate of the Siouxland Medical Education Foundation residency program. She joined the faculty at Siouxland Medical Education Foundation upon completion of her residency. Dr. Johnson is certified by the American Board of Family Medicine with a special interest in colposcopy and cervical pathology. She currently holds appointments as a Clinical Assistant Professor at the University of Iowa Carver College of Medicine and the University of South Dakota Sanford School of Medicine.


Michael Jung, MD - Associate Program Director

Dr. Jung is a 1980 graduate of the University of South Dakota School of Medicine and a 1983 graduate of the Siouxland Medical Education Foundation residency program. He has been with the program since 1983 and was the Program Director from 1991 to 2000. Dr. Jung maintains active clinical, procedural, and teaching skills in all areas of Family Medicine. He is a forensic child abuse investigator and he also has a special interest in maternal-child health issues. He has Clinical Associate Professor Appointments with the University of Iowa Carver College of Medicine and the University of South Dakota Sanford School of Medicine. Dr. Jung is certified by the American Board of Family Medicine.


Gerald J. McGowan, MD

Dr. McGowan is a 1963 graduate of the University of Iowa Carver College of Medicine. He completed his internship at Good Samaritan Hospital, Phoenix, Arizona in 1964, and completed a surgery residency at Maricopa County General Hospital, Phoenix, Arizona in 1965. Dr. McGowan is certified by the American Board of Family Medicine. He currently holds appointments as Clinical Associate Professor at the University of Iowa Carver College of Medicine and a Clinical Faculty Appointment at the University of South Dakota School of Medicine. Dr. McGowan was Medical Director from 1975-2000.


Amy Rief-Elks, DO, Assistant Program Director

Dr. Rief-Elks is a graduate of the Kansas City University of Medicine and Biosciences. She completed her residency at Siouxland Medical Education Foundation in family medicine in 2006. In residency she received the “Howard E. Rudersdorf, M.D. Lifetime Learning Award” in recognition of exceptional scholarship. She is a certified Diplomate of the American Board of Family Medicine. After completion of her residency, Dr. Rief-Elks practiced in Onawa, Iowa until she took a position with the Siouxland Medical Education Foundation in 2009. Dr. Rief-Elks is a member of the American Medical Association, American Academy of Family Physicians, American Osteopathic Association, American College of Osteopathic Family Physicians, and DOCARE. She practices full spectrum family medicine and has a particular interest in obstetrics/gynecology, colposcopy, preventative medicine, and emergency medicine. She holds appointments as a Clinical Assistant Professor at the University of Iowa Carver College of Medicine and the University of South Dakota Sanford School of Medicine


Stephen Pallone, MD

Dr. Pallone completed his undergraduate in biochemistry at the University of Virginia – Charlottesville and medical school at Virginia Commonwealth University School of Medicine in Richmond, VA. He is board-certified in Family Medicine and Psychiatry having completed his combined residency program at the University of Iowa. He joined the faculty at the Siouxland Medical Education Foundation in July, 2015 after nearly four years practicing in Siouxland. Dr. Pallone holds an appointment as Assistant Clinical Professor with the University of Iowa Carver College of Medicine.

Dr. Pallone is also a Creighton Model Natural Family Planning Medical Consultant. This approach to women’s health is based on restoring the normal functioning of a woman’s body while preserving fertility. From treating irregular menses and recurrent miscarriages to postponing pregnancy among other women’s health issues, Dr. Pallone is able to offer a model of women's healthcare without the use of contraceptives.


Sunnah Doesken, MD

Hometown: McGregor, MN

Undergraduate Education: College of St. Scholastica, Duluth, MN

Medical School: University of Minnesota-Duluth

Personal information/Interests/Hobbies: I've found there isn't enough time in a lifetime to do all I enjoy. I tend to focus on family activities; outdoor activities like hunting, fishing, gardening, camping & hiking; arts & crafts including sketching, acrylic painting, making toy wooden trains, sewing clothing, quilting and more. I live with my husband, one child, hairless Chinese crested dogs, and salt-water fish.

Why I chose the Siouxland Medical Education Foundation: I liked the community and the faculty the most. As I learned more, I realized that this program would more than prepare me for a full spectrum practice heavy in Obstetrics while having fun and integrating into the community. I was sold and quite pleased to come all the way from northern Minnesota to take part in the program.


Cara Drew, MD

Dr. Drew is a 2009 graduate from Morningside College and 2014 graduate University of South Dakota Sanford School of medicine. She completed residency at the Siouxland Medical Education Foundation graduating in 2017. She was the chief resident in 2017. She joined the faculty at the Siouxland Medical Education Foundation immediately after graduating residency. She has a special interest in Diabetes Care and obstetrics. She is a board certified family physician.


Dan Irwin, MD

Hometown: Jefferson, SD

Dr. Irwin is a 2010 graduate of the Sanford USD School of Medicine and a 2014 graduate of the Siouxland Medical Education Foundation residency program. He joined the faculty at Siouxland Medical Education Foundation upon completion of his residency. Dr. Irwin is certified by the American Board of Family Medicine with a special interest in Emergency Medicine.


Cindy Buys, Pharm. D. - Clinical Services Director

Cindy Buys received her Doctor of Pharmacy degree in 1989 from Creighton University. She did a pharmacokinetics / infectious diseases fellowship at Millard Fillmore Hospital in Buffalo, New York. She has been on the professional staff at the Family Medicine Center since 1991. Dr. Buys is certified by the Board of Pharmaceutical Specialties in Pharmacotherapy. Current research interests included Team-Based care in the treatment of chronic diseases. She is an Adjunct Associate Professor (Clinical) with the University of Iowa College of Pharmacy and University of Iowa Carver College of Medicine.


Sara Wiedenfeld, Pharm. D.

Sara Wiedenfeld received her Doctor of Pharmacy degree in 2007 from Drake University. She completed a pharmacy residency at Siouxland Medical Education Foundation. She joined the staff at the Family Medicine Center in 2014. Dr. Wiedenfeld is certified by the Board of Pharmaceutical Specialities. She is an Assistant Professor (Clinical) with the University of Iowa College of Pharmacy


Sarah Jolin, L.I.S.W. Behavioral Scientist

Sarah Jolin received her Masters in Social Work from Washington University in Saint Louis, Missouri. She is a Licensed Independent Social Worker and was in private practice in Sioux City for eight years before joining the program in 2007. Her primary focus is with adults who have anxiety, depression, and chronic pain. She is trained in Cognitive-Behavioral Therapy and Psychodynamic Therapy. Sarah currently does individual, marital, and family therapy. She holds an appointment with the University of Iowa Carver College of Medicine as an Adjunct Instructor.


Betty Gilbert, L.I.S.W. Behavioral Scientist

Betty Gilbert, L.I.S.W., received her Masters in Social Work from the University of Nebraska in Omaha, Nebraska in 1996. She is a Licensed Independent Social Worker and is also a member of the National Association of Social Workers. She was in private practice in Sioux City for six years before joining the program in 2010. Her primary focus has been with children and adolescents. Betty currently does individual, marital, and family therapy. She holds an appointment with the University of Iowa Carver College of Medicine as an Adjunct Instructor.


Amy Hammerstrom, L.I.S.W. Behavioral Scientist

Amy Hammerstrom, L.I.S.W. received her Masters in Social Work from the University of Iowa in 2011. She is a Licensed Independent Social Worker and is also a member of the National Association of Social Workers. She worked in Child Welfare and the Juvenile Justice System for twenty years prior to joining the program in 2017. Amy specializes in the use of Eye Movement Desensitization and Reprocessing (EMDR) for trauma recovery. She provides individual, marital and family therapy. She holds an appointment with the University of Iowa Carver College of Medicine as an Adjunct Instructor.


Gary Heath, PA-C Physician Assistant

Gary Heath completed his Physician Assistant training at the University of North Dakota in 1992. He was previously employed by St. Luke's Regional Medical Center and Marian Health Center. He joined the Family Medicine Center staff in 1993.




Cindy Mammen, PA-C Physician Assistant

Cindy Mammen completed her Physician Assistant training at the University of North Dakota in 1999. She previously graduated from Western Iowa Tech Community College Nursing School. She first joined the Family Medicine Center staff as a nurse in 1980, and has continued here as a Physician Assistant after becoming certified in 1999.


Clinic

The Family Medicine Center is the model office used for the Siouxland Medical Education Foundation's program. The Center closely simulates private practice by providing an ambulatory setting for the residents to gain broad experience as primary care physicians to an approved panel of patients. It is conveniently located within five minutes driving time of the two hospitals in Sioux City: Mercy Medical Center and UnityPoint - St. Luke's.

The Siouxland Medical Education Foundation is proud of our facility. Our building, completed in late summer 1998, is a model of dedicated education areas as well as efficient clinical space. The two-story building, totaling approximately 32,000 square feet, allows the Foundation to continue its rich tradition in current programs as well as to introduce new initiatives in medical education.

The first level of the building houses all of the patient care areas. Two exam pods, with twelve exam rooms each, balance the floor plan. Also included are faculty staffing rooms, private dictation rooms, laboratory, x-ray, procedure rooms, nursing areas, a patient education room, medical records room, and a spacious lobby. Level Two offers space devoted almost entirely to education. Included is a large conference room with multimedia capabilities, multiple smaller conference rooms, a library, an office cubicle for each resident physician, and faculty physician offices. Administration, patient account services, and an employee lounge area are also located on the second level.


UnityPoint - St. Lukes

UnityPoint Health - St. Luke's is a patient and family-centered hospital that delivers compassionate care to families in the tri-state area including Iowa, Nebraska and South Dakota.

Our commitment to patients begins with our personal approach, coordinating care from the doctor's office to the hospital and home. When facing something that can't be treated in the doctor's office, count on our hospital staff to help you tackle the biggest challenges.

St. Luke's offers a full range of services and programs. From our state-of-the-art surgical center and the area's most recognized birth center to 24/7 cardiovascular care and the Level III emergency department.

Mercy Medical Center - Sioux City

Mercy Medical Center-Sioux City is a regional medical center that serves western Iowa, eastern Nebraska and southeastern South Dakota.

In addition to the main hospital in Sioux City, Mercy-Sioux City operates a primary care clinic network, specialty care clinics and home health services. Mercy also partners with other community healthcare providers to sponsor a regional cancer center, paramedic services, hospice services, a freestanding surgery center.

Mercy has earned more national recognition for quality patient outcomes than any other hospital in the region. The medical center has earned multiple honors for its leadership and excellence in several clinical areas including cardiac care, orthopedic services, vascular surgery, stroke care and cancer care.

Mercy-Sioux City is also home to the only Level II Trauma Center in western Iowa, and provides a lifesaving link to rural areas via Mercy Air Care.