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Physician ID:
8
Hours:
Monday - Friday 8:30 AM to 5:30 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
Your time will be split between the outpatient and inpatient settings. The inpatient setting of this US clinical experience is 25 miles southeast of downtown Houston. In addition, there are three clinics ranging from 15 to 35 miles southeast of downtown Houston. Rotators are responsible for their own transportation. A vehicle is recommended.
Inpatient/Outpatient US clinical Experience in Nephrology in Houston
Specialties: Nephrology
Location: Houston
Price:
Hospital Letterhead: Yes
Faculty Appointment: Yes - Baylor College of Medicine
Information about this clinical experience:
This is a combined inpatient and outpatient experience during which you will be under the supervision of a nephrologist who is a Clinical Instructor of Medicine at the Baylor College of Medicine. During fellowship training completed at Baylor, the preceptor was regarded as one of the program's finest teachers.
As you encounter patients with diverse renal problems in the clinic, dialysis unit, and hospital, you will learn how to take a focused or comprehensive history and exam depending upon the situation. You will be asked to interpret diagnostic studies in the context of the patient's clinical presentation and the attending will help you appreciate the limitations of these tests.
With end-stage renal disease patients approaching or on dialysis, you will learn not only about medical aspects of their disease but also psychosocial considerations, including the adjustments that patients must make when dealing with chronic illness and the effects of the illness on mental health.
The doctor will be fully engaged with you and, at times, will push you out of your comfort zone. This is done in a gentle but supportive way so that you will be ready to handle the challenging situations you will inevitably encounter as a resident.
Because this preceptor believes that all students need to be skilled in presenting patients, you will have many opportunities to practice, deliver, and refine your oral case presentations.
During your experience, you will learn the following U.S. medical practices under the preceptor’s supervision:
Taking patient histories.
Performing physical exams under the physician's supervision.
Presenting patients.
Writing or entering progress notes in the EMR.
Have opportunities to research the literature to answer clinical questions at the point of care.
Being involved in patient education.
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 both the inpatient and outpatient setting. IMGs seeking careers in family medicine or internal medicine will find this rotation particularly useful since problems involving the kidney are common in outpatient practice.
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
About the preceptor:
Dr. X fosters medical rotator autonomy. The doctor stands out for an ability to balance high-level clinical supervision with the trust placed in rotators. From the beginning, Dr. X didn't just treat me as an observer, but like a future colleague, involving me in the "behind-the-scenes" of medicine, such as billing-related discussions and Hospice IDT meetings. One of the doctor's greatest strengths is the approach to complex
patient management. Dr. X modeled how to handle patients with multiple comorbidities, including transplant recipients and amputees, without losing the human element of primary care. Dr. X was incredibly encouraging, and seeing the doctor's confidence in my clinical skills grow over the four weeks was a huge boost to my professional morale.
About the rotation:
Comprehensive clinical scope, combining inpatient, outpatient, hospice, and televisits, specially focusing on the longitudinal management of complex cases...Additionally, I was able to consolidate my knowledge on managing acute complications, such as Pseudomonas and Klebsiella cellulitis, and following sepsis protocols for infected pressure ulcers. Additionally, this rotation allows for time with physical, occupational, and speech therapists. It helped me understand the team-based approach to patient rehabilitation. At the clinic, this experience allowed me hands-on exposure to procedures like Dexcom placements, IM injections, and nebulizer preparations. Also, participating in the IDT meetings showed me exactly how a PCP coordinates care with therapists and specialists to manage hospice patients. The rotation is fast-paced, which was actually a strength as it forced me to refine my workflow and EMR documentation efficiency.
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