A medical residency is the next stage of training for individuals who've earned a medical degree. It’s a form of post-graduate instruction supervised by a fully licensed physician practicing in a specific branch of medicine within a hospital or clinic. The requirements for practicing medicine vary from country to country and within each country from state to state or province to province. While those requirements have evolved over time, currently in the U.S., most doctors, including those going into general practice and virtually all specialties, are required to complete a minimum of one and more typically two or three years of postgraduate training for medical licensure. Depending on the specialty or sub-specialty chosen by the medical school graduate and the jurisdiction where they’ll be practicing, three to seven years of a combined residency and fellowship may be required.
The distinction between what’s learned in medical school and what’s learned in a medical residency is important to understand. Medical school teaches physicians a broad range of medical knowledge and basic clinical skills. A residency provides more in-depth knowledge within a specific branch of medicine or specialty, Internal Medicine for example. Most important, a residency provides the medical school graduate with extensive experience applying that knowledge by practicing medicine within that area of specialization. Practicing in what is considered a sub-specialty such as Cardiovascular Disease, which is a sub-specialty of Internal Medicine, typically requires additional years of post-graduate training in the form of a fellowship following completion of the residency.
Many people have heard the term internship, which refers to the first year of post-graduate training. The title “intern” is gradually being replaced for most specialties by the title “first year resident” as internships are increasingly considered part of the residency program. There are some exceptions, however. Certain specialties, like Anesthesiology, Dermatology, Ophthalmology and Radiology, still require prospective residents to complete an internship year prior to starting their residency.
Given the annual number of medical school graduates in 2012 (31,000), the number of residency positions available (26,000), and the number of medical specialties (48), securing the residency preferred by the applicant can be a complex and competitive challenge. Simply deciding which residency programs to apply to requires consideration of a number of factors which must be identified and then ranked based on what’s most important to the applicant. It’s similar to selecting a medical school, only more complex. Nevertheless, securing the best possible residency is important. Depending on the kind of medicine the applicant seeks to practice and where he/she prefers to locate, the residency program they participate in can have a profound influence on their career. Those factors, not necessarily in this order, often include but are not limited to the following:
- the medical specialty/sub-specialty the applicant seeks to focus upon
- the location of the residency programs
- the reputation of the programs within the area of specialization
- the applicant’s potential of qualifying for acceptance into the programs
- living/working conditions for residents participating in the programs
- the applicant’s financial capacity to pursue the interview process for the programs selected
- financial considerations related to participation in the programs