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The Internal Medicine Residency Training Program at Saint Louis University strives to train internists of the highest caliber in a collegial and collaborative environment.

Program Highlights

Our mission is to provide the best possible environment to develop your professional career.

What We Look For

No one factor on an application describes a candidate. We are looking for multidimensional candidates who bring a variety of strengths to our program.  
A successful applicant should demonstrate exceptionalism in one or more areas including:

  • Clinical clerkship performance throughout the third year and most particularly in the core Internal Medicine rotation. 
  • Humanism including Gold Humanism or Alpha Omega Alpha awards 
  • Scholarship and research experience 
  • Leadership ability  
  • Resilience and maturity in the face of adversity 
  • Diversity of thought and background 
  • We recognize either USMLE or COMLEX; we prefer a Step 1 score greater than 220 and a step 2 greater than 230  

Applications are almost automatically rejected based on the following:

  • Graduation of medical school greater than 5 years ago unless practicing in another specialty under a US license 
  • Lack of clinical experience in the US healthcare system 
  • Multiple failures of certification exams 
Application Review Process

Once we get our applications from ERAS, the Program Director and each Associate Program Director will review a selection of applications based on medical school.  Each person reviewing applications has a set amount of interview invites available.  We then meet as a group to determine whether to either: 

  • Extend an interview invitation 
  • Decline to interview 
  • Waitlist – we very much want to interview you but have so many qualified candidates.  We will extend an offer if interview positions open.  

We start releasing interview invites from late September to mid-October. By that date, you will have received notification of your application status.

Interview Process


We have interviews typically on Wednesday and Thursday from late October to early January. The entire day has been designed by our residents.  Each interview group is assigned an “interview captain”: one of our residents who will help guide you from the pre-interview dinner to the end of the interview day.  The captain will remain a point of contact for you both before and after the interview day experience, should you have any questions about the resident experience.   
During the interview day, you will meet for a brief one on one chat with the Program Director, interview with two faculty members, and a resident.  Our goal is to provide you with a great experience visiting us, and to see if you would be a good fit for our program.  Areas we focus on during the interview process include: 

  • General cognitive ability - how the candidate performs on standardized tests (USMLE or COMLEX) and during clinical (3rd year) rotations 
  • Conscientiousness* - is the candidate likely to feel responsibility to the program, their colleagues, and their patients 
  • Ability to deal with challenges - has the candidate faced and overcome adversity?  Have they helped to solve problems? 
  • Humanism* - does the candidate reflect our mission to care for the whole patient?  Do they have a diverse viewpoint? 
  • Attitude* - is the candidate interested in medicine?  SLU? Our program? 
  • Ability as a team-mate* - can you envision working with this candidate as a resident and/or colleague 
  • Potential to positively contribute to the program* - is this a person that is good to have around and part of the program? Do you envision them doing something great?   
Ranking Criteria

Our scoring for the rank list is based on a number of factors; most notably: 

  • Strength of clerkship grades, particularly internal medicine but also other clerkships 
  • Scores on USMLE or COMLEX 
  • Scoring on faculty interviews 
  • Scoring on resident interviews 
  • Global assessment of application (scholarship, contribution to community, leadership roles, or other compelling information) 

The rank list is constructed by program leadership and refined.  Prior to submission, we then hold a set of 3-4 meetings with all residents to garner impressions and feedback.  After residents approve the list, it is finalized (with no further changes by the program) and submitted.  Thus, residents have the final say as to who is joining our team.