WASHINGTON - Minnesota, North Dakota and South Dakota among the top 10 states to practice medicine, according to a WalletHub study released Monday, March 25. Overall, the Upper Midwest fared well as Montana was ranked first and Wisconsin second.

Minnesota ranked fourth out of the 50 states and the District of Columbia in 18 metrics, including wages, competition and malpractice payouts.

South Dakota finished sixth in the overall rankings, but had the highest average annual wage for physicians adjusted for cost of living. North Dakota was ranked 10th.

North Dakota was fifth in hospitals per capita, and was seventh in lowest malpractice award payout per capita and malpractice liability insurance rates. The state was eighth in average monthly starting salaries.

In a 2018 study, the average medical student would graduate with around $196,000 in debt, if not more, according to the Association of American Medical Colleges.

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New York finished a distant last in the rankings, including 50th place for lowest annual wage for physicians and last in highest malpractice payouts per capita.