While out-of-state applications typically outnumber in-state applications, the medical school emphasizes admission to South Dakotans, and 93 percent of the students currently enrolled in the institution are from the Mount Rushmore State.
 
In 2015, the medical school formally adopted an expanded class size, and admissions were increased to 69 plus the option of accepting two students from the “Indians Into Medicine” program based in North Dakota. The 69 includes the possible admission of two students in each class who combine an M.D. degree with a Ph.D. degree. In 2011, the medical school admitted 54 students. It is expected that 71 students will be starting the program in July.
 
South Dakota’s only medical school has attracted national attention for its programs that connect physicians to rural practice, and its community-based teaching is considered a highly effective approach to educating physicians.

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