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outpatient US clinical experience
in cardiology
Specialty: Cardiology
MD2B Connect Physician ID # 126
Where will the rotation take place: This outpatient US clinical experience will take place in the Bronx at the preceptor's office. This rotation is currently unavailable through August.
Hours: Monday 10 AM to 6 PM; Wednesday 10 AM to 6 PM; Thursday 10 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: This is an outpatient experience under the supervision of a board-certified cardiologist who is Clinical Associate Professor at Albert Einstein College of Medicine. He holds hospital privileges at the Jack D. Weiler Hospital of the Albert Einstein College of Medicine where he is involved in the education of cardiology fellows through hospital rounds and lectures. He is also on staff at Montefiore Medical Center, Jacobi Hospital, Mt. Sinai Hospital, and Columbia Presbyterian Hospital.
Over his 30 plus years in cardiovascular medicine, he has made contributions in multiple areas, including patient care, teaching, and research. He is accomplished in research and is the recipient of many grants. He has published extensively in journals and books and enjoys serving as a reviewer for cardiology journals.
After a few days 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). This includes the following:
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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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Entering chart notes in EMR (EHI EMR)
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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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Teaching other team members.
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Have opportunities to give talks.
You will receive regular feedback on your performance.
At the end of your workday, after you have entered your notes in the EMR, the preceptor will review your documentation and make any necessary corrections and give feedback. He encourages his students to review his corrected notes so that they can see what improvements need to be made in their note-writing. Given the importance of documentation in the day to day work of residents in the U.S., this will be an excellent rotation to hone your written communication skills.
This preceptor will also push you to practice evidence-based medicine. You will learn about many studies in cardiology and how they form the basis for our treatment recommendations. Students rotating with this preceptor will also be given journal articles to read and learn how to appraise the literature in a critical manner. During your internal medicine residency, you will be expected to present articles during Journal Clubs and other conferences. Therefore, this experience will help you become a more effective presenter as you approach your residency training.
As this preceptor is very academic, there may be opportunities to participate in research projects. The availability of these projects is at the discretion of the preceptors, and interested students are encouraged to discuss this with the preceptor early in the rotation.
Who should consider this rotation: International medical graduates (IMGs) and students seeking US clinical experience in Internal Medicine or Family Medicine since cardiology problems are commonly encountered in these specialties.
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
audition rotation in cardiology
Specialty: Cardiology
MD2B Connect Physician ID # 241
Where will this rotation take place: This inpatient and outpatient US clinical experience will take place in New York City.
Hours: Monday - Friday 9 AM to 3 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 cardiovascular medicine and interventional cardiology. This attending is an Assistant Professor at the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell and Associate Program Director of the Cardiology Fellowship Program. He is on staff at Staten Island University Hospital where there is an IMG-friendly internal medicine residency program. As a graduate of the program, he is very close to program leadership, serves on the residency selection committee, interviews applicants for residency, and is willing to advocate for rotators that show strong work ethic, excellent teamwork, superb communication skills, and high degree of professionalism. Students who have rotated with him have secured interviews at the residency program and some have matched. As such, this clinical rotation is an audition rotation.
This attending physician strongly believes in developing close relationships with his students. Therefore, he likes to only have a very small number of students at a time. Rotators will spend time in both the inpatient and outpatient settings. Several days of the week will be spent entirely in the hospital observing procedures such as cardiac catheterizatons. The remaining time will be in the clinic where a range of patients with diverse cardiac conditions will be seen and evaluated.
This clinical experience will be highly educational. Here is how a past rotator described his learning experience under this attending physician:
The doctor has a great enthusiasm for teaching and great ability to make the student understand medical concepts. His first words to me were you will have fun doing this rotation. On the first day, I was taught how to correctly read an ECG, identify the findings of MI, the expected area of hypokinesis on the echocardiogram, and which coronary artery is involved. From that time, he always brought up different subjects which I would be asked questions about and then he explained the topic in great detail. He can also push people to their best efforts. I was fortunate and surprised to be able to hear splits, murmurs, and their respiratory variations.
Caring for patients with this attending physician will also allow you to observe his excellent bedside manner. Here is what one student said:
Besides knowing the patients individually and remembering their names and families, he has this knack of putting people at ease. I still remember when a middle-aged gentleman was brought to the ED for first time diagnosis of CHF. He was crying when he learned about his diagnosis but in around a minute and a half of his conversation with the doctor, he started smiling, feeling reassured. He explains issues in easy-to-understand language...
After a few days 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):
-
Taking patient histories.
-
Performing physical exams under the physician's supervision.
-
Presenting patients.
-
Researching the literature to answer clinical questions at the point of care.
-
Educating patients.
-
Spending time with other healthcare professionals in the office to understand their roles and responsibilities.
You will receive regular feedback on your performance.
You may have opportunities to attend the Clinical Case Conference at the hospital during which cardiology attendings, cardiothoracic surgery attendings, and cardiology fellows meet to discuss challenging cases to facilitate clincial decision-making.
Who should consider this rotation: International medical graduates (IMGs) and students seeking US clinical experience in family medicine, internal medicine, or cardiology.
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