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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 – Thursday 6:30 AM to 8 AM (hospital rounds and ECT) and 1 PM to 5 PM (office); Friday 6:30 AM to 8 AM (hospital rounds and ECT); Saturday and Sunday start at 8 AM (hospital rounds)

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. You will be responsible for arranging your own transportation to these locations.

Inpatient/Outpatient US Clinical Experience
in Psychiatry

What you will do:

(Please note that this rotation will strictly be an observership) You will be under the supervision of a physician who is board-certified in psychiatry. The preceptor is actively involved in teaching family medicine residents from an HCA-affiliated residency program who spend time with the doctor in the outpatient practice. The physician holds hospital appointments at Memorial Hermann Southwest, West Oaks Hospital, and Houston Behavioral Hospital.

On most days of the rotation, you will be spending time in the inpatient mental health units of several hospitals. As you observe encounters between the preceptor and hospitalized patients with acute psychiatric illness, you will see how interviews and mental status examinations are performed in patients in crisis. Discussions following these encounters will help you improve your abilities to develop differential diagnoses and select appropriate tests. You will learn how assessments and plans are made using a bio-psycho-social model. On the inpatient units:

  • You will observe how psychiatrists care for patients with psychiatric disorders in a respectful manner.

  • You will observe effective communication strategies and professional behaviors between psychiatrists and patients, families, and staff.

  • You will learn the major DSM-IV signs and symptoms for Bipolar Disorder, Delirium, Dementia, Generalized Anxiety Disorder, Major Depressive Disorder, Panic Disorder, Schizophrenia, Substance Abuse & Dependence, and Substance Intoxication & Withdrawal.

  • You will learn the indications, mechanism of action, and adverse effects of psychoactive medications.

  • You will learn about the medico-legal aspects related to involuntary hospitalization and the importance of confidentiality.

You will also be able to observe electroconvulsive therapy (ECT). You will learn about the indications for this treatment, how patients are evaluated for this procedure, how the procedure is performed by a team of trained professionals, and side effects as well as safety concerns. To prepare for this aspect of the rotation, read the following:

Exploring Electroconvulsive Therapy in Psychiatry

In the outpatient clinic, you will observe the evaluation and management of patients with mood disorders, anxiety disorders, psychotic disorders, personality disorders, and substance use disorders.

Please note that this is a fast-paced rotation that will expose you to a wide range of psychiatric disorders in both the inpatient and outpatient settings. Although you may have some opportunities to ask patients questions, this rotation is best classified as an observership.

Who should consider this rotation:

International medical graduates (IMGs) and students seeking US clinical experience in psychiatry. IMGs seeking careers in family medicine or internal medicine will also find this rotation particularly useful since mental health problems are common in these specialties.

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.


It provided an exceptional learning experience due to its diverse exposure to various settings within the field. Throughout the rotation, we visited numerous hospitals, encountering a wide array of psychiatric cases and treatment modalities. From observing electroconvulsive therapy (ECT) procedures to working in inpatient units and emergency departments, we gained firsthand insight into the complexities of psychiatric care. This exposure allowed us to witness different aspects of patient management and treatment approaches, enhancing our understanding of psychiatric disorders and their treatment across different clinical settings. The doctor was always open to answer our questions and provided us with incredible knowledge.


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