Emergency Medicine Residency - Nuvance Health Learning Institute (2024)

A message from the Program Director

Thank you for taking the time to find out about us and the Nuvance Health Emergency Medicine Residency Program. In addition to the didactic and experiential curriculum, as well as the institutional and human resources of our program, we believe it is critical that you know what values and ideals, philosophy of life and medicine, inform the program’s culture where you will spend three of the most important years of your life creating the foundations for the rest of your medical career. In other words, for each program you read about and potentially visit, do you know the program’s answer to two fundamental questions:Who are we, and what do we stand for?Our answer is the following:

We are committed to building an emergency department that provides a safe haven for patients, where training the next generation takes place in an environment of scholarly inquiry and where patient-centered emergency medical care is delivered with respect, timeliness, operational efficiency and compassion. We are committed to driving principles of honoring the human spirit, celebrating diversity and combining the latest of science and technology with an ever-present awareness of the value of human touch as a power for healing.

Our residency in emergency medicine has been established to enhance the quality of emergency medical care for our community, contribute to the well-being of our patients, residents, staff and physicians, and create a legacy to ensure the continuation of exceptional emergency medical care in the Hudson Valley and beyond for generations to come. Our goal is to deliver the finest possible training in the art and science of emergency medicine. We are committed to providing our graduates with the diagnostic, procedural, interpersonal and leadership skills to effectively coordinate an ED team and safely manage multiple unscheduled, undifferentiated, acutely ill or injured, clinically complex, non-established patients cost-effectively and compassionately.

The Nuvance Health Emergency Medicine Residency Program trains residents to go beyond the didactic and experiential 36-month curriculum that comprises traditional emergency medicine residency training. We teach foundational principles of critical thinking and model timeless values and ideals upon which graduates can draw to inform their medical practice for their entire career in emergency medicine, as well as rely on throughout their lives.

Our program is designed and organized to support your personal and professional growth, maintain and enhance your well-being and take you on an adventure of discovery. Through structured didactic, an experiential innovative curriculum with faculty and teaching attending supervision, mentoring, engagement and role modeling, our graduates are ready and empowered to take on and provide leadership in their emergency departments, institutions and communities and fulfill their commitment to clinical and personal excellence.

Sincerely,

Marc A. Borenstein, MD, FACEP, FACP
Program Director, Nuvance Health Emergency Residency Program

Program Structure

The Nuvance Health Emergency Medicine Residency Program is a three-year residency program centered at Vassar Brothers Medical Center (VBMC) overlooking the Hudson River, 75 miles north of New York City. VBMC is a large tertiary-care hospital with an ACS-accredited Level II Trauma Center, Primary Stroke Center and STEMI Center. We are a high-acuity, high-volume emergency department (ED) servicing a very large population. Our ED currently treats 77,000 visitors annually (85% adult and 15% pediatric). To accommodate this ever-growing population, we have relocated to a brand-new hospital equipped with 65 individual care rooms, three trauma bays and a helipad.

Although the majority of residency rotations occur at VBMC, the program is structured to ensure residents are exposed to a wide range of pathology and acuity in various settings. For example, residents gain community hospital experience during their rotations at Northern Dutchess Hospital (NDH) located in the historic, charming town of Rhinebeck, NY. In addition, residents spend three months of immersive pediatric care in the Pediatric Intensive Care Unit (PICU) and the Pediatric ED at the renowned Maria Fareri Children’s Hospital in Westchester, NY.

Residents also have the opportunity to select elective experiences to tailor their residency program to meet their educational goals and objectives. Two months of electives are offered in PGY3 if residents meet program and procedural requirements.Various elective options are available for residents; electives should be discussed and agreed upon with the program director. Elective rotations may be in any emergency medicine subspecialty, research month or other acceptable rotational experience. Some examples of electives are:

  • Ultrasound
  • Toxicology
  • Addiction
  • Emergency medical services
  • Sports medicine
  • Research

An example of one resident’s training in this program is shown below. This is just an example and may be adjusted by the program director to ensure adequate experience and ACGME compliance. The Emergency Medicine Residency Program schedule runs on a four-week block rotation.

PGY-1 Year
Block NumberRotation NameSite/Location
Block 1Emergency DepartmentVassar Brothers Medical Center
Block 2Emergency DepartmentVassar Brothers Medical Center
Block 3Anesthesia/UltrasoundVassar Brothers Medical Center
Block 4Emergency DepartmentVassar Brothers Medical Center
Block 5TraumaVassar Brothers Medical Center
Block 6Emergency DepartmentVassar Brothers Medical Center
Block 7Emergency DepartmentVassar Brothers Medical Center
Block 8Emergency DepartmentVassar Brothers Medical Center
Block 9Intensive Care UnitVassar Brothers Medical Center
Block 10Obstetrics and GynecologyVassar Brothers Medical Center
Block 11Emergency DepartmentVassar Brothers Medical Center
Block 12Emergency DepartmentVassar Brothers Medical Center
Block 13Emergency DepartmentVassar Brothers Medical Center
PGY-2 Year
Block NumberRotation NameSite/Location
Block 1Emergency DepartmentVassar Brothers Medical Center
Block 2Cardiology ConsultationVassar Brothers Medical Center
Block 3Emergency Department NightsVassar Brothers Medical Center
Block 4Emergency DepartmentVassar Brothers Medical Center
Block 5Pediatric Intensive Care UnitMaria Fareri Children’s Hospital
Block 6Emergency DepartmentVassar Brothers Medical Center
Block 7UltrasoundVassar Brothers Medical Center
Block 8Community Emergency MedicineNorthern Dutchess Hospital
Block 9Emergency DepartmentVassar Brothers Medical Center
Block 10Emergency DepartmentVassar Brothers Medical Center
Block 11Intensive Care UnitVassar Brothers Medical Center
Block 12Emergency DepartmentVassar Brothers Medical Center
Block 13Pediatric Emergency DepartmentMaria Fareri Children’s Hospital
PGY-3 Year
Block NumberRotation NameSite/Location
Block 1Emergency DepartmentVassar Brothers Medical Center
Block 2Pediatric Emergency DepartmentMaria Fareri Children’s Hospital
Block 3Emergency DepartmentVassar Brothers Medical Center
Block 4Emergency DepartmentVassar Brothers Medical Center
Block 5Emergency DepartmentVassar Brothers Medical Center
Block 6ElectiveVassar Brothers Medical Center
Block 7Emergency DepartmentVassar Brothers Medical Center
Block 8Intensive Care UnitVassar Brothers Medical Center
Block 9Emergency DepartmentVassar Brothers Medical Center
Block 10Emergency DepartmentVassar Brothers Medical Center
Block 11AdministrativeVassar Brothers Medical Center
Block 12ElectiveVassar Brothers Medical Center
Block 13Community Emergency MedicineNorthern Dutchess Hospital

Academic Offerings

Orientation – As a new resident, you participate in an intern boot camp and orientation during your first month here. This orientation will help you adjust to residency life and provide you with an overview of programs, topics and required information. Non-patient care and non-medical knowledge curriculum topics are covered as well, including interpersonal communication skills, professionalism, systems-based practice and practice-based learning and improvements.

Team Health Academic Consortium Zenith Channel – As a resident of the Nuvance Health Emergency Medicine Residency Program, you have access to TeamHealth’s educational resources. Included on the Zenith Channel are various scholarly activity and educational resources, such as videos, documents, electronic textbooks, webinars, presentations and additional information that can be viewed and downloaded.

ABEM In-Training Exam – Residents’ medical knowledge and clinical reasoning will be benchmarked for measuring longitudinal growth through the results of the annual American Board of Emergency Medicine (ABEM) In-Training Exam. All emergency medicine residents complete the exam at the end of February every year. Results are reviewed with the program director to inform discussions and individualization of curriculum and clinical training (e.g., reading material, board prep, and electives).

Academic Conference
Residents attend weekly, five-hour structured didactic curriculum held every Wednesday from 7:30am-12:30pm. Each academic teaching day will cover a broad range of topics via a systems-based approach, which will include lectures, interactive sessions, skills sessions, and simulations.

Board Preparation
In addition to individual studying via access to reputable online modalities such as Rosh Review and EM Coach, residents will have written and oral board preparation lectures during their didactic sessions.

Note/Chart Review Session
Residents will have ongoing chart reviews during EM shifts, as well as by designated core faculty during direct observation evaluations.

Emergency Medicine Specific Lectures
Residents will have ongoing participation in giving formal lectures to their peers throughout the academic year.

Case Conference
Once a month, faculty and residents will attend a case conference during the didactic sessions which will review interesting cases from the prior month and discuss diagnostic, treatment, and management approaches.

Grand Rounds
Once a month, faculty and residents will attend a Grand Rounds lecture given by various hospital faculty which will be specific to the system module of that month.

Journal Club
Residents will be introduced to the selection and interpretation process of reviewing relevant medical literature as it pertains to emergency medicine.

Simulation Education
Residents will get the opportunity to harness the skills necessary for independent practice through a robust simulation experience provided at the Spratt Center for Simulation & Clinical Learning. This opportunity will be available on a monthly basis during their didactic Wednesday sessions and will include individual skills, team cases, interdisciplinary scenarios and formal lectures.

Academic Didactic Schedule

The academic didactic program is a critical element of the Nuvance Health Emergency Medicine Residency Program. Residents are allotted protected time to attend all required didactic and educational sessions.

Mandatory Conferences are held on every Wednesday morning. All lectures are designed to provide residents with a broad range of knowledge on the ACGME competencies and prepare them to provide exceptional patient care.

The following lectures will occur:

Teaching Days – Weekly half-day lectures on a rotating 18-month curriculum (utilizing Foundations of Emergency Medicine topics and lectures)

Interdisciplinary Conferences – Monthly, in conjunction with the Critical Care and Internal Medicine departments

Journal Club – Monthly, presented by a PGY-1 or PGY-2 resident

Grand Rounds – Quarterly, presented by a core faculty member

Quality and Process Improvement (Q&PI) – Monthly, presented by a PGY-2 or PGY-3 resident

Save of the Month – Monthly, presented by a PGY-3 resident

Board Preparation – Monthly, presented by core faculty

Research Opportunities

All residents in the Nuvance Health Emergency Medicine Residency Program are required to participate in scholarly activity/research and quality improvement (QI). Additional research and QI participation by residents, above the minimum requirements, is highly encouraged. Residents are paired with a faculty mentor for all scholarly activity and quality improvement projects. This mentor assists residents in background research, feasibility, institutional review board (IRB) approval, study design, implementation and analysis.

The goal of the Emergency Medicine scholarly activity curriculum is to advance each resident’s knowledge of the basic principles of research, including how it is conducted, evaluated, explained to patients and applied to patient care. Residents are provided with a variety of resources to facilitate involvement in scholarly activity projects throughout their training.

The Nuvance Health Emergency Medicine Program requires residents to meet the following scholarly activity requirements before graduation.

  • One Quality Improvement Project
  • One Scholarly Activity Project – Many options are available, including:
    • Author/co-author of a manuscript that receives a PubMed citation
    • Author/co-author of a manuscript of publishable quality, such as a review article, textbook or online chapter, case report
    • Discussant at the national Clinical Practice & Cases competition
    • Poster or abstract presentation at local, regional or national conference
    • Significant participation (as verified by the primary investigator) in a clinical research project.

Each year, the Nuvance Health Graduate Medical Education Department sponsors a Resident Research Day where residents present posters and oral presentations of ongoing or completed research topics.

How to Apply, Requirements and Important Dates

The Nuvance Health Emergency Medicine Residency Program thanks you for your interest in applying to our program. We accept all applications through theERASonly and participate annually in theNRMP MatchProgram. We hope you choose to join us.

The following items are required for interview consideration:

  • Personal statement
  • Current CV
  • Three (3) letters of recommendation and SLOE (standardized letters of evaluation) highly recommended
  • USMLE Step 1 CK or COMLEX Level 1 Score
  • USMLE Step 2 CS or COMLEX Level 2 PE Score
  • USMLE Step 2 CK or COMPLEX Level 2 CE Score
  • MSPE (Dean’s) letter

Timeline: We will interview candidates during select dates in October, November, and December. Exact dates will be provided to the invited residency applicants via email notification.

Frequently Asked Questions

Why should I come to the Hudson Valley for residency?

It’s beautiful here! It is lovely to enjoy four seasons with apple-picking and hiking with brilliant, colorful foliage in the fall; skiing, sledding, snowboarding and ice skating in the winter; more kayaking and biking in the spring, and enjoying swimming, outdoor concerts, drive-in movie theaters, water parks and more in the summer. We have fantastic restaurants with the Culinary Institute of America 10 minutes away from the hospital and we benefit from a lot of their graduates settling locally. We have multiple local colleges and universities which provide an array of cultural opportunities – the initial Hamilton was workshopped at our very own Vassar College by Lin Manuel Miranda and is known as the Hamilton Mixtape! There is something for everyone here. Within a 30 minute drive you can explore the cities of Poughkeepsie, Beacon, New Paltz, Rhinebeck and Kingston; you can head to the surrounding suburbs to shop at the malls or local stores and enjoy activities like the hot air balloon festival, the Great Jack-O-Lantern Blaze or sunflower festival. You can participate in local farm shares or go horseback riding. For the ultimate city experience, we are only a 1.5 hour train ride along the picturesque Hudson River to get to New York City. It is nice to train in a place where you can see people as much or as little as you like during your time off.

Where will I train?
The majority of training takes place at Vassar Brothers Medical Center in Poughkeepsie, NY, with some rotations occurring at Northern Dutchess Hospital in Rhinebeck, NY. Residents will also spend two months at Maria Fareri Children’s Hospital in Westchester, NY, for their pediatric intensive care unit and pediatric emergency room experiences.

How many residency positions are there?
We accept 10 residents each year for a total of 30 residents within the program. We want our community to be tight-knit and each resident to feel they are an important part of the program while providing an excellent educational experience. We will only be accepting PGY1 positions.

When are the interviews?
Interviews will take place on select dates in November, December and January. If you are selected for an interview, you will be notified via Thalamus.

Will I be able to work with medical students?
Yes! We have rotating MS3 and MS4 from Touro School of Osteopathic Medicine in Middletown rotating on many of the medicine rotation. There are also PA students from Marist College as well as MS4s who rotate from other medical schools.

What has been the impact of COVID-19 on the residents?
We have been fortunate that we have been able to quickly adapt to the pandemic. In the spring of 2020, we only had our inaugural intern class here and for the first wave we protected the residents from exposure to the virus given how little was known about it at the time and out of concern for PPE. Fortunately, we never were in a situation where we did not have the appropriate PPE and for the second wave, residents worked alongside the attendings to care for our patients with COVID-19 both on the medical floors and the COVID-19 dedicated ICU we needed to open up. At our peak we have had around 100 patients with COVID-19 in Vassar Brothers Medical Center. Our conferences have very rarely been interrupted though we have had to use a virtual platform to continue the conference series when the numbers are high out of concern for spread of infection. We also have been able to institute telemedicine to provide some of the outpatient care virtually.

What are the rules around vacation?
Residents have 4 weeks of vacation per year. In general, these weeks are broken down into one 2 two-week block and two 1-weeo blocks.

How do you prepare us for the Boards?
We have purchased Rosh Review for all our residents to use for board preparation. In addition, each resident has a generous annual stipend to use for board materials of their choosing. Also, we have board review as part of the didactic conference series led by faculty and chief residents which helps not only with topic review, but the approach to test questions and developing good test taking skills.

Thank you for your interest in the Nuvance Health Emergency Medicine Residency Program! If you need more information, please contact us. Julia.Demboski@Nuvancehealth.org

Living in the Hudson Valley & NW Connecticut

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Our region is home to amazing art galleries, award-winning theaters, unique museums, historical travel destinations and estates, and modern architectural marvels. The region and areas within its close proximity, offer a multitude of festivals, musical experiences, and nightlife attractions.

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Families flip for the Hudson Valley and Western Connecticut! With miles of hiking trails, gorgeous state and local parks, beaches, amusement parks, zoos, campgrounds, farms, orchards, ski resorts and nature centers your opportunities for outdoor fun are nearly endless. Looking for an indoor adventure? You’re in luck! The region offers multiple movie cinemas, arcades, children’s museums, adventure courses, trampoline parks, indoor ice rinks, escape rooms, and rock wall climbing centers. Truly, something for everyone in your family.

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From revered chefs and elegant dining to family favorites and local gems, Connecticut’s Fairfield County and New York’s Hudson Valley have everything you need to feed your culinary desires so that your taste buds are never bored.

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Training Locations

Emergency Medicine Residency - Nuvance Health Learning Institute (5)

Vassar Brothers Medical Center

Committed to delivering sophisticated medical care with a personal touch.

Vassar Brothers Medical Center (VBMC) is a 350-bed facility that has served New York’s Mid-Hudson Valley since 1887. Overlooking the beautiful Hudson River in the City Poughkeepsie, NY, VBMC has established expertise in cardiac services, cancer care and women and children’s health services.

45 Reade Place
Poughkeepsie, NY 12601

(845) 454-8500 (TTY 1-800-421-1220)

Emergency Medicine Residency - Nuvance Health Learning Institute (6)

Danbury Hospital

Danbury Hospital is a 456 bed, not-for-profit community hospital providing Greater Danbury area residents convenient access to exceptional care, close to home. As a proud member of Nuvance Health, we are united by our mission to improve the health and well-being of those who live in the communities we call home.

24 Hospital Avenue
Danbury, CT 06810

(203) 374-0007

Emergency Medicine Residency - Nuvance Health Learning Institute (7)

Norwalk Hospital

Committed to providing you and your family with personalized care without compromise.

Norwalk Hospital is a 366 bed, not-for-profit community hospital providing Fairfield and Westchester County residents convenient access to exceptional care, close to home. As a proud member of Nuvance Health, we are united by our mission to improve the health and well-being of those who live in the communities we call home.

34 Maple Street
Norwalk, CT 06856

(203) 852-2000

Emergency Medicine Residency - Nuvance Health Learning Institute (8)

Northern Dutchess Hospital

Northern Dutchess Hospital is a healing environment where modern medicine meets compassionate care.

Northern Dutchess Hospital (NDH) is a 84-bed, acute care, community hospital located in the picturesque Village of Rhinebeck, NY. Northern Dutchess Hospital recently expanded its emergency department to provide advanced comprehensive emergency service and greater patient comfort.

6511 Springbrook Avenue
Rhinebeck, NY 12572

(845) 876-3001 (TTY 1-800-421-1220)

Emergency Medicine Residency - Nuvance Health Learning Institute (9)

Putnam Hospital

The community’s resource for advanced and compassionate care.

Putnam Hospital (PH) is a 164-bed, acute care hospital offering medical, surgical, psychiatric and 24-hour emergency services. As the only hospital in Putnam County, Putnam Hospital has been serving the medical care needs of Putnam, northern Westchester and southern Dutchess counties since 1964.

670 Stoneleigh Avenue
Carmel, NY 10512

(845) 279-5711 (TTY 1-800-421-1220)

Emergency Medicine Residency - Nuvance Health Learning Institute (10)

Sharon Hospital

Offering warmth and personalized care.

Sharon Hospital is located in northwestern Connecticut – an area that is dotted with historic and beautiful towns and magnificent, rural landscapes. Patients of Sharon Hospital enjoy many benefits through Nuvance Health, including direct access to more advanced offerings, the latest technologies and a network of leading specialists.

50 Hospital Hill Road
Sharon, CT 06069

(860) 364-4000 (TTY: 800-842-9710)

Emergency Medicine Residency - Nuvance Health Learning Institute (11)

Nuvance Health Medical Practice

More than 27 specialties and services at your fingertips.

Nuvance Health Medical Practice (NHMP) is a multi-specialty medical group dedicated to serving our communities. With more than 27 specialties and services including primary care and gynecological and obstetrical services, NHMP connects you to one of the largest healthcare systems in the Mid-Hudson Valley and northwest Connecticut.

Emergency Medicine Residency - Nuvance Health Learning Institute (12)

Off-Campus Training Sites

Our programs support away rotations in sub-specialty areas for Pediatrics, at regional Burn Centers, and at major Transplant Centers. These away rotations are structured to enhance trainee experience and provide involvement in the care of patients in these unique settings. We currently support away rotations with New York Presbeterian – Columbia Campus, Connecticut Children’s Medical Center, Albany Medical Center, Westchester Medical Center, and University of Vermont Medical Center.

Additionally, some of our Connecticut Residency and Fellowships are affiliated with Yale New Haven Health and participate in Yale based rotations, lecture series, and didactic experiences.

More Facilities

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Emergency Medicine Residency - Nuvance Health Learning Institute (2024)

FAQs

How competitive am I for emergency medicine residency? ›

Emergency Medicine Residency Competitiveness

94% of allopathic US senior allopathic EM applicants. 88.3% of osteopathic applicants successfully matched into emergency medicine.

How hard is it to get residency in emergency medicine? ›

Emergency medicine residency programs are moderately competitive. Broad generalizations: Less competitive specialties include psychiatry, pmr, internal medicine, pediatrics, obgyn, and family medicine. The moderately competitive specialities include general surgery, emergency medicine, radiology, and anesthesiology.

How stressful is emergency medicine residency? ›

Residency is a tense and high workload period because the emergency department is one of the most stressful environments where physicians and other staff are faced with multiple crises. Therefore, emergency medicine residents usually experience high stress as a precursor to occupational burnout syndrome.

What is the hardest doctor residency? ›

What are the most competitive residencies? Competitive residencies are often specialties requiring extensive training, such as plastic surgery, thoracic surgery, and radiology. Their competitiveness stems from the intensive nature of the programs and the limited number of positions available.

Where do ER doctors make the most money? ›

Just like other professions, salary is partially determined by the cost of living and demand in the area. According to the 2022-2023 Emergency Physician Compensation Report, Florida, Arizona, and Texas are the top three best-paying states for emergency physicians.

What doctor has the easiest residency? ›

Easiest Doctor to Become: Family Doctor

The simple answer is that it takes the least amount of time. After your four years at medical school, (or a 3-year medical school) you can do a three-year family medicine residency, pass your board exams, and that's it, you're a doctor!

What is the salary of emergency medicine residency in USA? ›

As of Sep 12, 2024, the average annual pay for an Emergency Medicine Residency in the United States is $99,838 a year. Just in case you need a simple salary calculator, that works out to be approximately $48.00 an hour. This is the equivalent of $1,919/week or $8,319/month.

How many EM interviews to match? ›

The probability of matching is related to the number of contiguous ranks. For allopathic and osteopathic senior medical students, the probability of matching is 80% at around 6–7 contiguous ranks and becomes > 95% at around 11–12. Therefore, the typical applicant should aim for 11–12 interviews.

What are the disadvantages of being an ER doctor? ›

High pressure. The role can come with a lot of pressure. Some patients' needs may extend beyond the help the physician or care team can offer, leading to unfortunate patient outcomes. Doctors might have to assist multiple patients at once or make immediate decisions regarding the care a patient needs.

Is being an er doctor worth it? ›

So, is ER doctor a good job? If you can work under heavy stress, make decisions quickly, and survive the saddest scenarios, it indeed is. The pay is decent, the hours are fine and the role of emergency physicians is pivotal, making it a worthwhile opportunity for those pursuing a medical career.

Why are people not going into emergency medicine? ›

Potential reasons emergency medicine has become less desirable include the impact of COVID-19, economic workforce projections, scope creep by non-physician clinicians, increasing corporatization by contract management groups (CMGs), growing clinical demands outpacing pay, student loan burdens, physician suicide, ...

What is the most prestigious medical residency? ›

Top 10 Residency Programs in the US
  • Stanford University School of Medicine.
  • University of Pennsylvania (Perelman) School of Medicine.
  • Yale School of Medicine.
  • Brigham and Women's Hospital (Harvard Medical School)
  • University of North Carolina at Chapel Hill.
  • Children's Hospital of Philadelphia (CHOP)
Jul 5, 2024

What is the highest paid medical residency? ›

Resident salaries are not solely determined by the cost of living but by supply and demand. The highest specialty earners among residents include medical geneticists ($67,500) and allergists ($66,500); the lowest include family medicine ($57,400).

How to choose an EM residency program? ›

Factors Important for Residency Selection

Students applying to EM say many factors are important in deciding where they apply and ultimately rank programs, including geographic location, length of training, hospital type(s), clinical duties/experiences, reputation, program culture, and more.

What is the best degree for emergency medicine? ›

Best majors for emergency medicine physicians
RankMajorPercentages
1Medicine41.0%
2Biology12.8%
3Physician Assistant7.7%
4Osteopathic Medicine6.2%
1 more row
Apr 5, 2024

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