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Physician ID:
231
Hours:
Monday through 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: Los Angeles
This outpatient US clinical experience will take place in Los Angeles, California.
Outpatient US Clinical Experience in Family Medicine in Los Angeles
Specialties: Family Medicine
Location: Los Angeles
Price:
Hospital Letterhead: No
Faculty Appointment: No
Information about this clinical experience:
You will be under the supervision of a highly experienced family physician known for providing holistic care to patients through a combination of Western medicine, homeopathy, and other modalities. The attending had a background in surgery and surgical research before finding her calling in family medicine. After completing family medicine residency, the doctor opened up a practice in Southern California. The physician has held hospital appointments at Lakewood Regional Medical Center and Los Alamitos Medical Center. The preceptor has educated international medical graduates from all over the world and is dedicated to helping learners grow through experiences in the practice.
When the doctor opened the practice ten years ago, the doctor recalls that many patients were dissatisfied with conventional care. Medications were not always the answer and patients sought her advice about supplements and other non-traditional treatments. Hoping to provide these patients with other options, the physician trained in homeopathy and bio-identical hormone replacement therapy. One interesting treatment the doctor offers is hormonal therapy for patients suffering from traumatic brain injury symptoms. Research indicates that some TBI patients experience significant improvement with such treatment.
Seeing that many patients were suffering from depression, anxiety, addiction, and obsessive-compulsive disorder, the doctor also has made the treatment of these conditions a major part of the practice. Given that most patients with psychiatric illness initially present to their primary care physicians, the doctor feels that all doctors need to be well versed in the evaluation and management of patients struggling with their mental health. The physician is a known expert in Transcranial Magnetic Stimulation (TMS), a cutting edge treatment for depression. Of note, in the practice, the preceptor collaborates with a psychiatrist colleague. For one week of the rotation, students will spend time with the technician learning how to perform EEG, TMS, and neurofeedback. (Please note that this experience remains within the regulations of California pertaining to the unlicensed practice of medicine. Rotators will not be practicing medicine but will be learning under the guidance of the physician preceptor)
Rotators will have the opportunity to observe how the preceptor interacts with these patients in a compassionate manner. This preceptor is known for bedside manner, listening skills, and patient-centered nature. Patients appreciate that they are never hurried through their visit, with a typical visit lasting 30-45 minutes. Useful articles to read before starting the rotation include:
Managing Behavioral Health Issues in Primary Care: Six Five-Minute Tools
Bioidentical Hormones: An Evidence-Based Review for Primary Care Providers
Transcranial Magnetic Stimulation: A Clinical Primer for Nonexperts
Neurofeedback: A Comprehensive Review on System Design, Methodology and Clinical Applications
Who should consider this rotation:
International medical graduates (IMGs) and students seeking US clinical experience in family medicine. IMGs interested in psychiatry will also find this experience useful given the large number of patients seen in this practice with mental health illness.
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
About the preceptor:
Dr. X fosters medical rotator autonomy. The doctor stands out for an ability to balance high-level clinical supervision with the trust placed in rotators. From the beginning, Dr. X didn't just treat me as an observer, but like a future colleague, involving me in the "behind-the-scenes" of medicine, such as billing-related discussions and Hospice IDT meetings. One of the doctor's greatest strengths is the approach to complex
patient management. Dr. X modeled how to handle patients with multiple comorbidities, including transplant recipients and amputees, without losing the human element of primary care. Dr. X was incredibly encouraging, and seeing the doctor's confidence in my clinical skills grow over the four weeks was a huge boost to my professional morale.
About the rotation:
Comprehensive clinical scope, combining inpatient, outpatient, hospice, and televisits, specially focusing on the longitudinal management of complex cases...Additionally, I was able to consolidate my knowledge on managing acute complications, such as Pseudomonas and Klebsiella cellulitis, and following sepsis protocols for infected pressure ulcers. Additionally, this rotation allows for time with physical, occupational, and speech therapists. It helped me understand the team-based approach to patient rehabilitation. At the clinic, this experience allowed me hands-on exposure to procedures like Dexcom placements, IM injections, and nebulizer preparations. Also, participating in the IDT meetings showed me exactly how a PCP coordinates care with therapists and specialists to manage hospice patients. The rotation is fast-paced, which was actually a strength as it forced me to refine my workflow and EMR documentation efficiency.
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