Interested in learning more about this rotation? Start the process for a free introductory meeting with our team
Monday – Thursday 9 AM to 4 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: Los Angeles
This inpatient and outpatient US clinical experience will take place in Los Angeles, specifically in Orange County.
Inpatient/Outpatient US Clinical Experience in Family Medicine
What you will do:
You will be under the supervision of a physician who is board-certified in Family Medicine with considerable teaching experience. This physician is on staff at several long-term acute care hospitals in Orange County.
Mornings will mostly be spent in the preceptor’s outpatient practice, seeing on average 8-12 patients per day. In the clinic, you will see a range of issues with a focus on health promotion, disease prevention, and diagnosis and treatment of both acute and chronic illness. As a significant number of patients will have chronic conditions, this will be an excellent opportunity to become familiar with how family medicine physicians assess, monitor, and treat these problems. Of note, this physician is utilizing technology to provide better care for these patients. For example, through remote monitoring used by the practice, this physician can acquire information from patients between visits, allowing more frequent data points and the opportunity to change or adjust treatment at quicker intervals. This is part of a chronic care management program that the physician participates in, and this experience will allow you to become more familiar with how physicians tackle these challenging issues.
Most afternoons will be spent at long-term acute care facilities or skilled nursing units providing care to medically complex patients requiring extended time for recovery. On average, 15-20 patients are seen every day between several facilities. In these institutions, you will learn how to care for their diverse and many needs, dealing with such issues as polypharmacy, dementia and delirium care, capacity assessments, end-of-life planning, and fall risk reduction. You will also see how care of these patients requires input from and collaboration with families and interprofessional staff (e.g., nurses, physical and occupational therapists, etc.).
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 (please note that this experience remains within the regulations of California pertaining to the unlicensed practice of medicine. Externs will not be practicing medicine but will be learning under the guidance of the physician preceptor):
Taking patient histories.
Performing physical exams under the physician's supervision.
Writing or entering clinic progress notes (Practice Fusion EMR)
Researching the literature to answer clinical questions at the point of care.
Spending time with other healthcare professionals in the office to understand their roles and responsibilities.
Who should consider this rotation:
International medical graduates (IMGs) and students seeking US clinical experience. IMGs seeking careers in family medicine or internal medicine will find this rotation 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.