House physicians (HP) are fairly common in New York City. You get paid as a resident, but work somewhat fewer hours. You are treated like a resident, and most programs that hire HP's don't treat residents all that well. All of the HP's that I have met are foreign docs hoping to get into the residency program at the institution where they work. This does not usually happen. I have seen a few get into residency after 2-3 years of servitude, but many competent HP's get passed over. In short, it's a resident job that you never graduate from. Don't do it. Try a different specialty, but get yourself into a real residency. OK, if I didn't dissuade you, try places like Methodist in Brooklyn.