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Physician ID:
350
Hours:
Monday – Friday 9 AM to 5 PM (inpatient rounds typically 9 AM to Noon with outpatient clinic 1 PM to 5 PM (weekend rounding optional)
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 20 miles from downtown).
Inpatient and Outpatient US Clinical Experience in Internal Medicine in Houston
Specialties: Internal Medicine
Location: Houston
Price:
Hospital Letterhead: No
Faculty Appointment: No
Information about this clinical experience:
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 practicing both hospital and outpatient medicine. The physician holds hospital appointments at several institutions, including the HCA Houston Healthcare System and St. Luke’s Health.
Hospital rounds will take place at several institutions. On a typical day, there will be 15-20 hospitalized patients spread across these different hospitals. Rotators will accompany the physician to the medical ward and the ICU to perform evaluations of newly admitted patients and assess the progress of established patients on the service. Thus, you will encounter patients with a range of conditions, some sicker than others. As some patients will require preoperative evaluation prior to surgery, this will also be an excellent opportunity to understand how such patients are evaluated prior to surgery and then followed in the postsurgical or post-procedure period.
In the clinic, you will see patients with both acute complaints and chronic disease. 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. Patients have consistently praised this preceptor for being a patient and attentive listener and a caring and compassionate healer. Many patients are grateful of the doctor’s efforts to dig deep below the surface to get to the root cause of their problems.
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:
Taking patient histories under supervision.
Performing exams under the physician's supervision.
Presenting patients.
Writing or entering notes in the EMR (eClinicalWorks in the clinic and Athena in the hospital)
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.
Testimonials
I had a really great experience working with Dr. X during my rotation. It was an ambulatory surgical center and was very busy with a high volume of cases, however, Dr. X always made sure it was a learning environment for me. During the rotation, I spent three days a week in the OR and two days in the outpatient clinic. The OR was quite busy, with around 12–15 surgeries per day, and I had the opportunity to assist in several of them, which was a valuable hands-on experience. One unique aspect of this rotation was the opportunity to be trained by the OR and recovery room nurses on pre-operative, intra-operative, and postoperative patient care, which is something I haven’t experienced as much in other settings and found really helpful.
I also really like how Dr. X made the operating room environment very interactive. The doctor would initiate conversations during cases, ask relevant clinical questions, and encourage me to think through the steps,
and gave me space to share my own ideas, which made the overall experience very engaging. Dr. X was always approachable and took the time to explain things clearly about surgical decision-making. Also, I really appreciate how the doctor always encouraged teamwork during patient care, which i think is very important. Overall, this month-long rotation really shaped me as an aspiring surgeon, and I’m very grateful for the opportunity to work with the doctor. Dr. X is a great mentor who genuinely cares about both patients and students. I would definitely recommend this rotation for anyone interested in surgery.
DS
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