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

Physician ID:




Monday, Wednesday, Friday 6 AM to 3 PM; Tuesday and Thursday 6 AM to 1PM

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 inpatient and outpatient US clinical experience will take place in Houston, Texas (approximately 12 miles east of downtown). 

The preceptor is willing to provide transportation for rotators to and from various locations. For this, it is strongly recommended that the rotator live close to the preceptor's residence. Please discuss with your Client Services Representative after purchasing this rotation. 

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 several institutions, including the HCA Houston Healthcare System, and has served as a clinical preceptor for first-year medical students from the Baylor College of Medicine.

In the clinic, you will see patients with both acute complaints and chronic disease. You will learn how to evaluate these patients through focused history-taking and examination and synthesize the data to form an assessment and plan. During discussions with the attending, important teaching points related to these cases will be shared with you. Of note, the patient population that the preceptor cares for includes many patients with multiple comorbidities. Therefore, this experience will be an excellent opportunity for you to learn how to manage patients with complex medical and social conditions. This physician is well-regarded for providing patients with personalized care and believes in taking the time necessary to listen to patients and make them feel heard.

Hospital rounds may take place at one or two institutions. Time spent in the hospital will make you more aware of how internal medicine physicians can remain involved in the care of their patients when they require a higher level of care. With more and more primary care physicians giving up their inpatient practice to hospitalists, care can become fragmented. In addition, some patients may be dissatisfied when their personal physicians are not involved during their hospitalization. In this rotation, because the preceptor will see patients in both the hospital and clinic, you will have the opportunity to observe how hospitalized patients respond when seen by their own personal physician in the hospital.

Through this experience, you will be exposed to several different EMRs, including NextGen EMR in the office and Meditech and Athena EMR in the hospital.

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 (NextGen EMR)

  • 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.

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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