.jpg)
orlando family medicine #1
inPATIENT US clinical experience
IN family medicine
Specialty: Family Medicine
MD2B Connect Physician ID # 105
Where will this rotation take place: This inpatient US clinical experience will take place in Orlando, Florida.
Hours: Monday - Sunday 7 AM to 7 PM (17 days on with 11 days off during 28-day rotation)
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 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.
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:
-
Medical-Surgical Unit
-
ICU/CCU
-
Progressive Care Unit (Step-Down Unit)
-
Medical Telemetry
-
Emergency Room
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.
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.
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.
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 under supervision.
-
Performing exams under the physician's supervision.
-
Presenting patients.
-
Access information in the EMR (Epic)
-
Ordering tests and medications
-
Requesting specialty consultations
-
Researching the literature to answer clinical questions at the point of care.
-
Educating patients under supervision.
-
Spending time with other healthcare professionals to understand their roles and responsibilities.
You will receive regular feedback on your performance.
You may have opportunities to attend Grand Rounds at the hospital as well as patient safety and ethics committee meetings.
Who should consider this rotation: International medical graduates (IMGs) and students seeking US clinical experience in the hospital.
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.
orlando family medicine #2
inPATIENT/outpatient US clinical experience
IN family medicine
Specialty: Family Medicine
MD2B Connect Physician ID # 142
Where will this rotation take place: This combined inpatient and outpatient US clinical experience will take place in Orlando, Florida. You will have the opportunity to accompany the preceptor to two hospitals, one of which is 8 miles from the preceptor's office and the other is 1 mile from the office). You will be responsible for arranging your own transportation.
Hours: Monday - Friday 7 AM to 5 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 board-certified family medicine physician. He holds hospital privileges at Advent Health. He has been involved in the education of family medicine residents from Florida Health, and these trainees sometimes rotate with him in his outpatient practice. He has several decades of experience as a clinician and educator. He has taught international medical graduates from all over the world, and this gives his professional life considerable meaning.
You will see patients with the preceptor in the hospital and his practice from 7:30 AM to 5 PM. The day begins with hospital rounds at Advent Health from 7:30 AM to 9 AM. Then you will see patients with the preceptor in is office until Noon. From 12:30 to 1:30 PM, you will return to the hospital with the preceptor to complete rounds. The remaining part of the day will be spent in his office seeing outpatients. Please note that the typical census in the hospital is 3-4 patients.
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 under supervision.
-
Performing exams under the physician's supervision.
-
Presenting patients.
-
Researching the literature to answer clinical questions at the point of care.
-
Educating patients under supervision.
-
Spending time with other healthcare professionals to understand their roles and responsibilities.
The activities above will mostly take place in the outpatient setting. As a result of hospital policies, inpatient activities will be more observational.
You will receive regular feedback on your performance.
Please note that 40-50% of the patients are Spanish-speaking.
Who should consider this rotation: International medical graduates (IMGs) and students seeking US clinical experience in family medicine in both the inpatient and outpatient setting.
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.
orlando family medicine #3
inPATIENT/outpatient US clinical experience
IN family medicine
Specialty: Family Medicine
MD2B Connect Physician ID # 230
Where will this rotation take place: This combined inpatient and outpatient US clinical experience will take place in Orlando, Florida. Two weeks of the experience will take place in the hospital with the other two weeks in the outpatient office. You will not have to visit the hospital and clinic on the same day. The two locations are approximately 10 miles apart.
Hours: Monday - Friday 8 AM to 5 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 board-certified family medicine physician. He holds hospital privileges at Advent Health, Orlando Health, and HCA Health. Originally from Florida, he completed his residency training in the Northeast before returning to Orlando several years ago. For many years, he has served as a hospitalist; recently, however, he also started an outpatient practice.
He is eager to grow his outpatient practice with a focus on wellness, nutrition, preventive medicine, and patient education and is excited to have students who are ready to make the most of these varied learning opportunities rotate with him. Since he is both a hospitalist and a primary care physician, you will be able to accompany him to the hospital where you will learn how to evaluate and manage patients with acute illness requiring hospitalization. Among the conditions you will encounter include heart failure, COPD, pneumonia, pyelonephritis, unstable angina, myocardial infarction, AKI, CKD and electrolyte abnormalities among a whole host of other conditions.
In the hospital, he hopes to highlight some of the challenges we face caring for patients especially at times of transition. For example, while the discharge process is essential to the delivery of high-quality care, the evidence indicates that many patients experience adverse events following discharge often due to poor communication between the hospitalist and the outpatient physician. Students rotating with him will be able to understand best practices in communication, why errors can occur, and what can be done to prevent or address these errors.
Students rotating with this preceptor will also understand how physicians can build strong relationships with patients through their bedside manner, using a combination of verbal and non-verbal communication. As this hospital serves a multcultural population, you will also be exposed to diverse cultures, ethnicities, and language backgrounds. With this exposure and the training you will receive from this physician, you will learn how to deliver culturally-specific care. You will also experience difficult patient situations; for example, when bad news needs to be delivered or delicate conversations need to be had with patients and families at the end-of-life. This will be an excellent opportunity to experience these important aspects of hospital care, and this will ready you for your own residency training.
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 under supervision.
-
Performing exams under the physician's supervision.
-
Presenting patients.
-
Entering notes (Athen Health EMR)
-
Researching the literature to answer clinical questions at the point of care.
-
Giving talks and teaching other team members
-
Educating patients under supervision.
-
Spending time with other healthcare professionals to understand their roles and responsibilities.
The activities above will mostly take place in the outpatient setting. As a result of hospital policies, inpatient activities will be more observational.
You will receive regular feedback on your performance.
Who should consider this rotation: International medical graduates (IMGs) and students seeking US clinical experience in family medicine in both the inpatient and outpatient setting.
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.