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?

  • 'Medical Home' designation for Hurley clinic: Hurley's Combined Internal Medicine/Pediatrics Residency's MOB Family Medical Clinic was designated as a Patient-Centered Medical Home by the Blue Cross Blue Shield of Michigan, effective Sept. 1, 2022, through Aug. 31, 2024. It indicates high quality standards and also makes the clinic eligible for higher reimbursement from insurers.
  • New adolescent behavioral health unit: Fourteen beds for ages 12-17, on the 3rd floor, West Tower. Opened May 9, 2022.
  • Best Hospital in the City: Hurley was voted best hospital again in 2022 in the My City Wellness Award program, recognizing it for excellence.
  • Best ER in the City: Hurley ER was voted best Emergency Room again in 2022 in the My City Wellness Award, recognizing its exceptional care to adults, children, and seniors.
  • 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.
  • Nutritious foods for kids: Patients at the Hurley Children's Clinic (at the Flint Farmers' Market) receive fruit and vegetable prescriptions at every visit to be filled for fresh produce. Ordered through electronic medical records and printed on prescription paper, it can be redeemed for up to $15 of fresh fruits and vegetables at the Flint Farmers' Market, thanks to a 2022 grant from Rite Aid Healthy Futures.
  • Federal loan forgiveness: Hurley Medical Center and The Hurley Clinics are designated as a qualifying employer under the federal Public Service Loan Forgiveness Program, which means employees who are eligible can have certain federal student loans forgiven after 10 years of qualifying payments.
  • New faculty in Internal Medicine: Dr. Sarah Ayad, Dr Charles Swanson, and Dr Ali Zreik joined Hurley as attending physicians and faculty members in 2022.
  • New Pediatrics faculty: Dr. Allison Schnepp joined Hurley Children's Hospital as a hematology-oncology specialist in 2022, returning to her roots. She graduated from Hurley's Pediatrics program in 2017.
  • New Pediatrics and Combined Medicine/Pediatrics faculty: Dr Brittany Taylor was named 2022-2024 Pediatric Public Health Initiative Alice Hamilton Scholar, which includes attending physician roles at both the Hurley Children's Clinic (with pediatric residents) and the Hurley MOB Family Medical Clinic (with Med/Peds residents).
  • New Director of Neurosurgery: Hurley named Dr Marc Moisi as director of neurosurgery.
  • Community Advocate: Hurley named one of its long-time nurse managers to a new position of Patient Resource & Community Advocate. Tarnesa Martin RN BSN serves as a liaison to minority populations in the community, focusing on education, understanding, and trust-building.
  • Coronary Care Unit Excellence: Hurley's CCU received the bronze-level Beacon Award of Excellence from the American Association of Critical Care Nurses.
  • Hurley Lung Health Navigator: Hurley's state-of-the art Lung Center added a lungh health navigator who works with patients, families, and board-certified physicians toward the best clinical outcomes.
  • New certification in vascular care: Hurley's Vascular Access Team received Cardiac Vascular Nursing Certification, with multiple employees passing the board-certification after an extensive two-year process.
  • Biggest community health investor in Michigan: Hurley Medical Center was ranked by the Lown Institute as the state's top hospital for community health investments.
  • Geriatric excellence: Hurley received national recognition for its geriatric care from: 1) American College of Emergency Physicians - Bronze-Standard, Level 3 Geriatric Emergency Program; and 2) Institute for Healthcare Improvement and its partners (the John A Hartford Foundation, American Hospital Association, and Catholic Health Associates of the United States) - Age-Friendly Health System Committed to Care Excellence. HMC offers a fast-track ER for patients 65 and up, a special fracture-care program for seniors, and a NICHE program.
  • Code Lavender: Hurley's Pastoral Care officially added Code Lavender, a crisis intervention tool to support any person at Hurley Medical Center. Typically, staff members may request the service after difficult losses or stressful cases, but familieis also may benefit.
  • Stroke Achievement Award: The American Heart Association/American Stroke Association awarded Hurley its Get with the Guidelines Stroke Gold Plus Achievement Award. Hurley had already received the AHA/ASA Target: Stroke Eliete Honor Roll Award.
  • Phototherapy lights: The Hurley Foundation received a $25,000 grant from the AG Bishop Charitable Trust to purchase five LED phototherapy lights for Hurley's NICU for treatment of jaundice.
  • Robotic knee technology: Hurley's Center for Joint Replacement added a Zimmer Biomet ROSA(TM) system to assist with more precise knee emplants.
  • 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.
  • 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, and other items.
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 6 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

Combined Internal Medicine/ Pediatrics

Internal Medicine


Transitional Year

>/= Ave**>/= Ave**
Obstetrics & GynecologyNot considered***

** 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.

*** Candidates for Obstetrics & Gynecology must take the USMLE.

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.