HCA Healthcare LewisGale Hospital-Montgomery/VCOM Program

Specialty:Internal medicine
ACGME Code:1405100900
NRMP Code:2192140C0
Status:Continued Accreditation

Overview

The Internal Medicine Residency Program at LewisGale Hospital Montgomery, part of HCA Healthcare, offers a comprehensive and rigorous training experience for residents in a supportive academic environment. The program, which began in 2008 and transitioned to ACGME accreditation in 2017, is located in scenic Blacksburg, Virginia, adjacent to Virginia Tech, providing access to diverse patient populations and extensive resources for training and education.

The residency program accepts up to seven residents annually and is led by a dedicated faculty who emphasize teaching and mentorship. Each resident is matched with a faculty mentor, providing personalized guidance throughout their training. Core faculty members are highly experienced, many of whom are graduates of the program themselves, fostering a nurturing environment for burgeoning physicians seeking to excel in their careers 1.

Curriculum and Rotation Schedule

The curriculum is structured around a 4+1 rotation schedule, allowing residents to spend four weeks on a specific rotation followed by one week of continuity clinic. This organization ensures that residents not only gain comprehensive clinical training but also foster ongoing patient relationships in the continuity clinic located in downtown Christiansburg 2. This is supplemented by mandatory didactic sessions and various conferences, including morbidity and mortality conferences, journal clubs, and grand rounds, which integrate essential learning aspects relevant to internal medicine practice.

Key Educational Components

The program facilitates a rich educational experience through blocked didactic sessions held on Friday afternoons, covering a range of topics pertinent to the American Board of Internal Medicine certification examination. Attendance is required, ensuring residents engage with vital content essential for their professional development 1.

Moreover, the program incorporates simulation training, focusing on point-of-care ultrasound (POCUS), providing hands-on experience in clinical procedures and case management. This training occurs at both the Salem VA Medical Center and the newly established simulation lab at LewisGale Hospital Montgomery 1.

Research Opportunities

Residents have access to extensive research opportunities through HCA's vast database system, which houses a significant amount of patient data alongside the expertise of data analysts. This enables residents to engage in diverse research projects, supported by faculty resources both locally and within the HCA network 1.

Program Infrastructure and Support

The residency program is committed to resident wellness, hosting annual retreats and quarterly wellness events that facilitate team building and relaxation outside the clinical environment. This commitment to mental health and camaraderie aids in balancing the rigors of residency training 1.

In terms of residency requirements, the program is open to international medical graduates, although it does not accept visa applicants. The program also states that the night call system does not enforce a 24-hour call requirement, emphasizing a team-based approach to night coverage 1.

Competitive Landscape

The residency is considered competitive, attracting candidates from various backgrounds, including both U.S. graduates and international medical graduates. The program seeks dedicated and enthusiastic candidates interested in pursuing an internal medicine career in a diverse community setting 1.

Living in Blacksburg

Located in the Blue Ridge Mountains, Blacksburg offers a vibrant college-town atmosphere combined with ample outdoor recreational activities. This unique blend allows residents to enjoy a balanced lifestyle, with opportunities for hiking, camping, and social events enhancing their residency experience.

Salary and Benefits

Salaries for residents are competitive, and all residents receive an annual stipend for meals while on call, further supporting their well-being during training. The program also emphasizes post-graduation career opportunities within the extensive HCA Healthcare network, providing a pathway for residents to secure employment following the completion of their training 1.

Unique Aspects of the Program

A distinctive feature of the program includes its close ties with the Virginia College of Osteopathic Medicine (VCOM), promoting collaborative learning between residents and medical students. This team-based approach enriches the educational experience and prepares residents for the collaborative nature of modern healthcare.

Overall, LewisGale Hospital Montgomery's Internal Medicine Residency Program provides an exceptional environment for training future internists, characterized by rigorous academic standards, comprehensive clinical exposure, supportive leadership, and an engaging community. The unique location of the program, combined with its robust curriculum and emphasis on resident wellness, makes it an attractive option for prospective applicants.

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Program data

ACGME History [3]

Accreditation Last updated: Jul 16, 2026
Initial accreditation4
Full accreditation0
Continued6
Warning0
Probationary Accreditation0
Withdrawal0

Program

Program Size

7, 5, 8 (3 years) [1]

Accreditation Status

Continued Accreditation

(Effective: January 23, 2026)

Composition [2]

MD · 35%
DO · 45%
U.S. IMG · 20%

Training

Fellowship Rate:13% [2]

Faculty-to-Residents Ratio:--

Residents Career Path [2]

Full-time Practice · 70%
Academic · 13%
Fellowship · 13%
Other · 4%

Quality of Life

First Year Paid Sick Leave: --

First Year Paid Vacation: 20 days [1]

First Year Salary: $61,048 [1]

First Year Maximum Consecutive Hours on Duty: 13 hours [1]

First Year Average Weekly Hours: 57 hours [1]

Admission

USMLE Step 2 Score: 226–257 [2]

Visa Sponsorship:-- [2]

YOG Cutoff:2 [1]

Race / Ethnicity

Gender

Incoming Schools

20%

Edward Via College of Osteopathic Medicine

15%

Georgetown University School of Medicine

10%

Ross University School of Medicine

5%

More than 1 school has this rank*

* Multiple schools share the same admissions rate.

Rotation Duration by Site

No rotation duration data available.

Benchmarks

Match & stats

2026 Residency Applicant & Interview Insights

Signals

Number of Applicants
Number of Applicants Interviewed

Hometown State

Number of Applicants
Number of Applicants Interviewed

Medical School State

Number of Applicants
Number of Applicants Interviewed

Step 1 Fail

Number of Applicants
Number of Applicants Interviewed

Step 2 Fail

Number of Applicants
Number of Applicants Interviewed

Applicant Type

Number of Applicants
Number of Applicants Interviewed

Note: The AIR (Applicant Interview Rate) is calculated as the percentage of applicants in each category who were offered interviews. A higher AIR suggests stronger alignment with program preferences, indicating a greater likelihood of the program favoring applicants in this category.

USMLE STEP 2 CK Score [2]

COMLEX Level 2 Score [2]

Match History [4]

Track ID:  2192140C0
2020
2 of 7
2021
0 of 7
2022
2 of 7
2023
1 of 7
2024
1 of 7
2025
0 of 7
2026
6 of 7
Filled Position
Unfilled Position

Roster

Location

Blacksburg, VA [5]

Population
44,826
Median income
$48,070Above
Education
69.7%Above
Employment
48.2%Below
Health
3.9%Above
Age
21Below
  • Above the national average
  • Below the national average
  • Similar to the national average

Housing — Rental prices [6]

Rental prices

Crime — All violent offences [7]

Rate per 100,000 residents

FAQ

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Nearby programs

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References

1. Freida - https://freida.ama-assn.org/program/1405100900

2. Residency Explorer - https://www.residencyexplorer.org/Program/GetByIdWithMedicalSpecialty/a1f2ffd0-b982-be95-35d7-01d285e6d0f9

3. ACGME - Accreditation Data System (ADS) - https://apps.acgme.org/ads/Public/Programs/Search

4. NRMP Results and Data: 2022-2026 Main Residency Match - https://www.nrmp.org/match-data/2026/03/program-results-2022-2026/

5. United States Census Bureau - https://data.census.gov/profile/City,_VS?g=160XX00US5107784

6. Zillow Research - Observed Rent Index (ZORI) - https://www.zillow.com/research/data/

7. FBI - Crime/Law Enforcement Stats (Uniform Crime Reporting Program) - https://www.fbi.gov/services/cjis/ucr