New York Medical College at St Michael's Medical Center Program

The Internal Medicine Residency Program at Saint Michael’s Medical Center, affiliated with New York Medical College, is known for its comprehensive training and rigorous curriculum. The program features both ACGME and AOA Dual Accreditation, providing a robust educational framework for residents. Currently, the program accommodates 58 residents, with 19 new residents recruited each academic year, ensuring a dynamic and collaborative learning environment within the medical community 1.

Curriculum Overview

Over a three-year training period, residents engage in a balanced mix of clinical practice and didactic learning. A significant portion of this training occurs at the primary site, Saint Michael’s Hospital, encompassing both inpatient and outpatient services. The program is structured around a teaching-attending model, promoting meaningful engagement with attending physicians and team members. This model enhances the educational experience through interdisciplinary rounds where residents discuss patient management with the healthcare team 1.

In addition to core medical rotations, residents participate in various subspecialties, which include Cardiology, Gastroenterology, Hematology/Oncology, Nephrology, Pulmonary Medicine, Infectious Diseases, Endocrinology, Rheumatology, Radiology, Anesthesiology, OB/GYN, Neurology, Geriatrics, Emergency Medicine, and Psychiatry. The opportunity to rotate in outpatient private clinics during the second and third years provides a broader perspective on urban and suburban medicine. Furthermore, residents can pursue electives at other hospitals, pending Program Director approval 1.

Educational Activities

The education component is vital to the residents' development, fostering a culture of continuous learning and mentorship. Residents are actively involved in Morning Report sessions, where they discuss recent admissions, which sharpens their clinical reasoning skills. Daily noon lectures cover a variety of topics, presented by faculty or peers, enhancing their knowledge base 1.

Monthly discussions include Mortality and Morbidity meetings, allowing residents to explore medical errors and improve their clinical practice through critiques of past cases. Tumor Board meetings facilitate interdisciplinary discussions regarding complex cancer cases, while Journal Clubs provide a forum for analyzing the latest medical literature 2.

Continuity Clinic

Despite the focus on inpatient care, at least one-third of clinical time is dedicated to outpatient settings, where chronic issues are the primary concern. This component of training is crucial for developing long-term patient relationships, fundamental to primary care. The weekly clinic is supervised by experienced primary care doctors, emphasizing the importance of continuity in patient care 1.

Competitiveness and Application Requirements

The residency program is recognized for its commitment to academic excellence, attracting candidates from diverse backgrounds. The application process is competitive, providing opportunities for both MD and DO graduates. The program is also considered friendly towards International Medical Graduates (IMGs), creating an inclusive environment for a range of applicants. Specific application requirements may include a recent graduation year, the acceptable number of failed STEP exams, and other criteria typically observed by residency programs.

Visa Support

For international applicants, the program offers visa support and can sponsor various visa types, helping non-US trainees to secure necessary documentation for training in the United States. This support is crucial for IMGs seeking residency opportunities in a competitive environment.

Research Opportunities

The program encourages residents to engage in research activities, facilitating academic growth and exploration of various medical fields. Participation in research not only enriches the training experience but also cultivates valuable skills in critical thinking and problem-solving 2.