Scientist Using Microscope

orlando nephrology

inpatient/outpatient externship

in nephrology

Specialty: Nephrology

MD2B Connect Physician ID # 207

Where will this rotation take place: This hands-on outpatient rotation will take place in Orlando, Florida.​

Hours: Tuesday - Friday 7:30 AM to 3 PM (and every other weekend). Please note that this rotation is mainly inpatient with 1/2 to 1 day per week in the outpatient clinic. You will be primarily based at one hospital. On Thursday and every other Wednesday, you will spend time in the outpatient clinic which is approximately 20 minutes drive from the hospital location.

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 and Nephrology. He is on staff at multiple hospitals within the AdventHealth Orlando system. He enjoys teaching and mentoring students. As an international medical graduate, he is well aware of the challenges that IMGs face in reaching their professional goals. 


In this experience, you will be exposed to a wide range of patients with kidney disorders. These will include primary kidney disorders as well as systemic conditions affecting the kidney. You will learn how to evaluate and treat patients with AKI, CKD, ESRD, electrolyte abnormalities, and acid-base disturbances. There will be opportunities to take part in the care of dialysis patients. As this preceptor is mainly hospital-based, you will see how nephrologists provide in-hospital consultations. 

Please note that the inpatient component of this clinical experience will be more observational due to hospital policies. However, in the outpatient clinic, you will have a more active role. 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):


  • You will take patient histories.

  • You will examine patients under supervision.

  • You will present patients.

  • You will improve your note writing by periodically submitting simulated progress notes to the preceptor for his review. 

  • You will research the literature to answer clinical questions at the point of care.

  • You will spend time with other healthcare professionals in the office to understand their roles and responsibilities.

You will receive regular feedback on your performance. 

Who should consider this rotation: International medical graduates (IMGs) and students seeking hands-on patient care experience. IMGs seeking careers in family medicine or internal medicine will find this rotation useful.

​Will a letter of recommendation be offered: Yes, assuming that the IMG meets the expectations of the rotation. Dr. Desai will provide the physician with guidelines which will improve the quality of the letter. 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


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