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Physician ID:
248
Hours:
Monday - Friday 8 AM to 4 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
The outpatient US clinical experience will take place in Los Angeles, California. There are two practice locations approximately 40 miles apart. Three days of the week will be in one location and the remaining two days at the other location.
Outpatient US Clinical Experience in Physical Medicine & Rehabilitation in Los Angeles
Specialties: Physical Medicine & Rehabilitation
Location: Los Angeles
Price:
Hospital Letterhead: No
Faculty Appointment: No
Information about this clinical experience:
This is an outpatient experience during which you will be under the supervision of a board-certified physical medicine and rehabilitation physician who practices pain medicine. The physician is on staff at Hoag Hospital and Dignity Health.
During this clinical experience, you will see patients with a wide variety of musculoskeletal and spinal conditions. On a typical day, approximately 40 patients are seen on average. You will learn how to perform a thorough evaluation of patients, including an appropriate history and exam, to understand the root cause of the pain and assess current mobility and range of motion. The appropriate ordering and interpretation of imaging tests, including x-rays, CT scans, and MRIs, will be discussed.
This physician takes a comprehensive and holistic approach to the treatment of pain using modalities such as physical rehabilitation, lifestyle change, medications, procedural interventions, and minimally invasive surgery. You will be able to observe injections of steroids or nerve blocks (e.g., facet joint injections, epidural steroid injections, sacroiliac joint steroid injections, selective nerve root block, lumbar sympathetic block). Other procedures performed include pulsed radiofrequency treatment, laser-assisted discectomy, vertebroplasty, kyphoplasty, and spinal cord stimulation.
This physician is a dedicated teacher with experience precepting students from all over the world. The preceptor is invested in his students’ futures and is willing to make calls to residency programs on behalf of deserving students. Please note that the doctor's willingness to do so will depend on the quality of your performance.
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 the history.
Performing physical exams under the physician's supervision.
Presenting patients.
Have opportunities to research the literature to answer clinical questions at the point of care.
Being involved in patient education.
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 physical medicine and rehabilitation.
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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