# Internal Medicine

## Contacts

| **Specialty Advisor, Clerkship Director, Specialty Interest Group Faculty Advisor** | [Dr. Eve Merrill](mailto:Eve.Merrill@mountsinai.org)                                    |
| ----------------------------------------------------------------------------------- | --------------------------------------------------------------------------------------- |
| **Residency Program Director(s)**                                                   | Mount Sinai Hospital – [Dr.Sreekala Raghavan](mailto:sreekala.raghavan@mssm.edu)        |
|                                                                                     | Mount Sinai Morningside/West - [Dr. John Andrilli](mailto:John.Andrilli@mountsinai.org) |
|                                                                                     | Mount Sinai South Nassau - [Dr. Steven Weiss](mailto:Steven.Weiss@snch.org)             |
|                                                                                     | Elmhurst Hospital Center- [Dr. Julie Kanevsky](mailto:adrian.majid@mssm.edu)            |
|                                                                                     | Queens Hospital Center - Adesh Ramdass                                                  |
|                                                                                     | Valley Health - [Dr. Reham Shaaban](mailto:shaare@Valleyhealth.com)                     |

## Specialty Overview

An internist is a personal physician who provides long-term, comprehensive care in the office and in the hospital, managing both common and complex illnesses of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and the digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. 

[Internal Medicine | Careers in Medicine](https://careersinmedicine.aamc.org/explore-options/specialty-profiles/internal-medicine#overview) (AAMC CiM log in required) 

## How long is this specialty's residency?

Residency training is three years. 

## Websites for Reference

[American College of Physicians | Internal Medicine | ACP](https://www.acponline.org/) 

## Program Director's Association Guide for Residency Applicants

{% embed url="<https://cmss.org/wp-content/uploads/2025/07/OPDA-PD-Guide_2025-2026_Internal_Medicine.pdf>" %}

## Away Electives

| **Away Electives**        | Not required- Electives usually are for student exploration in an Internal Medicine subspecialty or to explore another location. Away electives are not considered auditions nor often affect if a student is offered an interview. |
| ------------------------- | ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| **Order of Away vs Home** | Whatever order student chooses                                                                                                                                                                                                      |

### Programs where ISMMS students have completed away electives.

| State | Institution                                                  | Rotations |
| ----- | ------------------------------------------------------------ | --------- |
| AZ    | Indian Health Service Whiteriver Service Unit                | 1         |
| CA    | Cedars-Sinai                                                 | 1         |
| CA    | University of California Los Angeles                         | 1         |
| CO    | University of Colorado School of Medicine                    | 1         |
| MA    | Brigham and Women's Hospital, Harvard Medical School         | 1         |
| MA    | Massachusetts General Hospital, Harvard Medical School       | 2         |
| NY    | Columbia University                                          | 1         |
| NY    | Memorial Sloan Kettering                                     | 1         |
| NY    | NYU                                                          | 1         |
| WI    | University of Wisconsin School of Medicine and Public Health | 1         |

## Match Statistics

Information provided by the [National Residency Matching Program (NRMP) Charting Outcomes in the Match, last updated August 2024 ](https://www.nrmp.org/match-data/2024/08/charting-outcomes-characteristics-of-u-s-md-seniors-who-matched-to-their-preferred-specialty-2024-main-residency-match/)

| Mean Number of Contiguous Ranks                          | 13.2 |
| -------------------------------------------------------- | ---- |
| Mean USMLE Step 2 CK Score                               | 251  |
| Mean Number of Research Experiences                      | 3.3  |
| Mean Number of Abstracts, Presentations and Publications | 8.7  |

### Competitiveness

Source: [2025 Match Advanced Data Tables](https://www.nrmp.org/wp-content/uploads/2025/03/Advance_Data_Tables_2025.pdf)

In the 2025 Match there were 10,941 positions in 758 programs, 34.6% of positions were filled by U.S. MD Seniors.&#x20;

## Application Information

| **Application System** | ERAS |
| ---------------------- | ---- |
| **Match System**       | NRMP |

## Signaling

Source: [ERAS Signaling](https://students-residents.aamc.org/applying-residencies-eras/program-signaling-2026-myeras-application-season) and [ERAS Data](https://www.aamc.org/data-reports/data/eras-statistics-data?utm_source=sfmc\&utm_medium=email\&utm_campaign=eras\&utm_content=ERAS%202026%20Sept.%20Residency%20Schools)

| **How Many?**                                | 3 Gold, 12 Silver                             |
| -------------------------------------------- | --------------------------------------------- |
| **Signal Home Program?**                     | Signal Silver                                 |
| **Signal Away Program?**                     | Check with individual programs                |
| **Average Number of Applications Submitted** | 62 (ISMMS advisors recommend no more than 20) |

### Comments from Specialty Advisor

Be strategic about using your gold signals appropriately/in a meaningful manner. Can discuss with their assigned IM advisor&#x20;

## Letters of Recommendation

| **Standardized Letter of Evaluation (SLOE)?** | No                                                                                                                                                                                                                                    |
| --------------------------------------------- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |
| **Departmental/Chair Letter?**                | Yes- only for categorical applicants                                                                                                                                                                                                  |
| **Who should other letters come from?**       | <p>Minimum of 2 clinical letters from IM physicians <br>1 Dept of Medicine Chairs Letter <br>1 additional letter (PI, leadership/research mentor, additional faculty from Medicine adjacent specialty or medicine sub-specialty) </p> |

### &#x20;Comments from Specialty Advisor

For Chair’s Letter- the department will send an email to all M4s in June to get in contact and learn next steps to obtain letter. The department will also assign students applying to an IM advisor.&#x20;

More important to have the letter writer know the student WELL than someone in a higher position who doesn’t know the student well (ie an assistant Professor in Hospital medicine who knows the student well vs Chair of GI who doesn’t know the student well)&#x20;

## Interviewing and Post Interview Communication

| **Applications are downloaded by programs...**                            | On the first date they are available- students should submit everything prior to that date                                                                                                                                                                                                                                                                                                       |
| ------------------------------------------------------------------------- | ------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ |
| **This specialty’s MSH program interviews all ISMMS students who apply.** | Yes                                                                                                                                                                                                                                                                                                                                                                                              |
| **Interviews are sent out...**                                            | Any time after applications are available, interview invitations are rolling ; AAIM recommneds invites come out on Tuesdays and Fridays after 3pm EST                                                                                                                                                                                                                                            |
| **Thank You Emails**                                                      | You can if you’d like, it's a nice thing to do but will not make or break your chances. Thank you note policy varies from program to program - if they explicitly ask that Thank You notes not be sent, do not send a thank you note. Otherwise, a thank you note is helpful.                                                                                                                    |
| **Letters of Intent**                                                     | Yes, first choice letters are helpful to programs and applicants but make sure you're only sending to one program- the #1 on your rank list. Consult with an advisor before sendingYes, letters of intent are helpful to programs and applicants but make sure you're only sending to one program if you are telling them they are #1 on your rank list. Consult with an advisor before sending. |

***

## ISMMS Match Data 2021-2026

<table><thead><tr><th width="149">Specialty</th><th width="221">Institution Name</th><th width="62">2021</th><th width="62">2022</th><th width="64">2023</th><th width="56">2024</th><th width="60">2025</th><th width="55">2026</th><th width="51">Total</th></tr></thead><tbody><tr><td>Medicine-Medical Genetics</td><td>ISMMS Mount Sinai Hospital-NY</td><td>0</td><td>0</td><td>0</td><td>0</td><td>1</td><td>0</td><td>1</td></tr><tr><td>Medicine-Emergency Med</td><td>LSU SOM-New Orleans-LA</td><td>0</td><td>0</td><td>0</td><td>1</td><td>0</td><td>0</td><td>1</td></tr><tr><td>Med/Investigator Path 2 yr</td><td>UC San Diego Med Ctr-CA</td><td>0</td><td>0</td><td>0</td><td>0</td><td>0</td><td>1</td><td>1</td></tr><tr><td>Internal Medicine</td><td>B I Deaconess Med Ctr-MA</td><td>1</td><td>0</td><td>3</td><td>0</td><td>3</td><td>2</td><td>9</td></tr><tr><td>Internal Medicine</td><td>Brigham &#x26; Womens Hosp-MA</td><td>1</td><td>0</td><td>1</td><td>0</td><td>0</td><td>0</td><td>2</td></tr><tr><td>Internal Medicine</td><td>Hosp of the Univ of PA</td><td>1</td><td>0</td><td>2</td><td>0</td><td>0</td><td>0</td><td>3</td></tr><tr><td>Internal Medicine</td><td>ISMMS Mount Sinai Hospital-NY</td><td>10</td><td>9</td><td>10</td><td>11</td><td>8</td><td>7</td><td>55</td></tr><tr><td>Internal Medicine</td><td>ISMMS Mount Sinai Morningside-West-NY</td><td>0</td><td>3</td><td>0</td><td>1</td><td>0</td><td>3</td><td>7</td></tr><tr><td>Internal Medicine</td><td>Johns Hopkins Hosp-MD</td><td>1</td><td>0</td><td>0</td><td>1</td><td>1</td><td>0</td><td>3</td></tr><tr><td>Internal Medicine</td><td>Johns Hopkins/Bayview-MD</td><td>0</td><td>0</td><td>0</td><td>0</td><td>1</td><td>0</td><td>1</td></tr><tr><td>Internal Medicine</td><td>Massachusetts Gen Hosp</td><td>0</td><td>0</td><td>1</td><td>0</td><td>0</td><td>1</td><td>2</td></tr><tr><td>Internal Medicine</td><td>Mayo Clinic School of Grad Med Educ-MN</td><td>0</td><td>0</td><td>0</td><td>2</td><td>0</td><td>0</td><td>2</td></tr><tr><td>Internal Medicine</td><td>MGB-Brigham &#x26; Womens Hosp-MA</td><td>0</td><td>0</td><td>0</td><td>3</td><td>3</td><td>3</td><td>9</td></tr><tr><td>Internal Medicine</td><td>Montefiore Med Ctr/Einstein-NY</td><td>1</td><td>0</td><td>0</td><td>0</td><td>0</td><td>0</td><td>1</td></tr><tr><td>Internal Medicine</td><td>Naval Medical Center-CA</td><td>0</td><td>0</td><td>1</td><td>0</td><td>0</td><td>0</td><td>1</td></tr><tr><td>Internal Medicine</td><td>Northwestern McGaw/NMH/VA-IL</td><td>1</td><td>0</td><td>0</td><td>0</td><td>1</td><td>0</td><td>2</td></tr><tr><td>Internal Medicine</td><td>NYP Hosp-Columbia Univ Med Ctr-NY</td><td>3</td><td>5</td><td>1</td><td>4</td><td>0</td><td>4</td><td>17</td></tr><tr><td>Internal Medicine</td><td>NYP Hosp-Weill Cornell Med Ctr-NY</td><td>2</td><td>0</td><td>1</td><td>0</td><td>1</td><td>2</td><td>6</td></tr><tr><td>Internal Medicine</td><td>NYU Grossman School Of Medicine-NY</td><td>0</td><td>0</td><td>0</td><td>1</td><td>2</td><td>0</td><td>3</td></tr><tr><td>Internal Medicine</td><td>Stanford Health Care-CA</td><td>1</td><td>2</td><td>0</td><td>3</td><td>0</td><td>1</td><td>7</td></tr><tr><td>Internal Medicine</td><td>Temple Univ Hosp-PA</td><td>0</td><td>0</td><td>0</td><td>0</td><td>0</td><td>1</td><td>1</td></tr><tr><td>Internal Medicine</td><td>Thomas Jefferson Univ-PA</td><td>1</td><td>0</td><td>0</td><td>0</td><td>0</td><td>0</td><td>1</td></tr><tr><td>Internal Medicine</td><td>U Colorado SOM-Denver</td><td>1</td><td>0</td><td>0</td><td>0</td><td>0</td><td>0</td><td>1</td></tr><tr><td>Internal Medicine</td><td>U Miami/Jackson Health System-FL</td><td>0</td><td>0</td><td>0</td><td>1</td><td>0</td><td>0</td><td>1</td></tr><tr><td>Internal Medicine</td><td>U North Carolina Hospitals</td><td>0</td><td>1</td><td>0</td><td>1</td><td>0</td><td>0</td><td>2</td></tr><tr><td>Internal Medicine</td><td>U Washington Affil Hosps</td><td>1</td><td>0</td><td>0</td><td>0</td><td>0</td><td>0</td><td>1</td></tr><tr><td>Internal Medicine</td><td>UC San Francisco-CA</td><td>0</td><td>0</td><td>1</td><td>0</td><td>0</td><td>1</td><td>2</td></tr><tr><td>Internal Medicine</td><td>UCLA Med Ctr-CA</td><td>1</td><td>0</td><td>0</td><td>0</td><td>1</td><td>0</td><td>2</td></tr><tr><td>Internal Medicine</td><td>Univ Hosps Community Consortium-OH</td><td>0</td><td>1</td><td>0</td><td>0</td><td>0</td><td>0</td><td>1</td></tr><tr><td>Internal Medicine</td><td>UPMC Medical Education-PA</td><td>1</td><td>0</td><td>1</td><td>0</td><td>1</td><td>0</td><td>3</td></tr><tr><td>Internal Medicine</td><td>Zucker SOM-Northwell Lenox Hill Hosp-NY</td><td>0</td><td>0</td><td>0</td><td>0</td><td>1</td><td>0</td><td>1</td></tr><tr><td>Internal Medicine-Primary</td><td>ISMMS Mount Sinai Hospital-NY</td><td></td><td></td><td></td><td></td><td></td><td>1</td><td></td></tr><tr><td>Internal Medicine-Primary</td><td>MGB-Massachusetts Gen Hosp-MA</td><td></td><td></td><td></td><td></td><td></td><td>1</td><td></td></tr><tr><td>Internal Med/Research</td><td>Duke Univ Med Ctr-NC</td><td>0</td><td>0</td><td>0</td><td>0</td><td>1</td><td>0</td><td>1</td></tr><tr><td>Internal Med/Research</td><td>ISMMS Mount Sinai Hospital-NY</td><td>1</td><td>0</td><td>1</td><td>0</td><td>1</td><td>2</td><td>5</td></tr><tr><td>Internal Med/Research</td><td>MGB-Brigham &#x26; Womens Hosp-MA</td><td>0</td><td>0</td><td>0</td><td>0</td><td>0</td><td>1</td><td>1</td></tr><tr><td>Internal Med/Research</td><td>Northwestern McGaw/NMH/VA-IL</td><td>0</td><td>1</td><td>0</td><td>0</td><td>0</td><td>0</td><td>1</td></tr><tr><td>Internal Med/Research</td><td>UCLA Med Ctr-CA</td><td>1</td><td>0</td><td>0</td><td>0</td><td>0</td><td>0</td><td>1</td></tr><tr><td>Internal Med/Research</td><td>U Minnesota Med School-MN</td><td>0</td><td>0</td><td>0</td><td>0</td><td>0</td><td>1</td><td>1</td></tr><tr><td>Internal Med/Research</td><td>U Texas Southwestern Med Ctr-Dallas</td><td>0</td><td>0</td><td>0</td><td>0</td><td>0</td><td>1</td><td>1</td></tr><tr><td>Internal Med/Research</td><td>Yale-New Haven Hosp-CT</td><td>0</td><td>1</td><td>0</td><td>0</td><td>0</td><td>0</td><td>1</td></tr></tbody></table>

## Possible 'At Risk' Identifiers

No scholarly work or minimal activities.&#x20;

Failure of multiple NBME exams, failure of a Clerkship, failure of Step 1 or 2.&#x20;


---

# Agent Instructions: Querying This Documentation

If you need additional information that is not directly available in this page, you can query the documentation dynamically by asking a question.

Perform an HTTP GET request on the current page URL with the `ask` query parameter:

```
GET https://ismms-md-program.gitbook.io/career-and-professional-development/choosing-your-specialty-specialty-specific-information/internal-medicine.md?ask=<question>
```

The question should be specific, self-contained, and written in natural language.
The response will contain a direct answer to the question and relevant excerpts and sources from the documentation.

Use this mechanism when the answer is not explicitly present in the current page, you need clarification or additional context, or you want to retrieve related documentation sections.