Interested in learning more about this rotation? Start the process for a free introductory meeting with our team
Monday - Friday 8 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.
This inpatient US clinical experience will take place in Fort Worth, Texas.
Inpatient US Clinical Experience in Internal Medicine
What you will do:
This is an inpatient experience during which you will be under the supervision of several board-certified internal medicine physicians. These physicians are hospitalists and hold staff privileges at Baylor Scott & White Health System, Medical City Fort Worth, and Texas Health Harris Methodist Hospital. Each physician works one week on and one week off. That means, during a typical month, you will work with each physician for a period of two weeks. Please note that there is an internal medicine residency program based at this hospital but the majority of the trainees are US MD and DO graduates.
You will encounter patients who are admitted with a wide range of presenting symptoms. Initially, the focus following admission will be on performing a thorough workup to establish the proper diagnosis and treatment plan. Once the treatment plan is determined, the patient will be followed by the team on a daily basis to monitor progress. Further adjustments to the management plan will then be made and the team will continue to follow the patient to discharge. The typical daily patient census is 20-22 patients.
Your morning will begin at 8 AM with interdisciplinary rounds with your attending physician, social worker, and discharge planner. These rounds are particularly useful for patients with complex medical and social problems who may have limited family support, financial limitations, or other barriers to care. These are factors that can prevent timely, efficient, and safe hospital discharge and the goal of these daily discussions is to avoid discharge delays in patients ready to leave the hospital. In the U.S., these delays are quite common and can cause patients to develop hospital-related complications, including infections, thrombotic events, and pressure ulcers. You will be able to observe how a hospitalist interacts effectively with other members of the healthcare team to prevent discharge-related delays and complications, and this will prepare you for interdisciplinary rounds that you will attend as a resident.
Following interdisciplinary rounds, you will accompany the attending physician on teaching rounds. During these rounds, patients on the service will be seen together as a team. The focus will be on assessing the patient’s condition, making note of how the condition has changed since the previous day, and formulating the day’s diagnostic and therapeutic management plan. These rounds will typically end at Noon.
In the afternoons, you will assist the attending physician as the doctor completes his tasks. This may include following up on any tests that have been ordered, placing consults for other specialty services, and answering any questions that patients and their families may have.
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 (generally on new patients).
Have opportunities to research the literature to answer clinical questions at the point of care.
Being involved in patient education.
Working 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.