San Juan City Hospital Program

San Juan, PR

Community (Uni. Aff.)STEP 230 - 257 Research Focused IMG Friendly J1 H1B F1

Specialty:Internal medicine

ACGME Code:1404211396

NRMP Code:-

Status:Continued Accreditation

Overview

The Internal Medicine Residency Program at San Juan City Hospital in San Juan, Puerto Rico, offers comprehensive training designed to equip residents with the essential skills and knowledge required to excel in internal medicine. This program emphasizes both clinical practice and academic excellence.

Program Overview

The Internal Medicine Residency at San Juan City Hospital is structured to provide residents with hands-on clinical experience while fostering a robust educational environment. The program is fully accredited and aims to prepare graduates for successful careers in various internal medicine subspecialties or primary care.

Curriculum

The curriculum consists of a well-rounded combination of inpatient and outpatient rotations. Residents engage in various core rotations that include internal medicine, cardiology, gastroenterology, nephrology, and more. Each rotation offers the opportunity to work closely with experienced faculty and to manage complex patient cases.

The didactic components of the curriculum include regular lectures, case discussions, and journal clubs. Residents are encouraged to participate in teaching sessions that enhance their critical thinking and clinical decision-making skills.

Training Sites

The primary training site for the program is San Juan City Hospital, a modern facility equipped with advanced medical technology. In addition to San Juan City Hospital, residents also rotate through affiliated institutions such as the VA Caribbean Healthcare System and the University of Puerto Rico Hospital, allowing for a diverse clinical experience.

Research Opportunities

Residents are encouraged to engage in research projects during their training. The program provides mentorship and resources for conducting research, helping residents to contribute to the field of internal medicine and to strengthen their applications for fellowships or job placements upon graduation.

Competitiveness and Application Requirements

The Internal Medicine Residency program at San Juan City Hospital is regarded as being competitive. It welcomes applications from both DO and IMG candidates, promoting a diverse and inclusive residency cohort. Applicants are advised to demonstrate a strong academic background and clinical experience in their applications.

Specific application requirements may include graduation from medical school within a certain timeframe, allowing residency application within a defined time period post-graduation. Applicants with a limited number of failed STEP exams may still be considered, emphasizing the program's flexible approach to evaluating potential residents.

Visa Support

The program offers visa support for international medical graduates. It typically sponsors J-1 visas, enabling eligible candidates to participate in the residency program. This support is crucial for IMG applicants aiming to secure a position in the Internal Medicine Residency at San Juan City Hospital.

Life and Culture

Living in San Juan allows residents to experience the vibrant culture and lifestyle of Puerto Rico. The program integrates the rich cultural aspects of the locale, enhancing the residency experience beyond clinical training. Residents benefit from a supportive community and a collaborative working environment.

Web sources

1. Internal Medicine Residency in San Juan, PR

SmartPick

Program data

ACGME History

Accreditation Last updated: Jul 16, 2026

Initial accreditation0

Full accreditation2

Continued22

Warning0

Probationary Accreditation3

Withdrawal0

#	Academic Year	Status	Effective Date
01	2000 - 2001	Continued Full Accreditation	May 30, 1997
02	2001 - 2002	Probation	Jan 26, 2002
03	2002 - 2003	Probation	Jan 26, 2002
04	2003 - 2004	Probation	Jan 26, 2002
05	2004 - 2005	Full Accreditation	May 21, 2004
06	2005 - 2006	Full Accreditation	May 21, 2004
07	2006 - 2007	Continued	May 20, 2007
08	2007 - 2008	Continued	May 20, 2007
09	2008 - 2009	Continued	May 20, 2007
10	2009 - 2010	Continued	May 20, 2007

Program

Program Size

11, 11, 11 (3 years)

Accreditation Status

Continued Accreditation

(Effective: January 23, 2026)

Composition

MD · 15%

U.S. IMG · 85%

Training

Faculty-to-Residents Ratio:1.2X

Quality of Life

First Year Paid Sick Leave: 18 days

First Year Paid Vacation: --

First Year Salary: $43,891

First Year Maximum Consecutive Hours on Duty: 16 hours

First Year Average Weekly Hours: 72 hours

Admission

USMLE Step 2 Score: 230–257

Visa Sponsorship:H1B, J1, F1

YOG Cutoff:--

Race / Ethnicity

Gender

Rotation Duration by Site

Rotation Duration Chart Data

Benchmarks

Match & stats

Roster

Publications

8 Publications (5 yr)

Peer-reviewed output from faculty and residents, last 5 years

8 Publications (5 yr)

Cureus2026

Endobronchial Schwannoma Presenting as Persistent Cough: Diagnosis and Successful Bronchoscopic Resection.

Javier W Torres,¹Victor Soto,¹Ricardo Fernandez-Gonzalez,¹Christian Castillo-Latorre,²

PMID: 42220765doi.org/10.7759/cureus.107950

Cureus2025

Diffuse Alveolar Hemorrhage Leading to Respiratory Failure in Mixed Phenotype Acute Leukemia: A Fatal Pulmonary Complication.

Mariela Ginés-Rosario,¹Belissa Lopez-Pena,¹Zydnia Piñeiro,¹Maria C Perez-Mitchell,²

PMID: 40932940doi.org/10.7759/cureus.89713

Location

San Juan, Puerto Rico

Population

3,285,874

Median income

$25,621Below

Education

30.8%Above

Employment

42.7%Above

Health

5.3%Above

Age

44Above

Above the national average
Below the national average
Similar to the national average

Housing — Rental prices

Rental prices

Typical Observed Market Rent Index - ZORI Over Time

Date

Region - Miami Beach, FL

State - Puerto Rico

United States

1/31/2015

$1,638

$1,193

2/28/2015

$1,660

$1,199

3/31/2015

$1,667

$1,206

4/30/2015

$1,675

$1,213

5/31/2015

$1,681

$1,228

6/30/2015

$1,686

$1,233

7/31/2015

$1,699

$1,235

8/31/2015

$1,708

$1,241

9/30/2015

$1,713

$1,245

10/31/2015

$1,708

$1,253

11/30/2015

$1,719

$1,259

12/31/2015

$1,729

$1,263

1/31/2016

$1,741

$1,275

2/29/2016

$1,732

$1,279

3/31/2016

$1,730

$1,282

4/30/2016

$1,726

$1,285

5/31/2016

$1,717

$1,291

6/30/2016

$1,709

$1,294

7/31/2016

$1,697

$1,295

8/31/2016

$1,686

$1,303

9/30/2016

$1,678

$1,307

10/31/2016

$1,677

$1,311

11/30/2016

$1,677

$1,312

12/31/2016

$1,671

$1,313

1/31/2017

$1,667

$1,317

2/28/2017

$1,669

$1,324

3/31/2017

$1,677

$1,335

4/30/2017

$1,676

$1,346

5/31/2017

$1,676

$1,353

6/30/2017

$1,680

$1,357

7/31/2017

$1,679

$1,359

8/31/2017

$1,684

$1,363

9/30/2017

$1,688

$1,406

10/31/2017

$1,694

$1,414

11/30/2017

$1,690

$1,413

12/31/2017

$1,688

$1,420

1/31/2018

$1,693

$1,422

2/28/2018

$1,700

$1,427

3/31/2018

$1,704

$1,429

4/30/2018

$1,703

$1,434

5/31/2018

$1,701

$1,438

6/30/2018

$1,700

$1,444

7/31/2018

$1,716

$1,449

8/31/2018

$1,721

$1,455

9/30/2018

$1,731

$1,461

10/31/2018

$1,723

$1,465

11/30/2018

$1,728

$1,473

12/31/2018

$1,730

$1,482

1/31/2019

$1,730

$1,492

2/28/2019

$1,723

$1,495

3/31/2019

$1,720

$1,503

4/30/2019

$1,726

$1,509

5/31/2019

$1,733

$1,514

6/30/2019

$1,739

$1,519

7/31/2019

$1,735

$1,526

8/31/2019

$1,736

$1,531

9/30/2019

$1,734

$1,534

10/31/2019

$1,745

$1,541

11/30/2019

$1,750

$1,545

12/31/2019

$1,759

$1,552

1/31/2020

$1,766

$1,560

2/29/2020

$1,778

$1,565

3/31/2020

$1,750

$1,565

4/30/2020

$1,731

$1,566

5/31/2020

$1,710

$1,563

6/30/2020

$1,712

$1,562

7/31/2020

$1,724

$1,571

8/31/2020

$1,730

$1,574

9/30/2020

$1,727

$1,586

10/31/2020

$1,726

$1,593

11/30/2020

$1,751

$1,602

12/31/2020

$1,784

$1,606

1/31/2021

$1,828

$1,613

2/28/2021

$1,876

$1,620

3/31/2021

$1,916

$1,629

4/30/2021

$1,961

$1,649

5/31/2021

$2,005

$1,663

6/30/2021

$2,052

$1,686

7/31/2021

$2,111

$1,707

8/31/2021

$2,161

$1,729

9/30/2021

$2,231

$1,752

10/31/2021

$2,286

$1,767

11/30/2021

$2,330

$1,777

12/31/2021

$2,372

$1,791

1/31/2022

$2,408

$1,800

2/28/2022

$2,459

$1,820

3/31/2022

$2,518

$1,829

4/30/2022

$2,577

$1,841

5/31/2022

$2,631

$1,852

6/30/2022

$2,665

$1,861

7/31/2022

$2,684

$1,868

8/31/2022

$2,708

$1,872

9/30/2022

$2,723

$1,875

10/31/2022

$2,736

$1,873

11/30/2022

$2,733

$1,875

12/31/2022

$2,740

$1,874

1/31/2023

$2,746

$1,877

2/28/2023

$2,744

$1,879

3/31/2023

$2,737

$1,884

4/30/2023

$2,731

$1,886

5/31/2023

$2,724

$1,886

6/30/2023

$2,709

$1,886

7/31/2023

$2,700

$1,891

8/31/2023

$2,693

$1,908

9/30/2023

$2,687

$1,912

10/31/2023

$2,698

$1,916

11/30/2023

$2,714

$1,918

12/31/2023

$2,709

$1,921

1/31/2024

$2,700

$1,928

2/29/2024

$2,683

$1,932

3/31/2024

$2,695

$1,935

4/30/2024

$2,703

$1,942

5/31/2024

$2,707

$1,946

6/30/2024

$2,711

$1,973

7/31/2024

$2,717

$1,958

8/31/2024

$2,727

$1,992

9/30/2024

$2,733

$1,993

10/31/2024

$2,737

$1,995

11/30/2024

$2,734

$1,999

12/31/2024

$2,744

$2,003

1/31/2025

$2,764

$2,006

2/28/2025

$2,771

$2,007

3/31/2025

$2,767

$2,016

4/30/2025

$2,764

$2,019

5/31/2025

$2,765

$2,022

6/30/2025

$2,772

$2,026

7/31/2025

$2,776

$2,029

8/31/2025

$2,774

$2,027

9/30/2025

$2,775

$2,030

10/31/2025

$2,768

$2,052

11/30/2025

$2,767

$2,095

12/31/2025

$2,763

$2,086

1/31/2026

$2,753

$2,160

2/28/2026

$2,755

$2,178

Crime — All violent offences

Rate per 100,000 residents

Rate per 100,000 people Over Time

Date

Region - Puerto Rico

State - Puerto Rico

United States

8/1/2020

N/A

104

9/1/2020

N/A

10/1/2020

N/A

11/1/2020

N/A

12/1/2020

164

171

1/1/2021

N/A

2/1/2021

N/A

3/1/2021

N/A

4/1/2021

N/A

102

5/1/2021

N/A

114

6/1/2021

N/A

108

7/1/2021

N/A

114

8/1/2021

N/A

114

9/1/2021

N/A

114

10/1/2021

N/A

116

11/1/2021

N/A

102

12/1/2021

105

1/1/2022

N/A

2/1/2022

N/A

3/1/2022

N/A

107

4/1/2022

N/A

107

5/1/2022

N/A

117

6/1/2022

N/A

110

7/1/2022

N/A

113

8/1/2022

N/A

112

9/1/2022

N/A

112

10/1/2022

N/A

112

11/1/2022

N/A

12/1/2022

126

1/1/2023

N/A

109

2/1/2023

N/A

3/1/2023

N/A

110

4/1/2023

N/A

114

5/1/2023

N/A

123

6/1/2023

N/A

113

7/1/2023

N/A

118

8/1/2023

N/A

118

9/1/2023

N/A

116

10/1/2023

N/A

117

11/1/2023

N/A

104

12/1/2023

119

Living in San Juan, Puerto Rico

San Juan, Puerto Rico, offers a unique living experience with a mix of culture, history, and beautiful beaches. Below are some aspects to consider:

Crime Rate and Safety

Like any urban area, San Juan has its share of crime, but overall it is considered safe, especially in tourist areas.

Fun Activities

Residents can enjoy water sports, salsa dancing, exploring historical sites like Old San Juan, and enjoying the local cuisine.

Climate

San Juan has a tropical climate with warm temperatures year-round and occasional rain showers. Hurricane season is a concern from June to November.

Races and Population

San Juan is a diverse city with a mix of races and cultures, making it a vibrant and welcoming community.

Education

Puerto Rico has various educational opportunities, including universities and schools, providing options for families with children.

Cost of Living

The cost of living in San Juan can vary, with housing costs being one of the main expenses. It is advisable to research neighborhoods for affordability.

Proximity to Major Cities

San Juan is the capital of Puerto Rico and while it's a major city itself, it is relatively close to other cities like Ponce and Mayaguez, approximately 1.5 to 2.5 hours by car.

Pros

Rich culture
beautiful beaches
diverse community
tropical weather. Cons: Potential language barrier for non-Spanish speakers
hurricane risks during the season.

Cons

Rich culture
beautiful beaches
diverse community
tropical weather. Cons: Potential language barrier for non-Spanish speakers
hurricane risks during the season.

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Other specialties near San Juan, PR

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External Links

1. Freida - https://freida.ama-assn.org/program/1404211396

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

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

4. United States Census Bureau - https://data.census.gov/profile/City,_VS?g=040XX00US72

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

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

1. Freida - https://freida.ama-assn.org/program/1404211396

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

3. Residency Explorer - https://www.residencyexplorer.org/Program/GetByIdWithMedicalSpecialty/d082da5a-60a9-1357-9bd7-f06b06fcd252

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=040XX00US72

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

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