Internal Medicine Residency Program
Thank you for your interest in Orange Regional Medical Center’s Internal Medicine program.
Here at Orange Regional Medical Center, our dedicated faculty nurtures the intellectual curiosity of our internal medicine trainees. Our program will train you, challenge you and prepare you.
Program leaders and faculty work with residents to develop individual learning plans. Intensive career development ensures successful training in Internal Medicine and provides trainees the opportunity to differentiate along many possible career paths.
Some of the Special features of the program will include:
- Simulation Lab
- Ultrasound Training
- 4+1 Schedule
We trust our residents will be committed to improving the healthcare of our community just as we are committed to training excellent Internal Medicine Physicians.
Internal Medicine Residency Program Overview
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
The Internal Medicine 3-year Residency Program includes weeks spent in the following rotations:
* Subspecialty electives are in blocks of 2-4 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 & Geriatric Medicine.
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.
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
- 1.5 days of Independent Study, scheduled lectures, SIM training and review of our online ambulatory 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.
Ambulatory Care Curriculum
Residents are provided access to the Johns Hopkins Physician Education and Assessment Center (PEC) ambulatory modules, which has two major components: didactic modules and an evaluation system.
- Didactic modules: Didactic modules are focused on topics in ambulatory medicine, and cover chronic disease management (e.g., Hypertension; Diabetes), symptom evaluation (e.g., Back Pain; Upper Respiratory Tract Infection), preventive care (e.g., Immunizations; Cancer Screening), Systems-based Care (e.g., Medicare; Home Visits) and healthcare disparities. Didactic modules include a pretest, case-based didactics, and a post test. Program administrators can track individual and group performance on the curriculum. We also provide rank scores on individual resident performance.
- Evaluation modules: Evaluation modules are rotation-specific and competency-specific modules in which faculty and patients evaluate residents/learners. Each evaluation item on these forms is automatically mapped to a curricular milestone, which is mapped to a sub-competency, which is mapped to a competency, which is mapped to an entrustable professional activity. When an evaluator evaluates a resident, PEAC will automatically compile this at each level of evaluation. These can be used to form an evaluative portfolio on your residents.
Formal comprehensive didactic overviews presented by guest speakers with local and national recognition. Areas of content cover both general internal medicine and subspecialty medicine.
Morbidity and Mortality
Monthly interdisciplinary conference which provides an opportunity for residents and faculty to review cases where medical errors occurred. This organized discussion engages faculty to teach residents how to identify systematic errors and develop potential action plans that can improve patient safety and prevent future errors.
Weekly case based review sessions which engage faculty from the department of medicine to focus on teaching case presentation skills and clinical reasoning work up, followed by didactic.
Under the supervision of faculty, residents are taught how to critique medical literature and practice evidence based medicine.
Beginning with the first year, residents are assigned a different system every month to read in MKSAP and review board style questions. There are monthly review sessions led by a subspecialist in the content being covered for the month. The review sessions are aimed at preparing residents for the ABIM board exam at the completion of their training.
Quality Improvement Projects
Residents participate and select from a list of projects which focus on patient safety and quality improvement. All projects are mentored under the supervision of faculty. The resident’s research is designed to change policies and patient care at ORMC, as well as potentially influence national health care policies. Residents are encouraged to present projects at local and national meetings.
Weekly lectures and activities lead by faculty from different subspecialties, who review topics most commonly tested on the ABIM boards. Residents also receive additional training in interpretation of ECG and imaging.
Residents practice management of mock codes and mock rapid responses during SIM lab before becoming team leader in their PGY-2 and PGY-3 years. Residents may also practice critical care procedures on manikins, such as intubation and central venous catheter insertion.
Yearly Salary (Effective July 1, 2018):
- PGY-1: $57,000.00
- PGY-2: $59,000.00
- 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.
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.
*This amount is subject to taxes according to elections made on employee W-4 form
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: firstname.lastname@example.org
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.
Frequently Asked Questions
Which match does the program plan to participate?
The program plans to participation in both matches for the 2019 Match Season.
Do I need to submit my application electronically?
Yes, only applications submitted via ERAS will be considered for the match season positions.
How many letters of recommendation do you require?
We request four letters of recommendation during our application process.
Do you accept applications outside of the match system?
Unless an opening is available outside of the match season all applications must be submitted via ERAS.
Is there a cut-off date for graduation from medical school?
The program’s cut-off date from graduation of medical school to application to residency is 5 years.
Is there a deadline for submitting applications?
All applications should be in by November 1 to be considered for interviewing in the upcoming match season.
Do you sponsor visas?
Currently, our institution does not sponsor H-1 Visas. The program will accept applications that have J-1 visa sponsorship.
All students interested in completing an audition rotation in General Medicine at ORMC as a Fourth Year Medical Student may email Christina Diaz email@example.com to schedule a rotation.
All 3rd year and 4th year students who are interested in completing a rotation in an elective service at ORMC may contact Jennifer Trujillo firstname.lastname@example.org
Students are also given 24-hour library access and access to electronic library resources, free wireless internet access and free on-site parking
Housing is not provided by hospital.
For any other questions or to schedule an elective rotation, please contact Jennifer Trujillo, by phone: 845-333-1755 or by email: email@example.com
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.
MEET OUR TEAM
Internal Medicine Program Director
Sajid Mir is the Internal Medicine Program Director for our Graduate Medical Education Program.
- Ryan Punsalan, MD,
Associate Program Director
Dr. Punsalan is Board-certified in Internal Medicine, and a Hospitalists for Orange Regional Medical Center.
- Sergio Obligado, MD,
Dr. Obligado is Board-certified in Internal Medicine and Nephrology.
- Samer El Zarif, MD,
Dr. El Zarif is Board-certified in Internal Medicine, Pulmonary, Critical Care, and Sleep Medicine.
Christina Diaz - Internal Medicine Program Coordinator