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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
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
With regards to skills, the preceptor had many. Firstly, Dr. X's bedside manner was exceptional, and the doctor had a welcoming personality which made communication more relaxed and open...The doctor explained difficult topics in a simplified manner, which made learning easier for both patients and observers...Dr. X and the other members of staff at both the office and hospital also showed me how information is entered into the EMR system, which was more complex than the paper-based system I am accustomed to.
At the hospital, I observed the doctor perform cesarean sections, but the most impressive procedure was a total laparoscopic hysterectomy using the da Vinci Xi robot. The level of precision and control demonstrated was remarkable and reflected Dr. X's years of experience...In the operating theatre, I interacted with several members of staff, including scrub nurses, anesthesiologists, and a pediatrician, who took the time to explain concepts such as neonatal resuscitation and postoperative pain management. I also met ward nurses, medical students, residents, and fellows, which provided opportunities for learning and networking.
The rotation was well-rounded, with exposure to both outpatient and inpatient care. Dr. X was always willing to teach, and the more questions you asked, the more the doctor engaged and explained. On quieter days, Dr. X would also take time to go through topics of interest. Overall, Dr. X was very supportive and encouraged improvement throughout the rotation.
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