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.

• 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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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. 

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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 Medicine