Internal Medicine Residency Program

Internal Medicine Residency Program

Internal Medicine Residency Program

Orange Regional Medical Center (ORMC) is a 383 bed, non-profit hospital, located approximately 60 miles north of New York City. In 2011, ORMC became the first new general hospital to open in the past 25 years in New York State. Today, the hospital serves as the largest tertiary care center and largest teaching hospital, which offers the most state-of-the art technology in the Mid-Hudson Valley.

The hospital supports over 75 residents and fellows across 6 residency programs. The Internal Medicine residency program supports 30 Internal Medicine residents. It is presently certified by the AOA and in the process of being reviewed for ACGME accreditation.

The Graduate and Undergraduate Medical Education Program at ORMC is committed to prepare both residents and students to become exceptional well-rounded physicians and individuals. The training will provide residents with a strong understanding of the fundamentals of Internal Medicine, Evidence Based Practice, and refine the art of Physical Examination and Diagnosis.

Because of the acuity and breadth of patients at ORMC, our residents care for patients across a wide spectrum of disease in an efficient system supplemented by active faculty members and a supportive institution. Our residents also have a chance to participate in other aspects of hospital and ambulatory clinic activities, including involvement on committees and quality improvement projects.

Despite the enormous changes currently underway in Medicine, there clearly is still a need for doctors who combine excellent and compassionate care with scientific curiosity, a commitment to the community and expertise in functioning in a large and complex healthcare system. Our training program’s mission is to provide our residents with the skills and knowledge necessary to thrive in our changing medical environment.

Internal Medicine Curriculum

Internal Medicine Residency Program at Orange Regional Medical Center

The Internal Medicine 3-year Residency Program includes weeks spent in the following rotations:





Medicine Wards 20-21 15-16 8-12
ICU 4 4 4
Night Float 5-6 4-5 0-2
Cardiology 4
Neurology 4
Geriatric Medicine 4
Infectious Disease 4
Emergency Medicine 4
Elective 4 12
Subspecialty 9-11
Research 4
Ambulatory 10 10 10
Vacation 4 4 4

* Sub-specialty electives are in blocks of 2 weeks duration


Residents have the opportunity to complete training in the following Specialty electives including Cardiology, Pulmonology, Gastroenterology, Hematology and Oncology, Neurology, Nephrology, Endocrinology, Rheumatology, Infectious Disease, Palliative Care.

Residents have the opportunity to complete training in the following Subspecialty electives including Dermatology, ENT and Allergy, Ophthalmology, Orthopedics, Sports Medicine, Women’s Health, Perioperative Medicine, Anesthesia, Mental and Behavioral Health, Urgent Care.

Away Rotation: Residents may complete 4 weeks of an elective during the academic years of PGY2 and PGY3 at a different institution. Residents will not be refunded any fees or expenses incurred for participation in an elective at another institute.

4+1 Experience

ORMC is one of a handful of residency programs to adopt the “4+1” block schedule. This innovative schedule has received great appraise by residents and physicians in both allopathic and programs.

Each academic year consists of 10 (4 week) inpatient rotations, followed by a 1 week ambulatory rotation. While a resident completes 4 consecutive weeks of an inpatient rotation, the resident will be free of any obligations to services in the outpatient setting. There is no clinic during the 4 week block, allowing the resident to focus completely on their rotation. Similarly, during the 1 week of ambulatory services and teaching, the resident will not be interrupted by inpatient responsibilities. The 4+1 week is devoted entirely to continuity clinic and services. This setup allows the resident to focus all their attention to patient care in any setting. This enhances patient safety, continuity of care, efficiency and a superior learning experience in both the inpatient and outpatient setting.

The Golden Weekend: In between the 4 week rotation and ambulatory clinic week, the resident is guaranteed a free weekend, called the golden weekend. Presently at the end of the +1 week, residents will be excused from all work related duties on that given weekend.

Structure of Ambulatory Week

  • 3 full day Continuity Clinic sessions
  • 1 half-day Independent Study and review of PEAC Curriculum
  • 1 half-day Quality Improvement Project time
  • 1 half-day MKSAP Board Review

Internal Medicine Didactics

Our didactics include teaching at the bedside, simulation lab and case based discussion. We are focused on providing residents both in the inpatient and ambulatory settings with a broad base of knowledge.

Every week residents are scheduled for 5 hours of lecture with protected time from clinical duties.

Learn more

Resident Benefits & Application Process

Thank you for your consideration of our Internal Medicine Residency Program! If you have questions about the program, please contact our Internal Medicine Program Coordinator, Christina Diaz, by phone: 845-333-6333 or by email:


Yearly Salary (Effective July 1, 2018):

  • OGME-1/PGY-1 $57,000.00
  • OGME-2/PGY-2 $59,000.00
  • OGME-3/PGY-3 $61,600.00


All Residents/Interns are provided with a salary, the amount of which is determined by the Resident’s program level, which may differ from the Resident’s OGME/PGY level. Residents/Interns will be able to enroll, if they choose to, in the health plan offered by the hospital at orientation and on an annual basis in accordance with the system’s enrollment period. Health Insurance Premiums are the Resident’s responsibility. Each year you have the option to take part in the hospital-Wide Biometric Screening. If you do NOT participate you will be charged 25.00/per pay period. It is your responsibility to check your e-mail so that you do this in the required time-frame.

First and Second year Residents will be allotted $750.00 per academic year for a 3-year program to be used towards conferences, books, and/or other items related to professional development, (i.e., PDA's, software, stethoscopes, etc.).  Additionally these monies may be used for required programmatic dues such as AOA/ACGME membership. These monies DO NOT accumulate or roll over to the next academic year.

Third year Residents in their final year of residency are allotted $1,500.00 which is designated for board application fees, including travel, and/or a national conference.

If a residency is longer than 3 years the $1,500.00 allowance applies to the final year of residency only and remains

$750.00/year for their junior years.* (Please see individual program manual as this may differ per program).

Please note: These monetary benefits are taxed.

* This amount is subject to taxes according to elections made on employee W-4 form

Food Stipend

A one-time food stipend of $1,500.00 is given in a separate check during your first month of residency. Snacks when on-call will be available in the call rooms. It is your responsibility to make sure you have something to eat when on-call. Please note the $1,500.00* stipend is a taxable benefit.

Apply Now

Applications to Orange Regional Medical Center’s Residency Programs will only be accepted through ERAS, Association of American Medical Colleges (AAMC) Electronic Residency Application Service.

Apply through ERAS

About ORMC

Exterior of Orange Regional Medical Center in Middletown, NY

In 2011, Orange Regional Medical Center became the first new hospital in New York State in more than 20 years. Our progress is in maintaining the latest technology and the highest standards - reflected in our accreditations, rankings and awards.