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HOSPITAL MEDICINE US clinical Experience
in orlando
Specialty: Hospital Medicine
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MD2B Connect Physician ID # 105
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Where will this rotation take place: This inpatient US clinical experience will take place in Orlando, Florida.
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Hours: Monday - Sunday 7 AM to 7 PM (17 days on with 11 days off during 28-day rotation)
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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.
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What you will do: This is a fully inpatient rotation ideal for a student or graduate seeking to pursue residency training in internal medicine or family medicine, specialties in which 30 to 60% of your time during residency will be spent in the hospital setting. This rotation is also suitable for student pursuing other specialties in which hospital medicine is important, including anesthesiology, neurology, psychiatry, radiology, and other fields where a preliminary year in medicine (or transitional year) is required.
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You will be under the supervision of a board-certified family medicine physician. He holds hospital privileges at Advent Health East (formerly Florida Hospital East Orlando). He has had experience teaching international medical students and graduates, and this is part of what gives him joy in his professional life.
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You will see patients with the preceptor in the hospital from 7 AM to 7 PM. The typical patient census is 17-25 patients per day. You will see patients in the following areas:
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Medical-Surgical Unit
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ICU/CCU
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Progressive Care Unit (Step-Down Unit)
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Medical Telemetry
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Emergency Room
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Your morning will begin with prerounds during which you will check in with patients to assess how they are feeling and inquire about any new developments or events that have occurred overnight. You will also touch base with the nurse to understanding any nursing perspectives or concerns. After the pertinent data has been gathered, you will present your patients to the attending. You will then visit patients at the bedside with the attending. On a typical day, you will round on approximately 25 patients on different units of the hospital, including the
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Following attending rounds, you will accompany the preceptor to multidisciplinary rounds. This is a meeting attended by the attending physician, charge nurse and other registered nurses, case managers, and the pharmacist. During these rounds, every patient, new or old, is discussed as a group. A summary will be provided of the patient's reason for hospitalization, course of treatment, expected length of stay, necessary consults to be placed, plans for discharge, and follow-up care. Barriers to patient care and discharge will be raised and addressed. Your role will be to present your cases, answer questions, and take notes on action items for the patient's plan of care.
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After rounds are completed, you will work with the team to implement the day's plans. Periodically, your attending will be on call. With new admissions, you may be able to assist the attending on performing the history and exam in the ED, discuss differential diagnoses, formulate assessments and plans, and complete the admission workup.
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After a few days of observation, you will take on an increasing role in patient encounters and learn the following under the preceptor’s supervision:​
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Taking patient histories under supervision.
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Performing exams under the physician's supervision.
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Presenting patients.
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Access information in the EMR (Epic)
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Ordering tests and medications
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Requesting specialty consultations
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Researching the literature to answer clinical questions at the point of care.
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Educating patients under supervision.
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Spending time with other healthcare professionals to understand their roles and responsibilities.​
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You may have opportunities to attend Grand Rounds at the hospital as well as patient safety and ethics committee meetings.
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Who should consider this rotation: International medical graduates (IMGs) and students seeking US clinical experience in the hospital.
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How to obtain a letter of recommendation: The rotator should ask the preceptor for a LOR near the conclusion of the rotation. Dr. Desai has provided the physician with guidelines about best practices in letter writing that meet residency program requirements. In some cases, the preceptor may ask the rotator to write a letter of recommendation draft.
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​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.
hospitalist rotation #1
hospitalist rotation #2
hospital medicine US clinical Experience
IN orlando
Specialty: Internal Medicine
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MD2B Connect Physician ID # 232
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​Where will this rotation take place: This inpatient US clinical experience will take place in Orlando, Florida. ​
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Hours: Monday - Friday 7 AM to 2-3 PM (day may end at 7 PM when the doctor is on call). Please note this doctor may work for 7-12 days consecutively before having 2 days off. What this means is that you may be rotating in the hospital on some weekend days. (16 days on with 12 days off during 28-day rotation)
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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.
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What you will do: You will be under the supervision of a physician who is board-certified in Internal Medicine. Over 15 years practicing hospital medicine, he has enjoyed teaching international medical graduates. He holds hospital appointments at hospitals within the AdventHealth System. On average, you will round on approximately 18 patients per day with the attending physician.
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Two to three patients will be assigned to you and you will be expected to follow these patients from admission to discharge. You will arrive in the morning to complete prerounds with a focus on gathering patient information from the overnight period which you will then present to the attending during attending rounds. This preceptor strongly believes in collegiality and cooperation with nursing staff in the delivery of patient care. Therefore, part of your prerounds will involve discussions with nurses about the events that have occurred overnight, including their perspectives and concerns. This will be an excellent way to build your skills in interprofessional communication. Since residency programs value students who have these skills, this will enhance your strength as a residency candidate.
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Following this, you will continue prerounds by interviewing your 2-3 assigned patients. You will inquire about the symptoms that brought them to the hospital and any new symptoms or concerns they have. You will then present this information in a structured manner during attending rounds. This will help you hone essential skills in presenting cases. After you discuss your proposed assessment and plan, you will see the patient together to finalize the day's plan. During these discussions, the attending will share important teaching pearls. You will also be asked to interpret patient information and answer the question, "What would you like to do next for this patient?" Following the patient encounter, the attending will update the EMR with the patient's progress note and enter orders.
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When the doctor is on call, you can participate in the evaluation of new patient admissions through the Emergency Department. Please note that in the ED you will spend time with the nurse practitioner who is heavily involved in the admissions process. Please note that while AdventHealth has an internal medicine residency program, this opportunity does not involve patient care with resident physicians. You will be working directly with the attending physician.
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After a few days of observation, you will take on an increasing role in patient encounters and learn the following under the preceptor’s supervision:​
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Taking patient histories.
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Presenting patients.
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Researching the literature to answer clinical questions at the point of care.
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Educating patients.
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Delivering talks about important topics.
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Teaching other team members.
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​Who should consider this rotation: International medical graduates (IMGs) and students seeking US clinical experience in internal medicine.
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How to obtain a letter of recommendation: The rotator should ask the preceptor for a LOR near the conclusion of the rotation. Dr. Desai has provided the physician with guidelines about best practices in letter writing that meet residency program requirements. In some cases, the preceptor may ask the rotator to write a letter of recommendation draft.
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​​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.
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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
hospitalist rotation #3
hospital medicine US clinical experience
in Houston
Specialty: Internal Medicine
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MD2B Connect Physician ID # 124
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Where will the rotation take place: This inpatient US clinical experience will take place 25 miles north of downtown Houston.
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Hours: Monday - Friday 7 AM to 6 PM
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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.
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What you will do: This is a fully inpatient rotation ideal for a student or graduate seeking to pursue residency training in internal medicine or family medicine, specialties in which 30 to 60% of your time during residency will be spent in the hospital setting. This rotation is also suitable for student pursuing other specialties in which hospital medicine is important, including anesthesiology, neurology, psychiatry, radiology, and other fields where a preliminary year in medicine (or transitional year) is required.
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During this inpatient experience, you will be under the supervision of a board-certified internal medicine physician. He has hospital appointments at multiple hospitals, including HCA Houston Healthcare Conroe Hospital, HCA Houston Healthcare Kingwood Hospital, Tomball Regional Medical Center, Huntsville Memorial Hospital, Houston Methodist Hospital, and CHI St. Luke's Hospital.
Please note that while this attending physician is a core faculty member of the internal medicine residency program at the HCA Houston Healthcare Kingwood Hospital, the rotation will take place at a different hospital. Although the hospital where you will be based has a family medicine residency program, you will be working directly with the attending physician.
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​This preceptor is well regarded for his teaching. He is known to ask his students lots and lots of questions in a gentle way to promote learning. Through his style of teaching, you will be able to refine your skills in developing differential diagnoses and formulating assessment and management plans. You will learn how to synthesize data gathered from patients to make diagnoses and defend your clinical reasoning. When clinical questions arise at the point of care, you will be asked to prepare and deliver short presentations to the attending. Giving feedback is important to this preceptor; the frequent feedback you receive will help you grow through the course of the rotation.
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This preceptor is also known for his compassionate bedside manner. You will be able to observe how an experienced clinician communicates efficiently and caringly with a culturally diverse patient population. Empathy, respect, and sensitivity are hallmarks of this attending's bedside manner.
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The typical census is 18-20 patients per day. After a few days of observation, you will take on an increasing role in patient encounters and learn the following under the preceptor’s supervision:​
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Taking patient histories.
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Performing physical exams under the physician's supervision.
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Presenting patients.
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Have opportunities to research the literature to answer clinical questions at the point of care.
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Being involved in patient education.
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Giving talks. ​
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There may be opportunities to participate in scholarly projects. Learners should let the physician preceptor know as early as possible of their interest in participating in a project.
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​Who should consider this rotation: International medical graduates (IMGs) and students seeking hands-on patient care experience in hospital medicine.
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​How to obtain a letter of recommendation: The rotator should ask the preceptor for a LOR near the conclusion of the rotation. Dr. Desai has provided the physician with guidelines about best practices in letter writing that meet residency program requirements. In some cases, the preceptor may ask the rotator to write a letter of recommendation draft.
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​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.
hospitalist rotation #4
hospital medicine US clinical experience
in Philadelphia
Specialty: Internal Medicine
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MD2B Connect Physician ID # 209
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Where will this rotation take place: This inpatient US clinical experience will take place in Philadelphia, Pennsylvania (approximately 20 miles from downtown).
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Hours: Monday - Friday 5:45 AM to 2-4 PM
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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: This is a fully inpatient rotation ideal for a student or graduate seeking to pursue residency training in internal medicine or family medicine, specialties in which 30 to 60% of your time during residency will be spent in the hospital setting. This rotation is also suitable for student pursuing other specialties in which hospital medicine is important, including anesthesiology, neurology, psychiatry, radiology, and other fields where a preliminary year in medicine (or transitional year) is required.
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You will be under the supervision of a physician who is board-certified in Internal Medicine. The physician is on staff at Lower Bucks Hospital, and serves as Associate Program Director of an internal medicine residency program. He is also Director of the Hospitalist Program. He works closely with the internal medicine residents.
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As a core faculty member in an internal medicine residency program in Philadelphia, the attending physician is actively involved in resident education, and enjoys teaching and mentoring trainees.
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The typical day will begin at approximately 5:45 AM when you will meet the residents on your team at the hospital for patient handover from the night team. At this point, the patients will be divided among the residents on the team. Following this handover and assignment of patients, you will preround with the residents. The focus of prerounds will be to gather relevant information to assess patients and formulate the assessment and the day's plan. This information will be communicated to the team during teaching rounds and documented in the EMR.
Prerounds will last until approximately 8 AM at which point there will be a one-hour morning report. At morning report, the residents will convene to discuss interesting cases as "unknowns." Typically, cases are presented by PGY-1 residents and attendees work through the case to determine the diagnosis under the guidance of an attending physician.
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At approximately 9 AM, teaching rounds will begin during which patients on the service will be presented. The day's plan for the patients will be finalized during these rounds. Your interaction with the attending will take place during attending or teaching rounds. This is typically 1-1.5 hours in duration. Students interested in presenting cases to the attending should indicate that interest to the residents.
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Following teaching rounds, the team will work to implement the diagnostic and treatment plans. This may include completing notes, ordering labs, and arranging for patient discharge among other tasks.
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At Noon, there will be a one-hour confererence. This will be an educational session covering topics essential to the practice of internal medicine.
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In the afternoons, you will work with residents to work up patients and complete patient care related tasks. This may include visits to the Emergency Department to evaluate patients who are newly admitted.
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After a few days of observation, you will take on an increasing role in patient encounters and learn the following under the preceptor’s supervision:​
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Taking patient histories (no physical exams) under supervision.
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Presenting patients to the residents and attending physician.
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Researching the literature to answer clinical questions at the point of care.
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Giving topic presentations or talks to the team.
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Spending time with other healthcare professionals to understand their roles and responsibilities.​
Please note that, at times, you will round with one of his hospitalist colleagues.
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Please note that this experience requires a criminal background check or police report from your native country within the past year.
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Who should consider this rotation: International medical graduates (IMGs) and students seeking US clinical experience in internal medicine.
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​How to obtain a letter of recommendation: The rotator should ask the preceptor for a LOR near the conclusion of the rotation. Dr. Desai has provided the physician with guidelines about best practices in letter writing that meet residency program requirements. In some cases, the preceptor may ask the rotator to write a letter of recommendation draft.
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​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.
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hospitalist rotation #5
hospital medicine US Clinical experience
in Houston
Specialty: Internal Medicine
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MD2B Connect Physician ID # 225
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Where will the rotation take place: This is an inpatient US clinical experience which will take place 70 miles north of downtown Houston.
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Hours: Monday - Friday 8 AM to 5 PM
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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.
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What you will do: This is a fully inpatient rotation ideal for a student or graduate seeking to pursue residency training in internal medicine or family medicine, specialties in which 30 to 60% of your time during residency will be spent in the hospital setting. This rotation is also suitable for student pursuing other specialties in which hospital medicine is important, including anesthesiology, neurology, psychiatry, radiology, and other fields where a preliminary year in medicine (or transitional year) is required.
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During this clinical experience, you will be under the supervision of a board-certified internal medicine physician. The attending holds a hospital appointment at Huntsville Memorial Hospital. As a hospitalist and team leader of a group of hospitalist physicians, this physician has extensive experience in leadership and teamwork and is excited to share with students how collaborative care in the inpatient setting can lead to better outcomes for acutely ill patients.
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In this clinical experience, you will meet with the preceptor and the team upon arrival to receive an update and signout of patients from overnight. The updates will include a list of new and established patients. At this point, the list will be divided among the hospitalists and nurse practitioners. After a period of observation during which time you will become comfortable in your new environment, your preceptor will assign you several patients to follow. Your responsibilities will be to take their histories, gather all relevant information, and present these cases to the preceptor during attending rounds. At that time, you will discuss your thoughts with the preceptor and work together to formulate the day's plan of of care. New admissions will be accepted by the preceptor usually until Noon at which point admissions will be worked up by the nurse practitioners. After the plan of care is established, you will help the team execute the plan during the remainder of the day.
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This preceptor enjoys serving the diverse patient population of the community in which the hospital is located. Approximately 40% of the population is Black or Hispanic. The median household income of the community is lower than other parts of Texas and the percentage of residents with college degrees is approximately 20%. The community is in the bottom fifth of health rankings in a number of areas, including health behaviors and socioeconomic factors. What this means is you will be working with a largely underserved patient population offering you rich opportunities to impact the lives of these patients.
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Mortality rates in the community are higher in the community than other communities in Texas. The leading causes of mortality in this population are cancer, heart disease, chronic respiratory disease, cerebrovascular disease, diabetes, sepsis, dementia, and chronic kidney disease. From a preventive medicine standpoint, rates of screening for such diseases as breast cancer and colorectal cancer are low. This will present you with significant opportunities to educate patients about preventive measures that can save lives.
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​After a few days of observation, you will take on an increasing role in patient encounters and learn the following under the preceptor’s supervision:​
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Taking patient histories.
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Presenting patients.
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Writing notes (please note that these will be simulated notes for the doctor's review and will not be part of the medical chart)
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Have opportunities to research the literature to answer clinical questions at the point of care.
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Be involved in patient education.
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Working with other healthcare professionals to understand their roles and responsibilities.​
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​Who should consider this rotation: International medical graduates (IMGs) and students seeking US clinical experience in Internal Medicine.
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How to obtain a letter of recommendation: The rotator should ask the preceptor for a LOR near the conclusion of the rotation. Dr. Desai has provided the physician with guidelines about best practices in letter writing that meet residency program requirements. In some cases, the preceptor may ask the rotator to write a letter of recommendation draft.
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​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.​
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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
inpatient US clinical experience
IN internal medicine / Hospital medicine
Specialty: Internal Medicine
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MD2B Connect Physician ID # 267
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​Where will this rotation take place: This inpatient US clinical experience will take place in Los Angeles, California, and specifically in Orange County.
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Hours: Monday - Friday 6:30 AM to 5 PM
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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.
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What you will do: You will be under the supervision of a physician who is board-certified in Internal Medicine. This physician has over 15 years of experience practicing hospital medicine. The preceptor holds hospital appointments at hospitals within the KPC Health System as well as several other hospitals in Orange County.
Your day will be spent providing team-based care to inpatients at several different hospitals. For patients that are assigned to you, you will be expected to follow these patients from admission to discharge. Your day will begin with prerounds at one hospital where you will gather information from multiple sources (chart, nurses, patient interviews) so that you can bring the team up to speed on changes in the patients’ conditions from the previous day.
After you gather this information, it will be important to set aside time to prepare your oral case presentations. These presentations will be delivered to the attending physician during attending rounds which immediately follow prerounds. The preceptor expects that students will acquire the ability to deliver concise SOAP-based patient presentations that include relevant details. The physician would like students to show their diagnostic reasoning especially when presenting the assessment and plan. A plan should always be proposed because the exercise of synthesizing the data to come up with a plan is an important part of your professional growth. Please note that this attending will ask you to develop and defend your plan as a way for you to grow as a learner.
During attending rounds, you will accompany the physician as the team sees patients on the service. For patients that you are following, you will be expected to deliver the oral case presentation and engage in the discussion that follows.
After attending rounds, it will be time to repeat this entire process at the next hospital. On average, you can expect to visit 2-3 hospitals per day.
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After a few days of observation, you will take on an increasing role in patient encounters and learn the following under the preceptor’s supervision (please note that this experience remains within the regulations of California pertaining to the unlicensed practice of medicine. Externs will not be practicing medicine but will be learning under the guidance of the physician preceptor):
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· Taking patient histories.
· Presenting patients.
· Researching the literature to answer clinical questions at the point of care.
· Educating patients.
· Delivering talks about important topics.
· Teaching other team members.
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​Who should consider this rotation: International medical graduates (IMGs) and students seeking US clinical experience in internal medicine.
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How to obtain a letter of recommendation: The rotator should ask the preceptor for a LOR near the conclusion of the rotation. Dr. Desai has provided the physician with guidelines about best practices in letter writing that meet residency program requirements. 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