Application Process

  • THIS YEAR: Interviews will be conducted virtually. Other pandemic-era accommodations, e.g., for the USMLE suspension of Step 2 Clinical Skills exam are explained in the frequently asked question, What are your selection criteria?, in the FAQ Eligibility and Selection Criteria section below.

To apply to one of our residency training programs

Please use the Electronic Residency Application Service (ERAS®), a program of the Association of American Medical Colleges. It may be used by U.S. medical school graduates, international medical school graduates, and fellowship applicants. A Letter of Recommendation (LoR) Portal may be used by LoR authors.

In ERAS, submit:

  1. Medical School Performance Evaluation (MSPE)
  2. 3 letters of recommendation
  3. Dean’s letter (or equivalent)
  4. Official medical school transcripts
  5. Personal Statement
  6. Curriculum Vitae

Other requirements:

  1. Medical degree graduation certificate (prior to start of residency program)
  2. Proof of a valid ECFMG certificate (where applicable)
  3. J-1 visa (where applicable; we do accept only J-1 visas)

To apply to one of our fellowship training programs

The fellowship programs listed below have their own specific instructions. Please follow the links and follow the instructions listed on those web pages for the specific fellowship of interest:

Pediatric Clinical Health Psychology
Rehabilitation Psychology


Hurley is pleased to offer options for accommodations to residency candidates during their interviews. Arrangements can be coordinated with administrative staff in each residency training program.

Eligibility requirements

Each residency program sets its own interview time frame and schedule, but interviews - which are mandatory in order to be considered for a position - generally take place in the last three months of the calendar year prior to the start date. (So applicants for the 2022-2023 academic year would interview in fall 2021, in general.) Likewise, each program sets its own minimum recommended USMLE Step 1 and Step 2 score for applicants, which may be found in our FAQ section below.

Other specifications:

  • Candidates must start the residency program within 5 years after completion of their medical degree.
  • Candidates must meet all eligibility and selection criteria of resident guidelines established by the Accreditation Council for Graduate Medical Education.
  • We consider international medical graduates who meet the other eligibility criteria (just as we consider other candidates), and we also accept J1 Visas.
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?

  • New adolescent behavioral health unit: Fourteen beds for ages 12-17, on the 3rd floor, West Tower. Opened May 9, 2022.
  • New clinic for Medication for Opioid Use Disorder (MOUD): With 5 opioid ODs per day in Michigan, Hurley's ED-based MOUD clinic uses best practices to offer medication and other treatment to people with the disorder.
  • Ranked #111 Best Smart Hospital in the World: Newsweek Magazine and global data research company Statista Inc. ranked Hurley #1 in Michigan, #40 in the U.S., and #111 in the world as "Best Smart Hospitals." Hurley makes full use of Epic EMR.
  • Telemedicine platform: Hurley switched to a new telemedicine platform, MEND, which promises to be easier for patients and staff. New telehealth equipment also has been added throughout residency clinics and the hospital.
  • Internal wellness website: Hurley Employee wellness now offers information at your fingertips from an internal website on the Intranet, including resources for our EAP plans, 24/7 free fitness areas,
  • Optimized resident lounge: New space and computers - with moderate remodeling - were completed in 2020-2021. The two-sided lounge includes work stations that are spaced apart for pandemic safety, as well as space for a USB kiosk to save presentations on a thumb drive to take to a conference, for example. Individual lockers remain in adjacent dedicated space.
  • De-escalation training: All Hurley staff - including resident physicians, fellows, faculty and staff - are assigned to de-escalation training, designed to help defuse intense situations, preventing high-stress situations.
  • Wellness activities: Resident wellness is a focus of 3 or more educational / enrichment activities each year, with an institution-wide committee and a GME-wide committee helping to assess the clinical learning environment and to address the culture of wellness. This is part of the institution’s emphasis on wellness - which already includes free 24/7 access to on-site fitness areas, relaxation rooms, health classes and health program incentives.
  • New chief positions: In addition to the traditional administrative chief resident(s), our programs now have quality and patient-safety chiefs, as well as wellness chiefs or champions.
  • New MFM faculty in Ob-Gyn: Dr. Mohamed Satti, a Hurley Ob-Gyn residency grad and former HMC faculty member, returned to Hurley as a maternal fetal medicine specialist after completing a fellowship.
  • New Pediatrics faculty: Danelle Stable DO and Zachary Patterson MD are new faculty in the Hurley Children's Clinic atop the Flint Farmers' Market.
  • New location for Pediatrics Education: The academic offices of the Pediatric Residency Program have moved to the 6th floor, West Tower, to make room for a pediatric psychiatry wing, coming soon to the 3rd floor, West Tower.
  • New Abbott Education Center: 5 classrooms, 2 conference rooms, state-of-the-art technology.
  • New faculty in Internal Medicine: Kaitlin Liroff MD joined Internal Medicine as a 4th infectious disease specialist for the department, and residency program alum Huda Marcus MD was welcomed as a hospitalist faculty member. In the Ambulatory Clinic, Jami Foreback MD PhD was to join the clinic faculty, as of Sept. 15, 2021.
  • New administrative structure in Internal Medicine: The position of Associate Program Director (APD) is now a shared responsibility among three faculty: Aram Minasian MD continues as APD in charge of the IM Clinical Competency Committee; Philip McDonald MD assumes the role of administrative APD; and Thair Dawood MD is now the APD with a focus on diversity & inclusion and on quality improvement.
  • SimMan(R) in Internal Medicine: The Hurley Medical Center/Michigan State University Internal Medicine Residency Program purchased a programmable mannequin [SimMan(R)] for simulation training of residents.
  • Mobile WOW machines: New workstations on wheels are assigned to each of the main rounding resident teams to make rounding faster and more efficient, with the ability to include patients and families.
  • Google Suite, used hospitalwide, has extra features: To improve collaboration, the Google suite of products has expanded functionality, which allow for virtual meetings, such as daily online safety huddles, educational conferences, and more.
  • Enhanced Wi-Fi in Education Center: The Dr. R. Roderic Abbott Medical Education Center opened in October 2019 continues to be improved. The latest: Expanded Wi-Fi access, allowing for greater participation in audience-response systems and virtual events.
  • New Research Manager & Staff: Jenny LaChance MS is the interim manager of the Hurley Research Department, which has been relocated to the 10th floor of the West Tower. Jason Harrod was hired as the new research assistant and editorial assistant.
  • Medical Dictation for Mobile Digital Devices: Your phone can now serve as your microphone for Hurley's 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.
  • Food Pharmacy for Adults adds meal kits to go: 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. 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. Meal samples and meal kits have been a big hit and are continuing. Visitors to the Food Pharmacy can taste a prepared, healthy meal, then take home all of the ingredients and a recipe to make it at home for their families.
  • Visual content from Hurley library subscription: DynaMed Plus, which features improved visual content, images, algorithms, and other visual content from the popular point-of-care database of medical topics, is integrated into Hurley's 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.
  • Totally smoke-free campus: Hurley continues to be a completely a smoke-free campus, with a covered shelter just outside the edge of Hurley’s campus as a safe place for smokers. The shelter provides cover from the elements and is part of Hurley's video surveillance coverage area. Hurley offers employees smoking-cessation programs and incentives and also has programs for patients.
  • Pediatric Prescriptions for fresh fruits and vegetables - and for exercise: Patients and families at the Hurley Children’s Clinic can continue to 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. Prescriptions for activities also are available, with resources on local options.
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.

Pandemic adaptations

International medical graduates: Due to USMLE suspension of Step 2 Clinical Skills exams, qualified international medical graduate applicants who were were not able to take the examination may meet the clinical skills requirement of this policy by meeting 1 of 5 pathways offered by the ECFMG. After a pathway has been met, candidates must provide documentation to programs. Pathway eligibility is defined by the ECFMG on its Requirements for ECFMG Certification for Match web page.

Medical students from LCME-approve medical schools: Medical students from LCME-approved medical schools will be required to meet medical school guidelines for replacing the Step 2 CS exam requirements. Candidates may be asked to provide information/ documentation regarding medical school requirements.

Duration: The USMLE Step 2-CS interim requirement for eligibility in Hurley residency-training programs will remain in effect until the USMLE Step CS examination has been officially reinstated.


Step 1*Step 2 CKStep 2 CS
Combined Internal Medicine/Pediatrics
Internal Medicine220220Pass
Obstetrics & Gynecology220230Pass
Transitional Year210210Pass

*For Step 1, a 3-digit score is required prior to Jan. 26, 2022. Thereafter, candidates must obtain an outcome of "Pass."

Level 1Level 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:, 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


Do the residency training programs accept Visas?


Hurley accepts J-1 Visas.

Residency Applications and Interviews

How do I apply to a Hurley Residency Training Program?


Applications to all of our residency training programs must be sent through the Electronic Residency Application Service ( ERAS). ERAS is the service that transmits residency applications, letters of recommendations, transcripts and other supporting documents for candidates. The ERAS website is Each residency training program utilizes the National Resident Matching Program to rank candidates who meet criteria for appointment to specific residency training programs at Hurley. The NRMP Web Site is

Find out more about applying to one of the Hurley residency training programs.

Candidates for fellowships at Hurley Medical Center have their own application processes. View the specific fellowship program's Apply page for details.

Pediatric Psychology

Rehabilitation Psychology

Trauma Research Fellowship

Trauma Surgery Fellowship

How will I know if I have been selected for an interview?


You will receive an e-mail from the program who interviewed you, with an invitation to select an interview date. Some programs may use interview-scheduling software. Please follow the email instructions carefully. We attempt to be as flexible as possible with interview dates, so in most cases you will have several options for interview days. Once you select a date, inform the program coordinator as described in your email invitation. You will receive email confirmation, as well as further instructions.

Should I email the program director or coordinator with my application information or to ask about the likelihood of getting an interview?


No, all applications are reviewed only on ERAS. No advice or recommendation is given over email or telephone. The program does have eligibility criteria; however, all applications are reviewed in their entirety only on ERAS.

Does Research and Observership come under the criteria of U.S. clinical experience?


Research and serving as an observer do not meet the criteria of U.S. clinical experience.

Are candidates required to participate in the Electronic Residency Application Service (ERAS)?


Yes, all candidates for residency programs must submit their applications through ERAS. This includes Osteopathic physicians and international medical graduates. The ERAS website is

Candidates for fellowships at Hurley Medical Center have their own application processes. See each fellowship program's web page to find out how to apply.

Pediatric Psychology

Rehabilitation Psychology

Trauma Research Fellowship

Trauma Surgery Fellowship

How can I find the status of my application to a Hurley residency program?


Hurley receives >10,000 applications to its residency programs. It is impossible to notify every applicant of his or her application status. However, applicants who are selected for an interview will receive an interview invitation.

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.