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Physician ID:

328

Hours:

Monday – Friday 8:30 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.

Location: Houston

This combined inpatient and outpatient US clinical experience will take place in Houston approximately 65 miles north of downtown.

Inpatient/Outpatient US Clinical Experience in Critical Care/Pulmonology in Houston

Specialties: Pulmonology, Critical Care, Internal Medicine

Location: Houston

Price: 

Hospital Letterhead: No

Faculty Appointment: Yes - Faculty Member of Family Medicine Residency Program at Sam Houston State University

Information about this clinical experience:

You will be under the supervision of a physician board-certified in internal medicine and pulmonary / critical care. This physician holds a hospital appointment within the HCA Houston Healthcare System as well as other hospitals in the greater Houston area. The preceptor is an experienced educator and teaches family medicine residents at Sam Houston State University.


During this clinical experience, you will split your time between the inpatient and outpatient settings. In the hospital, you will take part in daily rounds within the intensive care unit. A wide range of patients with life-threatening conditions will be seen. The emphasis will be on learning how to stabilize, evaluate, and treat these critically ill patients while working within a multidisciplinary team. Rotators will have the opportunity to observe bronchoscopy, thoracentesis, and other procedures. To prepare for the critical care part of this clinical experience, we recommend using the following resources:


Medical Student’s Guide to the Intensive Care Unit

The ICU Survival Book


In the clinic, you will encounter the typical conditions seen in an outpatient pulmonology practice, including obstructive sleep apnea, COPD, asthma, interstitial lung disease, and lung cancer. Students will be able to observe how PFTs, home sleep studies, and walk tests are performed and interpreted. We recommend that you read the following articles to help you prepare for the clinical experience:


A Comprehensive Review of Obstructive Sleep Apnea

An Update on Obstructive Sleep Apnea Syndrome—A Literature Review

Management of Chronic Obstructive Pulmonary Disease: A Review Focusing on Exacerbations

Going Back to the Basics: An Asthma Review

Interstitial Lung Disease: A Review


The practice has an active research focus and is a center for clinical trials. Currently, 3-4 trials are underway involving patients with obstructive sleep apnea, COPD, and lung cancer. Rotators can observe how the preceptor’s research team screens patients for enrollment, performs follow-ups, and monitors progress. As clinical trials are often done in hospitals and outpatient practices associated with residency programs, this can be an excellent opportunity to gain insight into this important area.


During your experience, you will learn the following U.S. medical practices under the preceptor’s supervision:


  • Taking patient histories under supervision.

  • Performing physical exams under the physician's supervision.

  • Presenting patients.

  • Interpreting pulmonary function tests and thoracic imaging.

  • Researching the literature to answer clinical questions at the point of care.


The activities above will mostly take place in the outpatient setting. As a result of hospital policies, inpatient activities will be more observational.

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, and critical care will also find this rotation particularly useful.

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.

Testimonials

My four-week Internal Medicine rotation with Dr. X was truly an exceptional experience, and I could not have asked for a better preceptor. What I appreciated most about the preceptor was how genuinely thoughtful and considerate the doctor was toward rotators. Dr. X always made sure we had enough time to interact with patients, take histories, perform physical examinations, and gain meaningful hands-on clinical experience. The doctor encouraged us to ask questions, engage in discussions, and think critically about different patient presentations. Dr. X also took the time to explain interesting cases and share clinical reasoning, which helped me develop a deeper understanding of Internal Medicine.

Another highlight was the opportunity to prepare and deliver presentations on various medical topics. This motivated me to review current literature, read research papers, and stay updated on recent clinical evidence. The preceptor consistently provided constructive feedback and practical suggestions on how we could improve our clinical skills, knowledge, and presentations.

Beyond clinical education, Dr. X was also an excellent mentor who generously shared advice about medicine, career development, and life in general. Watching the doctor interact with patients was another invaluable learning experience. The doctor has built wonderful relationships with them, and patients were consistently welcoming and kind to us as rotators.

I also greatly appreciated the doctor's thoughtfulness outside the clinical setting. Dr. X picked us up on time every day and made sure we got home safely, which made the entire rotation incredibly convenient and stress-free. Most importantly, the preceptor created an environment where learning was enjoyable, engaging, and rewarding. I genuinely looked forward to each day and had an amazing time throughout the rotation.

These were truly four of the most enjoyable and fulfilling weeks of my clinical training. I am extremely grateful for the teaching, mentorship, generosity, and kindness. I wholeheartedly recommend this preceptor to anyone looking for an outstanding Internal Medicine clinical experience.

HJ

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