Residency Welcome Letter

Karl Dietrich gestures as he speaks in a friendly manner
Karl Dietrich, MD, MPH, program director of the Cheshire Medical Center Family Medicine Residency

Welcome to the Cheshire Medical Center, Dartmouth Health Family Medicine Residency!

We are excited to share our newly accredited program and invite applications for one of 6 spots in the inaugural class slated to start in July 2024! Our committed faculty aim to train future family physicians in the skills necessary to address the broad health needs of rural communities with a commitment to diversity, equity, and inclusion within a culture of belonging.

Our unopposed residency training program in Keene sits in the heart of the Monadnock Region of New Hampshire. Residents will train primarily at Cheshire Medical Center, a regional referral center within the world-class Dartmouth Health system. Additional training environments include Dartmouth Health Children's and Dartmouth Hitchcock Medical Center (DHMC) in Lebanon, New Hampshire. Residents will also rotate with outstanding faculty and clinicians within Family Medicine, specialty services, and longitudinal community partnerships.

Our new Family & Community Care facility opens in the summer of 2023. Thoughtfully designed to support learning and serve our community, this clinic will have 28 exam rooms, telehealth support, integrated behavioral health, a simulation lab, as well as dedicated resident learning and social spaces. Wooded trails surround the clinic, and large windows bring in natural light throughout.

The community of Keene boasts numerous walking trails, museums, restaurants, and community organizations. The historical Colonial Theater on downtown's Main Street brings in live music, movies, and theatrical performances. Keene is home to 3 colleges, including Keene State College, which features the NCAA Division III Owls, the Redfern Arts Center, and the Thorne-Sagendorph Art Gallery. Various community festivals and fairs throughout the year bring visitors from all over New England.

In addition to ACGME curricular requirements around continuity care, inpatient care, procedural training, and reproductive care, the training incorporates an additional emphasis on population health through our partnership with Cheshire’s Center for Population Health, care for LGBTQ+ populations, as well as care for patients with substance use disorders. Residents will learn from experienced faculty with expertise in gender-affirming care, long-acting reversible contraception (LARCs), motivational interviewing, and other skills to prepare graduates to care for patients in any clinical setting.

We are dedicated to training the next generation of family physicians as the foundation of the robust primary care workforce needed to advance the health of our patients and communities. Our website offers a glimpse into much of what we have to offer, and we look forward to hearing from you.


Karl Dietrich, MD MPH


Couple climbing mount monadnock
Nearby Mount Monadnock is one of the most climbed mountains in the world.