Clarkson Family Medicine Residency Program

Residency Program

Clarkson Family Medicine Residency physicians specialize in medicine for the entire family: from vaccinations to physical exams, from childhood diseases to adult health problems, from complete obstetrics to geriatric care. The doctors of Clarkson Family Medicine clinic are here to provide you and your family with the best medical care on an ongoing basis.

The mission of Clarkson Family Medicine Residency is to provide family medicine residents a high-quality education in a full-scope, patient-centered, friendly, community-based training program.

The clinic operates Monday through Friday from 8 a.m. to 5 p.m. We have 15 exam rooms, a minor procedure room, treadmill, obstetric (OB) non-stress testing, OB ultrasounds, radiology services, and a laboratory.

Procedures performed in the office include:

  • Colposcopy
  • Fracture care
  • Laceration repairs
  • Loop Electrosurgical Excision Procedure (LEEP)
  • Minor lesion removal
  • Pulmonary function testing
  • Sigmoidoscopy/Colonoscopy
  • Vasectomy

Nebraska Medicine - Clarkson Family Medicine clinic staff includes physicians, a clinical psychologist, residents, clinic manager, registered nurses (RNs), licensed practical nurses (LPNs), laboratory technicians, radiology technicians, certified medical assistants, certified procedural coders and clerical support staff.

Strategic Objectives

  • Be a cost-effective provider of high-quality family-centered health care
  • Be recognized as a leader in academic excellence
  • Recruit and retain exceptional faculty, staff and residents
  • Educate family medicine residents to become highly skilled family physicians, with the intellectual and clinical skills to practice family medicine in a variety of urban and rural settings in Mid-America, with a commitment to:
    • Family-centered health care
    • Continued acquisition of medical knowledge
    • Medicine as a profession
    • Community service

How To Apply For Residency

Applicants will be considered for an interview for the Nebraska Medicine - Clarkson Family Medicine Residency if the applicant completed a four-week clinical clerkship at CFM within the last 12 months OR their application meets the following criteria:

  • The application is submitted through the Electronic Residency Application Service (ERAS), (202) 824-0413 or register online.
  • The applicant has or will graduate from medical school in the past three years.
  • The applicant must has passed USMLE Step 1 or COMLEX Level I.
  • The applicant has passed USMLE Step 2 – CK or COMLEX Level 2 – CE
  • USMLE Step 2 – CS or COMLEX Level 2 – PE must be passed by the rank order certification deadline. It is recommended that these exams be taken by December 1st so results are available promptly.
  • The applicant has 3 or fewer cumulative fails in the USMLE/NBOME exam cycle.
  • The applicant must be a US citizen or have a valid visa and work permit, we do not sponsor the H1 visa, but will accept the J1 visa.
  • The applicant has clinical experience in the United States within the past 12 months.

The most successful applications will demonstrate:

  • Recent graduation from medical school
  • No more than one failure of USMLE or COMLEX testing
  • Passage of USMLE – CS or COMLEX - PE on the first attempt
  • A positive letter of recommendation from a Family Medicine Physician
  • Ties to Nebraska, Iowa, Kansas, Missouri or South Dakota
Edited: 7-01-17

These criteria apply to students applying through ERAS in the standard NRMP Match program and do not necessarily apply to the students participating in the SOAP process.

Interviews are offered after the ERAS application, personal statement, medical school transcript and reference letters have been received. Dean’s letters are generally received the first week of October and they will be reviewed with the other data. Applicants will be notified by email and the US Mail if an interview has been offered.

MEDICAL STUDENT CLERKSHIP: We offer a four week clerkship that exposes students to the full breadth of family medicine while taking into consideration your special interests. Clerkships are available every month and is available to third and fourth year medical students. If you are interested in a clerkship in family medicine, contact our Program Coordinator, Bev Hilburn at 402- 552-2050 or email:

Frequently Asked Questions

Does your program have board score requirements?

The applicant has 3 or fewer cumulative fails in the USMLE/NBOME exam cycle. All parts of the examination must be passed within ten years of passing the first exam.

Does your program have any restrictions on year of graduation?

Applicants must not have been out of medical school for three years or clinical practice for more than the last 12 months.

Do you accept FMG’s in your program?

Yes, ECFMG Certified. You must be a US citizen or have a valid visa and work permit, we do not sponsor H1 visa.

Does your program require any US clinical experience?

Yes, clerkships, observer/externships or rotational studies.

Does your program offer Observer/Externships?


Does your program offer Medical Student Clerkships?

Yes, see 'How to Apply' tab.

When is the best time to apply?

We accept applications through ERAS only from September 15th to January 15th annually.

How many first year positions does your program offer?


When should I take my Step II Boards?

Before December, to eliminate the possibility of not being ranked due to the delay of a program getting your results.

What is the difference between Categorical and Primary Care options on ERAS?

  • Categorical – provides training to applicants who enter in their first post graduate year and continue until completion of training required for specialty certification.
  • Primary Care – is the type of residency position offered.


  • Paid time off – 4 weeks of vacation & 5 CME days yearly
  • Annual CME allowance
  • Paid liability insurance for moonlighting
  • Family health insurance
  • Life/Disability insurance for resident
  • Daycare available on campus
  • Free first contract review by medical management expert
  • Reimbursement for USMLE/COMLEX Step 3 if taken within the first 18 months of residency

Residents Salaries

  • HO1: $57,534
  • HO2: $59,664
  • HO3: $62,096

CME Allowance

  • HO1: $300.00
  • HO2: $400.00
  • HO3: $600.00

Time Away

  • 20 vacation days per year
  • Five CME days per year

Health Insurance

Residents and their families are covered by the hospital's group health plan and accident plan, as it exists on the date of employment and as may be amended from time to time.

Life Insurance

The Hospital will provide term life insurance coverage with the death benefit equal to one times the resident's annual salary in accordance with the Hospital employee benefit plan as it exists on the date of employment and as may be amended.


The Hospital provides disability insurance for its residents in accordance with the Hospital employee benefit plan as it exists on the date of employment and as may be amended from time to time.

Liability Insurance

Residents are covered by liability insurance for all patient encounters during their assigned rotations and the Family Medicine Center. "Tail" coverage is also provided for any claims arising after completion of the Residency relating to patient care during Residency.

Dental Insurance

Coverage is available as an additional benefit at the Resident's option for a small, additional fee.

Training for Initial Certification

Advanced Cardiac Life Support (ACLS)
Advanced Trauma Life Support (ATLS)
Basic Life Support (BLS)
Neonatal Resuscitation Program (NRP)


Daycare may be available for residents’ children at The Family Place, located directly East of Nebraska Medicine - Clarkson Family Medicine. Daycare is contingent upon space available, for residents' children between the ages of six weeks and six years. The daycare expenses are at a reduced rate for Nebraska Medicine employees.


The Nebraska Medicine - Clarkson Family Medicine Residency offers a broad and flexible clinical curriculum, which can be individualized to each resident’s professional needs. Our residents usually work one-on-one with an attending physician to admit patients and manage their care. These close interactions with primary care physicians and specialists allow for exceptional learning and a cooperative community hospital atmosphere.

We emphasize training that will prepare you for a broad scope of practice, enabling you to develop the medical and procedural skills for a variety of patients and levels of acuity. You may customize your schedule to pursue areas of interest such as obstetrics, endoscopies, women’s health, rural and underserved populations.

We utilize Nebraska Medicine for most clinical rotations and for in-house call. Children’s Hospital & Medical Center is our site for inpatient pediatrics, pediatric emergency room, neonatal intensive care unit and an elective month. Alegent Health Midland’s Community Hospital is used for the emergency medicine rotation- an elective in trauma is also available. We require two month long rural and urban rotations. The first is in West Point, Nebraska during the HOII year.

HO1 HO2 H03
Cardiology BURN / SURG Code Pager Elective
FM Inpatient Cardiology Dermatology
ICU Family Medicine Inpatient Orthopedic Surgery
Midlands ED Family Medicine Outpatient Outpatient Pediatrics
Night Float Gynecology Practice Management
Nephrology Midlands ED Electives
OB Pediatric Emergency Med  
Orientation Pediatric Inpatient  
Pediatric Outpatient Med Rural – West Point  
  Sports Medicine  

NIGHT FLOAT is six (6) days from Sunday – Friday night, usually for two weeks.

IP FM – is Intern Inpatient/Night Float and OB intermixed for the first six months of the academic year.

Code Pager Elective – an elective where you are available to carry the code pager.


Third Year Residents


Charles R. Burkett, MD
Education: Graduate of University of Nebraska at Omaha, and University of Nebraska Medical Center in Omaha, Nebraska


Justin D. Morar, DO
Education: Graduate of South Dakota State University in Brookings, SD and Des Moines University College of Osteopathic Medicine in Des Moines, Iowa


Marehan A. Nakhnoukh, MD, MBA
Education: Graduate of Davenport University in Grand Rapids, MI and University of Medicine and Health Sciences, in St. Kitts


Ashley A. Powell, DO
Education: Graduate of Creighton University in Omaha, NE and Des Moines University College of Osteopathic Medicine in Des Moines, Iowa


Stephen A. Smith, DO
Education: Graduate of Des Moines University in Des Moines, Iowa and Des Moines University College of Osteopathic Medicine in Des Moines, Iowa


Adam C. Strehle, DO
Education: Graduate of Creighton University in Omaha, Nebraska and Arizona College of Osteopathic Medicine of Midwestern University in Glendale, AZ


Second Year Residents


Sean R. Kark, DO
Education: Graduate of Whittier College in Whittier, CA and Rocky Vista University College of Osteopathic Medicine in Denver, Colorado


Ambrose B. Munro, MD
Education: Graduate of Creighton University in Omaha, NE and University of Iowa – Carver College of Medicine in Iowa City, Iowa


Reena Ramakrishnan, DO, MBA
Education: Graduate of University of Nebraska in Omaha, NE and Arizona State College of Osteopathic Medicine in Phoenix, Arizona


Timothy A. Reid, MD
Education: Graduate of United States Air Force Academy in Colorado Springs, CO and University of South Dakota – Sanford School of Medicine in Sioux Falls, SD


Maria R. Vacha, DO
Education: Graduate of Oklahoma State University in Still Water, OK, and Oklahoma State College of Osteopathic Medicine in Tulsa, Oklahoma

First Year Residents


Tyler F. Brockman, DO
Education: Graduate of University of Arkansas in Fayetteville, AR and Kansas City University of Biosciences College of Osteopathic Medicine in Kansas City, MO


John M. Dobleman, MD
Education: Graduate (cum laude) of Marquette University in Milwaukee, WI, and Creighton University School of Medicine in Omaha, NE


Jamicah R. Harris, MD
Education: Graduate of South Dakota School of Mines and Technology in Rapid City, SD, and University of South Dakota – Sanford School of Medicine


Frances E. Lafferty, MD
Education: Graduate of the University of Kansas in Overland Park, KS, and University of Kansas School of Medicine


Lavanya Ravipati, MD
Education: Graduate of Maris Stella College in Vijayawada, India and J. J. M. Medical College in Davangere, India


Michael J. Ulen, MD
Education: Graduate of Creighton University, and Creighton University School of Medicine in Omaha, Nebraska

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