.jpg)
internal medicine audition rotation
in Philadelphia
Specialty: Internal Medicine
MD2B Connect Physician ID # 209
Where will this rotation take place: This inpatient US clinical experience will take place in Philadelphia, Pennsylvania (approximately 20 miles from downtown). This rotation is currently unavailable through September 2023.
Hours: Monday - Friday 5:45 AM to 2-4 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 serves as Associate Program Director of an internal medicine residency program based in a teaching hospital located in a suburb of Philadelphia. He is also Director of the Hospitalist Program. He works closely with the internal medicine residents.
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.
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.
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.
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.
At Noon, there will be a one-hour confererence. This will be an educational session covering topics essential to the practice of internal medicine.
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.
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:
-
Taking patient histories (no physical exams) under supervision.
-
Presenting patients to the residents and attending physician.
-
Researching the literature to answer clinical questions at the point of care.
-
May give topic presentations or talks to the team.
-
Spending time with other healthcare professionals to understand their roles and responsibilities.
You will receive regular feedback on your performance.
Please note that, at times, you will round with one of his hospitalist colleagues.
This is an audition rotation and previous rotators have been invited for residency interviews at this program. However, your chances of securing an interview depend upon your clinical performance. An interview is not guaranteed. Since most of your day will be spent with the residents on the service, it will be important to develop strong relationships with these residents as they will provide input regarding your performance to the attending physician. Students who demonstrate a strong work ethic, excellent teamwork skills, high degree of professionalism, the willingness to help out whereever it is needed, and put the needs of patients first will be well received. This rotation is best suited for students who have experience in other rotations and are not afraid to appropriately assert themselves to maximize their learning. Since the residents on this service often switch every 1-2 weeks, students who are comfortable adapting to new situations and teammates wil find it easier to meet the needs of the rotation and residents.
Please note that this experience requires a criminal background check or police report from your native country within the past three months.
Who should consider this rotation: International medical graduates (IMGs) and students seeking US clinical experience in internal medicine.
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. Please note that the attending physician will write the letter based on his interactions with you during attending rounds and feedback provided by the residents you work with.
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
Internal medicine audition rotation
IN Newark
Specialty: Internal Medicine
MD2B Connect Physician ID # 216
Where will the rotation take place: This hands-on inpatient and outpatient audition rotation will take place in New Jersey (20 miles north of Newark). Please note that the preceptor has two offices that are located approximately 10 miles apart but you will not have to travel to both locations on the same day.
Hours: Rotators will spend approximately 15-24 hours week with the program director and his residents in the outpatient clinic (there will be 6-12-hour shifts in the outpatient clinic on two separate days and your assigned days will be communicated to you on the first day of the rotation). Every week, one half-day will be spent in didactic sessions. The inpatient component will take place during two weekends of every rotation (typically you will round on Saturdays for 4 hours on average),
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 combined inpatient and outpatient experience during which you will be under the supervision of a board-certified internal medicine physician. He is the program director of the Hackensack University Medical Center Transitional Year Residency Program and Professor of Medicine at Hackensack Meridian School of Medicine. He has a strong background in teaching, having trained numerous U.S. medical students, international medical students and graduates, as well as residents.
In this rotation, you will work as part of a team, reporting to both the attending physician and residents. This experience can be considered an audition rotation as the program director has chosen students who have rotated with him in the past to become residents in his program. Please note that your chances of being considered for a residency interview will be dependent upon the strength of your clinical performance and the relationships that you build with not only the attending physician but also the residents with whom you work.
Outpatient
In the outpatient setting, you will evaluate patients as part of a team, often accompanying a resident into the exam room for the encounter with the patient. Because the preceptor emphasizes the importance of patient-centered care, you will have the opportunity to see how such care is delivered and practice these techniques throughout the course of the rotation. The attending stresses getting to know the patient so that the treatment plan can be personalized to the patient's unique situation, a key aspect of improving outcomes. Beyond evaluating and treating patients with acute and chronic disease, rotators will note how best practices in preventive medicine are incorporated into outpatient care.
Approximately 60-70 patients are seen in a typical 12-hour day. Initially, you will take a more observational role. Once you are comfortable with the processes of the clinic, you can ask the residents to take on a more active role. This will include taking the history and performing the exam. Following the encounter, you will present the case to the attending. Then you will accompany the attending into the examining room where you will complete the patient visit. Please note that you will not have access to the EMR in this rotation.
At the end of your assigned day, the attending will often have an educational session during which he will quiz the students and residents on important learning points. He will commonly ask each learner "What did you read last night?" The expectation will be that you are reading regularly and that you will share what you have learned with the group.
Didactics
One half-day per week will be spent in didactics with residents and faculty in the program. Residents from the Departments of Internal Medicine, Family Medicine, Psychiatry, Physical Medicine & Rehabilitation, and Transitional Year Program will attend these didactics. These will be highly educational and are designed to help residents become knowledgeable and competent practitioners in medicine. Through this didactic program, students will be exposed to how residents are taught in residency programs and the role that residents play in educating others. Several hours of this didactic session will be led by the chief resident and will be a board review session focused on helping the residents prepare for their USMLE Step 3 exam. Questions will be presented to the group and a student or resident will be asked to read the question and offer his or her thoughts. Following this session, additional topic presentations will either be given by a guest speaker or the attending.
Inpatient
Two weekends of every month (typically total of 2 days inpatient/month with an average of 4 hours spent per day), you will have the opportunity to accompany the preceptor and his team into the hospital for patient rounds. Please note that during the hospital component of this rotation you will be only observing.
Feedback will be given on a regular basis from the residents and/or the attending physician. The supervisors are open to giving feedback and students should not hesitate to ask for it following specific activities such as taking histories, performing exams, presenting cases, etc. Being proactive in seeking feedback will allow you to grow from your experiences and make the most of your learning opportunities.
Activities will mostly take place in the outpatient setting. As a result of hospital policies, inpatient activities will be more observational.
Please note this rotation may have more than 12 rotators at a time.
Who should consider this rotation: International medical graduates (IMGs) and students seeking US clinical experience in Internal Medicine; IMGs seeking careers in internal medicine or family medicine.
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