Apr 26, 2017
HCA Healthcare LewisGale Hospital-Montgomery/VCOM Program
Overview
The HCA Healthcare LewisGale Hospital Montgomery Transitional Year Residency program is a comprehensive one-year clinical training program that prepares residents for advanced specialties such as anesthesiology, dermatology, diagnostic or interventional radiology, neurology, physical medicine and rehabilitation, and radiation oncology. The program emphasizes individual resident development and fosters a supportive learning environment, combining a balanced clinical curriculum with outstanding employee benefits.
Located within a 146-bed acute-care facility, LewisGale Hospital Montgomery delivers a wide range of healthcare services, including medical, surgical, obstetric, pediatric, orthopedic, emergency, and outpatient services to the populace of Southwest Virginia and the New River Valley. The program collaborates closely with the Edward Via College of Osteopathic Medicine (VCOM) in nearby Blacksburg, and also involves rotations at the Salem Veteran Affairs Medical Center, offering residents diverse clinical experiences and training opportunities.
Each year, the Transitional Year program accepts four trainees. Two residents will complete their transitional year before entering their designated specialty, while the other two will transition into the advanced dermatology program, allowing for a diversity of training experiences. This program works in conjunction with other ACGME-accredited programs in internal medicine, family medicine, and dermatology at LewisGale Hospital Montgomery, enhancing the educational collaboration and practice of interdisciplinary learning.
Curriculum and Rotations
The curriculum consists of broad clinical experiences in both inpatient and outpatient settings. Supervisory support ensures that trainees can engage with a diverse patient population facing a wide range of health concerns. Each rotation is designed to provide scope, volume, and variety, adhering to the standards necessary for residency training. A noteworthy aspect of the curriculum is its flexibility; trainees are allowed to dedicate only one month to non-clinical experiences, such as research or administration, ensuring a substantial focus on clinical practice throughout the year. Rotations also include valuable exposure to key support disciplines such as pathology and radiology through hands-on experience and formalized education within the hospital settings 1.
Didactic Learning
The program incorporates structured didactic sessions held every Friday, allowing residents free from clinical duties to engage thoroughly in educational activities. These sessions cover a myriad of medical topics and feature interactive lectures from specialty faculty, ensuring that residents gain a thorough grounding in both core content and emerging issues in medicine. The Salem VA Medical Center plays a key role by providing specialist lectures broadcasted to residents at the LewisGale Hospital, enriching the overall learning experience 2.
Wellness and Support
Promoting physician well-being is a key priority of the Transitional Year Residency program. Residents are encouraged to cultivate healthy practices and participate in wellness initiatives designed to enhance their professional journeys and longevity in their careers. Additionally, the beautiful surroundings of Southwest Virginia offer opportunities for outdoor recreation and cultural enrichment, contributing to a fulfilling resident experience 1.
Application Details and Competitiveness
The application process for the Transitional Year Residency program is notably competitive. While the program is IMG-friendly with a high acceptance rate for international medical graduates, candidates are typically required to have a passing score on USMLE Step 1 and Step 2 CK. A graduation time frame of five years or less from medical school is preferred, and while no US clinical experience is required, it is highly recommended. Furthermore, the program sponsors H-1B visas and accepts J-1 visas, broadening the accessibility for international applicants 5.
Salary and Benefits
Residents enjoy numerous benefits throughout their training, including a $950 allowance for on-call meals and up to $1,000 for orientation, along with reimbursement for Board exams and educational expenses. Other benefits include professional memberships and support for conference attendance, enhancing their competencies and networks in the medical community 4.
Web sources
SmartPick
Program data
ACGME History [3]
Program
Program Size
6, 0, 0 (1 years) [1]
Accreditation Status
Continued Accreditation
(Effective: December 4, 2025)
Composition [2]
--
Training
Fellowship Rate:100% [2]
Faculty-to-Residents Ratio:--
Residents Career Path [2]
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: --
First Year Average Weekly Hours: 45 hours [1]
Admission
USMLE Step 2 Score: 239–268 [2]
Visa Sponsorship:-- [2]
YOG Cutoff:2 [1]
Race / Ethnicity
No race data available.
Gender
No gender data available.
Incoming Schools
No incoming school data available.
Rotation Duration by Site
Benchmarks
Match & stats
2026 Residency Applicant & Interview Insights
Signals
Hometown State
Medical School State
Step 1 Fail
Step 2 Fail
Applicant Type
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]
Roster
Location
Blacksburg, VA [5]
- 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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References
1. Freida - https://freida.ama-assn.org/program/9995100206
2. Residency Explorer - https://www.residencyexplorer.org/Program/GetByIdWithMedicalSpecialty/47f34ada-5f51-b0f5-c996-f7fd388ff007
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