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Interested in learning more about this rotation?  Start the process for a free introductory meeting with our team

Physician ID:




8:30 AM to 6 PM (2-3 days per week in outpatient clinic; the days you will be there will vary from week to week) and seven 12-hour shifts in the hospital (either 7 AM to 7 PM or 2 PM to Midnight)

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: Denver

This inpatient and outpatient US clinical experience will take place in Denver, Colorado (approximately 15 miles south of downtown). Please note that the hospital is located approximately 6 miles from the outpatient practice. Rotators will be responsible for their own transportation.

Inpatient/Outpatient US Clinical Experience in Internal Medicine

What you will do:

This rotation split between the inpatient and outpatient settings will be under the supervision of a board-certified internal medicine physician with years of experience educating U.S. medical students as well as international medical students and graduates. The physician holds hospital appointments at AdventHealth and has been a clinical preceptor for osteopathic students from Rocky Vista University where the doctor serves as a faculty member.

In the clinic, you will see patients with both acute complaints and chronic diseases. For patients with acute symptoms, the emphasis will be on acquiring relevant details of the history that will allow you to develop a sound differential diagnosis and reason through this differential until you establish a diagnosis and treatment plan. For patients with chronic disease, you will learn how to assess the status of these conditions and then adjust the treatment regimen. Behavior change that is necessary to improve health can be difficult for patients to implement. Rotators who spend time with this physician will be able to take note of how a seasoned clinician supports and encourages patients to effect change.

Of note, approximately 30% of patients seen in the clinic are non-English speaking. Participating in the care of these patients will allow you to appreciate how care can be delivered when there are language barriers.

You will also join the physician in the hospital. During these 12-hour hospital shifts, you will learn how a hospitalist evaluates, admits, and treats newly hospitalized patients and follows the progress of established patients.

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

  • Taking patient histories under supervision.

  • Performing exams under the physician's supervision.

  • Presenting patients.

  • Writing or entering notes in the EMR (Practice Fusion)

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

  • Educating patients under supervision.

  • Spending time with other healthcare professionals to understand their roles and responsibilities.

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.

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.


To start, schedule a free introductory meeting with the MD2B Connect team
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