.jpg)
Interested in learning more about this rotation? Start the process for a free introductory meeting with our team
Physician ID:
361
Hours:
Monday, Wednesday, and Friday – 7 AM to 4:30 PM; Tuesday and Thursday 7 AM to 3:30 PM (inpatient rounds typically 7 AM to 8 AM)
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: Richmond
This inpatient and outpatient US clinical experience will take place approximately 45 miles southeast of Richmond, Virginia. The hospital and clinic are located next to each other. For the one day per week that is spent at the independent living or assisted living center, rotators will be responsible for arranging their own transportation.
Inpatient and Outpatient US Clinical Experience in Internal Medicine in Richmond
Specialties: Internal Medicine
Location: Richmond
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 Sentara Health. The preceptor has experience as an educator through an affiliation with the VCU School of Medicine.
Hospital rounds will take place in the morning before clinic. As more hospitals are moving to the hospitalist model for inpatient care, fewer physicians are involved in the care of both inpatients and outpatients. This preceptor feels strongly that hospitalized patients experience continuity of care when they are hospitalized. Therefore, the preceptor has maintained a hospital practice along with clinic duties. The typical hospital census is 2-3 patients.
In the clinic, you will see patients with both acute complaints and chronic disease. On a typical day, approximately 25 patients are seen. This will be an excellent opportunity to see how a physician with several decades of practice skillfully deals with all sorts of challenging issues. You will see how strong relationships between patients and physicians can enhance compliance, increase satisfaction, and improve outcomes. 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 genuine, devoted to their care, and having unlimited patience.
One day per week, you will accompany the preceptor and the nurse practitioner to a retirement community where you will see patients who are residents of either independent living or assisted living. Assisted living provides residents with the necessary support for personal care, dressing, eating, mobility, and medical management. In addition to rounding on select patients living there, you will also see patients in their attached clinic.
Please also note that you will be assigned topic presentations to deliver through the course of this clinical experience. This will be good practice for your role as an internal medicine resident when you will be expected to present topics in morning report and other conferences.
After a one week of observation, you will take on an increasing role in patient encounters and learn the community following under the preceptor’s supervision:
Taking patient histories under supervision.
Performing exams under the physician's supervision.
Presenting patients.
Accessing the EMR (eClinicalWorks).
Researching the literature to answer clinical questions at the point of care.
Giving topic presentations.
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.
Testimonials
This rotation provides students a very good learning opportunity and gives great insight into the working life of a Cardiologist. This preceptor makes a strong effort for students to get the most out of the rotation. He encourages questions and provides thorough explanations. Although this rotation is intended as a learning opportunity for the student, he integrates you very well into his practice and makes you feel like you are a valuable member of the team. You will have the opportunity to see many patients in clinic. You will take histories and physical exams of these patients and then present them to the preceptor followed by your own assessment and plan, with subsequent constructive feedback from the preceptor. In clinic, you will also have the opportunity to perform ECGs, observe venous ablation procedures, observe and interpret treadmill stress tests, and receive an introduction on how to interpret nuclear stress tests. You will have the opportunity to round on patients 2-3x times a week in the hospital and compose progress notes about them in the electronic medical record. You will also have the opportunity to compose consultation notes in the electronic medical record about newly admitted patients. You will have the opportunity to present these patients to the preceptor and receive guidance and constructive feedback about your notes. In the hospital, you will have the opportunity to observe angiograms/angioplasties and pacemaker implantations. During your entire rotation, you will also work closely with two knowledgeable nurse practitioners who are kind, patient, and interesting in helping you become successful during your time on this rotation. I highly recommend this rotation. I am confident that you will learn a lot and enjoy your time working with this preceptor and his team.
TG
- 1229Page 759