Legacy Health/Salmon Creek Medical Center Program

Specialty:Internal medicine
ACGME Code:1405400441
NRMP Code:2301140C0
Status:Continued Accreditation

Overview

The Legacy Salmon Creek Internal Medicine Residency Program, affiliated with Legacy Salmon Creek Medical Center, is designed to develop highly skilled primary care internists. The program emphasizes a comprehensive medical education with a particular focus on culturally inclusive and compassionate communication, critical appraisal of evidence-based practices, and quality improvement methodologies essential for effective population health interventions.

Program Overview

The internal medicine residency program began its inaugural class in June 2022 and is structured to train 12 residents per year, accumulating a total of 36 residents in the program. The program is unique in that it operates unopposed, providing both inpatient and outpatient experiences. Residents will primarily conduct ward rotations at Legacy Salmon Creek Medical Center, complemented by ambulatory rotations at Vancouver Clinic – Salmon Creek, which emphasizes primary care.

The mission of the program is to produce residents who not only excel in primary care internist skills but also grow into leaders and educators within healthcare. The philosophy is focused on equipping physicians to make a significant impact in their communities.

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Curriculum and Training

The curriculum is tailored to offer a rigorous education in outpatient primary care while exploring innovative models of healthcare delivery. This program is especially suited for those who are interested in strategies that focus on preventing hospitalizations, illustrating the program's proactive approach in managing chronic conditions prevalent among Medicare-aged residents of Southwest Washington.

Residents will gain exposure to various patient populations, including underserved communities, through designated Free Clinics. This experience is invaluable for developing a well-rounded understanding of the healthcare needs across diverse demographics.

Unique Aspects of the Program

Legacy Salmon Creek Medical Center stands out for consistently being recognized as one of America’s 50 Best Hospitals, particularly noted in the years 2020 and 2021. The Vancouver Clinic, with its 85-year legacy, prioritizes compassionate care, which is evident in its operational philosophy.

Research Opportunities

In addition to clinical training, residents have the opportunity to engage in research initiatives, cultivating skills in evidence-based practice and enhancing their practical application of medical knowledge. This focus on research is pivotal for residents who aspire to drive innovations in healthcare delivery and patient care improvements.

Application Process

Prospective applicants must submit their applications through the Electronic Residency Application Service (ERAS). The application package requires a completed application, a personal statement, a current photograph, medical school transcripts, a Medical Student Performance Evaluation (MSPE), and three letters of recommendation. The program adheres to a holistic review process for applications, considering lower exam scores while preferring a minimum USMLE score of 190 or a COMLEX score of 525.

Eligibility Criteria

Applicants must have graduated from medical school and possess current clinical experience within one year of application. To further strengthen applications, it is suggested that candidates pass USMLE/COMLEX Steps 1 and 2 on their first attempt. Graduates with ECFMG certification can apply; however, the program does not sponsor visas and accepts only ECFMG-sponsored J1 visas.

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Competitiveness

The Legacy Salmon Creek Internal Medicine Residency Program is regarded as highly competitive, opening its doors not only to U.S. graduates but also to international medical graduates (IMGs) and DO candidates. The program emphasizes inclusivity and aims to attract applicants from diverse backgrounds.

Examinations and Performance

It is recommended that candidates have USMLE Step 2 scores available prior to interviews. The program is geared towards nurturing residents to develop a solid foundation in internal medicine while prioritizing wellness and mitigating burnout in trainees through a supportive and inclusive environment.

Visa Support

As mentioned, while the program does not sponsor visas, it accommodates ECFMG-sponsored J1 visa holders, facilitating international applicants meeting this specific criterion.

Interviews are conducted virtually from October to January, allowing for a comprehensive selection process that includes group orientations, individual interviews with faculty, and discussions with current residents.

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Web sources

SmartPick

Program data

ACGME History [3]

Accreditation Last updated: Jul 16, 2026
Initial accreditation4
Full accreditation0
Continued4
Warning0
Probationary Accreditation0
Withdrawal0

Program

Program Size

12, 12, 13 (3 years) [1]

Accreditation Status

Continued Accreditation

(Effective: January 23, 2026)

Composition [2]

MD · 36%
DO · 28%
U.S. IMG · 33%
Non-U.S. IMG · 3%

Training

Fellowship Rate:9% [2]

Faculty-to-Residents Ratio:0.1X [1]

Residents Career Path [2]

Academic · 9%
Fellowship · 9%
Other · 82%

Quality of Life

First Year Paid Sick Leave: 14 days [1]

First Year Paid Vacation: 20 days [1]

First Year Salary: $75,230 [1]

First Year Maximum Consecutive Hours on Duty: 16 hours [1]

First Year Average Weekly Hours: 50 hours [1]

Admission

USMLE Step 2 Score: 226–261 [2]

Visa Sponsorship:J1 [2]

YOG Cutoff:--

Race / Ethnicity

Gender

Incoming Schools

6%

Oregon Health & Science University School of Medicine

6%

University of Washington School of Medicine

6%

Pacific Northwest University of Health Sciences College of Osteopathic Medicine

6%

St. George's University School of Medicine

* Multiple schools share the same admissions rate.

Rotation Duration by Site

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:  2301140C0
2020
12 of 12
2022
12 of 12
2023
12 of 12
2024
12 of 12
2025
12 of 12
2026
11 of 12
Filled Position
Unfilled Position

Roster

Location

Vancouver, WA [5]

Population
190,915
Median income
$80,618Above
Education
31.7%Above
Employment
62.3%Below
Health
8.7%Above
Age
36On par
  • 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

Living in Vancouver, WA

Crime Rate and Safety

Vancouver, WA has a moderate crime rate, but overall, it is considered a relatively safe city to live in.

Fun Activities

There are plenty of outdoor activities in Vancouver, such as hiking, biking, and exploring parks. You can also enjoy the proximity to the Columbia River for water activities.

Climate

Vancouver has a mild, oceanic climate with wet winters and warm, dry summers.

Races and Population

The population of Vancouver is diverse, with a mix of races and ethnicities.

Education

Vancouver offers good educational opportunities with schools ranging from elementary to higher education institutions.

Cost of Living

The cost of living in Vancouver is slightly higher than the national average, mainly due to housing costs.

Proximity to Bigger Cities

Portland, Oregon is just across the Columbia River from Vancouver. Driving to downtown Portland takes about 20-30 minutes depending on traffic.

Pros

  • Beautiful natural surroundings
  • proximity to Portland for city amenities
  • moderate climate.

Cons

  • Higher cost of living
  • some areas may experience traffic congestion during rush hours.

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Nearby programs

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References

1. Freida - https://freida.ama-assn.org/program/1405400441

2. Residency Explorer - https://www.residencyexplorer.org/Program/GetByIdWithMedicalSpecialty/12989971-3ae2-5a55-8225-1928a83ab2b1

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=160XX00US5374060

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