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A list of Med-Peds programs and their LOR requirements. Updated Sept 16 2018

Requirements may change with time so always check with the program
(either through their website or contact them directly). Information and websites will change over time.

If you see an error, please let me know and I'll make the appropriate changes.


ALABAMA
University of Alabama
Three letters of recommendation are required in addition to a Dean’s letter.
We do not accept applications from applicants who have been out of medical school for more than 5 years.
Source: UAB - School of Medicine - Pediatrics - Applications

University of South Alabama
Applicants are requested to submit at least 3 letters of recommendation through ERAS.
Source: How to Apply - University of South Alabama College of Medicine, Mobile & Gulf Coast, Alabama (AL)

ARIZONA
University of Arizona
Three (3) letters of recommendation (does not have to include a letter from the Chairman of Pediatrics). Passing USMLE/COMLEX 1 scores to be considered for an interview. We do not sponsor any visas.
Source: Med-Peds Residency - How to Apply

ARKANSAS
University of Arkansas
Applicants are to submit at least 4 letters of recommendation and should include letters from both Internal Medicine and Pediatrics.
Source: Medicine Pediatrics Residency | Internal Medicine
Application Process | Internal Medicine


CALIFORNIA
Loma Linda University
Four Letters of Recommendation including at least one letter preferably from each respective Department Chair or representative (for internal medicine and pediatrics). A Department Summary Letter completed by the Chair or Chair's representative will count as a chairman's letter
Source: Application Process | Internal Medicine Pediatrics Residency | Loma Linda University Health

UC Los Angeles (UCLA)
Three Letters of Recommendation
Source: Apply Now | UCLA Medicine-Pediatrics

University of Southern California (USC+LAC Program)
Minimum of 2 ideally 1 from medicine and 1 from pediatrics. Chair or PD letters are not required.
IMGs - Applicant Evaluation Status Letter from the Medical Board of California. Must be identified in ERAS as “recommendation letter number four (4)”. The LAC + USC Healthcare Network only accepts the use of J-1 visas for postgraduate training.
Source: Applying | USC Med+Peds

UC San Diego (UCSD)
Four letters of recommendation are requested--preferably two from medicine and two from pediatrics. One from each department should be from the Chair (or his/her designee), Program Director, or Clerkship Director.
Source: Application Process - Combined Medicine/Pediatrics Residency Training Program - UC San Diego

COLORADO
University of Colorado
A Chairman's letter from the Department of Internal Medicine OR the Department of Pediatrics
3 Letters of Recommendation (LOR):
  • 1 LOR must be from an Internal Medicine faculty
  • 1 LOR must be from a Pediatric faculty
  • 1 LOR from a faculty who can speak to your strength
  • A Med-Peds letter is not required
Applicant must have graduated from medical school within the last three (3) years.
Source: Application Process and Important Dates | Department of Medicine | University of Colorado Denver

CONNECTICUT
Yale-New Haven
A minimum of three (3) Letters of Recommendation.
We strongly encourage applicants to our Combined Medicine-Pediatrics program to obtain a Department letter from both Internal Medicine and Pediatrics Departments.
Source: Apply > Residency Training Program: Medicine/Pediatrics | Internal Medicine | Residency Training Programs | Yale School of Medicine


DELAWARE
Christiana Care / Jefferson Medical College
Three letters of recommendation from persons directly involved with the applicant must be submitted. Letters must include physicians from Internal Medicine and Pediatrics and may include letters from Med-Peds physicians. Letters from chairs are not mandatory.
Source: https://residency.christianacare.org/med-peds/application-process


District of Columbia
Georgetown University Hospital Program
-1 letter of support from the Department of Medicine ("Chair's letter")
-1 letter of support from the Department of Pediatrics ("Chair's letter")
-1-2 additional letters of recommendation from someone who has worked with you in the clinical setting
J-visas may be sponsored;
Source: Application Information

FLORIDA
University of Miami/Jackson Memorial
Three Letters of Recommendation are required as follows: preferably one Med-Peds Letter, one Internal Medicine and one Pediatric letter. A Chairperson letter from either department may be substituted for the Med-Peds Letter if one is not available. You may send one additional letter of your choosing, but this is not required.
IMGs: U.S. Clinical experience is required, preferably six months. The hospital sponsors J-1 visa only
Source: Combined Internal Medicine-Pediatrics | Jackson Health System

University of South Florida
"Three letters of recommendation:
Letters can be written by any faculty member with whom you have worked. We do not require a Chairman's letter."
USF accepts only the J1 visa (H-1 not acceptable)
Source: https://www.health.usf.edu/medicine/pediatrics/im_peds_residency/applications


ILLINOIS
Rush University
Three faculty letters of recommendation
Source: Combined Internal Medicine-Pediatrics Residency | Residency Programs | Rush University

University of Chicago
-1 Letter from Internal Medicine Department Chair
-1 Letter from Pediatric Department Chair
-1-2 Letters of your choice
J1 visa accepted/sponsored.
Source: Application Requirements | Internal Medicine - MedPeds Residency Training Program

Univerity of Illinois at Chicago
We require a minimum of three letters of recommendation.
-A letter from a Departmental Chair (Medicine or Pediatrics)
-Two letters from Faculty Members who have observed the applicant in clinical settings
-An additional letter from a Faculty Member who can comment on personal and professional suitability for residency training, scholarly activities, or a significant extracurricular experience is also welcome
Source: Application Process

Loyola University
Our program requires Departmental letters from both Internal Medicine and Pediatrics. These letters are often authored by the Chair themselves but may be written by the Clerkship Director or co-authored by both individuals. You are encouraged to submit up to 2 additional letters (for a maximum of 4 total letters) with your application.
J1 visas are sponsored. H1B visas will not be sponsored. Applicants must have graduated from medical school within the last two years.
Source: Applying to the Combined Medicine and Pediatrics Residency Program

University of Illinois at Peoria
"three letters of recommendation"
Source: Application Information
Internal Medicine/Pediatrics Residency | Peoria Medicine

INDIANA
Indiana University
Nothing Med-Peds specific
Three Letters of Recommendation
-IU School of Medicine only sponsors J1 visas.
-Less than 3-5 years out of medical school. Strong US clinical experience within the past year.
Source: Med Peds Residency | Pediatrics | IU School of Medicine
Application and Interview Process | Pediatric Residency | IU School of Medicine

KANSAS
University of Kansas - Wichita
No mention of LOR requirements on their website
Our program accepts residents on J-1 visas only. We do not offer H-1B visas.
Source: Applicants, Med/Peds Residency Program, University of Kansas School of Medicine - Wichita

KENTUCKY
University of Kentucky
-Letter of recommendation from the Chairmen (or designee) of your Department of Medicine or Department of Pediatrics
-Letters of recommendations from two members of the faculty with whom you have worked or who know you well.
Source: Information for Applicants | Internal Medicine

University of Louisville
Total of three letters of recommendation from faculty who know you well.
Source: How To Apply — School of Medicine University of Louisville

LOUISIANA
Tulane University
Three letters of recommendation from faculty
Source: Pediatrics ~ Internal Medicine- Pediatrics Residency ~ How to Apply | medicine

Louisiana State University (New Orleans)
Three Letters of Recommendation from Faculty; may include Chairperson's letter
Source: LSUHSC-NO Med/Peds Residency Program

Louisiana State University (Shreveport)
Three or four letters of recommendation
-LSUHSC in Shreveport sponsors J-1 visas ONLY.
Source: Applicant Information

MAINE
Maine Medical Center
Three Letters of Recommendation from physicians with whom you have worked directly
Applicant must complete at least two months of clinical training in an ACGME-approved Internal Medicine or Pediatric program. Observerships are not acceptable as clinical training. MMC sponsors J1 visas only.
Source: Apply Contact

MARYLAND
Johns Hopkins Urban Health Residency Program
At least three letters of recommendation from faculty members who know you well. At least two should be from IM or Pediatric faculty members. (We do not require a letter from your Department Chairs.)
We do not offer J1 visas
Source: Medpeds Application Process

University of Maryland
Three or four letters of recommendations, preferably at least one from a Department of Medicine faculty member and one from a Department of Pediatrics faculty member.
If you are an Osteopathic Medical Student, we require USMLE Step 1 scores to be considered for an interview. USMLE Step 2 scores should be submitted if available. COMLEX alone does not meet this requirement.
Source: Application Process - Internal Medicine Pediatrics Residency

MASSACHUSETTS
Harvard/MGH Program
3 letters of recommendation: One from the Chair of Internal Medicine, One from the Chair of Pediatrics , Up to two letters of your choice
Harvard MGH Medicine & Pediatrics

Harvard BWH/Children's Hospital Boston Program
3-4 letters of recommendation. One from the Chair of Internal Medicine. One from the Chair of Pediatrics. Up to two letters of your choice
Source: Medicine Pediatrics Application Process - Brigham and Women's Hospital

UMMS/Baystate Medical Center
Three (3) Letters of Recommendation (one departmental letter)
Baystate Medical Center sponsors J1 Visas. The availability of the institution to support H1B Visas is very limited and not generally available; however, upon request from a Program Director and under exceptional circumstances, the Senior Vice President for Academic Affairs at Baystate Medical Center will review H1B applications on a case by case basis.
Source: Applying to the Medicine-Pediatrics Residency | Baystate Health | Springfield, MA

University of Massachusetts
request letters of recommendation on applicants' behalf from writers who know you well, ideally two from the field of pediatrics and two from the field of internal medicine.
Source: Med/Peds Residency

MICHIGAN
University of Michigan
3-4 letters of recommendation. At least one letter must be from the Chair in the Department of Internal Medicine or the Chair in the Department of Pediatrics.
Source: How To Apply

Wayne State University - Detroit Medical Center
No mention of LOR requirements
Source: Med Peds Program - Wayne State University

Hurley Medical Center - Michigan State University
3 letters of recommendation
Sources: Application Process

Spectrum Health - Michigan State University
Three letters of recommendation
Source: Internal Medicine & Pediatrics

Western Michigan University Program at Kalamazoo
"Three Letters of recommendation"
Source: Applicant and Interview Process | WMed

Beaumont Health (Royal Oak)
No mention of LOR requirements
Source: https://www.beaumont.edu/graduate-m...ediatrics-combined-royal-oak/contact-us-apply

MINNESOTA
University of Minnesota
Three letters of recommendation in support of your application from faculty members with whom you have worked
MedPeds program accepts J-1 clinical visas only for our training program.
Source: Applications, Interviews and FAQ

MISSISSIPPI
University of Mississippi
No mention of LOR requirements
Source: Application Process

MISSOURI
University of Missouri at Columbia
No mention of LOR requirements
Source: Internal Medicine-Pediatrics Residency - University of Missouri School of Medicine

University of Missouri at Kansas City
At least two letters of recommendation, three is preferred. We require at least one letter from an Internal Medicine or Pediatric department chairperson
Source: http://www.med.umkc.edu/residency/med_peds/application.shtml

NEBRASKA
University of Nebraska
Three letters of recommendation (Typically applicants submit one from Medicine, one from Pediatrics and if possible one from Med-Peds faculty members. We highly recommend that one letter come from the department chair from either side.)
Source: Applicant Process | Internal Medicine | University of Nebraska Medical Center


NEW JERSEY
Rutgers New Jersey Medical School (formerly UMDNJ)
Three (3) letters of recommendation are required: one Dean's letter , one from either the Chair of Medicine or Pediatrics, and one additional letter. A 4th letter can also be sent but is not required.
Source: Rutgers New Jersey Medical School

Newark Beth Israel Medical Center
No mention of LOR requirement
Sourece: New Jersey Health System


NEW YORK
University at Buffalo
Minimum of 3 letters of recommendations:
Chair of Medicine
Chair of Pediatrics
Attending from any clinical rotation
You may send (and are encouraged to) additional letters from other clinical attendings and residents who have worked with you.
We support J-1 visas.
Source: Applicants - University at Buffalo Internal Medicine and Pediatrics

Albany Medical College
3 Current Letters of Recommendation
We sponsor J-1 visas only. We do NOT sponsor H1-B visas.
Source: Requirements & Eligibility

University of Rochester
Four total, two from Internal Medicine and two from Pediatrics, are required. One letter from each discipline must be a departmental letter (usually coordinated by the clerkship director and chair).
Source: How To Apply - Medicine/Pediatrics Residency Program - Prospective Residents - Graduate Medical Education - Education - University of Rochester Medical Center

SUNY at Stony Brook
Three letters of Recommendation: One must be from someone who can attest to your skills in Internal Medicine and one must be from someone who can attest to your skills in Pediatrics. A letter from the department chair is optional.
We will accept applications from those eligible for a J-1 Visa
Source: How to Apply | Stony Brook University School of Medicine


NORTH CAROLINA
University of North Carolina
Three letters of recommendation to include:
Pediatric departmental letter
Internal Medicine departmental letter
Letter from one faculty member who has had direct clinical contact with you
UNC Hospitals supports J-1 visa
Source: Application and Interview Information for Internal Medicine-Pediatrics Residency — Pediatrics - UNC School of Medicine

Duke University
Letters of recommendation from the chairperson of pediatrics and the chairperson of internal medicine at your medical school.
Two or more letters of recommendation from other faculty with whom you have worked
We sponsor J-1 visas
Source: Application Process | medicine.duke.edu

Vidant Medical Center - East Carolina University Brody School of Medicine
Three (3) letters of recommendation (preferably including one from a Medicine or Pediatric Clerkship Director - but not required)
Only J1 visas are sponsored by our hospital
Source: Application Process | ECU Internal Medicine-Pediatrics Residency Program


OHIO
University of Cincinnati
We require four letters of recommendation. Preferably one of these is from a department chair, however this is not mandatory. Ideally, the letters are from faculty members that you have worked with closely and know you as an individual and clinician.
Source: Applicant Information | Internal Medicine | UC Cincinnati College of Medicine - ..WB1PRD02W-med.uc.edu

Case Western Reserve University MetroHealth Program
Three letters of recommendation from persons with whom the applicant has had clinical experience. One should be from a faculty member in the Internal Medicine department and one from a faculty member from Pediatrics. The third letter can be from a faculty member of the applicant's choosing.
Source: Med-Peds Residency Application Process

Case Western University - University Hospitals of Cleveland
We require at least three letters of recommendation. Ideally, we like to see a letter from an Internal Medicine Chair and a letter from a Pediatrics Chair.
Source: Med-Peds FAQ

Ohio State University
Four recommendation letters
Internal Medicine department/chairperson letter
Pediatrics department/chairperson letter
Two from faculty
Source: Interview Process


OKLAHOMA
University of Oklahoma Health Sciences Center, Oklahoma City
No mention of LOR requirement
Source: https://www.oumedicine.com/department-of-pediatrics/education-and-research/med-peds-residency

University of Oklahoma Tulsa
Three letters of recommendation
Source: Apply


PENNSYLVANIA
Geisinger Health System
Letters of recommendation (at least three)
Source: $name

Penn State University Milton S. Hershey Medical Center
Three to four letters of recommendation from faculty members with whom you have worked
We do not require a letter from your department chairman.
Source:
Combined Internal Medicine and Pediatrics Residency Program - Penn State Health

University of Pennsylvania
2 Chair's Letter (Medicine and Pediatrics).
Minimum of one other Letter of Recommendation; preference is two other Letters of Recommendation
Source: Our Program | Internal Medicine Residency

University of Pittsburgh (UPMC Medical Education Program)
One chairman's letter of recommendation plus 3 other faculty letters of recommendation
Source: Med-Peds | University of Pittsburgh

Puerto Rico
University of Puerto Rico
No information or website currently available
Source: Residency Training Programs

Rhode Island
Brown University Program
Four letters of reference, in addition to their Dean's letter. At least one letter of reference should be a "Departmental" letter from the applicant's Department of Internal Medicine and one letter from the Department of Pediatrics. "Departmental" letters can come from the chairperson of the department or clerkship director. The remaining two letters are at the discretion of the applicant.
The program does not support H-1 visas
Source: How to Apply


SOUTH CAROLINA
Medical University of South Carolina
Three strong letters of recommendation (we do not require a Chair letter)
All programs only accept J1 visa
Source:
Med-Peds Residency

Greenville Hospital - University of South Carolina Program
We require three letters of recommendations with at least one from a physician practicing in the U.S.
We sponsor J-1 visas only.
Source: https://hsc.ghs.org/education/gme/med-peds/admissions/


TENNESSEE
University of Tennessee
3-4 Letters of recommendation.
We sponsor J-1 visa only.
Source: Applicants

Vanderbilt University
Letters of recommendation from the Chairmen (or designee) of your Department of Medicine and Department of Pediatrics
A letter from two members of the faculty with whom you have worked or who know you well.
We sponsor J-1 Visas and consider sponsoring H-1B Visas
Source: Students/Admissions | Department of Medicine


TEXAS
Baylor College of Medicine
Letter from the chair of the Department of Medicine, or designee.
Letter from the chair of the Department of Pediatrics, or designee
Two letters of recommendation from medical school faculty
Source: Baylor Medicine-Pediatrics Residency

University of Texas Houston
Letters from the Chair of Department of Pediatrics and the Chair of Department of Medicine
Two Letters of Recommendation from the Medical school Faculty, preferably one from each department.
Source: https://med.uth.edu/medped/program-information/application-requirements/

University of Texas Southwestern Medical Center
Four letters of recommendation. We encourage a letter from your Chair (or designee) from both Internal Medicine and Pediatrics departments. We prefer at least one other letter be from an internal medicine or pediatric faculty member who is able to assess your clinical skills and abilities.
Source: How to Apply

UTAH
University of Utah
Unknown
Source: https://medicine.utah.edu/pediatrics/pedsresidency/residency_program/internal_medicine.php


VIRGINIA
Virginia Commonwealth University
One letter from the chair of internal medicine
One letter from the chair of pediatrics
One or two letters from clinicians familiar with your accomplishments (preferred)
VCU only sponsors J-1 visas.
Source: http://www.vcu.edu/medpeds/application/schedule.html


WEST VIRGINIA
Marshall University
Three letters of reference from faculty members
We accept residents on J-1 Visas (no H-1 Visas accepted)
Source: https://jcesom.marshall.edu/residents-fellows/programs/med-peds/apply/

West Virginia University
"3 letters of recommendations"
Our institution sponsors J-1 visas.
Source: https://medicine.hsc.wvu.edu/pediatrics/residents/medicine-pediatrics/requirements/


WISCONSIN
Marshfield Clinic - St Joseph's Hospital
Minimum three letters of recommendation. At least one of these should be from a U.S. or Canadian physician who has personal knowledge of your clinical abilities.
Source: https://www.marshfieldclinic.org/ed...s/Application-Criteria-for-Med-Peds-Residents

Medical College of Wisconsin
A minimum of 3 Letters of Recommendation
Source: https://www.mcw.edu/departments/ped...ediatrics-residency-program/about-the-program
 
Last edited:

jimmybee

Internal Medicine Hospitalist, formerly med/peds
15+ Year Member
Jul 5, 2000
199
2
41
Status
Attending Physician
I remember when I applied three years ago how pissed off I was when I had to find out each school's LOR requirements. Good work!
 
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group_theory

EX-TER-MIN-ATE!'
Staff member
Administrator
Lifetime Donor
15+ Year Member
Oct 2, 2002
4,692
1,679
Status
Attending Physician
List updated (and some programs were removed). If you see any error, let me know.
 

Acanuck00

10+ Year Member
Jun 14, 2009
13
0
Status
I was hoping someone could give me a few suggestions. Unfortunately my base hospital does not have a chairman of pediatrics. I've been offered a few interviews at programs where this conflicts with their requirements. Should I go to the interview assuming this they wouldn't have invited me if the requirements weren't met to their satisfaction? Should I send them in email inquiring about the requirement?

Any feedback would be much appreciated.
 

ashmarj

10+ Year Member
7+ Year Member
Mar 19, 2007
89
1
Status
Resident [Any Field]
From what I have seen, getting your pediatric clerkship director to write a letter will usually be taken in place of a chair letter. You could ask him/her to specifically say in the letter that there is no chairman.

As far as the schools that have said requirement but have already offered interviews...not sure what to say. It may end up hurting you in the ranking process, it may not. I'd shoot for getting that pediatric clerkship director letter.

I was hoping someone could give me a few suggestions. Unfortunately my base hospital does not have a chairman of pediatrics. I've been offered a few interviews at programs where this conflicts with their requirements. Should I go to the interview assuming this they wouldn't have invited me if the requirements weren't met to their satisfaction? Should I send them in email inquiring about the requirement?

Any feedback would be much appreciated.
 

group_theory

EX-TER-MIN-ATE!'
Staff member
Administrator
Lifetime Donor
15+ Year Member
Oct 2, 2002
4,692
1,679
Status
Attending Physician
LOR requirements and links are updated. Some of the programs no longer list Chairman's LOR as a requirement, while others have added it as a requirement. Links to the programs' websites were updated. Programs no longer listed in AMA Freida were removed.
 
May 14, 2016
2
0
So for Ohio State University, a department letter is required not a department chair letter. Does anyone know exactly what should be in this letter? I have been getting vague descriptions from everyone I ask. I'm not even certain who should write this letter. I have been told the department chair and clerkship director. I'm from a very small hospital and we don't even have a clerkship director.
 

tantacles

Moderator Emeritus
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10+ Year Member
Sep 28, 2009
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So for Ohio State University, a department letter is required not a department chair letter. Does anyone know exactly what should be in this letter? I have been getting vague descriptions from everyone I ask. I'm not even certain who should write this letter. I have been told the department chair and clerkship director. I'm from a very small hospital and we don't even have a clerkship director.
It sounds like this is a matter of semantics. Just get the department chair to write a letter.
 

group_theory

EX-TER-MIN-ATE!'
Staff member
Administrator
Lifetime Donor
15+ Year Member
Oct 2, 2002
4,692
1,679
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Attending Physician
Removed a few programs, added a few programs. Links are up to date as of today. Added J/H visas if the websites mention them. Interestingly enough there were no significant changes in LOR requirements during this update.
 
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