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); not available for Transitional Year residents

Visit our residency program websites to learn more about our programs:

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. (For example, applicants for the 2024-2025 academic year would interview in fall 2024, 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 J-1 visas in programs of Combined Internal Medicine/Pediatrics, Internal Medicine, Obstetrics & Gynecology, and Pediatrics.
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?

  • Top surgical quality: In fall 2023, the American College of Surgeons awarded one of its highest designations to Hurley Medical Center as a Surgical Quality Partner in recognition of its safety and most effective surgical care.
  • More surgical robots: Another daVinci XI robot is joining the existing daVinci surgical robot supply at Hurley in March 2024 so that surgical teams have more minimually invasive options in obstetrics & gynecology surgery, and more.
  • Smallest pacemaker in the world: As of 2023, Hurley's cath lab now uses the world's smallest pacemaker, which means patients can't feel it. There are no scars, no wires running to the heart, and fewer activity restrictions.
  • Earth-friendly features that reduce Hurley's carbon footprint and improve Energy Star rating: Optimized building-cooling capabilities, occupancy-sensing controlled lighting in 80% of occupied areas, upgraded boilers & controls for more efficient heating, air-quality monitoring of all floors with real-time ventilation response, >240 temperature-controlled zones, humidification system improvements, cardboard-recycling, and LED lighting upgrades. Results: Reductions in: comfort complains in patient-care areas, campuswide energy intensity, and winter and summer peak usage, and higher energy-driven rebates in 2023, projected to be even better in 2024. The projects doubled the hospital's initial Energy Star Score to 26.
  • '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. Officially launched in fall 2022.
  • Best Hospital in the City: Hurley was voted best hospital again in 2023 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 2023 in the My City Wellness Award, recognizing its exceptional care to adults, children, and seniors.
  • Nutritious foods for kids: Patients at the Hurley Children's Clinic (at the Flint Farmers' Market) receive fruit and vegetable prescriptions 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. For more information visit
  • New leadership in Internal Medicine: Dr Philp McDonald and Dr Adiraj Singh were named interim program director and interim associate program director, respectively, in 2023.
  • New leadership in Transitional Year: Dr Adiraj Singh was named interim program director in Transitional Year in 2023.
  • New leadership in Obstetrics & Gynecology: Dr Atinuke Akinpeloye was named interim program director, effective July 1, 2024.
  • New Pediatrics faculty: New Pediatrics faculty in 2024 include pediatric intensivist Dr Asaad Beshish, neonatologist Dr Minkyung Choe, hematologist/oncologist Dr Adonis Lorenzana, and Peds faculty and associate program director Dr Gerbaksh Esch.
  • 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).
  • Neuro-Trauma Surgical Burn ICU Excellence: Hurley's Neuro-Trauma Surgical Burn ICU is the ONLY trauma unit in the U.S. awarded the prestigious Gold Beacon Award of Excellence from the American Association of Critical Care Nurses in 2023.
  • New leadership in Trauma-Surgery fellowship: Dr Gul Sachwani Daswani was named director of the Trauma-Surgery and Trauma-Research fellowships in 2023.
  • New trauma surgery faculty: Dr. Adam Howell was hired as a trauma surgeon and faculty member after he graduated from Hurley's trauma surgery fellowship in 2023.
  • 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 Elite Honor Roll Award.
  • World's Best Smart Hospitals in 2023: Newsweek Magazine and global data research company Statista Inc. ranked Hurley among the top 50 smart hospitals in the U.S., and #115 in the world. Only two hospitals in Michigan were in the top 50 of the U.S. Hurley makes full use of Epic EMR.
  • 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 pre-employment requirements?


In addition to meeting eligibility criteria and providing certain documentation, pre-employment requirements include illicit drug screening and background checks, as well as program-specific clinical certifications (e.g., BLS, ACLS, PALS, NRP, etc.), obtaining a Michigan medical license, and meeting visa requirements (when applicable). See the Eligibility and Selection Criteria FAQ for more details.

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?


Most Hurley programs accept J-1 visas. Hurley's Transitional Year program does not accept applicants requiring 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.