On this page, you will find answers to many of the most commonly asked questions about the Internal Medicine Residency Program at Hurley Medical Center. More general questions are also answered on the FAQ page for Hurley Graduate Medical Education.


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/Pediatrics220220Pass
Internal Medicine220220Pass
Obstetrics & Gynecology220220Pass
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.

Is your Internal Medicine Residency Training Program university-based or university-affiliated, community-based, or a military or community hospital?


Our Internal Medicine Residency program is part of premier public teaching medical center recognized as a regional resource for advanced specialized health care. We are a community-based residency program with a major affiliation with Michigan State University College of Human Medicine. About 100 MSU CHM medical students complete required clerkships at Hurley. As an Internal Medicine resident, you have the opportunity to obtain an appointment as an instructor resident from MSU CHM.

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.

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.

Is ECFMG certification required at the time of application?


Yes, ECFMG certification is required when submitting an application.

Do you accept International Medical Graduates?


International medical graduates are welcomed and encouraged to submit an application to our program.

Do the residency training programs accept Visas?


Hurley accepts J-1 Visas.

Do you allow applicants to observe in your hospital before the interview?


No. We do not accept observers before the interview.

What are the minimum USMLE and COMLEX scores that you require for Internal Medicine Programs?


USMLE: A score of 220 is the minimum three-digit score used for Steps 1 and 2-Clinical Knowledge in our Internal Medicine Residency Training program. In all cases, candidates must have passed Steps 1 and 2-Clinical Knowledge on the first two attempts. Candidates are required to pass the Clinical Skills section on Step 2 on at least the first two attempts.

COMLEX: Internal Medicine requires a minimum three-digit score of 500 for both Level 1 and Level 2 COMLEX, and candidates must have passed each section (Level 1 and Level 2) in at least the first two attempts.

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.

Does the residency program have a graduation cut-off date?


Candidates must start a residency training program within five years after obtaining their medical degree. However, at the Program Director’s discretion, exceptions may be made for candidates who provide evidence of outstanding educational achievements or have been treating patients in an active clinical practice and/or hospital setting.

How many positions do you have in Internal Medicine?


A total of 15 first-year positions are available each year.

How often are Internal Medicine residents on call?


Residents are typically on call every 4th day.

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 www.aamc.org/eras.

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