Commonwealth Medical Services logo
Commonwealth Medical Services
Rapid City, South Dakota

Fellowship-Trained Urologist (MD/DO) - South Dakota

UrologyFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 6mo ago

Job Description

Fellowship-Trained Urologist (MD/DO)

Position Summary

The Fellowship-Trained Urologist provides comprehensive medical and surgical care for patients with disorders of the urinary tract and male reproductive system, with advanced expertise in a urologic subspecialty. This role includes evaluation, diagnosis, operative and non-operative management of complex urologic conditions, collaboration with multidisciplinary teams, and delivery of evidence-based, patient-centered care.

Essential Duties and Responsibilities

  • Evaluate and manage patients with urologic conditions affecting the kidneys, ureters, bladder, prostate, and male reproductive organs
  • Provide subspecialty urologic care consistent with fellowship training (e. g., oncology, endourology, female pelvic medicine, reconstruction, infertility, pediatric urology, or minimally invasive/robotic surgery)
  • Perform urologic surgical procedures and advanced interventions consistent with training and privileges
  • Provide non-operative management and longitudinal follow-up care for acute and chronic urologic conditions
  • Participate in inpatient consultation services and outpatient clinic care
  • Manage perioperative and postoperative care, including complications and recovery
  • Interpret diagnostic studies including imaging, cystoscopy, urodynamics, and laboratory results as applicable
  • Collaborate with primary care providers and specialists such as oncology, nephrology, gynecology, radiology, and pathology
  • Educate patients and families regarding diagnoses, treatment options, risks, and expected outcomes
  • Participate in multidisciplinary conferences and care planning as applicable
  • Maintain accurate and timely clinical documentation
  • Participate in quality improvement, patient safety, and outcomes initiatives
  • Supervise and educate residents, fellows, advanced practice providers, or clinical staff as applicable
  • Comply with all regulatory, accreditation, and professional standards

Qualifications

  • Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) from an accredited medical school
  • Completion of an accredited urology residency program
  • Completion of an accredited urology fellowship in a recognized subspecialty
  • Board-eligible or board-certified in Urology
  • Ability to obtain and maintain unrestricted state medical licensure
  • DEA registration or eligibility

Skills and Competencies

  • Advanced expertise in subspecialty urologic care
  • Strong clinical judgment and surgical decision-making skills
  • Proficiency with advanced surgical or procedural techniques as applicable
  • Excellent communication and patient counseling abilities
  • Ability to manage complex and high-acuity urologic cases
  • Commitment to evidence-based practice, quality improvement, and patient safety

Work Environment

  • Hospital operating rooms, outpatient urology clinics, ambulatory surgery centers, and inpatient units
  • Call coverage as determined by practice or service needs

Physical Requirements

  • Ability to stand for extended periods during surgical procedures
  • Manual dexterity and physical stamina for operative and procedural care
  • Visual and auditory acuity sufficient for clinical and operative environments

Qualifications

Education
Doctoral or professional degree (postgraduate degree)

Certifications

DEA LicenseBoard Certification

Urology — Physician Career Context

The cost-of-living index for South Dakota is 88.6 (US average = 100; BEA Regional Price Parities (2024)). 58.2% of South Dakota clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Physician pay on WeekdayDoc is up 1.7% vs. the prior quarter (through Sep 2026).

What does the Physician market look like in South Dakota?
MeasureThis jobMarket
Listed paynot listedPhysician median $375k (middle half $339k–$450k)291 comparable listings, Oct 2026
Cost of livingSouth Dakota index 88.6US average = 100BEA Regional Price Parities (2024)
Physician listings in South Dakota138 active22,614 nationallylive on WeekdayDoc, Oct 2026
Physician pay trend+1.7% vs prior quarter—through Sep 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Location & Logistics

South Dakota has no state income tax, which can significantly increase take-home pay compared to high-tax states.

Work-life snapshot

median 3.9this job 1.5
Below most Urology listings for work-life

Listing-based score, 0–10, across 291 comparable listings. Shaded area = the share scoring below this one.

Living in Rapid City

Typical 3-bedroom home value
$347k
Typical market rent
$1,484/mo
Metro price indexU.S. average = 100
89.2
State income tax
None
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026).

BEA 2024 · Rapid City, SD metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.