
Interested in learning more about this rotation? Start the process for a free introductory meeting with our team
Physician ID:
359
Hours:
Monday – Tuesday 11 AM to 5 PM; Wednesday 2 PM to 5PM; Thursday - Friday 11 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: San Francisco
This outpatient US clinical experience will take place in San Francisco.
Outpatient US Clinical Experience in Internal Medicine in San Francisco
Specialties: Internal Medicine
Location: San Francisco
Price:
Hospital Letterhead: No
Faculty Appointment: No
Information about this clinical experience:
You will be under the supervision of an internal medicine physician who has considerable experience teaching medical students. In the past, the preceptor taught students from the UCSF School of Medicine.
Through the course of over three decades in medicine, this physician has had a remarkable impact on several groups of patients that suffer from healthcare disparities. Both LGBTQ+ and HIV patients encounter significant barriers in accessing and receiving healthcare. Although there are many factors leading to disparities in the care of these patients, there is no doubt that inadequate clinician knowledge of or experience in LGBTQ+/HIV care contribute to the overall problem.
This stems from curricular gaps in undergraduate and graduate medical education, with one study showing only a median of 5 hours of time spent teaching LGBTQ health in U.S. medical schools. Of note, nearly one third of schools reported having zero hours of content in their curriculum. The lack of training and education in medical school and residency have made it difficult for these patients to find informed and knowledgeable clinicians to provide the care that they deserve. According to GlobalRxPh, 90% of primary care physicians rate their HIV knowledge as “none” or “low”.
As this physician preceptor is highly experienced in the care of LGBTQ+ and HIV patients, this will be an excellent opportunity to see how a primary care physician meets the diverse needs of this patient population. To help you make the most of your learning during this clinical experience, we recommend that you read the following resources:
A Guide to Taking a Sexual History (CDC)
Goals Framework for Sexual History Taking in Primary Care
Managing HIV in Primary Care: What Every Physician Needs to Know in 2025
Primary Care for Adults with HIV
Best Practices in LGBT Care: A Guide for Primary Care Physicians
The preceptor is known for having a wonderful bedside manner and is well regarded for the amount of time spent with patients. Patients praise this physician for being kind and attentive, a great listener, and making them feel heard and supported. The physician will be an excellent role model for rotators seeking to refine their communication skills.
During your experience, you will learn the following U.S. medical practices under the preceptor’s supervision:
Taking patient histories under supervision.
Performing exams under the physician's supervision.
Presenting patients.
Writing or entering progress notes (Practice Fusion EMR)
Researching 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 in internal medicine or family 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
With regards to skills, the preceptor had many. Firstly, Dr. X's bedside manner was exceptional, and the doctor had a welcoming personality which made communication more relaxed and open...The doctor explained difficult topics in a simplified manner, which made learning easier for both patients and observers...Dr. X and the other members of staff at both the office and hospital also showed me how information is entered into the EMR system, which was more complex than the paper-based system I am accustomed to.
At the hospital, I observed the doctor perform cesarean sections, but the most impressive procedure was a total laparoscopic hysterectomy using the da Vinci Xi robot. The level of precision and control demonstrated was remarkable and reflected Dr. X's years of experience...In the operating theatre, I interacted with several members of staff, including scrub nurses, anesthesiologists, and a pediatrician, who took the time to explain concepts such as neonatal resuscitation and postoperative pain management. I also met ward nurses, medical students, residents, and fellows, which provided opportunities for learning and networking.
The rotation was well-rounded, with exposure to both outpatient and inpatient care. Dr. X was always willing to teach, and the more questions you asked, the more the doctor engaged and explained. On quieter days, Dr. X would also take time to go through topics of interest. Overall, Dr. X was very supportive and encouraged improvement throughout the rotation.
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