Texas Institute for Graduate Medical Education and Research (TIGMER) Program

Specialty:Psychiatry
ACGME Code:4004800304
NRMP Code:2169400C0
Status:Continued Accreditation

Overview

The TIGMER Psychiatry Residency Program is designed to provide a comprehensive education in psychiatry while focusing on community needs in San Antonio, Texas. This four-year program aims to produce well-rounded residents equipped to handle the complexities of mental health care.

Program Overview

Located at Texas Vista Medical Center, the program accepts 12 residents each year for a total of 48 trainees. It emphasizes training in underserved areas, offering practical experiences in various settings.

Curriculum and Rotations

The residency utilizes a "Community First" training model with multiple rotations focused on hands-on experience. Residents can expect to rotate through the Bexar County Detention Center and the San Antonio State Hospital, allowing them to engage directly with the most acute psychiatric cases in the community. Early electives can be chosen starting from the first year, tailoring the residency to each resident's interests and career goals 1.

Residents also participate in diverse clinical settings including community hospitals and Federally Qualified Health Centers, enhancing their understanding of social determinants that impact mental health 2.

Educational Environment

Didactic sessions are prioritized, ensuring that education remains a protected time for residents. Additionally, the program supports participation in quality improvement projects, which are required by ACGME guidelines, encouraging residents to engage in research activities 3.

Community Engagement

The TIGMER Psychiatry Residency Program places significant emphasis on serving underserved populations in San Antonio. This commitment aligns with the program's mission to provide compassionate care while fostering a strong connection with the community through activities such as psychiatric educational seminars for police officers 4.

Work-Life Balance

The program advocates for a healthy work-life balance. Minimal call requirements and flexible schedules are structured to support residents in maintaining personal wellness and preparing for board examinations. Moonlighting opportunities are permitted starting in the second year, further accommodating residents' professional aspirations 5.

Competitiveness and Application Requirements

The program is highly competitive, and while it accepts applications from US citizens and permanent residents, it is critical to note that no visa sponsorship is available for international medical graduates (IMGs). Applicants must have valid passing scores on the USMLE or COMLEX exams, along with a holistic approach being applied to assess fit for the program 6.

Special Application Requirements

Key application materials include a curriculum vitae, personal statement, official medical school transcripts, and three letters of recommendation. Applicants must submit passing scores from the USMLE Step 1 and Step 2 CK or COMLEX Level 1 and Level 2 CE 7.

Unique Aspects of the Program

The program emphasizes collaboration among different health departments, including partnerships with the FBI, fire, and police departments to offer residents unique experiences. Residents benefit from teaching opportunities with medical students from the University of the Incarnate Word, enhancing their educational journey through mentorship roles 8.

Support and Wellness

To address resident burnout, a robust wellness program is in place, incorporating social events and support systems aimed at fostering camaraderie and resilience among residents 9.

Conclusion

In summary, the TIGMER Psychiatry Residency Program promotes not only academic excellence but also a deep commitment to community health, aligning rigorous training with the compassionate delivery of psychiatric services. Residents leave the program not only as skilled psychiatrists but also as advocates for mental health care in their communities.

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Program data

ACGME History [3]

Accreditation Last updated: Jul 16, 2026
Initial accreditation4
Full accreditation0
Continued4
Warning0
Probationary Accreditation2
Withdrawal0

Program

Program Size

12, 12, 11, 8 (4 years) [1]

Accreditation Status

Continued Accreditation

(Effective: April 24, 2026)

Composition [2]

MD · 10%
DO · 88%
U.S. IMG · 2%

Training

Fellowship Rate:--

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

Residents Career Path [2]

Full-time Practice · 41%
Academic · 5%
Other · 55%

Quality of Life

First Year Paid Sick Leave: --

First Year Paid Vacation: 20 days [1]

First Year Salary: $60,000 [1]

First Year Maximum Consecutive Hours on Duty: 12 hours [1]

First Year Average Weekly Hours: 40 hours [1]

Admission

USMLE Step 2 Score: 224–260 [2]

Visa Sponsorship:-- [2]

YOG Cutoff:1 [1]

Race / Ethnicity

Gender

Incoming Schools

50%

University of the Incarnate Word School of Osteopathic Medicine

7%

University of North Texas Health Science Center Texas College of Osteopathic Medicine

5%

University of Pikeville Kentucky College of Osteopathic Medicine

5%

Burrell College of Osteopathic 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:  2169400C0
2020
12 of 12
2021
12 of 12
2022
12 of 12
2023
12 of 12
2024
12 of 12
2025
12 of 12
2026
12 of 12
Filled Position
Unfilled Position

Roster

Location

San Antonio, TX [5]

Population
1,434,625
Median income
$62,322On par
Education
30.5%Above
Employment
61.5%Below
Health
16.2%Above
Age
34Below
  • 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 San Antonio, TX

San Antonio, TX, offers a mix of historical charm, vibrant culture, and modern amenities. Here's an overview of living in the area:

Safety

San Antonio has a moderate crime rate, with certain neighborhoods being safer than others. It's essential to research specific areas before finding housing.

Fun Activities

The city is known for the famous River Walk, the historic Alamo, and numerous cultural events. Residents can enjoy a rich blend of Tex-Mex cuisine, lively music scene, and outdoor recreational activities.

Climate

San Antonio has a warm climate, with hot summers and mild winters. Be prepared for high humidity levels during the summer months.

Races and Population

The population of San Antonio is diverse, with a significant Hispanic community. The city celebrates its multicultural heritage through various events and festivals.

Education

San Antonio is home to several universities and colleges, providing opportunities for higher education and research.

Cost of Living

The cost of living in San Antonio is relatively lower compared to other major cities in Texas. Housing, transportation, and groceries are quite affordable.

Proximity to Bigger Cities

San Antonio is about 80 miles away from Austin, the capital of Texas, which takes approximately 1.5 to 2 hours by car. Austin offers a bustling music scene, tech industry presence, and vibrant nightlife.

Pros

  • Rich cultural heritage
  • affordable cost of living
  • and proximity to other major cities. Cons: Warm and humid summers
  • varying safety levels among neighborhoods.

Cons

  • Rich cultural heritage
  • affordable cost of living
  • and proximity to other major cities. Cons: Warm and humid summers
  • varying safety levels among neighborhoods.

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References

1. Freida - https://freida.ama-assn.org/program/4004800304

2. Residency Explorer - https://www.residencyexplorer.org/Program/GetByIdWithMedicalSpecialty/e65e44c0-3b6b-4868-6a4e-8eb2161c8a5d

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=160XX00US4865000

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