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inpatient/OUTPATIENT US clinical experience
IN internal medicine / icu / pulmonology
Specialty: Internal Medicine / ICU / Pulmonology / Sleep Medicine
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MD2B Connect Physician ID # 37
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Where will this rotation take place: This combined inpatient and outpatient US clinical experience will take place in Huntington Beach.
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Hours:
Outpatient
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Monday 8:30 AM to 6 PM (in office with NP or PA until 1 PM and then with attending from 1 to 6 PM)
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Tuesday 8:30 AM to 7 PM (in office with NP or PA until 2 PM and then with attending from 2 to 7 PM)
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Wednesday 8:30 AM to 5 PM (in office observing/participating in allergy testing with medical assistant)
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Thursday 10 AM to 3 PM (in office with attending)
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Friday 9 AM to 5 PM (in office observing/participating in pulmonary function testing with technician)
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For those who are interested, there are sleep studies that take place on most evenings beginning at 6:30 PM.
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Inpatient
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Tuesday 9 PM to 11:30 PM (observing in ICU with attending)
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Wednesday 9 PM to 11:30 PM (observing in ICU with attending)
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One weekend per month (possible to spend time observing in ICU with attending; please check with attending for availability)
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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 board-certified in internal medicine, pulmonary / critical care, and sleep medicine. Although you will be seeing patients in his office, you will also spend part of your time observing in the ICU. This physician holds staff appointments at Fountain Valley Regional Hospital, Orange Coast Medical Center, South Coast Global Hospital, Foothill Regional Hospital, and Hoag Medical Center. He is an Associate Professor of Medicine at Western University of Health Sciences.​
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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 under supervision.
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Performing physical exams under the physician's supervision.
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Presenting patients.
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Writing or entering clinic progress notes under supervision.
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Performing and interpreting spirometry under supervision.
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Observing and interpreting pulmonary function tests and cardiopulmonary exercise tests.
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Being involved with patients in the Sleep Lab and learn how to read sleep studies.
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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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Delivering talks about important topics.
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Have opportunities to teach other team members.
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Learning about billing and coding.
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​The activities above will mostly take place in the outpatient setting. As a result of hospital policies, inpatient activities will be more observational.
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In the inpatient setting, you will learn the following under the preceptor’s supervision:
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Rounding on critical care ICU patients in an observer role.
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Rounding on consults in the hospital in an observer role.
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Observing procedures, including central lines, A-lines, chest tubes, thoracentesis, bronchoscopy, etc.
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Please note that in the ICU, you will be purely observing.
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You will receive regular feedback on your performance.
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Who should consider this rotation: International medical graduates (IMGs) and students seeking US clinical experience in internal medicine. IMGs seeking careers in internal medicine, pulmonology, critical care, and sleep medicine will also find this rotation particularly useful.
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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
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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 ​​
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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.
​​​
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