Frequently Asked Questions

On this page, you will find answers to many of the most commonly asked questions about the residency programs at Hurley Medical Center, which is affiliated with Michigan State University College of Human Medicine. Program-specific questions are also answered on the FAQ pages for each of the residency programs.

  • About Hurley Medical Center
    • Is Hurley Medical Center affiliated with a medical school?

      Hurley has major affiliations with the Michigan State University College of Human Medicine and the University of Michigan Health System, both at the graduate and undergraduate levels of training. Hurley Medical Center is part of the Flint Campus of the Michigan State University College of Human Medicine. About 100 third- and fourth-year medical students are assigned to the Flint Campus annually. Our internal medicine, pediatric, combined internal medicine/pediatric, obstetrics and gynecology, and transitional year residency training programs, as well as the geriatric medicine and trauma fellowships, are affiliated with the Michigan State University College of Human Medicine. The emergency medicine residency, emergency medicine pediatric fellowship and pediatric dentistry residency are affiliated with the University of Michigan.

    • What is Hurley Medical Center's Vision?

      The Vision of Hurley Medical Center is to be a premier public teaching medical center recognized as a regional resource for advanced specialized health care.

    • What's new at Hurley?
      • Resident clinic moves to main campus: The continuity clinic of Hurley’s Combined Internal Medicine / Pediatrics Residency Training Program moved from an off-site location to the Medical Office Building on Hurley’s Main Campus., just in time for the start of the 2017-2018 academic year. The new space provides a conference/precepting room, ample exam rooms and waiting area, and integration of clinic medical records with the hospital’s electronic medical record system. It also means Med/Peds residents don’t have to drive off site for clinic duty - they can just walk from the main hospital.
      • Medical Dictation for Mobile Digital Devices: Hurley now uses the M*MOdal dictation/ transcription platform, with a mobile app that allows users to quickly and accurately record clinical notes during patient encounters for easy integration with electronic health record systems. It increases productivity and improves quality. The secure platform ensures that patient information remains private.
      • Mobile Device-Charging Kiosk: The Hurley Medical Library can now help charge up to 8 devices that use charging connectors Apple Lightning, Apple 30-Pin, Micro USB, or USB Type-C. The fast charging technology reduces charge time and eliminates overcharging. The Medical Library is located on 1 North. (Staff hours: Monday-Friday, 8a-4:30p)
      • Food Pharmacy for Adults: A first in the region, Hurley’s Food Pharmacy address food insecurity and nutritional needs of Hurley patients, particularly those who will be discharged from the hospital or who need access to nutritious, well balanced meals while they heal. Perhaps more importantly, they are given access to community resources to keep healthy foods coming. One unique feature? Hurley’s electronic medical record system prompts the health team to check for food insecurity, which then leads to an immediate gift of a few days of healthy food for the entire family - and a prescription to return to the Food Pharmacy later.
      • Hurley Lung Center: Dedicated to prevention, early detection, treatment, and are of patients with lung cancer and other diseases of the chest and lung, our new Lung Center includes a multidisciplinary team of physicians, such as primary-care physicians, pulmonologists, medical and radiation oncologists, cardiothoracic surgeons, radiologists, anesthesiologists and pathologists. Other key team members: Lung Health Navigator and Certified Tobacco Treatment specialist. Eligible patients are current/ former smokers ages 55-77 with a 30-pack-year smoking history. [Hurley is the only hospital in the region with Veran SPiNView(R) Thoracic Navigation System, which allows physicians to detect accurately access small lung lesions via multiple approaches.]
      • Hurley named NICHE Exemplar Hospital: Hurley is one of only 94 NICHE Exemplar hospitals (highest level) in the country. The Nurses Improving Care for Healthsystem Elders (NICHE) is a nurse-driven program designed to help hospitals and health-care organizations improve the care of older adults with specialized principles and tools - and a mission to meet the unique needs of patients 65 years old and older - and include their families in the process.
      • CEO Among Top 100 Women - Crain’s Magazine: Hurley Chief Executive Officer Melany Gavulic was named one of the 100 most influential women in the state of Michigan across areas of healthcare, automotive, science, technology, business and education.
      • Pediatric Residency Program Director Among Top 100 Women - Crain’s Magazine: Mona Hanna-Attisha MD MPH, director of Hurley’s Pediatric Residency Training Program, was named one of the Top 100 most influential women in the state of Michigan across the areas of healthcare, automotive, science, technology, business and education. In 2016, Dr. Hanna also was maned one of the Top 100 Influential People in the nation.
      • Quality & Safety - New Mobility Protocol: Hurley’s Progressive Mobility Protocol (PMP) empowers nurses to proactively assess, reassess and step up patient mobility (e.g., from bedrest to dangle to chair to walk with assist and full independence), which is shown to prevent complications from immobility, improve respiration, and speed rehabilitation.
      • New Geriatric Nurse Specialist Team: Hurley now has specially trained geriatric nurses to oversee the care of all hospitalized patients (age 65+), no matter where they are located in the hospital. The goal is to identify those at risk for delirium, debility and decline and to prevent those issues by promoting mobility, optimizing sleep and wake cycles, preventing skin breakdown, and identifying medication concerns. They also work with the rest of the health-care team to ensure that the entire hospitalization and discharge transition is as safe as possible for seniors.
      • Hurley certified as Advanced Primary Stroke Center: After rigorous on-site review and stringent requirements, Hurley earned Advanced Certification as Primary Stroke Center from The Join Commission and the American Heart Association/ American Stroke Association, which recognizes that Hurley is equipped to provide stroke patients with timely, evidence-based care. (Stroke is the fifth-leading cause of death in adults and is the leading cause of disability in adults in the United States, per AHA/ASA.)
      • Hurley now using germ-fighting robot: A pulsed xenon (not mercury bulbs) creates germicidal ultraviolet light, which penetrates cell walls of microorganisms such as bacteria, viruses, mold, fungus, and spores, effectively killing them on surfaces without contact or chemicals. This new Xenex LightStrike (TM) Germ-Zapping Robot also is effective against the most dangerous pathogens, including Clostridium difficile, methicillin-resistant Staphylococcus aureus (MRSA), VRE, Ebola, norovirus, and influenza.
      • New visual content from Hurley library subscription: DynaMed is now DynaMed Plus, which features improved visual content, images, algorithms, and other visual content from the popular point-of-care database of medical topics. At Hurley, it also is integrated into our electronic medical record system, where clinicians can quickly see the levels of evidence and guidelines behind recommendations, with PubMed links to view original articles. Mobile access also is available with the DynaMedPlus app.
      • New elective percutaneous coronary intervention (PCI): Hurley first added elective PCI for inpatients, then added the outpatient option a month later. Hurley’s cath lab holding area is open 24 hours to recover patients undergoing outpatient elective PCI and cardiac implant procedures.
      • Hurley Children’s Hospital/Miracle Network wins national contest: Hurley’s Children’s Hospital is the only Children’s Miracle Network hospital in the region and one of only four in the state. We recently won a national Children’s Miracle Network Hospital contest from Credit Unions for Kids, which awarded us $50,000, garnering an extra “matched” donation of $10,000 from the Sheppy Dog Fund, which was started by Hurley pediatric dentist Alan Klein DDS.
      • Tanked! The Animal Planet TV show TANKED filmed an episode at Hurley Medical Center after music star, radio host, and Children’s Miracle Network Teen Hospital Ambassador Alli Simpson donated a cylindrical fish tank to the Hospital, prominently placed in Hurley’s main lobby.
      • Dr. Hanna among best in world - Medscape: Hurley’s Mona Hanna-Attisha MD MPH is among the best physicians in the world, according to a Dec. 14, 2016, Medscape ranking. Dr. Hanna directs Hurley’s Pediatric Residency Training Program and heads up the Flint-based Michigan State University-Hurley Children’s Hospital Pediatric Public Health Initiative, a multidisciplinary team focused on mitigating detrimental effects from lead exposure, formed after lead-tainted drinking water led to elevated levels of lead in blood of Flint Children, as first reported by Dr. Hanna in 2015.
      • National accreditation for cancer treatment and care: Two Hurley programs received accreditation recently. Hurley’s Max E. Dodds Cancer Program was accredited by the Commission on Cancer of the American College of Surgeons (ACS). Hurley’s Comprehensive Breast Cancer Program also was granted full accreditation from the National Accreditation Program for Breast Centers, a program administered by the ACS.
      • More hair and massage services for seniors: Hurley Senior Services received $5000 from the Merkley-Elderly Charitable Trust, administered by FirstMerit Private Bank (now part of Huntington). The grant pays for haircuts and hairstyles, as well as massage therapy services, for 160 or more hospitalized patients ages 65 and up.
      • Totally smoke-free campus: Hurley is completely a smoke-free campus, and a new, covered shelter just outside the edge of Hurley’s campus now provides a safe place for smokers. The shelter provides cover from the elements but is open enough that continuous safety video surveillance can occur. Most importantly, the second-hand smoke will not impede the well-being of patients, visitors and staff on campus.
      • New, on-site location for cardiac rehabilitation: Hurley’s Cardiac Rehabilitation has moved from its off-campus location to Hurley’s main campus. Housed on the ground level, the new space provides cardiac rehab patients a larger, more comfortable environment for specialized cardiac rehabilitation after heart attack, heart procedures, congestive heart failure or other heart diseases.
      • Hurley’s Center for Health Outcomes honored for innovations: In recognition of excellence in preventing chronic health conditions, Hurley’s Center for Health Outcomes received the “Innovations in Health Care Award” from the National Kidney Foundation of Michigan, the Michigan Health and Hospital Association, and the Michigan State Medical Society. Hurley’s Camp Move It - at the YMCA’s Camp Copneconic in Fenton - helps children ages 8-12 learn about healthy living through fit and fun games, nutritious eating activities, and the fun escapades of a summer camp. The Award included $500 toward camp scholarships for children.
      • Expanded mobile lab services for all patients: Hurley has more than a dozen outreach lab-drawing stations in the area and has long offered home lab draws for the elderly or disabled. But now Hurley offers at-home lab draws for everyone. It can be difficult for households with young children, older adults and disabled people to find transportation to a lab-draw station, especially when frequent lab draws are required. Patients and families can arrange for an at-home lab draw at no additional cost to the patient. Patients in nursing homes and assisted-living facilities will have labs drawn early in the morning to minimize schedule disruptions and to promote fast results.
      • Hurley Children’s Center nears two whole years at Farmer’s Market: Families who visit Hurley Pediatric Residency’s outpatient clinic – and Hurley’s 12 subspecialty pediatric clinics – have found easier access, since the new location is right across from Flint’s bus station. Located in 10,300 square feet on the top floor of the new Flint Farmer’s Market, the office also is handy for medical students from the Flint Campus of Michigan State University College of Human Medicine, which is just across the parking lot. The $2 million project (partially funded by the Mott Foundation) concluded in summer 2015. Residents have their own conference room, work stations, and observation rooms for faculty to observe clinical exams; and patients and families have a waiting room that makes it easy to do homework, with tables and comfy chairs. One bonus: Residents now can write a prescription for healthy vegetables and then walk their patients downstairs to the Farmer’s Market, which participates in the state’s Double Up Food Bucks program that matches purchases one-to-one when made by recipients of the state’s Supplemental Nutrition Assistance Program.
      • Pediatric Prescriptions for fresh fruits and vegetables: Patients and families at the Hurley Children’s Clinic can now get a prescription from their clinic doctor for fresh fruit and vegetables from the Farmer’s Market on the lower level. When the Market is closed, bags of fresh fruits and vegetables are waiting for patients to pick up on their way out the door.
      • Remodeled Outpatient Clinic: The sleek new waiting area of Hurley’s outpatient clinic is just the most visible piece of the clinic’s recent renovations. Formerly occupied by the Hurley Emergency and Trauma Center, the space now includes new resident physician work space and an outpatient lab – and it’s beautiful.
  • Eligibility and Selection Criteria
    • What are your selection criteria?

      In addition to strong scores on the United States Medical Licensing Examinations (USMLE) or the Comprehensive Osteopathic Medical Learning Examination of the United States (COMLEX), we also require residency applicants to have graduated from medical school no more than five years before entering the residency program, unless the applicant has significant clinical experience in the interim.

      We look at the entire application when evaluating candidates; however, candidates must pass the USMLE Step 1, Step 2 Clinical Knowledge, and Step 2 Clinical Skills within the first two attempts.

      MINIMUM SCORE REQUIREMENTS

      USMLE      
        Step 1 Clinical Knowledge Step 2 Clinical Skills Step 2
      Combined Internal Medicine/Pediatrics, Transitional Year 210 210 Pass
      Internal Medicine, Pediatrics 220 220 Pass
      Obstetrics & Gynecology 230 230 Pass
      COMLEX    
        Level 1 Level 2
      All Programs >/= Ave* >/= Ave*

      * Candidates who take COMLEX Level 1 and COMLEX Level 2 must have a passing score that is at or above the national mean for their exam year.

    • Do you require U.S. clinical experience to be considered for a position in your residency program?

      We do not require U.S. experience. However, if an applicant has had significant experience in a U.S. practice or hospital, that can be an asset.

    • Do you offer pre-match positions?

      No pre-match positions are offered in our residency training programs.

    • Do you accept osteopathic physicians in your residency programs?

      Yes, we welcome osteopathic physicians to apply for our residency positions. To do so, visit the allopathic Electronic Residency Application Service (ERAS) online at: www.aamc.org/services/eras/, and submit your application, personal statement, dean’s letter, etc. Your COMLEX scores are an acceptable alternative to the USMLE scores.

      For all training programs at Hurley, applicants must pass COMLEX Level 1 and Level 2 in the first two attempts. In addition, each of the the scores must be >/= the average COMLEX score for the applicant’s exam year.

    • What about USMLE Step 3?

      USMLE Step 3 is not required for interview purposes.

  • Financial Aid
    • I am a medical student with loans. Is there anything that Hurley can do to help?

      Yes. Hurley Medical Center meets the criteria for the Public Service Loan Forgiveness Program. This new program offers forgiveness for remaining debt after a physician has completed ten years of eligible employment and qualifying loan payments. (During those 10 years, an Income-Based Repayment (IBR) plan can help keep your loan payments affordable.) For more information on the Public Service Loan Forgiveness Program visit www.ibrinfo.org.

  • Immigration
  • Residency Applications and Interviews
  • Working at Hurley Medical Center
    • Can a resident receive a faculty appointment?

      Yes. The Michigan State University College of Human Medicine offers instructor resident appointments.

    • What is the work environment like at Hurley?

      At Hurley, you will be in an urban setting and a culturally diverse environment, exposed to a unique patient base, and working in a safety-net hospital with a commitment to academic and clinical excellence, as well as to community health. Hurley is a public institution that provides access to care for all patients regardless of their ability to pay. As a Hurley staff member, you will have opportunities to make a direct, positive difference in a patient’s or family’s life. The working atmosphere is collegial and professional: small enough that you will make friends for life and large enough that you will have excellent mentors.