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Physician ID:
130
Hours:
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.
Location: Houston
This US clinical experience will take place in the Texas Medical Center.
Inpatient US Clinical Experience in Nephrology in Houston
Specialties: Nephrology
Location: Houston
Price:
Hospital Letterhead: No
Faculty Appointment: No
Information about this clinical experience:
During this US clinical experience in nephrology, you will be under the guidance of a board-certified nephrologist. The preceptor rounds at multiple hospitals, including Houston Methodist Hospital, Baylor St. Luke's Hospital, Memorial Hermann Southwest Hospital, Kindred Hospital, and Cornerstone Hospital.
In this experience, you will be exposed to a wide range of patients with kidney disorders. These will include primary kidney disorders as well as systemic conditions affecting the kidney. You will learn how to evaluate and treat patients with AKI, CKD, ESRD, electrolyte abnormalities, and acid-base disturbances.
In the future as a resident, many of your hospitalized patients will have AKI. In fact, the rate of hospitalizations with AKI has been increasing. Over 50% of patients hospitalized for sepsis have AKI. While AKI is less common among patients hospitalized for non-sepsis infection and for cancer, over 20% of patients with these conditions will have AKI. As AKI is associated with higher incidence of chronic kidney disease and mortality, it is essential for physicians to have a strong understanding of how to evaluate and treat this problem.
Recommended articles to read for this clinical experience include:
Clinical Management of Hyperkalemia
Correction of Electrolyte Abnormalities in Critically Ill Patients
During your experience, you will learn the following U.S. medical practices under the preceptor’s supervision:
Taking patient histories.
Performing physical exams under the physician's supervision.
Presenting patients.
Writing progress notes in paper charts.
Have opportunities to research the literature to answer clinical questions at the point of care.
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. IMGs seeking careers in family medicine or internal medicine will find this rotation particularly useful since problems involving the kidney are common in inpatient and outpatient practice.
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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