Starting residency · SD

Starting residency in South Dakota

South Dakota requires residents to hold a training license from the South Dakota Board of Medical and Osteopathic Examiners: the Resident license. South Dakota has no state income tax on wages.

Checked 2026-10-21 · medium confidence

Training license

Status
Training license required
Called
Resident license
Fee
$50 (board rule; state law caps it at $50)
Renewal
Valid up to 1 year; renewed on a board form

Who applies: Resident, on board forms.

South Dakota's medical practice law has no resident exemption, and practicing without a board license, certificate or permit is a misdemeanor, so residents hold a resident license or a full license. The license is forfeited if the holder leaves good standing in an accredited residency. Holders may not provide medical services outside the residency until they have completed one year of training. The board's website returned errors throughout this research, so these details come from state statutes and board rules.

Full license: After 2 years of graduate medical education (board rule ARSD 20:47:03:03). A full license matters if you plan to moonlight.

Source: South Dakota Board of Medical and Osteopathic Examiners

State income tax

No state income tax on wages.

Source: taxfoundation.org

Match Day to your first loan payment

    Assumes you enroll in RAP or IBR when the grace period ends, recertify once a year, and file each tax return by April. Your servicer's dates govern.

    1. Mid-March

      Match Day

      You learn where you'll train. Your program sends its residency (GME) agreement and onboarding steps.

      What a residency agreement covers →

    2. March–April

      South Dakota training license

      Apply for your South Dakota training license as soon as your program sends instructions. Applications often need school records and background checks that take weeks.

      Board requirements →

    3. April–June

      Credentialing and onboarding

      Hospital credentialing, health screening, payroll and benefits forms, and a DEA registration if your program requires one.

      The physician's guide to credentialing →

    4. Late June–July 1

      Move and start

      Intern orientation usually starts in the last week of June. When the first paycheck arrives depends on the hospital's payroll schedule, so budget for a few weeks of moving costs without one.

    5. About 6 months after graduation

      Federal loan grace period ends

      Payments start 6 months after you leave school. Choose a plan before then, or request residency forbearance, during which interest accrues and months don't count toward PSLF.

      Compare RAP, IBR and Tiered Standard →

    6. First year of payments

      Payments use last year's income

      RAP and IBR use the adjusted gross income on your most recent tax return, which for most new residents is a student year. Payments rise after you recertify with a resident's income.

      How RAP works →

    One board licenses MDs and DOs.

    Related

    General information, checked on the date above. Board requirements and fees change; confirm with the South Dakota Board of Medical and Osteopathic Examinersand your program before you apply.