Internal Medicine Residency - Meharry Medical College (2023)

Our Internal Medicine residency program is a three-year training program that consists of 45 house officers and two chief residents. Our program is ACGME- and ABIM-certified as a categorical and preliminary residency program.

Our residents play a significant role in shaping the curriculum and the program. Regular resident feedback sessions (“town halls”) with the program director ensure we are meeting the educational and professional needs of our house staff. This core curriculum, combined with conferences, ensures that our residents obtain a thorough knowledge of internal medicine principles. Residents also take an active role in the annual program review.

Two hospitals serve as the principal education centers for both inpatient and outpatient clinical experiences – the Nashville General Hospital at Meharry (NGH, an urban charity facility) and the Department of Veteran Administration Tennessee Valley Healthcare System, Alvin C. York Campus (VA). The residents spend approximately 50% of their time at each facility over the course of their training. Both facilities offer training by Board certified internists and specialists. General medical floor and intensive care unit experiences are available at NGH and general medicine floor at the VA. Additional training opportunities in the medical subspecialties are available at both facilities and at Tennessee Valley Healthcare System-Nashville. Inpatient rotations are also done at The James H. Quillen VA Healthcare System at Mountain Home in Johnson City and Methodist Le Bonheur Hospital in Memphis.

The Internal Medicine residency program is closely associated with the Meharry Medical College School of Medicine. Our residents are expected to supervise and teach third- and fourth-year medical students during their Internal Medicine rotations. The school’s resources, such as an extensive digital medical library and computer system, are available to all of our residents 24 hours a day.

The Department of Internal Medicine has strengthened its commitment to performing high-quality research with an emphasis on improving the care of minority patients. Each categorical resident is required to do a research project with minimum progress requirements for each year. This renewed focus on research should allow us to cultivate among our residents an interest in careers in academia and life-long learning.

Meharry Medical College’s Internal Medicine program offers a nurturing setting for our residents to be exposed to a broad range of patients at all stages of their illness in both an outpatient and inpatient setting while participating in a stimulating academic environment.

The residency program is designed to help develop a fully rounded internist. Our objectives include, but are not limited to, development of the following:

  • Ability to generate a complete and accurate differential diagnosis list;
  • Ability to write proper histories, progress notes and discharge summaries;
  • Skills in the management of complex disease;
  • Familiarity with all phases of a patient’s care from continuity clinic to the ED to ward teams to the MICU/CCU;
  • Ability to perform—and teach—a wide variety of procedures without assistance;
  • Ability to work as a leader of the health care team;
  • Ability to manage patients in both the inpatient and outpatient settings;
  • Ability to recognize need for higher level of care (e.g. admission from clinic or transfer of patients from floor to ICU); and
  • Ability to pass the ABIM Boards through an integrated series of review sessions and core lectures

Note: A passing score on USMLE Step 3 is a requirement for promotion to PGY-2 level.

Interviews are required and are by invitation only from the program. Interviews will not be offered until all requirements are met and all documents received. Interviews last until midafternoon and include attendance at morning report and noon conference and a tour of Nashville General Hospital where applicants can freely and privately discuss the residency with a current resident.


  • Applicants must be a graduate of an LCME approved medical school in the United States or an international school recognized by the State of California.
  • Graduation date must be within three years of the beginning date of the PGY year (July 1st).
  • Applicants must have successfully passed USMLE Step 1 and Step 2 CK exams before being offered an interview.
  • Applicants must be either a United States citizen, permanent resident, refugee or asylee.
  • Applicants must have no prior United States primary care residency experience.
  • International medical school graduates must be ECFMG certified to receive an interview invitation.

To apply, submit:

  • ERAS application
  • Dean’s letter (MSPE) and three additional letters of recommendation
  • Medical school transcript
  • USMLE Step 1 and Step 2 scores, including dates and number of attempts at each exam
  • Valid ECFMG certificate for international medical school graduates

PGY-1 (Internship)

PGY-1 residents, otherwise known as interns, have the following major responsibilities:

  • Initial evaluation of all patients, including assimilation of old records and outside information
  • Developing a plan for each patient to present to the resident
  • Communicating with the patient and family about treatment plans, consultations, risks and benefits of procedures and medications, and other aspects of care
  • Doing write-ups on charts
  • Discussion of “Do-Not-Resuscitate (DNR)” orders and other end-of-life issues when appropriate
  • Asking surviving family members for permission to perform an autopsy
  • Working on discharge planning from day one
  • Writing daily progress notes
  • Interns are expected to attend all daily attending rounds (except when off duty), morning report, Grand Rounds, and all other teaching conferences. Interns work closely with medical students and assist with their education.

The PGY-1 year is organized to ensure a comprehensive clinical experience in a variety of settings. The intern “learns by doing” and must be kept at the forefront of patient evaluation and therapeutic decision making if he or she is to develop the confidence and proficiency upon which sound clinical judgment is based. The teams provide the intern with individualized supervision and the resident with time for study, case management, and teaching.

PGY-2, PGY-3 (Residency)

The primary roles of the PGY-2 and 3 residents are supervision and education. This includes:

  • Seeing every patient on the day of admission and writing a note
  • Reviewing and approve diagnostic and treatment plans with the interns
  • Reviewing patients’ progress daily, giving feedback to the intern on progress notes, order writing, and discharge planning
  • Organizing and planning attending rounds, meetings with consultants, and other teaching opportunities
  • Setting time aside for teaching medical students, including reviewing write-ups and giving timely feedback
  • Creating an atmosphere such that the intern is encouraged to ask for help when appropriate
  • Supervising procedures
  • Dictating discharge summaries
  • Interacting with nurses and other personnel in a way that respects all members of the healthcare team and encourages their input
  • Being certain all members of the team are familiar with the current literature regarding their patients
  • Attending teaching conferences including Grand Rounds, Morning Report, Noon Conference, and Journal Club

The upper-level resident is responsible for all aspects of patients’ care. As such, this resident is ultimately responsible for requesting consultations and interacting with consultants, for keeping the attending fully informed of changes in status, and for overall supervision of the intern(s) and student(s).

PGY-1 Residents:

  • General Medicine—24 to 26 weeks
  • Electives (including multispecialty block rotation)—6 to 9 weeks
  • Continuity Clinic – 13 weeks
  • ICU—6 to 7 weeks
  • Vacation—3 weeks

PGY-2 Residents:

  • General Medicine—11 weeks
  • Electives— 14 weeks
  • Continuity Clinic – 13 weeks
  • ICU—9 to 11 weeks
  • Vacation—3 weeks

PGY-3 Residents:

  • General Medicine—9 weeks
  • Electives— 18 to 21 weeks
  • Continuity Clinic – 13 weeks
  • ICU— 6 to 9 weeks
  • Vacation—3 weeks

Night Float/Swing Shift

  • Three out of four inpatient interns have one week of night float per rotation.
  • Upper levels do not have night float blocks but rather have one or two swing shift calls per month.

Inpatient Rotations

The Department of Internal Medicine operates on the thesis that the best patient care is rendered when major responsibility rests with the intern and resident under the purview of the chief resident with all having ready access to attending faculty and consultants.

Emergency Medicine Training

All residents are assigned a rotation in the Emergency Department under the supervision of full-time academic faculty in emergency medicine. This is a well-organized rotation with excellent teaching.

Continuity Clinic

All residents have continuity clinic one week per month where they see their own panel of patients.

The program strictly adheres to all ACGME mandates, including work hour restrictions. Our program operates on a 3+1 block schedule, resulting in 13 blocks annually. Direct and indirect resident supervision is available at all times by attending physicians.

Rounds and Conferences

Attending Rounds

Bedside teaching rounds are conducted on the inpatient clinical services seven days per week. The emphasis is on developing fundamental clinical skills, diagnostic reasoning, pathophysiology, and professionalism. Our department has a written policy that teaching rounds are to be conducted “at the bedside.” Emphasis is on evidence-based medicine and on creating an environment that optimizes learning and patient care.

Case Presentations

Case presentations take place once or twice per week. During case presentations, senior residents present a challenging case and focus on a particular aspect of patient management.

Grand Rounds

Medicine Grand Rounds occur Wednesdays at noon from September through May at the S.S. Kresge Learning Resource Center. Residents rotating at the Alvin C. York VA attend Grand Rounds via teleconference. During Grand Rounds, local and national speakers present clinically relevant and cutting-edge topics.

Intern Didactics

The first block of noon conferences is geared towards interns and includes introductory topics, such as CXR, EKG, and acid base disorders.

Journal Club

Journal Club occurs monthly during noon conference. One resident from each training site leads the discussion aimed at appraising one landmark research paper pertinent to the assigned block. Research appraisal is a key component of evidence-based medicine, and as such, it plays a critical role in clinical decision making.

Morning Report

Morning report takes place three times per week at both Nashville General Hospital and Alvin C. York VA. All residents at each site meet for an hour to discuss a recently admitted patient. Each case is presented by the admitting team (intern and resident). As the case unfolds, other residents engage in discussions regarding differential diagnosis, work-up, and management strategies. Morning reports are facilitated by the chief resident at each training site. The program director and faculty members also participate in the discussions.

Mortality & Morbidity

M&M happens monthly. Faculty members select a case that prompted discussion of a medical error or a near miss that impacted medical care. The goal of this conference is to identify areas for medical improvement without judgement.

Noon Conference

Noon conferences take place each weekday. The academic year is divided into 13 academic blocks. Different internal medicine sub-specialties are assigned to each block (i.e., Cardiology block). Relevant topics related to each subspecialty are discussed in the form of lectures, resident directed learning, jeopardy, journal club, virtual diagnosis and ambulatory clinic modules. In addition, during every block high-value care and research curriculum lectures are provided. Once a month, noon conference is a town hall meeting where residents discuss issues and concerns with the chief residents and program directors. Once every other month a potluck is held while playing jeopardy.

Internal Medicine Residency Program
Meharry Medical College
1005 Dr. D. B. Todd, Jr. Boulevard
Nashville, Tennessee 37208-3599
Telephone: 615.327.6277


How much do you get paid in internal medicine residency at Meharry? ›

A worker with the title residency in internal medicine salary at Meharry Medical College can earn an average yearly salary of $93,521.

How hard is it to match into internal medicine residency? ›

Internal Medicine is moderately IMG-friendly, with an overall 58% match rate and 36% of spots filled by IMGs in the 2022 Match. In 2022, 1809 US IMGs and 4200 non-US IMGs applied to internal medicine; 1054 US IMGs and 2431 non-US IMGs matched.

What is Meharry residency match rate? ›

Congratulations Class of 2022 for all of your success in this year's Match! Meharry's overall match rate for this year is 96.2 percent!

How hard is it to get into Meharry Medical College? ›

Following are the admissions statistics for Meharry Medical College: Total Number of Matriculants per Year: 115. Success Rate (Overall): 1.61%

What is the hardest year of internal medicine residency? ›

Second years are the proverbial middle children of the residency program. Already onboarded and not yet needing post-graduate placement, they often feel overlooked. Yet in reality, PGY-2 is one of the most challenging and transformational years in internal medicine residency.

What is the highest salary for an internal medicine resident? ›

Residency in internal medicine salaries typically range between $84,000 and $322,000 a year. The average hourly rate for residencies in internal medicine is $79.47 per hour.

How many interviews are enough for internal medicine residency? ›

You want to go on at least 8-10 interviews. You can consider canceling some interviews if you have more than 8-10 scheduled. We recommend that you discuss this with your DOM advisor. Try to give programs as much lead time as possible so someone else can have the interview spot.

What is the hardest residency to complete? ›

What are the Most Competitive Residencies?
  • Neurosurgery.
  • Orthopedic Surgery.
  • ENT/Otolaryngology.
  • Interventional Radiology.
  • Vascular surgery.
  • Thoracic surgery.
  • Radiation Oncology.
  • Internal Medicine – Pediatrics.
Aug 7, 2022

How many med students don t match into residency? ›

Typically, less than 10% of U.S. medical school graduates experience the much greater disappointment of not matching at all.

Does Meharry send secondaries to everyone? ›

The Meharry Medical School secondary application is sent to all eligible applicants upon receipt of the initial AMCAS application. A $65 processing fee (sent to CollegeNet) is due upon submitting your secondary application.

What is the lowest MCAT score for Meharry? ›

Furthermore, applicants must have a science GPA of 3.5 or higher and an MCAT score of at least 498.

How many people go unmatched for residency? ›

In 2022, 92.9% of U.S. allopathic medical students were matched with a residency program, according to a report from the NRMP. Match rates dropped to 61.4% for international medical graduates (IMGs) and to 58.1% for non-U.S. citizens. As much as 10% of DO graduates do not match with a residency program.

What is the pass rate for Meharry Medical College Step 1? ›

The first-time taker pass rate on Step 1 was 68% (72/106) in 2015, 73% (79/108) in 2016, 83% (80/97) in 2017, 79% (73/92) in 2018, and 82% (93/114) in 2019. The first-time taker pass rate on Step 2 CK was 83% (86/104) in 2015, 81% (70/86) in 2016, 79% (88/111) in 2017, 88% (93/106) in 2018, and 91% (80/88) in 2019.

What is the hardest unit in medical school? ›

Most medical students agree that biochemistry is by far the most difficult topic you will find on the USMLE.

Who is the youngest graduate from Meharry medical school? ›

Columbia woman makes history -- Zindzi Thompson becomes youngest woman ever to graduate from Meharry Medical College. Graduating from medical school is a great achievement. But the remarkable thing about Zindzi Thompson is that she did it at the tender age of 21.

What is the least competitive internal medicine subspecialty? ›

The number one least competitive specialty is family medicine with a total of 10 points. This specialty has held this spot for quite a few years now. Family medicine is the center of primary care. These are the generalists of generalists.

What is the toughest part of internal medicine? ›

The most challenging and rewarding aspects of internal medicine: Internal medicine patients tend to be older and sicker, with multiple medical problems and often significant social and psychologic challenges as well.

Which doctor has the easiest residency? ›

Least Competitive Residencies
  • Family Medicine. Family medicine is one of the most common medical specialties. ...
  • Pediatrics. Pediatrics is the branch of medicine dedicated to the care of infants, children, and teenagers. ...
  • Psychiatry. ...
  • Internal Medicine. ...
  • Anesthesiology.
Nov 29, 2022

What state pays internal medicine doctors the most? ›

Geographic profile for General Internal Medicine Physicians:
StateEmployment (1)Annual mean wage (2)
California7,150$ 215,340
Texas3,460$ 219,640
Illinois3,400$ 164,400
Massachusetts2,740$ 182,860
1 more row

Which hospital pays residents the most? ›

Staten Island Academy has the highest average salary for medical residents. Health care is the highest-paying industry for medical residents in the US.

What is the salary of internal medicine doctor in USA after taxes? ›

The average salary of US doctors in 2022 is USD 183,429, which is equivalent to around 1.4 Crore Rupees. The lowest national annual average wage was USD 126,470, and the highest was USD 208,000. Salaries include base salaries and transport and housing facility benefits.

Can you match with 5 interviews? ›

This also translates to a 50% chance of matching. So if you have 5 or more interviews, your chances of matching is 50%.

How many residency interviews do most people get? ›

Dr. Allen said that University of Washington tells students that 15 interviews is a good number to aim for. So, an early invitation from a school in the middle of your list—depending on how long your list is—may be one you should strongly consider accepting.

How many doctors don t make it through residency? ›

Without at least a year of postgraduate training, a medical school graduate is unable to get a medical license and cannot practice medicine in the U.S., the group said, citing approximately 25 percent too few residency positions to train all of those graduates.

How many doctors drop out of residency? ›

Selected Finding: Overall, 54.2% of the individuals who completed residency training from 2008 through 2017 are practicing in the state of residency training. Retention rates range from 27.2% in Wyoming to 77.7% in California.

Is residency harder than being a doctor? ›

Clinical grades are usually based on a curve such that only a small percentage of the class can earn them, meaning you have to outshine your colleagues. In this regard, medical school is much more stressful than residency. In residency, the pressure to outperform your peers is an order of magnitude lower.

What causes people to not match residency? ›

According to the Association of American Medical Colleges (AAMC), the top three reasons for students not matching are poor exam scores, poor academic standing, and poor interviewing or interpersonal skills.

What is the lowest match rate for residency? ›

Plastic surgery had the lowest match rate in 2020, with 72% of applicants matching into a residency program in the specialty. Otolaryngology, neurological surgery, vascular surgery, and orthopedic surgery also had match rates lower than 80% during that year -- marking them as "more competitive" than other fields.

What percentage of doctors finish residency? ›

The rate among those who completed training from 2010 to 2019 was 55.5%. Among states, physician retention after medical residency is highest in California (77.8%) and lowest in Delaware (41.5%), as this table shows.

What is Meharry Medical College known for? ›

Located in Nashville, Tennessee, Meharry Medical College is one of the nation's oldest and largest historically black academic health science centers dedicated to educating physicians, dentists, researchers, and health policy experts.

Is Meharry medical school good? ›

Meharry Medical College 2023-2024 Rankings

Meharry Medical College is Unranked in Best Medical Schools: Research and Unranked in Best Medical Schools: Primary Care. Schools are ranked according to their performance across a set of widely accepted indicators of excellence.

Is Meharry Medical College only for black students? ›

About the Meharry School of Medicine. Although a historically Black medical college, Meharry Medical College reflects the diversity of our nation with student-body representation from the Caucasian, Hispanic, Asian, and Native-American communities.

Is 487 a bad MCAT score? ›

specific MCAT Score.

Is 487 a bad MCAT score? in, and most importantly, your individual section scores. Attaining a score of 487 on the MCAT means you performed in the 13% percentile. An even distribution for the section scores is preferred.

Why is 472 the lowest MCAT score? ›

The lowest score on the MCAT is set at 472 due to the normal distribution of test results and the diminishing number of test-takers below this threshold. A score of 472 serves as an indicator for test-takers to reassess their preparation and readiness for medical school.

Is a 510 MCAT good enough for MD? ›

There are very important conclusions we can make based on these data. Although the mean total MCAT score among all applicants is 506.5, successful MD applicants typically achieve an MCAT total score at or above the 71st percentile (i.e., 508+).

Do residency programs send rejections? ›

First, it is important to keep in mind that almost every single applicant will get residency interview rejections. It is a normal and expected part of the residency application process. If you think about it, applying to 200 programs with a 10% interview rate could still potentially lead to well over 100 rejections!

What is the most competitive residency in us? ›

Most Competitive Residencies Based on Fill Rate
  • Medicine - Pediatrics.
  • Medicine - Emergency Medicine.
  • Neurological Surgery.
  • Physical Medicine & Rehabilitation.
  • Integrated Plastic Surgery.
  • Thoracic Surgery.
  • Vascular Surgery.
  • Orthopedic Surgery.
Mar 31, 2023

What is the residency match rate for 2023? ›

“Once the matching algorithm was processed and SOAP concluded, the 2023 Main Residency Match had an overall position fill rate of 99.1%, which is incredibly successful and consistent with prior years,” said NRMP President and CEO Donna L.

What is the residency match rate for Meharry? ›

Congratulations Class of 2022 for all of your success in this year's Match! Meharry's overall match rate for this year is 96.2 percent!

What is the residency match rate for Meharry Medical College? ›

Threshold of 80% Residency Placement of those who applied was met. The class of 2022 had an 80% acceptance rate into residency programs for the 20 out of 25 students who applied. Threshold of 50% of Graduates entering Primary Care was met. For 2022, 94% of graduates went into primary care.

What is the average GPA for Meharry medical school of Medicine? ›

The average GPA from enrolled students at Meharry Medical College School of Medicine is 3.5 and the average MCAT score is 502.

Which doctor degree is toughest? ›

What are the hardest degrees in the world? Ranked by Experts
  • Chartered Accountancy.
  • Astrophysics.
  • Quantum Mechanics.
  • Law.
  • Aerospace/ Aeronautical Studies, Engineering.
  • Biomedical Studies, Neurosciences, Biochemistry.
  • Nursing.
  • Dentistry, Medicine.
Dec 16, 2022

What is the hardest year of med? ›

The third year of medical school is by far the hardest, current and former med students will almost always agree.

What is the most stressful year of medical school? ›

Many students will likely disagree, but the first year is widely recognized as being the most difficult. The majority of the first year of medical school is spent in classrooms and labs and requires an enormous amount of memorization.

What percent of Meharry Medical College is black? ›

Race Distribution At Meharry Medical College
Black or African American14.0%
Hispanic or Latino11.6%
1 more row
Feb 6, 2023

Who is the oldest medical student? ›

Dr Atomic Leow Chuan Tse was the oldest known medical student, graduating at 66 years old from the University of Medicine and Pharmacy Iasi, Romania, in 2015.

How old are most med students when they graduate? ›

Average Age Of A Medical School Graduate

You'll be at about 26 years old when you graduate from med school if you study in the US. After graduating from high school at 18, you'll spend 4 years in college and yet another 4 years in med school.

How much do internal medicine residents make in Florida? ›

How much does an Internal Medicine Resident make in Florida? The salary range for an Internal Medicine Resident job is from $48,424 to $67,161 per year in Florida.

What is the average salary for an internal medicine doctor in Florida? ›

$137,811 is the 25th percentile. Salaries below this are outliers. $175,251 is the 75th percentile.

Does Meharry have a residency program? ›

Meharry offers eight fully accredited Accreditation Council for Graduate Medical Education (ACGME) residency programs within the School of Medicine and the School of Dentistry.

How much do first year residents make in Florida? ›

What is the average salary for a resident in Florida? The average salary for a resident in Florida is $53,000 per year. Resident salaries in Florida can vary between $26,000 to $73,000 and depend on various factors, including skills, experience, employer, bonuses, tips, and more.

Is internal medicine a competitive residency? ›

Are Internal Medicine residency programs competitive? Fortunately no—IM residencies are among the least competitive programs, and are quite accessible to DO students as well, although to a lesser extent than those in Family Medicine.

How much does an ER resident earn in Florida? ›

The salary range for an Emergency Medicine Resident job is from $61,084 to $84,321 per year in Florida.

Where do internists make the most money? ›

Top 10 highest paying states for physicians in 2022
  • Texas. ...
  • Connecticut. ...
  • North Carolina. ...
  • Indiana. ...
  • Oregon. ...
  • Missouri. Physicians in Missouri earn an average of $357,000 a year. ...
  • Alabama. Did you know Alabama has a wildlife safari park? ...
  • Kentucky. in Kentucky, doctors earn an average of $364,000 a year, same as in Tennessee.
Jul 7, 2022

What is the highest paid individual doctor? ›

Highest- and lowest-paid doctors in 2022
  • Neurosurgery — $788,313.
  • Thoracic surgery — $706,775.
  • Orthopedic surgery — $624,043.
  • Plastic surgery — $571,373.
  • Vascular surgery — $557,632.
  • Oral and maxillofacial — $556,642.
  • Radiation oncology — $547,026.
  • Cardiology — $544,201.
Mar 23, 2023

Who is the richest internal medicine doctor? ›

Patrick Soon-Shiong, MD ($7.3 billion net worth)

And it's not enough that he's the richest doc in in Los Angeles, CA, he's also the richest physician in the USA. Born in South Africa in 1952, Soon-Shiong is the son of Chinese refugees.

Which doctors earn the least? ›

Specialities with the lowest compensation:
  • Geriatrics — $275,704.
  • Endocrinology — $276,548.
  • Pediatric gastroenterology — $282,853.
  • Pediatric emergency medicine — $287,635.
  • Infectious disease — $288,607.
  • Occupational medicine — $292,814.
  • Internal medicine — $293,894.
  • Rheumatology — $299,790.
Mar 23, 2023

What state pays physicians the lowest? ›

Below is a breakdown of the 13 states with the lowest physician salaries per Medscape:
  • Maryland: $306,000.
  • Colorado: $327,000.
  • Virginia: $330,000.
  • Massachusetts: $331,000.
  • Arizona: $334,000.
  • Washington: $338,000.
  • Tennessee: $340,000.
  • Pennsylvania: $344,000.
May 25, 2023

What is the easiest residency program? ›

Least Competitive Residencies
  • Family medicine is one of the most common medical specialties. ...
  • Pediatrics is the branch of medicine dedicated to the care of infants, children, and teenagers. ...
  • Psychiatry is the medical specialty focused on the prevention, diagnosis, and treatment of all types of mental disorders.
Nov 29, 2022

What is the hardest medical residency to get? ›

What are the Most Competitive Residencies?
  • Neurosurgery.
  • Orthopedic Surgery.
  • ENT/Otolaryngology.
  • Interventional Radiology.
  • Vascular surgery.
  • Thoracic surgery.
  • Radiation Oncology.
  • Internal Medicine – Pediatrics.
Aug 7, 2022


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