The Chickasaw Nation Family Medicine Residency (CNFMR) is working fulfill the Chickasaw Nation’s mission to enhance the overall quality of life of the Chickasaw people, while assisting other First American citizens and the greater community. The program offers training sites at Chickasaw Nation Medical Center, three Chickasaw Nation Department of Health satellite health clinics, and five affiliated sites. First-year residents spend much of the year rotating through different services of the hospital and clinics with residents spending one to two sessions a week in the Family Medicine Residency Clinic. During the second year there is an increasing focus on ambulatory care, with residents spending two to four sessions a week in the Family Medicine Residency Clinic. The third year curriculum is almost entirely focused on ambulatory care.