How to Apply
Eligibility Requirements
- Medical School: Eligible applicants must be graduates of a medical school accredited by either the Liaison Committee on Medical Education (LCME) or the American Osteopathic Association (AOA) or of an international medical school listed by the World Health Organization published World Directory of Medical Schools. International Medical Graduates must expect to have a current, valid certificate from the Educational Commission on Foreign Medical Graduates (ECFMG) by the beginning of training. Graduates of medical schools outside the United States who have completed a fifth Pathway program provided by an LCME-accredited medical school are also eligible.
- USMLE/COMLEX Examinations: Applicants must have passed Steps 1, 2 (Clinical Knowledge and Clinical Skills) of the United States Medical Licensing Examination (“USMLE”) or COMLEX equivalent.
- Medical Licensure: Applicants must be eligible to obtain a New Hampshire training license. All appointments are contingent upon the resident obtaining and maintaining a New Hampshire training or full license.
- Prerequisite Training: Eligible applicants who are not graduates of US allopathic medical schools must demonstrate US clinical experience in an academic medical center equivalent to that of a 3rd or 4th year US allopathic medical student, as evidenced by supportive letters of recommendation.
- Visa Status: Foreign citizens who have attended a US medical school will be considered for an H-type visa. Other foreign citizens requiring work authorization will be offered a J-type visa.
- Additional Appointment Requirements: Successful applicants must satisfactorily complete a reference check, background check, employee physical, alcohol and drug testing, and any other pre-employment criteria as may be required by Dartmouth Hitchcock Medical Center.
- Non-Discrimination: The Internal Medicine Training Program will not discriminate with regard to gender, race, age, religion, color, national origin, ancestry, disability, veteran status, marital status, familial status, pregnancy, or sexual orientation.
- Meet Essential Standards: Applicants must meet the essential standards of an internal medicine resident, as listed at the end of this document.
Selection Policy
- National Matching Programs (NRMP): The Internal Medicine Training Program participates in the national matching program.
- Electronic Residency Application System (ERAS): Applicants must submit their complete application using ERAS. Applications by e-mail, mail, fax, or other delivery will not be accepted. Applications must include:
- The common application form
- USMLE / COMLEX scores
- ECFMG report and certificate for international medical graduates (this includes U.S. applicants attending medical schools outside of the U.S.)
- An official transcript from the applicant's medical school
- Dean's letter
- The Department of Medicine letter (when available)
- Two additional letters of recommendation
- The personal statement
- NOTE: A photograph is not required for application
- Initial Application Screening, Interviews, and Final Screening:
- The Internal Medicine Residency Program Director appoints faculty members to the Residency Selection Committee.
- All applications will be reviewed by the Program Director and/or the Program Administrator.
- Decision regarding interview offer is based upon the review of the following items: Medical school attended, Medical Student Performance Evaluation, USMLE scores, letters of recommendation, research experience, work experience, and the personal statement.
- Each application is reviewed in full, and assigned an initial ranking score by the Program Director.
- If the number of applicants exceeds the number of interviews than can reasonably be conducted, the top candidates are invited.
- Each candidate is interviewed by one member of the Residency Selection Committee. Interviewers assign a score based on review of the applicant’s file and the candidate’s interview performance.
- The initial ranking score and the interview score are combined into a composite score and candidates are ranked accordingly.
- The Internal Medicine Residency Selection Committee reviews and may suggest adjustments the rank list. The final rank list is submitted by the program director to the National Residency Matching Program.
Appointment Requirements
After successfully matching into the Internal Medicine Residency Program, applicants must:
- Consent to a criminal background check.
- Submit to a pre‐employment drug and alcohol screening.
- Meet eligibility requirements to obtain and maintain a training license in the State of New Hampshire.
- Supply proof of ECFMG certification (Foreign Medical Graduates only).
- Non‐citizens must have Permanent Resident Status, current Employment Authorization Card or be eligible to obtain an appropriate visa no later than the date of hire.
- Submit proof of successful graduation from medical school.
- Updated USMLE/COMLEX results, if applicable
- Sign a DHMC GME Agreement of Appointment / Employment Contract
- Submit to a health examination and supplementary test(s), which includes tests for drug and/or alcohol abuse, and receive the required immunizations in compliance with the sponsored program hospital’s policy and all applicable federal, state, and local laws and regulations. It must be determined the applicant is in sufficient physical and mental condition to perform the essential functions of appointment. The results of all examinations shall be provided to the Hospital’s Employee Occupational Health Services.
- Successful passage of Institutional Net Learning Modules required for Employment.
- Attend required GME orientation
Essential Functions for Internal Medicine Residents
Residents must, without an intermediary, be able to:
- Take a history and perform a physical examination of patients.
- Communicate with patients and staff, verbally and otherwise in a manner that exhibits good professional judgment and is appropriate for the professional setting.
- Read charts, monitors, and other sources of clinical information.
- Complete appropriate medical records and documents and plans according to protocol and in a complete and timely manner.
- Possess sufficient sensory and motor function to elicit information from patients by palpation, auscultation, percussion and other diagnostic maneuvers.
- Be able to execute motor movements reasonably required to provide general care and emergency treatment to patients.
- Perform all job functions while dressed in protective clothing required for clinical duties, including tolerating a mask, gown, and gloves.
- Move throughout the Medical Center to address routine and emergent patient care issues and to attend required educational programs.
- Utilize a computer for medical record review, documentation, decision support, research, and education in an efficient and timely fashion.
- Possess the emotional health required for full use of their intellectual abilities, the exercise of good judgment and the prompt completion of all responsibilities attendant to the diagnosis and care of patients.
- Have the emotional maturity to self-assess, know own limitations and seek advice or counseling in situations that might impair own learning or performance in the care of patients, and to proactively seek appropriate treatment including leaves of absence.
