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Physician ID:
267
Hours:
Monday - Friday 6:30 AM to 5 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: Los Angeles
This inpatient US clinical experience will take place in Los Angeles, California, and specifically in Orange County. As you will be visiting multiple hospitals throughout the day, please note that a vehicle will be required to travel between these locations.
Inpatient US Clinical Experience in Internal Medicine/Hospital Medicine in Los Angeles
Specialties: Internal Medicine
Location: Los Angeles
Price:
Hospital Letterhead: No
Faculty Appointment: No
Information about this clinical experience:
You will be under the supervision of a physician who is board-certified in Internal Medicine. This physician has over 15 years of experience practicing hospital medicine. The preceptor holds hospital appointments at hospitals within the KPC Health System as well as several other hospitals in Orange County.
Your day will be spent providing team-based care to inpatients at several different hospitals. For patients that are assigned to you, you will be expected to follow these patients from admission to discharge. Your day will begin with prerounds at one hospital where you will gather information from multiple sources (chart, nurses, patient interviews) so that you can bring the team up to speed on changes in the patients’ conditions from the previous day.
After you gather this information, it will be important to set aside time to prepare your oral case presentations. These presentations will be delivered to the attending physician during attending rounds which immediately follow prerounds. The preceptor expects that students will acquire the ability to deliver concise SOAP-based patient presentations that include relevant details. The physician would like students to show their diagnostic reasoning especially when presenting the assessment and plan. A plan should always be proposed because the exercise of synthesizing the data to come up with a plan is an important part of your professional growth. Please note that this attending will ask you to develop and defend your plan as a way for you to grow as a learner.
During attending rounds, you will accompany the physician as the team sees patients on the service. For patients that you are following, you will be expected to deliver the oral case presentation and engage in the discussion that follows.
After attending rounds, it will be time to repeat this entire process at the next hospital. On average, you can expect to visit 2-3 hospitals per day.
During your experience, you will learn the following U.S. medical practices under the preceptor’s supervision (please note that this experience remains within the regulations of California pertaining to the unlicensed practice of medicine):
Taking patient histories.
Presenting patients.
Researching the literature to answer clinical questions at the point of care.
Educating patients.
Delivering talks about important topics.
Teaching other team members.
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
Because this rotation takes place at a teaching hospital, I had the opportunity to join attending rounds while spending much of my time working alongside the residents. One of the greatest strengths of this rotation was the residents’ enthusiasm for teaching. They created a very welcoming and low-pressure environment where I felt comfortable asking questions, discussing cases, and learning throughout the day.
During attending rounds, I was able to present new consults as well as follow-up patients and receive feedback on my presentations and clinical reasoning. There were also opportunities to become more involved depending on the student’s initiative, such as sharing short teaching points or giving presentations to the team.
The attending was very approachable, energetic, and enjoyable to work with. Because of the doctor's significant responsibilities within GME, the preceptor was understandably very busy, which sometimes limited the amount of one-on-one time available. However, whenever I specifically asked for feedback - whether regarding my rotation performance, personal statement, or presentations - the attending was very willing to take the time to provide thoughtful and constructive guidance.
I think this rotation may be particularly rewarding for students who have already completed one or two U.S. clinical rotations and are comfortable taking initiative. For those students, there are many opportunities to engage with the team and make the experience as educational as possible.
EK
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