The Rural Emergency Medicine Fellowship is a 12 month / 13 “block” post-residency training program designed to address a shortage of rural emergency care providers throughout the state of Idaho and the nation as a whole. Fellows will spend time in both rural and urban emergency departments as well as with pre-hospital care teams (EMS and street medicine), providing well-rounded exposure to triage and emergency care in diverse settings. Procedural training is comprehensive including airway management, chest tubes, thoracentesis, paracentesis, central/arterial access, lumbar puncture, POCUS, I&D, lac repair, fracture and dislocation reduction, and lateral canthotomy. Fellows will also have the opportunity for self-directed elective experiences including inpatient and critical care medicine, obstetrics, trauma, anesthesia, and more. The fellowship curriculum complies with the American Board of Physician Specialties (ABPS) requirements and graduating fellows will be eligible to take the emergency medicine board exam. This additional training along with the opportunity for ABPS board certification will increase graduates’ comfortability in high-acuity care and expand job opportunities. The fellow will also maintain one half day of continuity clinic per week and have one half day of didactics per week on average across the year.
One fellow will be selected each year. Applicants must have completed a 3-year ACGME accredited Family Medicine Residency and be board certified in Family Medicine. At this time, we are not able to sponsor visas for the fellowship. The fellowship starts approximately the last week of July, which varies by academic year. Please submit the following to apply:
- A copy of your CV
- Concise personal statement detailing the following:
- Reasons for pursuing additional training in Rural/ Emergency Medicine
- Future career goals
- Specific interest in this program
- Letter of support from your Program Director
- Two additional letters of reference, preferably from Family Medicine faculty
- Current list of procedure and bedside ultrasound numbers (OK if approximate)
- Picture
The application window for the 26-27 academic year is now closed.
Email applications to:
Amy Atondo, Fellowship Program Coordinator.
Subject Line: Rural Medicine Fellowship Application
Amy Atondo
Fellowship Coordinator
P: (208) 514-2500 x1074
AmyAtondo@fullcircleidaho.org
777 N Raymond Street Boise, ID 83704
- Salary estimate $80,459 (’26-’27 Academic Year)
- Twenty-two (22) days paid vacation per year. (View Family Leave Policy)
- Educational funds in the amount of $1500 for related CME.
- Health, Dental, Vision, Life Insurance options for fellow and immediate family.
- Disability Insurance for fellow.
- Malpractice Insurance and Workers’ Compensation Insurance.
- Time and funding included for ATLS if not already completed, however completion before start of program highly encouraged.
- Butterfly Ultrasound provided if one not already possessed.
- Licenses and dues: Idaho board of medicine, DEA, board of pharmacy, AAFP membership.
General Overview:
The fellowship year is divided into thirteen 4-week blocks starting approximately the last week of July. Cumulatively across the year, the fellow will be required to spend a minimum of 1,400 hours in the ER (with a minimum of 1,500 patient encounters), and the remaining training time will be divided between elective rotations, continuity clinic, and didactics/CME.
The thirteen 13 curricular blocks are divided as follows:
Six standard blocks which will feature:
- 10 ER shifts per block
- 2 days of longitudinal elective per block
- 1 half-day of continuity clinic per week
- 1 half-day of didactics per week
Five elective blocks which will feature:
- 7 ER shifts per block
- 2 days of longitudinal elective per block
- 1 week of concentrated elective per block
- 1 half-day of continuity clinic per week
- 1 half-day of didactics per week
Two rural blocks which will feature:
- 16 ER shifts per block
Electives: Fellows will have 5 weeks of concentrated elective time as well as 22 days (2 per block) of longitudinal elective across the year. Elective opportunities include but are not limited to anesthesia, critical care, trauma surgery, cardiology, neurology, sports medicine, addiction medicine, street medicine, scholarly time. Additional elective time can be arranged if fellows are interested in further training experiences.
Didactics: On average, didactics will include a half-day per week. However this is flexible and cumulative didactic hours may also include approved conferences and/or procedural courses. Didactic topics will include but are not limited to evidence-based guidelines, core emergency medicine topics, POCUS, simulation training, case review, research.
Saint Alphonsus Regional Medical Center (SARMC)
St. Alphonsus in Boise is the region’s only Level II Trauma Center as well as a Level I STEMI and Stroke Center. The St. Alphonsus medical centers in Ontario and Baker City are also level IV trauma centers. “St. Als” will be the site of the majority of rotations including 3 months of community ER, 2 weeks of ICU nights, and additional opportunities such as trauma/neuro emergency call, anesthesia/airway management, and teaching opportunities on the resident FM inpatient service.
While the hub of community EM rotations will be in Boise, additional experiences in our surrounding communities will include:
- Eagle (30 minutes from Boise)
- Garrity (25 minutes from Boise)
- Nampa 12th Ave (40 minutes from Boise)
- Ontario, OR (level IV trauma center, 1 hour from Boise)
- Baker City, Oregon (2 hours from Boise)
Saint Alphonsus Regional Medical Center in Boise, Idaho, is part of Saint Alphonsus Health System. With four hospitals and a variety of medical clinics, we serve the full range of the healthcare and wellness needs of the people in southwestern Idaho, eastern Oregon and northern Nevada.
St. Luke’s Children’s Hospital (SLCH)
St. Luke’s Children’s Hospital (SLCH) in Boise is the primary site for inpatient pediatrics and pediatric subspecialty training. It is the only Children’s Hospital in Idaho and is the most geographically isolated children’s hospital in the continental US. It has a huge geographic catchment area that includes a population of well over 1 million people. SLCH has more than 200 skilled pediatricians and pediatric specialists who provide state-of-the-art, high quality care. SLCH has pediatric specialists in virtually every pediatric medical and surgical specialty, and has an outstanding staff of over 400 nurses, therapists, and other dedicated pediatric caregivers in all pediatric disciplines. SLCH has a busy 61 bed neonatal intensive care unit (NICU) and a 12+ bed pediatric intensive care unit (PICU), and is certified as a level 1 pediatric trauma center.
All children should have access to the highest quality health care services available, regardless of their condition or their family’s ability to pay. Like all children’s hospitals, St. Luke’s is committed to high quality, cost-effective clinical care, and advocacy for children and families, education, and research.
Location & Contact Info
190 E. Bannock St.
Boise, ID 83712
208-706-KIDS (5437)
Directions/Map
Visit Website
St. Luke’s Medical Center (SLMC)
For more than 100 years, St. Luke’s Medical Center Boise Campus has been committed to serving the needs of a growing region. Founded in 1902 as a six-bed frontier hospital, St. Luke’s Boise is now Idaho’s largest health care provider, and the flagship hospital of St. Luke’s Health System.
St. Luke’s Boise is known for its centers of excellence in cancer, heart, and women’s and children’s care. Among its many services, it is home to St. Luke’s Heart, St. Luke’s Cancer Institute’s largest clinic, St. Luke’s Center for Minimally Invasive Surgery, and St. Luke’s Children’s Hospital, the only children’s hospital in Idaho.
Known for its clinical excellence, St. Luke’s Boise has been nationally recognized for quality and patient safety, and is proud to be designated a Magnet hospital, the gold standard for nursing care.
Full Circle Health The clinic experience throughout training will be at one of the 5 clinics of Full Circle Health. Final clinic location will be determined by December 2022 as we are expanding both our Raymond and Emerald St locations.
Full Circle Health Sites
Full Circle Health – Raymond Clinic
The Raymond clinic has been the home location of our residency since 1983. All interns spend their first year as Raymond providers, and 6 upper level residents in each class also stay there for their full 3 years of residency. Raymond is divided into three clinical teams by hallway as part of our PCMH initiative and is our largest clinic. Patient mix is broad and exciting. Procedural support is strong at this clinic and it houses many specialty clinics including sports medicine, rheumatology, and dermatology. All our colonoscopies and EGDs are done here. Although it is an older clinic, it underwent significant remodeling in the last few years. Attending support is a mix of core residency faculty and part-time community preceptors. This clinic offers a vibrant mix of patients and learning options.
Full Circle Health – Emerald Clinic
Our Emerald clinic is located across the street from our Raymond clinic. It offers a mix of broad primary care and multiple specialty clinics. In addition to faculty and resident Family Medicine clinics, Emerald houses our Wellness Center (a Ryan White funded HIV clinic), TB clinic, viral hepatitis clinic, PrEP clinic, and refugee services including both refugee screening and primary care. Two R2s and two R3s are empaneled at Emerald each year. Attending support is mainly by the family medicine faculty who see their own patients at Emerald. This clinic offers broad training in family medicine with a specialty/infectious disease bent.
Full Circle Health – Idaho Street
The Idaho Street location is our newest clinical space, having recently relocated to a new spot in downtown Boise. The patient mix has historically had emphasis on pediatrics, obstetrics and women’s health, but now has broad patient panel reflective of Full Circle Health patients, including rapidly increasing geriatrics and multiple languages. In addition to the continuity clinics, there are dedicated OB clinics on Monday and Wednesdays, gynecology clinics on Mondays and a pediatrics clinic each day. There is a musculoskeletal focus with OMT, FDM and Integrative medicine/acupuncture specialty clinics housed here. All Full Circle Health residents are able to experience these clinics. Two R2s and two R3s are empaneled at Idaho Street each year. Attending support is mainly by the family medicine faculty who see their own patients at Idaho St, but many other faculty members often rotate through.
Full Circle Health – Meridian Clinic
Our Meridian clinic is located approximately 8 miles west of Boise, near the St. Luke’s Meridian hospital. The patient population is varied and comes from both suburban (Meridian / Nampa area) and outlying rural towns. Our Spanish speaking population is growing thanks to the work of our Promotora (community health worker) staff. We have a core Meridian OB patient panel that desires delivery at St. Luke’s Meridian giving residents an additional source of OB volume. Our pediatric volume is high due to the demographics of the location in addition to the presence of a pediatrician on our staff. Procedures are abundant and the clinic faculty embraces teaching. Two R2s and two R3s are empaneled at Meridian each year. The Meridian clinic offers residents the opportunity to practice on a single multidisciplinary team. In the Summer of 2020, our second pharmacy location opened next door to the Meridian clinic.
Full Circle Health – Kuna Clinic
The Kuna clinic offers a broad spectrum primary care in the rural town of Kuna, Idaho. No residents are empaneled at this site, but several of our faculty see their own patients there. The Kuna clinic provides care for diverse patients in a supportive, patient-centered, clinically-excellent environment and strive to make healthcare accessible and equitable to the underserved and vulnerable populations in our community.
Full Circle Health – Nampa South
Our Family Medicine Residency training program is dedicated to becoming your patient centered medical home. We provide excellent patient care along with offering superb clinical training for medical residents who are becoming Family Medicine Physicians. At Full Circle Health you will be cared for by a medical team consisting of a physician and a resident physician who will be your primary care providers in conjunction with a mid-level provider (PA, NP, and CNM), psychologist, dietician, clinical pharmacist, community health workers, and care managers. We are a tight-knit team that enjoys teaching and caring for those that need us.
Location & Contact Info:
Full Circle Health – Nampa South
215 East Hawaii Avenue, Suite #140
Nampa, ID 83686
208-514-2529
Directions/Map
Visit Website
Full Circle Health – Nampa North
Located in the campus of the St. Luke’s Nampa Medical Center, this clinic will be where half of each residency class will experience their continuity panel. Fellows will have continuity clinic here as well. Both residents and fellows will have access to an inter-professional team including pharmacists, psychologists, dieticians, and community health workers.
St. Luke’s Nampa Medical Center demonstrates their commitment to the city of Nampa and the growing population of Canyon County. The new 87-bed hospital offers a fully equipped emergency department, family suites for new mothers and their babies, a newborn intensive care unit (NICU), children’s services with outpatient sub-specialists, additional heart and orthopedics services, and an intensive care unit.
Location & Contact Info:
Full Circle Health – Nampa North
9850 W St Lukes Dr., Suite #329
Nampa, ID 83687
Directions/Map
Elizabeth (Liz) Atnip, MD (she/her)
Rural Emergency Medicine Fellowship Director
Rural Medicine Fellowship Director
Associate Program Director – Boise
Dr. Atnip was born and raised in Hershey, Pennsylvania (sweetest place on earth!). She attended Penn State University for both undergraduate and medical school, and then headed west for broad spectrum residency training at Full Circle Health. During her time here, she fell in love with teaching and Boise, so decided to stay on as faculty after graduating in 2018. She completed a 2 year remote fellowship in Integrative Medicine in 2020 and additionally has training in acupuncture. Her top joys in medicine are inpatient medicine/ICU, OB, and lifestyle medicine. Outside of work she enjoys playing music, reading, running, cooking, gardening, and spending as much time as possible with her husband, Josh, and her two boys.
Tyler Shelby, MD, PhD
Rural Emergency Medicine Fellow (2026-2027)
Hey folks! My name’s Tyler and I was born and raised in Kansas (plus a few childhood years in Colorado). I went to undergrad at Pittsburg State University where I met my wife Sasha and later moved to New England for medical school. Along the way I became very interested in global health, and spent time working and volunteering in Belize, Paraguay, Kenya, the Dominican Republic and Uganda. I also obtained a PhD in public health during my time in New Haven which got me involved in both international and local work, most of which was centered on contact tracing.
Towards the end of medical school, a few rotations in Kansas and Wyoming convinced me that full-spectrum family medicine was the right direction for me. I’m super excited to have graduated from the Full Circle Health Family Medicine Residency Program in Boise as of 2026 and am equally as excited to begin my extended training in their Fellowship for Rural Medicine. This program will provide me plenty of opportunities to pursue my continued interests in rural and global health.
Outside of medicine, I write/play music (drums, guitar, midi) and dabble a bit in sourdough baking (but frequently forget to feed my starter). I also love to enjoy nature by hiking, biking, camping, fishing, hunting, gardening, and sometimes just sitting on the roof! All that said, I’m also half couch-potato and get a kick out of video games, knitting, writing/reading and making renaissance faire costumes.