Virginia Commonwealth University Health System Program

Specialty:Internal medicine
ACGME Code:1405121433
NRMP Code:1743140P0, 1743140C4, 1743140P2, 1743140C0, 1743140P1
Status:Continued Accreditation

Overview

The Internal Medicine Residency Program at Virginia Commonwealth University (VCU) Health System focuses on developing well-rounded internists who are competent, caring, compassionate, and confident. The program is anchored by a commitment to five pillars of competency in training—clinical, scholarship, teaching, leadership, and resilience. The leadership team emphasizes a collaborative and supportive environment where residents face new challenges daily.

Mission and Vision

The mission of the program is twofold: to produce compassionate physicians capable of delivering high-quality medical care in various settings and to foster a collegial environment conducive to intellectual growth. Additionally, the program aims to contribute significantly to the science of medicine through research, education, and by addressing health disparities while promoting lifelong learning in a rapidly changing healthcare landscape.

Core Program Values

The values embraced by both housestaff and faculty include clinical excellence, collegiality, diversity, equity, flexibility, innovation, integrity, intellectual curiosity, teamwork, and transparency 1.

Training and Curriculum Overview

The residency training program strives to cultivate the following characteristics in its residents:

  • A compassionate, caring, confident, and competent internist.
  • A skilled educator in both clinical settings and foundational teaching techniques.
  • A reflective practitioner who evaluates themself and their practice continually.
  • A leader capable of driving quality improvement efforts and leading teams.
  • An academic contributor who engages in scholarly activities.

Clinical Education and Rotations

The VCU Health program is recognized for training outstanding clinicians. Residents obtain comprehensive medical knowledge, develop advanced clinical skills—such as physical examination and diagnostic reasoning—and gain an understanding of the social determinants of health that influence patient care. Furthermore, residents participate in interprofessional teams to ensure a holistic approach to patient management.

Scholarship and Research

The residency program encourages residents to engage in research and contribute meaningfully to medical science. Interns participate in a scholarship seminar to learn essential skills for conducting research, including developing clinical questions and literature searching. The program also provides opportunities to identify mentors and design research projects starting from the second year of residency 2.

Leadership Development

Training in leadership is emphasized whereby residents participate in formal sessions and training modules, serve as team leaders, and partake in quality improvement rotations. The leadership program is designed to prepare residents to effectively steer clinical teams and drives them towards quality initiatives where they learn to cultivate effective communication and teamwork skills.

Health and Resilience Pathways

Recognizing the significance of wellness in medical practice, VCU integrates resilience training into its curriculum. Dedicated sessions focus on mental health and well-being amidst the high demands of residency, fostering a supportive environment 3.

Resident Benefits

VCUHS offers comprehensive benefits, including a competitive salary and an annual stipend for educational expenses. In addition, residents receive 30 days of paid sick leave, partial parking coverage, and meal stipends based on work schedules. The program also offsets costs for attending conferences where residents can showcase their research 4.

Unique Aspects of the Program

The residency program includes a unique 2+2 schedule that balances rigorous inpatient experiences with outpatient rotations and electives, fostering a comprehensive learning experience. Available tracks include:

  • The Categorical Track for those pursuing a career in adult internal medicine or subspecialties.
  • The Preliminary Medicine Track, which offers a robust foundational year for preparation for advanced specialty programs.

Diversity, Equity, and Inclusion

The program is dedicated to enhancing diversity among trainees and faculty. The team emphasizes a holistic approach to recruitment and undertakes training in implicit bias to ensure equitable experiences for all residents 5.

Application Requirements

To be eligible, applicants must apply electronically through ERAS by December 15. Only J1 visas are accepted for residency positions within the VCU Health System, and the program does not sponsor H-1B visas. Candidates must provide a dean's letter, three recommendation letters from U.S. or Canadian physicians, and meet other outlined criteria 6.

Competitive Aspects

VCU's Internal Medicine program is known for being highly competitive and supportive of DO and IMG candidates as it welcomes diverse backgrounds and experiences. The selection process places significant importance on performance in licensure examinations and personal attributes that contribute to a successful residency experience.

Richmond and Resident Life

Richmond is known for its vibrant culture, outdoor activities, and variety of dining options. Residents enjoy engaging in social events organized by the residency program, aimed at fostering camaraderie and well-being during their training. Additionally, the city offers a balance between urban amenities and a charming small-town feel, making it an enticing place to live 7.

Web sources

SmartPick

Program data

ACGME History [3]

Accreditation Last updated: Jul 16, 2026
Initial accreditation0
Full accreditation0
Continued27
Warning0
Probationary Accreditation0
Withdrawal0

Program

Program Size

54, 34, 34 (3 years) [1]

Accreditation Status

Continued Accreditation

(Effective: January 23, 2026)

Composition [2]

MD · 68%
DO · 21%
U.S. IMG · 2%
Non-U.S. IMG · 9%

Training

Fellowship Rate:59% [2]

Faculty-to-Residents Ratio:3.8X [1]

Residents Career Path [2]

Full-time Practice · 8%
Academic · 29%
Fellowship · 59%
Other · 4%

Quality of Life

First Year Paid Sick Leave: 30 days [1]

First Year Paid Vacation: 15 days [1]

First Year Salary: $66,747 [1]

First Year Maximum Consecutive Hours on Duty: 24 hours [1]

First Year Average Weekly Hours: 65 hours [1]

Admission

USMLE Step 2 Score: 237–268 [2]

Visa Sponsorship:J1 [2]

YOG Cutoff:4 [1]

Race / Ethnicity

Gender

Incoming Schools

17%

Virginia Commonwealth University School of Medicine

11%

Edward Via College of Osteopathic Medicine

7%

Eastern Virginia Medical School at Old Dominion University

5%

Weill Cornell Medical College in Qatar

* 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:  1743140C0
2020
33 of 33
2021
33 of 33
2022
33 of 33
2023
31 of 31
2025
34 of 34
Track ID:  1743140P0
2020
5 of 5
2021
4 of 4
2022
5 of 5
2023
4 of 4
2024
3 of 6
Track ID:  1743140P1
2020
8 of 8
2021
8 of 8
2022
8 of 8
2024
8 of 8
Track ID:  1743140P3
2020
4 of 4
2021
4 of 4
2022
4 of 4
2023
4 of 4
Track ID:  1743140P2
2020
3 of 3
2021
4 of 4
2022
3 of 3
2024
2 of 2
Track ID:  1743140C3
2023
1 of 1
Track ID:  1743140C4
2023
1 of 1
Filled Position
Unfilled Position

Roster

Publications

50 Publications (5 yr)

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

HPB : the official journal of the International Hepato Pancreato Biliary Association2026

Liver transplant for combined hepatocellular-cholangiocarcinoma: United States outcomes and influence of the MMaT-3 policy.

Leandro Sierra,1Clive J Miranda,2Maria O Abad,3Butros Fakhoury,4

Location

Richmond, VA [5]

Population
226,610
Median income
$65,650On par
Education
46.7%Above
Employment
65.1%Below
Health
8.5%Above
Age
34On 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 Richmond, VA

Crime Rate and Safety

Richmond has a mix of safe and more concerning neighborhoods. It's advisable to research the specific area you'll be living in to ensure safety.

Fun Activities

Richmond offers a thriving arts and culture scene, outdoor recreational opportunities, museums, historical sites, and a variety of dining options.

Climate

Richmond experiences a humid subtropical climate with hot summers and mild winters. Be prepared for some humidity during the summer months.

Races and Population

Richmond has a diverse population with a mix of different races and ethnicities enriching the city's character.

Education

Richmond is home to several colleges and universities, providing opportunities for continued learning and cultural activities.

Cost of Living

The cost of living in Richmond is relatively moderate compared to some other urban areas in the U.S.

Proximity to Larger Cities

Richmond is approximately 1.5 to 2 hours away from bigger cities like Washington D.C. and Virginia Beach. These cities offer additional cultural and recreational opportunities.

Pros

  • Diverse cultural scene
  • historical significance
  • moderate cost of living.

Cons

  • Varied neighborhood safety
  • hot and humid summers.

FAQ

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References

1. Freida - https://freida.ama-assn.org/program/1405121433

2. Residency Explorer - https://www.residencyexplorer.org/Program/GetByIdWithMedicalSpecialty/b8f25244-ade1-b738-ad8f-b2b61655b3af

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=050XX00US51760

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