Doctor and Patient

cleveland internal medicine

inpatient/outpatient externship

in internal medicine

Specialty: Internal Medicine

MD2B Connect Physician ID # 181

Where will this rotation take place: This hands-on inpatient and outpatient rotation will take place in Cleveland, Ohio. ​

Hours: Monday - Friday 7:30 AM to 6 PM

Hours have been provided by the preceptor. Hours are subject to change at the preceptor’s discretion, but the minimum total hours will remain approximately the same.


What you will do: You will be under the supervision of a physician who is board-certified in Internal Medicine. The physician is on staff at Cleveland Clinic Fairview Hospital, Cleveland Clinic Lutheran Hospital, and St. Vincent Charity Medical Center, and serves as Associate Program Director of an internal medicine residency program. The physician is also Clinical Assistant Professor of Medicine at Northeast Ohio Medical University.

As a core faculty member in an internal medicine residency program in Cleveland, the attending physician is actively involved in resident education, and enjoys teaching and mentoring medical students, international medical graduates, and residents. 

During this rotation, you will split your time between the inpatient and outpatient settings. The hands-on component of this rotation will take place every day at the preceptor's clinic. Opportunities to round at the hospital will also be available but the amount of time spent at the hospital depends upon the patient census on the physician's hospital service. In the hospital, your role will be more observational. 

Please note that on Wednesdays you will accompany the preceptor to assisted living facilities and nursing homes. You will typically evaluate these patients and then update the preceptor during rounds on their conditions. During COVID to this point, however, these facilities have not allowed students into their facilities. Therefore, Wednesday will be an off day until the facilities relax their policies. 

After one week of observation, you will take on an increasing role in patient care (please note that this is not a shadowing observership; you will be actively involved in patient care):


  • You will take patient histories.

  • You will perform physical exams under the physician's supervision.

  • You will present patients.

  • You will research the literature to answer clinical questions at the point of care.

  • You will give topic presentations or talks to the team.

  • You will spend time with other healthcare professionals in the office to understand their roles and responsibilities.

As a result of hospital policies, inpatient activities will be more observational. The hands-on component of this rotation will mostly take place in the outpatient setting.

You will receive regular feedback on your performance. 

Although this position is largely clinical, there may be opportunities to take part in small projects such as case reports. Such opportunities, if available, will be presented to the rotator but at the preceptor's discretion. If you are interested, please communicate your interest to the preceptor. 

Who should consider this rotation: International medical graduates (IMGs) and students seeking hands-on patient care experience in internal medicine.


​Will a letter of recommendation be offered: Yes, assuming that the IMG meets the expectations of the rotation. Dr. Desai will provide the physician with guidelines which will improve the quality of the letter. In some cases, the preceptor may ask the rotator to write a letter of recommendation draft. 

​During the rotation: Our team will be checking in periodically with you to ensure that you are having an optimal experience. We encourage you to contact us if you have any questions during the rotation.

See Where Our Students Applying to Internal Medicine Have Received Interviews or Matched

Read Dr. Desai's Interview with Dr. Roy Ziegelstein (Vice Dean for Education at Johns Hopkins University School of Medicine and Former Program Director of the Internal Medicine Residency Program at Johns Hopkins Bayview Medical Center) about How to Match Successfully in Internal Medicine


"The doctor is kind, empathetic and highly knowledgeable. His attitude towards his patients is exemplary. He answers all questions from patients and students alike with patience and understanding."

- Devika

"The preceptor is a clinician, hospitalist and a member of the teaching faculty at the medical school so I got the best of three different aspects of medicine-out and in-patient care plus an opportunity to make a presentation in the group on a topic given to us by the attending physician."

- Sushen

"The doctor is an excellent teacher and mentor. He motivates students to work hard and continuously update their medical knowledge. He is humble and understands challenges faced by students and provides suggestive feedback. We had daily discussions on focused topics and he would teach us latest updates. He methodically explained the importance of evidence-based physical examinations to develop differential diagnosis. Amazing teacher! His staff was extremely helpful and kind. This was an amazing learning experience!"

- Keyur

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To start, schedule a free introductory meeting with Dr. Desai and his team