Physician affiliations: Baylor St. Luke’s Medical Center

Rotation setting: Inpatient (1 month)

Invitation letter for visa support: Yes

Does the hospital have residency?: Yes

Grand rounds or Hospital rounds: Yes

LoR type: Performance-based, Hospital letterhead

Case report and Presentation/Publication: Yes, National conference presentation. Manuscript guidance will be provided only if students do the work, and students will cover the article processing fee.

Description: Baylor St. Luke’s Medical Center is a teaching hospital of Baylor College of Medicine, jointly owned with CHI St. Luke’s Health System. It has been recognized as the Best Hospital for 2022-2023 by the U.S. News & World Report, including second in Houston and third in Texas. These rankings are based on critical health elements, such as patient survival and safety, hospital reputation, and care-related factors. It is an internationally recognized leader in research and clinical excellence that has given rise to breakthroughs in cardiovascular care, neuroscience, oncology, transplantation, and more.

This hospital ranked among the top 50 out of 4515 hospitals. This clinical rotation is hands-on in a 100% hospital setting. The spots are limited due to hospital regulations, with 3–4 students maximum at a time in the morning and evening shifts.  So participants will be mentored closely, and their clinical skills will improve due to being part of a small cohort. This clinical rotation is scheduled on a week-on, week-off schedule for one month. So this will allow you to focus on your step exams while doing your rotations. The students will also work on a case study and be mentored to publish it at a national conference. Students need the approval of our mentors before submission of the case study to the national conference, which will go in the student’s CV as a publication. Only students participating in our rotation can participate in the case study; no other students or friends can be included in this publication. While rotating, the participants will perform physical examinations, present clinical cases, and have direct access to patient care and the hospital EMR system. Participants will be writing their own patients’ histories and physical examinations, reviewing medications, interpreting lab results, discussing differential diagnoses, and developing management plans. They will be exposed to primary care cases, including hypertension, diabetes, hypercholesterolemia, and other internal medicine-related cases. Letters of recommendation will also be issued based on the merits of the individual. Letters of recommendation will be given on the hospital letterhead.

Housing: Housing is mandatory for the students rotating at this location in Houston Healthcare Housing (https://www.jotform.com/form/231040261154137) due to its proximity to hospitals and safety issues.

Physician affiliations: Garnet Health Medical Center and New York  Cancer  &  Blood Specialists (NBCBS), Middletown, NY

Rotation setting: Inpatient + Outpatient (1 month)

Invitation letter for visa support: Yes

Does the hospital have residency?: Yes

Grand rounds or Hospital rounds: Yes

LoR type: Performance-based, Hospital letterhead

Case report and Presentation/Publication: Yes, National conference presentation. Manuscript guidance will be provided only if students do the work and students will cover the article processing fee.

Description:

• Full-time participation, Monday–Friday, in multidisciplinary inpatient/outpatient settings
• Small cohorts, ensuring one-on-one mentorship with attending hematologists/medical oncologists from Garnet Health & NBCBS
• Access to weekly tumor boards, grand rounds, and case conferences

• Manage a spectrum of solid tumors (breast, GI, lung, head/neck, etc.) and hematologic disorders (leukemia, lymphoma, myeloma, anemia, coagulopathies)
• Exposure to acute inpatient oncology, including tumor- or treatment-related complications, transfusions, and inpatient consultation
• Evaluate and follow continuity outpatient cases, including disease staging, treatment response evaluation, and survivorship planning

• Hands-on experience in chemo infusion suites: preparation, dosing calculations, line access, adverse event monitoring, and documentation
• Observe administration protocols, supportive care (antiemetics, hydration), and infusion reaction managemen
• Shadow nurses, pharmacists, and attendings in safe handling and post-infusion monitoring techniques

• Interpret labs (CBC, metabolic panels, tumor markers) for disease tracking and toxicity assessments
• Review diagnostic imaging (CT, PET-CT), biopsy results, and bone marrow aspirates under attending guidance
• Understand interpretation of coagulation profiles and peripheral smear evaluations

• Participate in tumor boards involving surgical oncology, radiation oncology, pathology, radiology, and supportive care teams.
• Coordinate with social work, nutrition, rehab, and palliative services to craft holistic care plan
• Engage with NBCBS’s community-based infusion and clinic network, including access to clinical trials

• Develop and present a case study on a notable clinical encounter
• Mentor-led guidance for submitting to a national conference

• Garnet Health and NBCBS operates multiple infusion centers, labs, and a robust clinical trials program
• Experience across inpatient, outpatient infusion, and consultative oncology environments, preparing students for residency clerkships in IM and hematology-oncology

Physician affiliations: HCA Houston Healthcare Houston and Houston Methodist Hospital

Rotation setting: Procedure + Outpatient + Inpatient (1 month)

Invitation letter for visa support: Yes

Does the hospital have residency?: Yes

Grand rounds or Hospital rounds: Yes (Need based)

LoR type: Performance-based, Hospital letterhead

Case report and Presentation/Publication: Yes, National conference presentation. Manuscript guidance will be provided only if students do the work and students will cover the article processing fee.

Description:

HCA Houston Healthcare Medical Center, is a leading tertiary care teaching hospital within the Texas Medical Center, Houston, Texas, recognized for its advanced cardiovascular services, state-of-the-art catheterization laboratories, and commitment to medical education and patient-centered care. Located near the Texas Medical Center, HCA Houston Healthcare Medical Center provides comprehensive cardiovascular care, including interventional cardiology, structural heart interventions, peripheral vascular procedures, electrophysiology, and advanced cardiac imaging. The institution is actively involved in training medical students, residents, and fellows through diverse clinical exposure and hands-on educational opportunities within both inpatient and outpatient settings.

Physician affiliations: Houston Methodist Hospital

Rotation setting: Hospital Outpatient (1 month)

Invitation letter for visa support: Yes

Does the hospital have residency? Yes

Grand rounds or Hospital rounds: Yes (Need base)

LoR type: Performance-based, Hospital letterhead

Case report and Presentation/Publication: Yes, National conference presentation. Manuscript guidance will be provided only if students do the work and students will cover the article processing fee.

Description: Houston Methodist Hospital, situated within the Texas Medical Center, has stood as a beacon of medical excellence and innovation since its establishment in 1919. Renowned for its commitment to high-quality, compassionate care, the hospital offers various medical specialties, including cardiology, oncology, neurology, and orthopedics. Houston Methodist consistently ranks among the top hospitals nationally with state-of-the-art facilities and a dedication to advancing medical knowledge through research and education. Affiliated with Weill Cornell Medical College, it hosts residency and fellowship programs while engaging in community outreach initiatives to enhance healthcare accessibility. Patient-centered care remains central to its mission, ensuring every individual receives personalized treatment and support, reflecting its enduring dedication to improving lives locally and globally.

The students will be rotated between Houston Methodist and HCA Houston Healthcare Medical Center at a hospital outpatient clinic with faculty. The clinical rotation schedule varies depending on the number of participants (3-5) in a month, but each participant has a full schedule from 8:30 a.m. to 2:30 p.m., followed by non-clinical activities. The student will be part of an inpatient and outpatient setting rotation. While rotating, the students will perform and write their physical examinations, review medications, interpret lab results, present clinical cases, discuss differential diagnoses and management plans, have direct access to patient care, and discuss cases. Participants will be mentored closely, and their clinical skills will improve due to being part of a small cohort at a time. The student will also work on a case study and be mentored to publish it at a national conference. Students need the approval of our mentors before submitting the case study to the national conference. Only students participating in our rotation can have their names in the case study; no other students or friends are allowed to be included in this publication.

The approximate breakdown of time for each component of the rotation is as follows:

1. Clinical time: 30 hours per week
2. Assignments: 5 hours per week (Self)
3. National conference presentation: 10-15 hours per month (Self)

The following are some of the commonly encountered cases that you will be exposed to during the rotation:

– Multiple myeloma: diagnosis, evaluation, and basic first-line treatment
– Acute lymphoid leukemia: diagnosis, evaluation, management of emergencies, and first-line treatment
– Acute myeloid leukemia
– Chronic lymphoid leukemia
– Chronic myeloid leukemia
– Polycythemia vera
– Myelofibrosis
– Management of lower extremity DVT and pulmonary embolism
– Sickle cell anemia (chronic management and management of patients admitted to the hospital)
– Assessment of anemia and how to work up a patient
– B-thalassemia (diagnosis and management)
– Evaluation and management of thrombocytopenia

Housing: Housing is mandatory for the students rotating at this location in Houston Healthcare Housing (https://www.jotform.com/form/231040261154137) due to its proximity to hospitals and safety issues.

Physician affiliations: Hospital Audition Rotation

(Department of Internal Medicine, under the direct observation of the Program Director or Associate Program Director)

Rotation setting: Inpatient + Outpatient

Invitation letter for visa support: Yes

Does the hospital have residency?: Yes

Grand rounds or Hospital rounds: Yes

LoR type: Performance-based, Hospital letterhead

Case report and Presentation/Publication: Yes, National conference presentation. Manuscript guidance will be provided only if students do the work and students will cover the article processing fee.

Description:

Training at this hospital will allow you to have an extensive experience in urban and suburban medicine. The program will provide a comprehensive clinical experience for interns, 2nd, and 3rd year residents needed for a successful career in internal medicine. They encourage a collaborative academic environment that emphasizes clinical skills, scholarly research, and intellectual pursuit.

Participants will train in a 100% hospital setting, where they will be closely mentored due to a small cohort size (1-2 students per month). This ensures individualized attention, enhanced clinical skill development, and active participation in patient care. While rotating, students will:

• Perform physical examinations and present clinical cases
• Have direct access to patient care and the hospital EMR system
• Write their own patients’ histories and physical examinations
• Review medications and interpret lab results
• Discuss differential diagnoses and develop management plans
• Gain exposure to primary care cases, including hypertension, diabetes, hypercholesterolemia, and other internal medicine-related conditions

Academic & Professional Development

The FPIP integrates a strong academic and research component to ensure well-rounded physician training. Students will participate in:

Didactic Training, including:

• Grand Rounds
• Morning Reports
• Ambulatory Conferences
• Mortality & Morbidity Conferences
• Journal Club
• Senior Resident & Research Project Presentations
• Administrative Meetings & Chief Resident Rounds
• Hands-on POCUS Training

Clinical Skill-Building, including:

• Understanding rapid response and code blue scenarios
• IV fluid management and pressor use
• Antibiotics, electrolyte imbalance, ABG interpretation, and ICU/Ventilator basics
• Ethical considerations and challenging medical cases

Research & Case Report Preparation

• Each participant will prepare and present a case report, with guidance from experienced mentors
• Students will be mentored to submit their case study to a national conference, adding a valuable publication to their CV
• Only FPIP participants can contribute to case reports, ensuring quality and exclusivity

Professional & Residency Readiness

• Networking skills to establish professional connections
• EHR & Medical Billing Training for efficient hospital workflow
• Effective patient sign-out techniques
• A Survival Guide for Intern Year to ease the transition into residency

Letters of Recommendation (LOR)

Strong Letters of Recommendation will be issued based on individual performance and will be written on the hospital letterhead.

Physician affiliations: HCA Houston Healthcare Clear Lake and Houston Heart Care, Webster (Under the direct observation of the Associate Program Director)

Rotation setting: Hospital Outpatient (1 month)

Invitation letter for visa support: Yes

Does the hospital have residency? Yes, in HCA Healthcare Houston Clear Lake

Grand rounds or Hospital rounds: No

LoR type: Performance-based, Hospital letterhead

Case report and Presentation/Publication: Yes, National conference presentation. Manuscript guidance will be provided only if students do the work and students will cover the article processing fee.

Description: 

HCA Houston Healthcare Clear Lake has been a trusted provider in the Houston Bay area for over 50 years, offering advanced cardiovascular and internal medicine care. As the only dedicated heart hospital south of the Texas Medical Center, we provide comprehensive cardiac services, including complex cardiovascular procedures, emergency cardiac care, and specialized heart treatments.

Our 532-bed acute care hospital features a Level II Trauma Center and a full spectrum of internal medicine services, ensuring high-quality care for a wide range of conditions. As part of HCA Healthcare, our team benefits from extensive resources, cutting-edge technology, and professional growth opportunities, all aimed at delivering exceptional patient outcomes.

The HCA Houston Healthcare Internal Medicine Residency Program is a fully ACGME-accredited, three-year training program designed to develop well-rounded internists prepared for independent practice or fellowship training. Since its establishment in 2019, the program has experienced significant growth, graduating its first class of 20 residents in June 2022.

Each year, the program welcomes 25 residents and follows a 4+1 academic model, where residents complete four weeks of clinical rotations followed by one dedicated week in a continuity clinic. This structure provides a well-balanced learning experience, allowing residents to gain diverse clinical exposure while strengthening their skills in a collaborative and supportive environment.

This hands-on clinical externship provides international medical graduates (IMGs) with direct patient care experience in a hospital-based and outpatient setting in addition to CATH Lab. The students will be rotated between Department of Internal Medicine, HCA Houston Healthcare Hospital and an outpatient clinic with associate program director. Due to hospital regulations, only two spots are available per month, ensuring close mentorship and a highly focused learning environment.

Weekly Schedule for HCA Clearlake with the Associate Program Director (APD)  

• Days: Monday, Wednesday, and Thursday
• Morning Report
• Case discussions and Patient management planning
• Didactic teaching and Clinical topic review and updates

• Outpatient clinical rotations, Follow-up visits, documentation, and patient counseling

Clinical Responsibilities & Learning Experience

During the rotation, participants will:

• Conduct and document history and physical examinations
• Review medications and interpret lab results
• Present clinical cases and discuss differential diagnoses
• Develop and implement management plans
• Gain direct patient care experience and learn the EMR system
• Work with 20+ patients per day, including cases related to hypertension, diabetes, hypercholesterolemia, and other internal medicine conditions
• Learn to interpret EKG, pulmonary function tests, chest X-rays, PET scans, and CT chests

Interventional Skills

Students will observe and participate in outpatient cardiology services, managing acute coronary syndromes, heart failure, arrhythmias, valvular disease, and preventive cardiology. Activities include daily hospital rounds with senior residents and attendings; interpretation of ECGs, echocardiograms, stress tests, and Holter monitoring; and participation in multidisciplinary case discussions.

High-performing students will be invited to contribute to case write-ups for national conferences. Manuscript development is also supported, with article processing fees covered by the student.

Additional Benefits

• Exposure to the U.S. healthcare system and hospital-based practice
• Hands-on experience in acute care and inpatient medicine
• Opportunities for career mentoring and networking with attending physicians
• Participation in quality improvement initiatives and research projects

Research & Publication Opportunity

Each student will work on a case study, with mentorship to prepare it for presentation at a national conference—a valuable addition to their CV. Mentor approval is required before submission, and only externship participants are eligible to be included in the publication.

Letters of Recommendation (LOR)

Based on performance and commitment, letters of recommendation (LOR) will be issued on official hospital letterhead, enhancing students’ residency applications.

Physician affiliations: HCA Houston Healthcare Clear Lake and Clear Lake Medical Group, Houston

Rotation setting:  Hospital Outpatient + Inpatient (1 month)

Invitation letter for visa support: Yes

Does the hospital have residency? Yes, in HCA Healthcare Houston Clear Lake

Grand rounds or Hospital rounds: Yes (Morning Round with Faculty)

LoR type: Performance-based, Hospital letterhead

Case report and Presentation/Publication: Yes, National conference presentation. Manuscript guidance will be provided only if students do the work and students will cover the article processing fee.

Description: 

HCA Houston Healthcare Clear Lake has been a trusted provider in the Houston Bay area for over 50 years, offering advanced cardiovascular and internal medicine care. As the only dedicated heart hospital south of the Texas Medical Center, we provide comprehensive cardiac services, including complex cardiovascular procedures, emergency cardiac care, and specialized heart treatments.

Our 532-bed acute care hospital features a Level II Trauma Center and a full spectrum of internal medicine services, ensuring high-quality care for a wide range of conditions. As part of HCA Healthcare, our team benefits from extensive resources, cutting-edge technology, and professional growth opportunities, all aimed at delivering exceptional patient outcomes.

The HCA Houston Healthcare Internal Medicine Residency Program is a fully ACGME-accredited, three-year training program designed to develop well-rounded internists prepared for independent practice or fellowship training. Since its establishment in 2019, the program has experienced significant growth, graduating its first class of 20 residents in June 2022.

Each year, the program welcomes 25 residents and follows a 4+1 academic model, where residents complete four weeks of clinical rotations followed by one dedicated week in a continuity clinic. This structure provides a well-balanced learning experience, allowing residents to gain diverse clinical exposure while strengthening their skills in a collaborative and supportive environment.

This hands-on clinical externship provides international medical graduates (IMGs) with direct patient care experience in a hospital-based setting. The students will be rotated between the Department of Internal Medicine, HCA Houston Healthcare Hospital and an Clear Lake Medical Group outpatient clinic with faculty. Due to hospital regulations, only two spots are available per month, ensuring close mentorship and a highly focused learning environment. This externship offers an exceptional opportunity for IMGs to gain meaningful U.S. clinical experience (USCE), strengthen their clinical and research skills, and build strong professional connections within the field of internal medicine.

Clinical Responsibilities & Learning Experience

During the rotation, participants will:

• Conduct and document history and physical examinations
• Review medications and interpret lab results
• Present clinical cases and discuss differential diagnoses
• Develop and implement management plans
• Gain direct patient care experience and learn the hospital EMR system
• Observe and assist with cardio-pulmonary critical care procedures
• Work with 20–30 patients per day, including cases related to hypertension, diabetes, hypercholesterolemia, and other internal medicine conditions
• Learn to interpret pulmonary function tests, chest X-rays, PET scans, and CT chests

Additional Benefits

• Exposure to the U.S. healthcare system and hospital-based practice
• Hands-on experience in acute care and inpatient medicine
• Opportunities for career mentoring and networking with attending physicians
• Participation in quality improvement initiatives and research projects

Research & Publication Opportunity

Each student will work on a case study, with mentorship to prepare it for presentation at a national conference—a valuable addition to their CV. Mentor approval is required before submission, and only externship participants are eligible to be included in the publication.

Letters of Recommendation (LOR)

Based on performance and commitment, letters of recommendation (LOR) will be issued on official hospital letterhead, enhancing students’ residency applications.

Physician affiliations: HMH JFK University Medical Center

Rotation setting: Inpatient and Outpatient (1 month)

Invitation letter for visa support: Yes

Does the hospital have residency?: Yes

Grand rounds or Hospital rounds: Yes

LoR type: Performance-based, Hospital letterhead

Case report and Presentation/Publication: Yes, National conference presentation. Manuscript guidance will be provided only if students do the work, and students will cover the article processing fee.

Description: John F. Kennedy Medical Center (JFKMC), an affiliate of Hackensack Meridian Health (HMH), is a 499-bed full-service acute care hospital and the home of the JFK Johnson Rehabilitative Institute. It is affiliated with Hackensack Meridian School of Medicine at Seton Hall University and Robert Wood Johnson Medical School in Edison, New Jersey. In 2021, it announced an affiliation with St. Joseph’s Wayne Medical Center, also in New Jersey. JFKMC accommodates more than 20,000 admissions, 3,000 births, and 60,000 emergency department visits annually. The medical center features various services, including general surgery, emergency medicine, psychiatry, orthopedics, maternity, and pediatric care.

This clinical rotation is hands-on in hospital inpatient and outpatient settings. The spots are limited due to hospital regulations, with 2 students. So participants will be mentored closely, and their clinical skills will improve due to being part of a small cohort. This clinical rotation is scheduled for five to six days a week for one month. The core focus of training will be general internal medicine and infectious disease. The students will also work on a case study and be mentored to publish it at a national conference. Students need the approval of our mentors before submission of the case study to the national conference, which will go in the student’s CV as a publication. Only students participating in our rotation can participate in the case study; no other students or friends are allowed to be included in this publication. While rotating, the participants will perform physical examinations, present clinical cases, and have direct access to patient care and the hospital EMR system. Participants will be writing their own patients’ histories and physical examinations, reviewing medications, interpreting lab results, discussing differential diagnoses, and developing management plans. They will be exposed to primary care cases, including hypertension, diabetes, hypercholesterolemia, cardiovascular diseases, other internal medicine-related cases, and infectious diseases like COVID-19, HIV, hepatitis, tuberculosis, HIV, and more. Letters of recommendation will also be issued based on the merits of the individual.

Housing: Housing is mandatory for the students rotating at this location in Edison Housing (https://www.jotform.com/form/242715378177162) due to its proximity to hospitals and safety issues.

Physician affiliations: Insight Hospital & Medical Center Chicago

Rotation setting: Inpatient + Hospital Outpatient (1 month)

Invitation letter for visa support: Yes

Does the hospital have residency?: Yes

Grand rounds or Hospital rounds: Yes

LoR type: Performance-based, Hospital letterhead

Case report and Presentation/Publication: Yes, National conference presentation. Manuscript guidance will be provided only if students do the work and students will cover the article processing fee.

Description: Insight Hospital & Medical Center Chicago, will strive to be a conduit for encouragement in bringing each individual’s potential to light as an accomplishment.  We, Insight Hospital & Medical Center Chicago, will provide a compassionate and transforming healing presence within our communities through the provision of quality healthcare to all. Based on this foundation, we believe that educating and training students to meet the ever-evolving health needs of the population is paramount to the Mission of Insight Hospital & Medical Center Chicago’s Graduate Medical Education Department.  We seek to impact and assure the viability, quality, and advancement of our healthcare system by instilling in our trainees the necessity of life-long learning as a critical component of safe and appropriate patient care. The Office of Graduate Medical Education provides a structured environment that facilitates our educational programs’ ability to assist our trainees in their personal and professional development while fostering learning environments where our trainees can excel in clinical service, research, and teaching. Insight Hospital and Medical Center, Chicago, is committed to providing and advocating for the necessary educational, financial, and human resources needed and required to support graduate medical education programs in a comprehensive manner.

While rotating, the student will learn about physical examinations, review medications, interpret lab results, present clinical cases, discuss differential diagnoses and management plans, have direct access to patient care, and discuss cases of leukemia, myeloma, bone marrow failure, and more. Participants will be mentored closely, and their clinical skills will improve due to being part of a small cohort at a time. The student will also work on a case study and be mentored to publish it at a national conference. Students need the approval of our mentors before submitting the case study to the national conference. Only students participating in our rotation can participate in the case study; no other students or friends are allowed to be included in this publication.

The following are some of the commonly encountered cases that you will be exposed to during the rotation:

– Multiple myeloma: diagnosis, evaluation, and basic first-line treatment
– Acute lymphoid leukemia: diagnosis, evaluation, management of emergencies, and first-line treatment
– Acute myeloid leukemia
– Chronic lymphoid leukemia
– Chronic myeloid leukemia
– Polycythemia vera
– Myelofibrosis
– Management of lower extremity DVT and pulmonary embolism
– Sickle cell anemia (chronic management and management of patients admitted to the hospital)
– Assessment of anemia and how to work up a patient
– B-thalassemia (diagnosis and management)
– Evaluation and management of thrombocytopenia

This is a unique learning experience for medical graduates who are committed to becoming effective, successful residents. The initiative is designed to prepare foreign medical graduates (IMGs) for the US clinical environment by providing them with hands-on clinical experience. You will have experience as a clinical learner under the supervision of a resident, residency program faculty, or teaching attending physician. While participating as a member of the team, you will learn to perform detailed history-taking and physical examinations (under supervision), formulate a differential diagnosis based on the patient’s presentation, manage acute and chronic medical conditions faced in day-to-day practice, and discuss possible management plans with the team.

During this comprehensive clinical rotation, students immerse themselves in the full spectrum of medical practice, from prerounds to postrounds, mirroring the responsibilities of resident doctors while receiving valuable supervision. This hands-on experience provides an invaluable opportunity to refine skills in patient care and delve into the intricacies of practice management, encompassing both the clinical and business aspects of medicine. Whether navigating the complexities of inpatient care or honing their abilities in outpatient settings, students are actively engaged in the medical field, fostering a holistic understanding of healthcare delivery. In the inpatient setting, students dedicate flexible hours, potentially spanning all seven days of the week from 6 am to 5 pm, undertaking tasks such as prerounds, rounds, and postrounds under supervision. Meanwhile, in outpatient clinics, they tackle patient encounters head-on, conducting assessments, documenting notes, and presenting findings to attending physicians for further guidance. With access to electronic medical records and opportunities to participate in procedures ranging from intubation to pap smears, students are equipped to handle a wide array of medical scenarios, ensuring a well-rounded educational experience tailored to prepare them for the diverse challenges of healthcare delivery.

For international medical graduates (IMGs), participating in this clinical rotation offers invaluable preparation and experience that can significantly enhance their residency applications. The opportunity to engage in prerounds, rounds, and postrounds, assuming responsibilities akin to those of resident doctors but with supervision, provides IMGs with firsthand exposure to the daily routines and expectations within a clinical setting. This exposure not only builds confidence in their clinical abilities but also demonstrates their adaptability to the U.S. healthcare system, a crucial aspect for IMGs navigating the residency application process. Moreover, the hands-on experience gained during this rotation is particularly beneficial for IMGs, who may come from healthcare systems with varying practices and protocols. By actively participating in patient care and management, IMGs can refine their clinical skills, adapt to U.S. medical standards, and demonstrate their ability to provide quality healthcare services in a new environment. Residency program directors highly value this practical experience because it demonstrates the IMG’s readiness to fit in with residency training programs and make a positive contribution to patient care.

Furthermore, exposure to both practice and medical management aspects of healthcare, including learning the business side of medicine, offers IMGs a comprehensive understanding of the healthcare landscape in the United States. This knowledge not only enhances their clinical practice but also positions them as well-rounded candidates with a holistic approach to patient care. Additionally, access to electronic medical records, participation in procedures, and opportunities for tele-consultation or tele-education further enriches IMGs’ skill sets and underscores their commitment to continuous learning and professional development, strengthening their residency applications and setting them apart as competitive candidates in the highly competitive residency match process. At the end of your rotation, you may request a performance-based letter of recommendation on hospital letterhead.

Physician Affiliations: Interfaith Medical Center and New York University Langone Health

Rotation setting: Inpatient, Outpatient, and Procedures (1 month)

Invitation letter for visa support: Yes 

Does the hospital have residency?  Yes, both hospital systems have residency programs

Grand rounds or Hospital rounds: No

LoR type: Performance-based, Hospital letterhead

Case report and Presentation/Publication: Yes, National conference presentation. Manuscript guidance will be provided only if students do the work and students will cover the article processing fee.

Description:

NYU Langone was established in 1948, a century after its Medical College. NYU Langone has 10 specialties ranked in the top 10 nationally by U.S. News & World Report. NYU Langone Hospital—Brooklyn also has the best safety rating of any hospital in Brooklyn. It also has Internal Medicine and more residency programs. It has an advanced technological cardiac catheterization laboratory and a Heart Rhythm Center in Brooklyn. Also, our hospital is home to NYU Langone’s Comprehensive Stroke Center (24 hours, a team of neurosurgeons, neurologists, neuroradiologists, and specially trained nurses are available at all times to provide lifesaving stroke treatment). In addition, it is the only hospital in Brooklyn to achieve Magnet recognition from the American Nurses Credentialing Center. Magnet recognition is one of the highest honors a healthcare institution can achieve, and it reflects its commitment to providing the highest level of quality and safety to all of its patients. Moreover, it is certified by the American College of Surgeons as a Level 1 trauma center. Furthermore, according to the Centers for Medicare and Medicaid Services, we are the only five-star hospital in the borough.

Interfaith Medical Center (IMC) was established in 1982 and is a teaching hospital. It operates residency training programs, training 120 residents in the specialties of internal medicine, dentistry, podiatry, and ophthalmology. Additionally, Interfaith has fellowships in cardiology, pulmonary, and gastroenterology.

This clinical rotation is a hands-on rotation at inpatient hospitals and outpatient settings. Only four spots are available per month. So participants will be mentored closely, and their clinical skills will improve due to being part of a four-member cohort. The clinical rotation is scheduled for four weeks, five days a week, from 9 am to 4 pm. Medical trainees will see an average of 10 to 15 patients in the inpatient setting and 20–30 patients in the outpatient setting. While rotating, the student will perform and write their physical examinations, review medications, interpret lab results, present clinical cases, discuss the differential diagnosis and management plans, have direct access to patient care, and enter the patient’s data in the EMR system. Students can only observe procedures. Procedures are scheduled two to three times per week, most of the time. After procedure days, the students will continue under the attending’s guidance, either in an inpatient or outpatient setting. This clinical rotation will provide a variety of first-hand experiences with differential diagnoses and treatments for congestive heart failure, different types of arrhythmias, acute coronary syndrome, coronary artery diseases, peripheral vascular diseases, and more cardiovascular diseases. Commonly observed procedures are coronary angiography, coronary stents, peripheral angiography, and venous ablation. Participants will become very familiar with the treatment protocol for cardiovascular disease and its documentation in EPIC (hospital EMR) and Practice Fusion (outpatient EMR). Students will be rotating under the doctor in different hospitals depending on the doctor’s assigned schedule for that month (either Interfaith Medical Center or NYU Langone Health or both), which means that depending on the month of rotation, one hospital letterhead will be assigned based on that hospital experience.

Physician affiliations: MedStar Health (Division of Hospital Medicine)

Rotation setting: Inpatient (1 month, Week-on & Week-off Schedule, Nocturnalist)

Invitation letter for visa support: Yes

Does the hospital have residency?: Yes

Grand rounds or Hospital rounds: Yes

LoR type: Performance-based, Hospital letterhead

Case report and Presentation/Publication: Yes, National conference presentation. Manuscript guidance will be provided only if students do the work, and students will cover the article processing fee.

Description: 

MedStar Health, anchored by its distinguished hospitals such as the Franklin Square Medical Center and the Georgetown University Hospital, stands as a beacon of healthcare provision in the Baltimore-Washington metropolitan area, comprising a network of over 120 entities. Among its accolades, MedStar was once recognized as the largest employer in the region, underscoring its vital role in local healthcare infrastructure. Each of its hospitals bears the hallmark of excellence and commitment to patient care. Within this esteemed organization, healthcare professionals undertake a myriad of duties and responsibilities aimed at ensuring safe, cost-effective, and compassionate care. From observing stringent regulations set by various agencies to coordinating seamless transitions of care, MedStar staff are dedicated to upholding the highest standards. The utilization of modern tools like the Teams Application for capacity management exemplifies MedStar’s commitment to leveraging technology for enhanced patient outcomes.

This clinical rotation is hands-on in a 100% hospital setting. Only one spot is available per month. So participants will be mentored closely, and their clinical skills will improve due to being part of a two-member cohort at a time. The clinical rotation is scheduled for a week-on-and-week-off manner, which includes two weeks of inpatient night shift experience. The student will also work on a case study and be mentored to publish it at a national conference. Students need the approval of our mentors before submitting the case study to the national conference. Only students participating in our rotation can participate in the case study; no other students or friends are allowed to be included in this publication. While rotating, the students will perform and write their physical examinations, review medications, interpret lab results, present clinical cases, discuss differential diagnosis and management plans, have direct access to patient care, observe cardio-pulmonary critical care procedures, and master the hospital EMR system. They will also be able to assist the attending with 20–30 patients per day and be exposed to primary care cases including hypertension, diabetes, hypercholesterolemia, cardio-pulmonary critical care, and other internal medicine-related cases. Participants will become very familiar with the treatment protocol for these diseases and its documentation on EPIC. Participants will also learn the interpretation of pulmonary function tests, chest X-rays, PET scans, and CT chests, as well as observe. Letters of recommendation will also be issued based on the merits of the individual.

Primary Duties and Responsibilities

• Adherence to hospital, medical staff, and regulatory rules and policies
• Participation in safe, cost-effective, and compassionate care delivery
• Collaboration with providers to review patient medications and obtain medical records
• Communication with primary care providers and community services for ongoing patient care coordination
• Identification and facilitation of discharge for eligible patients, including follow-up appointments and transitions of care coordination
• Attendance at interdisciplinary rounds and proactive communication with patients and families
• Tracking and addressing patient and family concerns, including fall risk assessments and catheterization monitoring
• Assistance in quality improvement initiatives and attendance at departmental meetings for patient experience updates
• Acceptance of rotations and educational activities as the Hospitalist Director determines
• Fulfillment of program requirements and participation in quality improvement and research projects

Job Benefits

• Gain insight into system-based practice and exposure to the US healthcare system
• Develop familiarity with inpatient care and various processes for safe and effective care delivery
• Acquire direct experience in an acute-care hospital setting
• Interact with interdisciplinary teams to better understand roles within a hospital
• Potential for receiving letters of recommendation based on performance and attendance
• Access to career mentoring from interacting physicians
• Participation in career planning sessions
• Networking opportunities and mentorship programs are available

Physician affiliations: Montefiore St Lukes Cornwall Hospital And Horizon Family Medical Group

Rotation setting: Cardiology (Inpatient and Outpatient) + Internal Medicine (Outpatient)  (1 month)

Invitation letter for visa support: Yes

Does the hospital have residency?: Yes (The program is affiliated with Montefiore St Lukes Cornwall Hospital.)

Grand rounds or Hospital rounds: Yes

LoR type: Performance-based, Hospital letterhead

Case report and Presentation/Publication: Yes, National conference presentation. Manuscript guidance will be provided only if students do the work, and students will cover the article processing fee.

Description: 

Montefiore St. Luke’s Cornwall (MSLC) was established in 1931. It delivers high-quality, compassionate care in a warm and friendly environment. MSLC is pleased to have received the prestigious Magnet hospital designation from the American Nurses Credentialing Center (ANCC), which recognizes superior quality and innovation in nursing care, and to have been named #1 in New York State for Critical Care, among the top 2% of hospitals in the country for clinical excellence according to Healthgrades. Each year, the organization cares for more than 270,000 patients from around the Hudson Valley. With 1,500 employees, the hospital is one of the largest employers in Orange County.

This clinical rotation is hands-on and provides all the skills necessary to achieve a well-diverse understanding of US inpatient and outpatient hospital settings. Only two spots are available per month. So, participants will be mentored closely, and their clinical skills will improve due to being part of a two-member cohort at a time. This clinical rotation is scheduled for four weeks, five days a week (Mon-Fri from 8 AM EST to 5 PM EST), which includes two weeks of inpatient cardiology subspecialty and two weeks of outpatient setting experience in internal medicine. While rotating, the students will perform and write their physical examinations, review medications, interpret lab results, review radiology testing, present clinical cases, discuss differential diagnosis and management plans, have direct access to patient care, observe procedures, and master the inpatient and outpatient EMR systems.

In the cardiology inpatient and consult component of this rotation, externs are given the opportunity to have hands-on experience (15–20 patients per day), including the use of the EMR. This clinical rotation will provide a variety of first-hand experiences with differential diagnoses and treatments for congestive heart failure, different types of arrhythmias, acute coronary syndrome, coronary artery diseases, peripheral vascular diseases, and more cardiovascular diseases. Participants will become very familiar with the treatment protocol for cardiovascular disease. The students will have the opportunity to observe both basic and advanced cardiovascular diagnostic and therapeutic modalities, including transthoracic and trans-esophageal echocardiography, stress testing with SPECT, PET and echocardiography, loop recorder implants, temporary venous pacemakers, cardioversion, and electrocardiography. They are also encouraged to participate in scholarly activities, including presenting ACC/AHA guidelines, presenting randomized controlled trials, and becoming part of ongoing case reports and research publications under supervision.

In the Internal Medicine outpatient setting component, students will get to closely follow up on the patient’s treatment. Under the mentorship of a renowned physician who has overseen more than 100 clinical trials, students will get to participate in the conduct of Phase 2 through 4 outpatient clinical trials. This opportunity will be available for a few months due to competitive patient enrollment timelines. These trials include diabetes, high cholesterol, heart disease, low testosterone, irritable bowel, women’s health, vaccines, diagnostic blood tests, Alzheimer’s disease, and many more.

The student will also work on a case study and be mentored to publish it at a national conference. Students need the approval of our mentors before submitting the case study to the national conference. Only students participating in our rotation can have their names in the case study; no other students or friends can be included in this publication. You will get a LoR on hospital letterhead after your rotation.

Physician affiliations: Saint Louis University School of Medicine, SLUCare Physician Group, SSM Health, and OSF Healthcare, St. Louis, MO

Rotation setting: Inpatient (1 month)

Invitation letter for visa support: Yes

Does the hospital have residency? Yes Saint Louis University School of Medicine and SSM Health

Grand rounds or Hospital rounds: Yes

LoR type: Performance-based, Hospital letterhead

Case report and Presentation/Publication: Yes, National conference presentation. Manuscript guidance will be provided only if students do the work and students will cover the article processing fee.

Description:

Saint Louis University School of Medicine, founded in 1836, is one of the oldest medical schools west of the Mississippi River, renowned for its academic rigor, clinical excellence, and commitment to compassionate care rooted in Jesuit values. SLUCare Physician Group is the university’s academic medical practice, delivering advanced tertiary care, while SSM Health—a faith-based nonprofit—operates multiple high-acuity medical centers, including those providing cardiovascular services. This rotation is based primarily at Saint Louis University Hospital and OSF Healthcare in the St. Louis area, both known for academic collaboration and a commitment to medical education.

Under this program, you’ll work directly with an Interventional Cardiologist and Endovascular Specialist who serves as an Assistant Professor in the Division of Cardiology at SLU School of Medicine. He practices across SLUCare, SSM Health, and OSF Healthcare. His clinical scope includes complex coronary and peripheral vascular interventions and he provides structured mentorship—including guidance for clinical research, case reports, and scholarly presentations.

Clinical Experience & Interventional Skills

Students will observe and participate in both inpatient and outpatient cardiology services, managing acute coronary syndromes, heart failure, arrhythmias, valvular disease, and preventive cardiology. Activities include daily hospital rounds with senior residents and attendings; interpretation of ECGs, echocardiograms, stress tests, and Holter monitoring; and participation in multidisciplinary case discussions, weekly academic conferences, and grand rounds.

In the cath lab, students will observe a range of cardiovascular procedures including:

• Cardiac catheterization (femoral and radial access)
• Percutaneous coronary interventions (PCI)
• Peripheral vascular angioplasty and stenting
• Diagnostic coronary angiograms
• Intravascular ultrasound (IVUS) and optical coherence tomography (OCT)
• Hemodynamic studies and right-heart catheterization

High-performing students will be invited to contribute to case write-ups for national conferences. Manuscript development is also supported, with article processing fees covered by the student.

Additional Benefits

• Exposure to the U.S. healthcare system and hospital-based practice
• Hands-on experience in acute care and inpatient medicine
• Opportunities for career mentoring and networking with attending physicians
• Participation in quality improvement initiatives and research projects

Research & Publication Opportunity

Each student will work on a case study, with mentorship to prepare it for presentation at a national conference—a valuable addition to their CV. Mentor approval is required before submission, and only externship participants are eligible to be included in the publication.

Letters of Recommendation (LOR)

Based on performance and commitment, letters of recommendation (LOR) will be issued on official hospital letterhead, enhancing students’ residency applications.

Physician affiliations: University of Texas Health Science Center Houston (Division of Critical Medicine, under the direct observation of the Program Director of Interventional Pulmonology)

Rotation setting: Inpatient + Hospital Outpatient (2 months)

Invitation letter for visa support: Yes

Does the hospital have residency?: Yes

Grand rounds or Hospital rounds: Yes

LoR type: Performance-based, Hospital letterhead

Case report and Presentation/Publication: Yes, National conference presentation. Manuscript guidance will be provided only if students do the work, and students will cover the article processing fee.

Description: 

University of Texas Health Science Center at Houston, known as UTHealth Houston, is a premier public academic health center established in 1972 and part of the University of Texas System . It encompasses six professional schools—including the McGovern Medical School, School of Dentistry, Nursing, Biomedical Informatics, and Public Health—providing comprehensive education, research, and clinical care across the Texas Medical Center . Its clinical arm, UT Physicians, is a multispecialty physician group with over 2,000 providers spanning 80+ specialties, offering care through more than 100 clinic locations in Greater Houston. As full-time faculty in McGovern Medical School, UT Physicians doctors integrate patient care with teaching and cutting-edge medical research.

Interventional Pulmonology at McGovern Medical School is a high-tech, minimally invasive subspecialty rooted in the Memorial Hermann–Texas Medical Center setting . This program utilizes a multidisciplinary approach—integrating pulmonologists with thoracic surgeons, oncologists, radiologists, and anesthesiologists—and performs advanced procedures in both bedside and endoscopy suites to diagnose and treat airway and pleural conditions. Common interventions include rigid and flexible bronchoscopy, electromagnetic navigational bronchoscopy, endobronchial ultrasound, stenting, thermoplasty, and pleural catheter placements. The IP program is embedded in fellowship rotations spanning top-tier hospitals like Memorial Hermann-TMC, LBJ, MD Anderson, Kindred, and TIRR, offering fellows experiential learning in critical care, interventional pulmonary techniques, and consultative roles across diverse inpatient and outpatient environments.

This high-yield, hospital-based externship is tailored for International Medical Graduates (IMGs) seeking strong U.S. clinical experience in Pulmonary and Critical Care Medicine with focused exposure to Interventional Pulmonology.

Program Highlights

• • Hands-on clinical externship (not observership) with full EMR documentation
  • Only 1 student accepted per month: Highly mentored, intensive rotation
  • 4-week duration, Monday–Friday schedule in a 100% hospital-based setting

Clinical Experience

• • Directly assist faculty in managing 20–30 patients/day
  • Perform Physical exams and SOAP note
  • Medication and treatment reconciliation
  • Interpretation of labs, imaging, and pulmonary function tests
  • Clinical presentations and management discussions
  • Rotate through Internal Medicine and Pulmonary Critical Care units
  • Common cases: Asthma, COPD, emphysema, ILD, pulmonary hypertension
  • Internal medicine overlap: Hypertension, diabetes, hyperlipidemia, infections

Interventional Pulmonology Skills & Observation

• • Learn indications, techniques, and post-procedure care for:
    • Bronchoscopy (7–8 cases/week)
    • Endobronchial ultrasound (EBUS)
    • Thoracentesis – Fluid removal and analysis
    • Chest tube placement – For pneumothorax or effusion
    • Pleuroscopy – Diagnostic and therapeutic uses in pleural disease
  • Understand procedural decision-making and complications

Research & Presentation Opportunity

• • Work on a case study with mentoring for national conference submission
  • Case must be independently developed by the student during rotation
  • No external contributors (friends, peers) allowed on the manuscript

Letter of Recommendation (LoR): On hospital letterhead, based on active participation, knowledge, and professionalism

Housing: Housing is mandatory for the students rotating at this location in Houston Housing (https://www.jotform.com/form/231040261154137) due to its proximity to hospitals and safety issues.

Physician affiliations: University of Texas MD Anderson Cancer Center

Rotation setting: Inpatient + Hospital Outpatient (1 month)

Invitation letter for visa support: Yes

Does the hospital have residency? Yes

Grand rounds or Hospital rounds: Yes

LoR type: Performance-based, Hospital letterhead

Case report and Presentation/Publication: Yes, National conference presentation. Manuscript guidance will be provided only if students do the work and students will cover the article processing fee.

Description:

University of Texas MD Anderson Cancer Center (colloquially MD Anderson Cancer Center) is a comprehensive cancer center in Houston, Texas. It is the largest cancer center in the U.S. and one of the original three comprehensive cancer centers in the country. It is both a degree-granting academic institution and a cancer treatment and research center located at the Texas Medical Center in Houston. It is affiliated with The University of Texas Health Science Center at Houston. According to Newsweek, MD Anderson Cancer Center is considered the best hospital in the world for oncology and related cancer treatment.

While rotating, the student will learn about physical examinations, review medications, interpret lab results, present clinical cases, discuss differential diagnoses and management plans, have direct access to patient care, and discuss cases of leukemia, myeloma, bone marrow failure, and more. Participants will be mentored closely, and their clinical skills will improve due to being part of a small cohort at a time. The student will also work on a case study and be mentored to publish it at a national conference. Students need the approval of our mentors before submitting the case study to the national conference. Only students participating in our rotation can participate in the case study; no other students or friends are allowed to be included in this publication.

The rotation will consist of the following components:

1. Inpatient and outpatient rounds: This will consist of rounds and patients’ visit at UT Health Hospital and Harris Health Lyndon B. Johnson General Hospital.
2. Tele-education: This will consist of one to two hours, two to three times per week, with the hematology or oncology attending physician.
3. Assignments: Assignments on the commonly seen patients in both the inpatient and outpatient rotations. You will be given a set of questions along with the assignments, and you will be expected to write out the answers and submit them every week.
4. National conference presentation: Case report presentation to the national conference

The approximate breakdown of time for each component of the rotation is as follows:

1. Inpatient and outpatient rounds: 15-20 hours per week
2. Tele-education: 5 hours per week
3. Assignments: 5 hours per week (Self)
4. National conference presentation: 5 hours per week (Self)

The following are some of the commonly encountered cases that you will be exposed to during the rotation:

– Multiple myeloma: diagnosis, evaluation, and basic first-line treatment
– Acute lymphoid leukemia: diagnosis, evaluation, management of emergencies, and first-line treatment
– Acute myeloid leukemia
– Chronic lymphoid leukemia
– Chronic myeloid leukemia
– Polycythemia vera
– Myelofibrosis
– Management of lower extremity DVT and pulmonary embolism
– Sickle cell anemia (chronic management and management of patients admitted to the hospital)
– Assessment of anemia and how to work up a patient
– B-thalassemia (diagnosis and management)
– Evaluation and management of thrombocytopenia

Your LoR will be from the Director of Hematology at the University of Texas MD Anderson Cancer Center, which is considered the main training site for the residency program at the University of Texas and fellowships at MD Anderson Cancer Center, Houston, Texas. It has a 92% match rate for students who rotated last year.

Housing: Housing is mandatory for the students rotating at this location in Houston Healthcare Housing (https://www.jotform.com/form/231040261154137) due to its proximity to hospitals and safety issues.

Physician affiliations: University of Texas MD Anderson Cancer Center

Rotation setting: Tele-rotation (1 month)

Invitation letter for visa support: No

Does the hospital have residency? Yes

Grand rounds or Hospital rounds: No

LoR type: Performance-based, Hospital letterhead

Case report and Presentation/Publication: Yes, National conference presentation. Manuscript guidance will be provided only if students do the work and students will cover the article processing fee.

Description:

University of Texas MD Anderson Cancer Center (colloquially MD Anderson Cancer Center) is a comprehensive cancer center in Houston, Texas. It is the largest cancer center in the U.S. and one of the original three comprehensive cancer centers in the country. It is both a degree-granting academic institution and a cancer treatment and research center located at the Texas Medical Center in Houston. It is affiliated with The University of Texas Health Science Center at Houston. According to Newsweek, MD Anderson Cancer Center is considered the best hospital in the world for oncology and related cancer treatment.

The student will be part of the telerotation. While rotating, the student will learn about physical examinations, review medications, interpret lab results, present clinical cases, discuss differential diagnoses and management plans, have direct access to patient care, and discuss cases of leukemia, myeloma, bone marrow failure, and more. Participants will be mentored closely, and their clinical skills will improve due to being part of a small cohort at a time. The student will also work on a case study and be mentored to publish it at a national conference. Students need the approval of our mentors before submitting the case study to the national conference. Only students participating in our rotation can participate in the case study; no other students or friends are allowed to be included in this publication.

The rotation will consist of the following components:

1. Tele-education: This will consist of two hours, three times per week, with the hematology or oncology attending physician.
2. Assignments: Assignments on the commonly seen patients in both the inpatient and outpatient rotations. You will be given a set of questions along with the assignments, and you will be expected to write out the answers and submit them every week.
3. National conference presentation: Case report presentation to the national conference

The approximate breakdown of time for each component of the rotation is as follows:

1. Tele-education: 6 hours per week
2. Assignments: 5 hours per week (Self)
3. National conference presentation: 5 hours per week (Self)

The following are some of the commonly encountered cases that you will be exposed to during the rotation:

– Multiple myeloma: diagnosis, evaluation, and basic first-line treatment
– Acute lymphoid leukemia: diagnosis, evaluation, management of emergencies, and first-line treatment
– Acute myeloid leukemia
– Chronic lymphoid leukemia
– Chronic myeloid leukemia
– Polycythemia vera
– Myelofibrosis
– Management of lower extremity DVT and pulmonary embolism
– Sickle cell anemia (chronic management and management of patients admitted to the hospital)
– Assessment of anemia and how to work up a patient
– B-thalassemia (diagnosis and management)
– Evaluation and management of thrombocytopenia

Your LoR will be from the Director of Hematology at the University of Texas MD Anderson Cancer Center, which is considered the main training site for the residency program at the University of Texas and fellowships at MD Anderson Cancer Center, Houston, Texas. It has a 92% match rate for students who rotated last year.

Physician affiliations: St. Mary’s General and Saint Clare’s Denville Hospital

Description:

Comprehensive Clinical Readiness, Research Training & Residency Application Preparation

• This structured tele-rotation is designed for U.S. and International Medical Graduates preparing for Internal Medicine and Family Medicine residency applications.
• The program integrates clinical knowledge, residency readiness skills, research training, and application guidance to help applicants transition confidently into intern year while strengthening their ERAS profile.

Participants will receive guided training covering:

Clinical Knowledge & Intern Year Survival

• Survival guide for intern year
• Effective sign-out techniques and communication skills
• Electronic Health Record (EHR) workflow and medical billing fundamentals
• Understanding rapid response teams and Code Blue protocols

Practical Clinical Management

• IV fluid selection and management
• Antibiotic stewardship and common infectious scenarios
• Approach to electrolyte imbalances
• Use of vasopressors
• ABG interpretation
• ICU fundamentals and ventilator basics

Core Clinical Skills & Safety

• Ethical decision-making and challenging clinical scenarios
• Fundamentals of EKG interpretation
• Introduction to POCUS (Point-of-Care Ultrasound)
• BLS & ACLS principles

Academic Exposure

• Participation in Grand Rounds–style sessions
• Case-based discussions relevant to IM and FM practice

Clinical Research Training & Publication Mentorship

Participants will receive structured support for “Self-paced Clinical Research Program”, including:

• Guidance on building a self-learning clinical research pathway
• Case report and review article writing workshops
• Training on literature search, data synthesis, and manuscript structure
• Mentorship on transforming clinical ideas into meaningful research projects
• Step-by-step guidance to convert concepts into publishable manuscripts
• Support for submission to peer-reviewed journals
• Assistance in preparing abstracts for presentation at national and prestigious medical conferences

Hands-On / Practical Components (Onsite or Hybrid Options Available)

• Hands-on POCUS training
• Hands-on BLS & ACLS training
• Certification issued upon successful completion

Residency Application & Professional Development

• ERAS application strategy and timeline
• Personal Statement (PS) development for residency and future fellowship
• Interview preparation and networking skills
• Building a research portfolio before and during residency
• Preparing a simultaneous Fellowship-ready and EB-1 level academic CV

Letters of Recommendation

• Upon successful completion of the rotation and based on individual performance, professionalism, and participation: Up to two Letters of Recommendation (LoRs) from Program Directors or Associate Program Directors (APDs) may be issued on official institutional letterhead for use in residency applications.

Physician affiliations: Garnet Health Medical Center and Middletown Medical Center, Middletown, NY

Rotation setting: Outpatient + Inpatient (1 month)

Invitation letter for visa support: Yes

Does the hospital have residency?: Yes

Grand rounds or Hospital rounds: No

LoR type: Performance-based, Hospital letterhead

Case report and Presentation/Publication: Yes, National conference presentation. Manuscript guidance will be provided only if students do the work and students will cover the article processing fee.

Description:

Garnet Health Medical Center is a 383-bed nonprofit regional hospital serving ~500,000 residents in Orange and Sullivan Counties. Modern facilities with advanced diagnostics, EHR, and multidisciplinary care. Middletown Medical Center a high-volume outpatient rotation across urban and rural clinics; integrated with telemedicine and urgent care exposure. Inpatient experience may be included based on hospital needs.

Student Responsibilities:

• Shadow attending physicians during adult and pediatric consultations
• Conduct patient histories and supervised physical exams
• Formulate differential diagnoses and assist in treatment plannig
• Document patient encounters in the EHR system
• Participate in patient education and counseling
• •Observe/assist with minor procedures (e.g., wound care, joint injections)
• Collaborate with nurses, pharmacists, and care teams

Commonly Encountered Conditions:

• Hypertension, CHF, CAD, and other cardiovascular conditions
• Diabetes, thyroid disorders, PCOS, and endocrine cases
• Asthma, COPD, bronchitis, allergies, and respiratory failure
• Arthritis, back pain, Lyme disease, and other MSK issues
• GERD, IBS, GI bleeds, and general GI complaints
• Dermatologic cases: acne, eczema, fungal infections, shingles, SCC/BCC
• Mental health: anxiety, depression, ADHD, bipolar disorder

Procedures & Telehealth:

• Opportunity to observe and assist with minor outpatient procedures
• One day/week dedicated to tele-consultation or tele-education with live virtual patient interactions

Professional Expectations:

• Adherence to hospital policies and patient confidentiality
• Active participation in clinical learning and team-based care
• Regular feedback and performance evaluations
• Professionalism and communication are key for successful rotation completion

• Develop and present a case study on a notable clinical encounter
• Mentor-led guidance for submitting to a national conference

Letters of Recommendation (LOR)

Based on performance and commitment, letters of recommendation (LOR) will be issued on official hospital letterhead, enhancing students’ residency applications.

Physician affiliations: Jackson Park Hospital

(Department of Family Medicine, under the direct observation of the Program Director)

Rotation setting: Inpatient (1 month)

Invitation letter for visa support: Yes

Does the hospital have residency?: Yes

Grand rounds or Hospital rounds: Yes

LoR type: Performance-based, Hospital letterhead

Case report and Presentation/Publication: Yes, National conference presentation. Manuscript guidance will be provided only if students do the work and students will cover the article processing fee.

Description: Jackson Park Hospital has served the community on Chicago’s southeast side since 1920. The Accreditation Council for Graduate Medical Education has accredited its Family Medicine Residency Program since 1979. This externship will be under the direct observation of the Program Director of the Family Medicine Residency Program at JPH. This is a unique learning experience for medical graduates who are committed to becoming effective, successful residents. The initiative is designed to prepare foreign medical graduates (IMGs) for the US clinical environment by providing them with hands-on clinical experience. You will have experience as a clinical learner under the supervision of a resident, residency program faculty, or teaching attending physician. At the end of your rotation, you may request a performance-based letter of recommendation on hospital letterhead. While participating as a member of the team, you will learn to perform detailed history-taking and physical examinations (under supervision), formulate a differential diagnosis based on the patient’s presentation, manage acute and chronic medical conditions faced in day-to-day practice, and discuss possible management plans with the team.

This externship will be under the direct observation of the program director of the Family Medicine Residency Program. This is a unique learning experience for medical graduates who are committed to becoming effective, successful residents. The initiative is designed to prepare foreign medical graduates (IMGs) for the US clinical environment by providing them with hands-on clinical experience. You will have experience as a clinical learner under the supervision of a resident, residency program faculty, or teaching attending physician. At the end of your rotation, you may request a performance-based letter of recommendation on hospital letterhead. While participating as a member of the team, you will learn to perform detailed history-taking and physical examinations (under supervision), formulate a differential diagnosis based on the patient’s presentation, manage acute and chronic medical conditions faced in day-to-day practice, and discuss possible management plans with the team.

During this comprehensive clinical rotation, students immerse themselves in the full spectrum of medical practice, from prerounds to postrounds, mirroring the responsibilities of resident doctors while receiving valuable supervision. This hands-on experience provides an invaluable opportunity to refine skills in patient care and delve into the intricacies of practice management, encompassing both the clinical and business aspects of medicine. Whether navigating the complexities of inpatient care or honing their abilities in outpatient settings, students are actively engaged in the medical field, fostering a holistic understanding of healthcare delivery. In the inpatient setting, students dedicate flexible hours, potentially spanning all seven days of the week from 6 am to 5 pm, undertaking tasks such as prerounds, rounds, and postrounds under supervision. Meanwhile, in outpatient clinics, they tackle patient encounters head-on, conducting assessments, documenting notes, and presenting findings to attending physicians for further guidance. With access to electronic medical records and opportunities to participate in procedures ranging from intubation to pap smears, students are equipped to handle a wide array of medical scenarios, ensuring a well-rounded educational experience tailored to prepare them for the diverse challenges of healthcare delivery.

For international medical graduates (IMGs), participating in this clinical rotation offers invaluable preparation and experience that can significantly enhance their residency applications. The opportunity to engage in prerounds, rounds, and postrounds, assuming responsibilities akin to those of resident doctors but with supervision, provides IMGs with firsthand exposure to the daily routines and expectations within a clinical setting. This exposure not only builds confidence in their clinical abilities but also demonstrates their adaptability to the U.S. healthcare system, a crucial aspect for IMGs navigating the residency application process. Moreover, the hands-on experience gained during this rotation is particularly beneficial for IMGs, who may come from healthcare systems with varying practices and protocols. By actively participating in patient care and management, IMGs can refine their clinical skills, adapt to U.S. medical standards, and demonstrate their ability to provide quality healthcare services in a new environment. Residency program directors highly value this practical experience because it demonstrates the IMG’s readiness to fit in with residency training programs and make a positive contribution to patient care.

Furthermore, exposure to both practice and medical management aspects of healthcare, including learning the business side of medicine, offers IMGs a comprehensive understanding of the healthcare landscape in the United States. This knowledge not only enhances their clinical practice but also positions them as well-rounded candidates with a holistic approach to patient care. Additionally, access to electronic medical records, participation in procedures, and opportunities for tele-consultation or tele-education further enriches IMGs’ skill sets and underscores their commitment to continuous learning and professional development, strengthening their residency applications and setting them apart as competitive candidates in the highly competitive residency match process.

Physician affiliations: St. Mary’s General and Saint Clare’s Denville Hospital

Description:

Comprehensive Clinical Readiness, Research Training & Residency Application Preparation

• This structured tele-rotation is designed for U.S. and International Medical Graduates preparing for Internal Medicine and Family Medicine residency applications.
• The program integrates clinical knowledge, residency readiness skills, research training, and application guidance to help applicants transition confidently into intern year while strengthening their ERAS profile.

Participants will receive guided training covering:

Clinical Knowledge & Intern Year Survival

• Survival guide for intern year
• Effective sign-out techniques and communication skills
• Electronic Health Record (EHR) workflow and medical billing fundamentals
• Understanding rapid response teams and Code Blue protocols

Practical Clinical Management

• IV fluid selection and management
• Antibiotic stewardship and common infectious scenarios
• Approach to electrolyte imbalances
• Use of vasopressors
• ABG interpretation
• ICU fundamentals and ventilator basics

Core Clinical Skills & Safety

• Ethical decision-making and challenging clinical scenarios
• Fundamentals of EKG interpretation
• Introduction to POCUS (Point-of-Care Ultrasound)
• BLS & ACLS principles

Academic Exposure

• Participation in Grand Rounds–style sessions
• Case-based discussions relevant to IM and FM practice

Clinical Research Training & Publication Mentorship

Participants will receive structured support for “Self-paced Clinical Research Program”, including:

• Guidance on building a self-learning clinical research pathway
• Case report and review article writing workshops
• Training on literature search, data synthesis, and manuscript structure
• Mentorship on transforming clinical ideas into meaningful research projects
• Step-by-step guidance to convert concepts into publishable manuscripts
• Support for submission to peer-reviewed journals
• Assistance in preparing abstracts for presentation at national and prestigious medical conferences

Hands-On / Practical Components (Onsite or Hybrid Options Available)

• Hands-on POCUS training
• Hands-on BLS & ACLS training
• Certification issued upon successful completion

Residency Application & Professional Development

• ERAS application strategy and timeline
• Personal Statement (PS) development for residency and future fellowship
• Interview preparation and networking skills
• Building a research portfolio before and during residency
• Preparing a simultaneous Fellowship-ready and EB-1 level academic CV

Letters of Recommendation

• Upon successful completion of the rotation and based on individual performance, professionalism, and participation: Up to two Letters of Recommendation (LoRs) from Program Directors or Associate Program Directors (APDs) may be issued on official institutional letterhead for use in residency applications.

Physician affiliations: CHI St. Luke’s Health and Kindred Hospital, Sugar Land, TX

Rotation setting: Inpatient + Outpatient (1 month)

Invitation letter for visa support: Yes

Does the hospital have residency?: No

Grand rounds or Hospital rounds: Yes

LoR type: Performance-based, Hospital letterhead

Case report and Presentation/Publication: Yes, National conference presentation. Manuscript guidance will be provided only if students do the work and students will cover the article processing fee.

Description: St. Luke’s Health – Sugar Land Hospital offers the latest technology and treatments for residents of Fort Bend County and Southwest Houston. Their services range from heart care and neuroscience to robotic surgery. Since 2008, their experienced doctors, nurses, and support staff have provided expert care to the community.

The rotation will be led by a faculty neurologist, sleep specialist, and director of the neuroscience program at Memorial Hermann Hospital Sugar Land, Kindred Hospital Southwest, St. Luke’s Hospital Sugar Land, and OakBend Medical Center Sugar Land. The students rotate between inpatient and outpatient facilities in the greater Houston area. Most of facilities are located at convenient locations and in close proximity. The rotations serve to bolster skills based on ACGME core criteria, which are patient care, professionalism, medical knowledge, interpersonal and communication skills, system-based learning, and practice-based learning. The students will take histories from the patient and discuss it with the attending. The rotation will be on a daily basis, Monday through Friday. At the end of the rotation, evaluation will be done both by the student and by the teacher. At the end of the rotation, it is advisable to have a presentation on topic of interest. We also encourage research work and publication of interesting case reports.

Physician affiliations: HCA Houston Healthcare Pearland and Clear Lake, and PAM Health Rehabilitation Hospital of Clear Lake.

Rotation setting: Inpatient (1 month)

Invitation letter for visa support: Yes

Does the hospital have residency? Yes, at HCA Healthcare Houston Clear Lake (Internal Medicine and Emergency Medicine, Prospective Neurology)

Grand rounds or Hospital rounds: Yes

LoR type: Performance-based, Hospital letterhead

Case report and Presentation/Publication: Yes, National conference presentation. Manuscript guidance will be provided only if students do the work and students will cover the article processing fee.

Description:

HCA Houston Healthcare Pearland

HCA Houston Healthcare Pearland is a modern acute care facility offering comprehensive medical services in a community-centered environment. As a Level IV Trauma Center and an accredited Chest Pain Center with Primary PCI capabilities, the hospital is equipped to manage critical and time-sensitive emergencies with precision. It also serves as a certified Primary Stroke Center, providing swift and advanced stroke care. In addition to emergency services, HCA Houston Pearland offers robust programs in diagnostic imaging, cardiology, and oncology, ensuring that patients receive expert care across a wide range of health needs.

PAM Health Rehabilitation Hospital of Clear Lake

PAM Health Rehabilitation Hospital of Clear Lake is a specialized facility dedicated to providing high-quality inpatient rehabilitation for patients recovering from acute illnesses and injuries. With a patient-centered approach, the hospital delivers personalized care plans focused on restoring function and independence. Services include physical, occupational, and speech therapy, along with medical and nursing care designed to support patients with conditions such as stroke, brain injury, spinal cord injury, and complex orthopedic needs. Backed by an experienced interdisciplinary team, PAM Health emphasizes compassionate care and successful recovery outcomes in a supportive healing environment.

HCA Houston Healthcare Clear Lake

HCA Houston Healthcare Clear Lake has been a cornerstone of specialized medical care in the Houston Bay area for over 50 years. In addition to its strong foundation in cardiovascular and internal medicine, the hospital is expanding its focus on neurology and neurosciences, offering care for a wide range of acute and chronic neurological conditions. With 532 acute care beds, a Level II Trauma Center, and access to advanced neuroimaging and diagnostic tools, the hospital is well-equipped to support high-quality neurologic evaluations and emergency stroke care in a fast-paced, high-acuity setting.

International Medical Graduates (IMGs) seeking neurology rotations will gain valuable clinical experience through inpatient exposure, case-based discussions, and interdisciplinary rounds with neurology specialists. As part of the broader HCA Healthcare system, students benefit from cutting-edge technology, structured clinical teaching, and access to ongoing academic initiatives in a culturally diverse patient population. As part of a structured U.S. clinical externship, you will be attending for a one-month Neurology & Stroke rotation under the supervision of a board-certified Neurointensivist and neurologist with specialized training in neurocritical care.

Clinical Responsibilities & Learning Experience

During the rotation, you will be participating in both Inpatient/Emergency Department Neurology consults and Rehabilitation center, managing patients with a wide range of neurological conditions such as:

• Acute ischemic and hemorrhagic stroke
• Transient ischemic attacks (TIA)
• Seizure disorders and epilepsy
• Movement disorders
• Multiple sclerosis and peripheral neuropathies

Responsibilities

• Conducting and documenting detailed history and physical examinations
• Reviewing medication profiles, interpreting laboratory and radiological results (CT/MRI brain, MRA/CTA, EEG)
• Presenting clinical cases to the attending and resident teams and formulating differential diagnoses
• Developing and discussing evidence-based management plans
• Gaining proficiency in EPIC, the hospital’s EMR system
• Observing critical care procedures in the neuro-ICU
• Managing a diverse patient load of 20–30 patients per day, including emergency and follow-up neurology cases

Academic & Didactic Activities

The externship will offer broad exposure to academic neurology and interdisciplinary care. I attended and participated in:

• Morning Reports, Ambulatory and Mortality & Morbidity Conferences
• Neurology Grand Rounds and Journal Club
• Chief Resident Rounds and formal didactic lectures
• Senior resident presentations and interdisciplinary case discussions
• Administrative and care team coordination meetings
• These activities enhanced my understanding of clinical reasoning, medical decision-making, and U.S. hospital-based communication practices.

Research & Publication Opportunities

• Develop a neurology-focused case study.
• The abstract presentation at a national academic conference, with guidance for manuscript development.
• Students will be considered for co-authorship on publications based on merit and active participation, with mentor approval.

Benefits

• Gained first-hand experience in the U.S. healthcare system through direct patient care and physician mentorship
• Strengthened clinical decision-making in neurology and neurocritical care
• Expanded my professional network within a U.S. academic hospital environment
• Participated in career mentoring sessions with attending physicians
• Observed and discussed quality improvement initiatives in neurology care delivery

Summary

This externship offered an exceptional opportunity to gain meaningful U.S. clinical experience (USCE) in a high-acuity neurology and stroke setting. It strengthened my clinical and research skill sets, enhanced my understanding of U.S. hospital protocols, and contributed to my academic and professional growth as an international medical graduate.

Physician affiliations: Medical University of South Carolina (MUSC) Downtown Center, Columbia, SC

Rotation setting: Inpatient affiliated with hospital (1 month)

Invitation letter for visa support: Yes

Does the hospital have residency?: Yes

Grand rounds or Hospital rounds: Yes

LoR type: Performance-based, Hospital/University letterhead

Case report and Presentation/Publication: Yes, National conference presentation. Manuscript guidance will be provided only if students do the work and students will cover the article processing fee.

Description: Founded in 1824 in Charleston, MUSC is home to the oldest medical school in the South as well as the state’s only integrated academic health system, with a unique charge to serve the state through education, research and patient care. Each year, MUSC educates and trains more than 3,000 students and 850 residents and fellows in six colleges: Dental Medicine, Graduate Studies, Health Professions, Medicine, Nursing and Pharmacy.

The primary location is Medical University of South Carolina at Columbia Downtown Center, Columbia, South Carolina. The neurology department here in inpatient settings gets to manage all varieties of patients, including rare acute strokes, thrombolytic treatment for acute strokes, status epileptics, status migraines, epilepsy disorders, neurooncology tumors, meningitis, and other rare movement disorders like progressive supranuclear palsy (PSP), etc.  He is also doing telestroke coverage, where you manage acute stroke via telehealth to provide patient care at other facilities as well, which is a great learning experience with future healthcare advancements. You will get to review neuroimaging, including CT head, CT angiogram head and neck, and MRI as well.  You will learn about neuro exams, EEG interpretation, how to approach a coma exam, the interpretation of EMG/NCV, the use of all anti-epileptic medications, as well as immunosuppressants like rituximab in the adult age group. This clinical rotation involves shadowing under the direct supervision of a physician.

Only two spots are available per month. Participants will be mentored closely, and their clinical skills will improve due to being part of a two-member cohort. The clinical rotation is scheduled for four weeks, five days a week, from 8 am to 4 pm. The student will also work on a case study and be mentored in publishing it at national conferences. Students need the approval of our mentors before submitting the case study to the national conference. Only students participating in our rotation can participate in the case study; no other students or friends are allowed to be included in this publication. Letters of recommendation will also be issued based on the merits of the individual.

Physician affiliations: Affiliated with Sunrise Children’s Hospital, Children’s Hospital of Nevada at University Medical Center (UMC), Centennial Health System, Spring Valley Hospital, Southern Hill Hospital, Summerlin Children’s Hospital, Pediatrix Medical Group, Mountain View Hospital, Henderson Hospital, Las Vegas, Nevada

Rotation setting: Outpatient + Pediatric Epilepsy Monitoring Unit (1 month)

Invitation letter for visa support: Yes

Does the hospital have residency?: No

Grand rounds or Hospital rounds: No

LoR type: Performance-based, Clinic letterhead

Case report and Presentation/Publication: Yes, National conference presentation. Manuscript guidance will be provided only if students do the work and students will cover the article processing fee.

Description: 

Neurology and Epilepsy Specialists is the only comprehensive inpatient pediatric neurology service provider in Southern Nevada—serving Las Vegas, Kingman, Death Valley, and Bishop—offering critical care through Sunrise Children’s Hospital and Mountain View Hospital. As one of the oldest and largest pediatric neurology practices in Las Vegas, we are a regional referral hub for complex conditions such as epilepsy, spinal muscular atrophy (SMA), and Duchenne muscular dystrophy (DMD), and have pioneered several state-first programs, including Nevada’s only pediatric epilepsy monitoring unit and gene replacement therapies. Our dual board-certified physicians, Dr. Chavda and Dr. Jiang, lead innovations in care while collaborating with public health agencies like the Nevada Newborn Screening Program and the Department of Health. We are also committed to community outreach by offering reduced fee schedules, Medicaid support, and developing treatment protocols for rare disorders like adrenoleukodystrophy (ALD), ensuring equitable access to cutting-edge care for all children in need.

Pediatric neurologist with epilepsy subspecialties is covering the entire southern Nevada, part of Death Valley California, and part of Arizona (Primarily Kingman). The population of southern Nevada itself is around 2 million. The group cover major hospitals in person and other hospitals over the phone. Practice is very busy, yet thorough and patient-centered. You must have patience with differently-abled children.

The primary location for rotation is Neurology and Epilepsy Specialists Clinic. They get to manage all varieties of patients, including rare genetic, metabolic disorders like Pompe and spinal muscular atrophy (SMA), neuroimmunology disorders like multiple sclerosis and neuromyelitis optica, pediatric movement disorders like opsoclonus myoclonus, paroxysmal dyskinesia, Parkinsonian disorder, vascular disorders like aneurysm and stroke (pediatric strokes are very fascinating as the etiology is very different), presurgical evaluation for epilepsy, and neuro-oncological tumors like medulloblastoma and JPA. He is a Principal Investigator (PI) at the Jazz Pharmaceutical location in Las Vegas for a phase 2 clinical trial involving the use of cannabinoids (CBD) for epilepsy. You will get to see how clinical trials run. He runs a support group for patients and parents of patients with epilepsy through the Epilepsy Foundation of Nevada; certainly, you can join and get to meet all patients with epilepsy and their families (the best topic to discuss in the interview). You will get to see all the rare disorders that you have only read about in your books. You will learn about neuro exams, EEG interpretation (very difficult to interpret in neonatal age groups), how to approach genetic testing, how to read an MRI of the neuraxis, the interpretation of EMG and NCV, the use of all anti-epileptic medications as well as immunosuppressants like rituximab in pediatric age groups, and various treatments for headaches and surgical treatment for epilepsy. This clinical rotation is shadowing under the direct supervision of a physician.

Only two spots are available per month. As you always have one adult neurology resident, participants will be mentored closely, and their clinical skills will improve due to being part of a two-member cohort. The clinical rotation is scheduled for four weeks, five days a week, from 8 am to 4 pm. The student will also work on a case study and be mentored to publish it at a national conference. Students need the approval of our mentors before submitting the case study to the national conference. Only students participating in our rotation can participate in the case study; no other students or friends are allowed to be included in this publication. Letters of recommendation will also be issued based on the merits of the individual.

PS: The hospital is 5 minutes away from the world-famous Las Vegas Strip. You will never get bored in Vegas.

Physician Affiliations: Saint Francis Health System, Tulsa, OK

Rotation Setting: Inpatient + Procedures (1 month)

Invitation Letter for Visa Support: Yes

Does the Hospital Have Residency?: No

Grand Rounds or Hospital Rounds: Yes

LoR Type: Performance-based, Hospital letterhead

Case Report and Presentation/Publication: Yes, National conference presentation. Manuscript guidance will be provided only if students do the work and students will cover the article processing fee.

Description: Saint Francis Health System, located in Tulsa, OK, is a premier healthcare institution recognized for its excellence in patient care, medical education, and cutting-edge research. It offers a robust learning environment, particularly through its comprehensive interventional neurology and neurosurgery rotation.

Interventional neurology and neurosurgery, which is also known as neuroendovascular surgery or interventional neuroradiology, is a branch of neurology and neurosurgery that uses image-guided, minimally invasive techniques to find and treat neurological problems involving blood vessels in the brain and spine. Neurologists or neurosurgeons who are experts in vascular interventions can do these advanced procedures, such as coiling an aneurysm, removing clots, embolizing arteriovenous malformations (AVMs), and decompressing the spinal cord.

During this rotation, participants will gain hands-on experience and in-depth exposure to this dynamic field. Trainees will learn to perform detailed neurological examinations, review imaging studies such as angiograms and MRIs, and identify vascular abnormalities in the brain and spinal cord. They will also observe and participate in endovascular procedures that use specialized catheters and microdevices to access affected blood vessels through small incisions in the groin. Key procedures include:

• Brain aneurysms: Coiling or stent placement to prevent rupture
• Ischemic stroke: Mechanical thrombectomy to remove clots causing strokes
• AVMs: Embolization to block abnormal blood vessels
• Spinal cord compression: Minimally invasive decompression using spinal injections

Additionally, participants will analyze live X-ray images during procedures to guide catheter placement and assess blood flow dynamics. They will also be involved in preoperative assessment, informed consent, managing intra-procedural complications, and post-operative care, including monitoring for neurological deficits and potential bleeding.

Collaboration is a cornerstone of this rotation. Participants will work closely with neurologists, neurosurgeons, neuroradiologists, and other specialists to develop comprehensive treatment plans for patients with complex neurological conditions. The program also emphasizes the use of emerging technologies, showcasing how advancements in devices and techniques are enabling treatment of increasingly complex neurological disorders.

The four-week rotation, limited to two participants per month, ensures personalized mentorship and skill development. Students will review neuroimaging, observe telestroke services, and learn advanced neurovascular anatomy, imaging, and procedural techniques. A case study will be completed during the rotation, with opportunities to present at national conferences, under guidance.

This rotation provides a unique opportunity to gain expertise in minimally invasive neurovascular interventions. Performance-based letters of recommendation will be issued based on the individual merits of participants.

Physician affiliations: South Shore Hospital

Rotation setting: Inpatient + Hospital Outpatient (1 month)

Invitation letter for visa support: Yes

Does the hospital have residency?: Yes

Grand rounds or Hospital rounds: Yes

LoR type: Performance-based, Hospital letterhead

Case report and Presentation/Publication: Yes, National conference presentation. Manuscript guidance will be provided only if students do the work and students will cover the article processing fee.

Description: South Shore Hospital, located in Chicago’s South Shore neighborhood, has been delivering quality healthcare since 1912. This non-profit, acute care facility is dedicated to providing compassionate and comprehensive medical services regardless of a patient’s financial status. The hospital offers a wide range of services, including emergency care, diagnostics, physical therapy, and specialized treatments for various health conditions. South Shore Hospital’s mission emphasizes safety, high-quality care, and a community-focused approach to healthcare. This is a unique learning experience for medical graduates who are committed to becoming effective, successful residents. The initiative is designed to prepare foreign medical graduates (IMGs) for the US clinical environment by providing them with hands-on clinical experience. While participating as a member of the team, you will learn to perform detailed history-taking and physical examinations (under supervision), formulate a differential diagnosis based on the patient’s presentation, manage acute and chronic medical conditions faced in day-to-day practice, and discuss possible management plans with the team.

A neurology externship typically involves the following tasks:

1. Patient Assessment: Conducting detailed patient histories and neurological examinations.
2. Diagnostics: Assisting with and interpreting diagnostic tests such as EEGs, MRIs, and CT scans.
3. Clinical Rounds: Participating in daily rounds with attending neurologist and the medical team.
4. Case Presentations: Preparing and presenting patient cases during team meetings or educational sessions.
5. Procedural Assistance: Assisting in neurological procedures like lumbar punctures and nerve conduction studies.
6. Documentation: Maintaining accurate patient records and progress notes.
7. Learning and Research: Engaging in ongoing education through lectures, reading, and possibly contributing to research projects.

Common neurology disorders encountered may include stroke, epilepsy, multiple sclerosis, Parkinson’s disease, Alzheimer’s disease, and migraines. The student will also work on a case study and be mentored in publishing it at national conferences. Students need the approval of our mentors before submitting the case study to the national conference. Only students participating in our rotation can participate in the case study; no other students or friends are allowed to be included in this publication. At the end of your rotation, you may request a performance-based letter of recommendation on hospital letterhead.

Physician affiliations: HCA Houston Healthcare Pearland and Clear Lake, and PAM Health Rehabilitation Hospital of Clear Lake.

Rotation setting: Inpatient (1 month)

Invitation letter for visa support: Yes

Does the hospital have residency? Yes, at HCA Healthcare Houston Clear Lake (Internal Medicine and Emergency Medicine, Prospective Neurology)

Grand rounds or Hospital rounds: Yes

LoR type: Performance-based, Hospital letterhead

Case report and Presentation/Publication: Yes, National conference presentation. Manuscript guidance will be provided only if students do the work and students will cover the article processing fee.

Description:

HCA Houston Healthcare Pearland

HCA Houston Healthcare Pearland is a modern acute care facility offering comprehensive medical services in a community-centered environment. As a Level IV Trauma Center and an accredited Chest Pain Center with Primary PCI capabilities, the hospital is equipped to manage critical and time-sensitive emergencies with precision. It also serves as a certified Primary Stroke Center, providing swift and advanced stroke care. In addition to emergency services, HCA Houston Pearland offers robust programs in diagnostic imaging, cardiology, and oncology, ensuring that patients receive expert care across a wide range of health needs.

PAM Health Rehabilitation Hospital of Clear Lake

PAM Health Rehabilitation Hospital of Clear Lake is a specialized facility dedicated to providing high-quality inpatient rehabilitation for patients recovering from acute illnesses and injuries. With a patient-centered approach, the hospital delivers personalized care plans focused on restoring function and independence. Services include physical, occupational, and speech therapy, along with medical and nursing care designed to support patients with conditions such as stroke, brain injury, spinal cord injury, and complex orthopedic needs. Backed by an experienced interdisciplinary team, PAM Health emphasizes compassionate care and successful recovery outcomes in a supportive healing environment.

HCA Houston Healthcare Clear Lake

HCA Houston Healthcare Clear Lake has been a cornerstone of specialized medical care in the Houston Bay area for over 50 years. In addition to its strong foundation in cardiovascular and internal medicine, the hospital is expanding its focus on neurology and neurosciences, offering care for a wide range of acute and chronic neurological conditions. With 532 acute care beds, a Level II Trauma Center, and access to advanced neuroimaging and diagnostic tools, the hospital is well-equipped to support high-quality neurologic evaluations and emergency stroke care in a fast-paced, high-acuity setting.

International Medical Graduates (IMGs) seeking PM&R rotations will gain valuable clinical experience through inpatient exposure, case-based discussions, and interdisciplinary rounds with neurology specialists. As part of the broader HCA Healthcare system, students benefit from cutting-edge technology, structured clinical teaching, and access to ongoing academic initiatives in a culturally diverse patient population. As part of a structured U.S. clinical externship, you will be attending for a one-month Neurology & Stroke rotation under the supervision of a board-certified Neurointensivist and neurologist with specialized training in neurocritical care.

Clinical Responsibilities & Learning Experience

During the rotation, you will be participating in both Inpatient/Emergency Department Neurology consults and Rehabilitation

centers, managing patients with a wide range of neurological conditions such as:

• Acute ischemic and hemorrhagic stroke
• Transient ischemic attacks (TIA)
• Seizure disorders and epilepsy
• Movement disorders
• Multiple sclerosis and peripheral neuropathies

Responsibilities

• Conducting and documenting detailed history and physical examinations
• Reviewing medication profiles, interpreting laboratory and radiological results (CT/MRI brain, MRA/CTA, EEG)
• Presenting clinical cases to the attending and resident teams and formulating differential diagnoses
• Developing and discussing evidence-based management plans
• Gaining proficiency in EPIC, the hospital’s EMR system
• Observing critical care procedures in the neuro-ICU
• Managing a diverse patient load of 20–30 patients per day, including emergency and follow-up neurology cases

Academic & Didactic Activities

The externship will offer broad exposure to academic neurology and interdisciplinary care. I attended and participated in:

• Morning Reports, Ambulatory and Mortality & Morbidity Conferences
• Neurology Grand Rounds and Journal Club
• Chief Resident Rounds and formal didactic lectures
• Senior resident presentations and interdisciplinary case discussions
• Administrative and care team coordination meetings
• These activities enhanced my understanding of clinical reasoning, medical decision-making, and U.S. hospital-based communication practices.

Research & Publication Opportunities

• Develop a neurology-focused case study.
• The abstract presentation at a national academic conference, with guidance for manuscript development.
• Students will be considered for co-authorship on publications based on merit and active participation, with mentor approval.

Benefits

• Gained first-hand experience in the U.S. healthcare system through direct patient care and physician mentorship
• Strengthened clinical decision-making in neurology and neurocritical care
• Expanded my professional network within a U.S. academic hospital environment
• Participated in career mentoring sessions with attending physicians
• Observed and discussed quality improvement initiatives in neurology care delivery

Summary

This externship offered an exceptional opportunity to gain meaningful U.S. clinical experience (USCE) in a high-acuity neurology and stroke setting. It strengthened my clinical and research skill sets, enhanced my understanding of U.S. hospital protocols, and contributed to my academic and professional growth as an international medical graduate.

Physician affiliations: HealMed Clinic, Manhattan Wellness Psychiatry, and Hackensack Meridian Health Tele-psychiatry Program

Rotation setting: Outpatient Psychiatry and Tele-Psychiatry Rotation with Interventional Psychiatry Component
(1 month)

Invitation letter for visa support: Yes

Does the hospital have residency?: No

Grand rounds or Hospital rounds: No

LoR type: Performance-based, Hospital letterhead

Case report and Presentation/Publication: Yes, National conference presentation. Manuscript guidance will be provided only if students do the work and students will cover the article processing fee.

Description:

• Direct exposure to general adult psychiatry in an outpatient setting
• Participation in psychiatric interviews, mental status exams, and treatment planning
• Management of conditions such as depression, anxiety, PTSD, bipolar disorder, and psychosis
• Collaboration with psychiatrists, BH case managers, and licensed clinical social workers
• Introduction to evidence-based therapies: CBT, supportive psychotherapy, and medication management

• Observe and participate in virtual psychiatric consultations using HIPAA-compliant platforms
• Exposure to real-time diagnostic assessments and medication follow-ups in a remote setting
• Learn communication and clinical documentation best practices in telehealth
• Understand barriers, logistics, and workflow of virtual mental health care

• Observation and learning about advanced treatment modalities beyond standard medications
• Exposure to Transcranial Magnetic Stimulation (TMS) for depression
• Observation of ketamine infusion therapy used in treatment-resistant psychiatric conditions
• Understand patient selection, safety protocols, and outcomes associated with interventional methods

• Regular virtual educational sessions, including didactics and clinical case discussions
• Feedback and supervision meetings with Dr. Goel and team
• Access to academic resources and discussions on evidence-based psychiatry
• Flexibility to engage in learning even outside of clinical hours

• Opportunity to contribute to case reports and join active clinical research projects
• Mentorship for national conference abstract submission and manuscript writing
• Potential for peer-reviewed publication (students cover APC fees if applicable)
• Strengthen residency application with academic productivity and scholarly output

Physician affiliations: Georgetown Behavioral Health Institute, Meridell Achievement Center, and BrightView Psychiatry

Rotation setting: Inpatient and Outpatient Psychiatry

Invitation letter for visa support: Yes

Does the hospital have residency?: No

Grand rounds or Hospital rounds: Yes

LoR type: Performance-based, Hospital letterhead

Case report and Presentation/Publication: Yes, National conference presentation. Manuscript guidance will be provided only if students do the work and students will cover the article processing fee.

Description:
This structured externship offers international medical graduates (IMGs) a comprehensive opportunity to observe and participate in outpatient psychiatry, tele-psychiatry, and interventional psychiatry. The rotation includes exposure to both adult and pediatric psychiatry across two leading behavioral health institutions—Georgetown Behavioral Health Institute and BrightView Psychiatry. Supervised by licensed, board-certified psychiatrists, students will develop a nuanced understanding of evidence-based mental health care delivery in both in-person and virtual formats.

Adult Psychiatry Component:
– Hospital: Monday-Friday (8-12 PM)
– ⁠Clinic: Monday-Friday (12-3 PM)
– ⁠Tele-education & Research: (3-4 PM)
– Exposure to a wide range of psychiatric disorders: major depressive disorder, anxiety, PTSD, bipolar disorder, schizophrenia, substance use disorders, and more.
– ⁠Students will observe psychiatric evaluations, participate in treatment planning, and learn to monitor patient progress over time.
– ⁠Emphasis on evidence-based therapies, including medication management, CBT, supportive psychotherapy, and motivational interviewing.
– ⁠Students will shadow interdisciplinary teams including social workers, case managers, and nurse practitioners in collaborative care.

Pediatric Psychiatry Component:
– Work alongside child and adolescent psychiatrists to understand developmental, behavioral, and emotional disorders in youth.
– ⁠Observe psychiatric interviews with children, adolescents, and families.
– ⁠Learn the principles of pediatric psychopharmacology and family-based interventions.
– ⁠Gain insight into conditions such as ADHD, autism spectrum disorders, mood and anxiety disorders in young populations.

Tele-Psychiatry Component:
– Participate in virtual consultations under physician supervision, including both initial evaluations and follow-ups.
– ⁠Understand the structure, documentation, and legal aspects of providing remote psychiatric care.
– ⁠Develop skills in patient engagement, communication, and cultural competence in virtual settings.

Tele-Education and Case-Based Learning:
– Weekly virtual didactics, journal discussions, and case presentations led by supervising psychiatrists.
– ⁠Participation in individualized feedback sessions to foster critical thinking and clinical decision-making skills.
– ⁠Optional self-directed learning assignments to enhance knowledge of DSM-5, pharmacotherapy, and psychotherapy modalities.

Research and Academic Opportunity:
– Students interested in research may contribute to case reports or join ongoing projects.
– ⁠Manuscript guidance available for national conference abstracts or journal submissions.
– ⁠Strong performers will be supported in academic endeavors, including structured mentorship and editorial feedback.

Student Responsibilities:
– Attend all assigned clinical and telehealth sessions punctually and professionally.
– ⁠Observe patient encounters, complete assigned readings, and participate in clinical discussions.
– ⁠Maintain HIPAA compliance and professional ethics at all times.
– ⁠Contribute to research/case reports as assigned, including literature review and case drafting.
– ⁠Submit a final reflection or presentation summarizing key learning outcomes.

Ideal Candidate:
This externship is best suited for ECFMG-certified international medical graduates or final-year international medical students with a demonstrated interest in psychiatry and mental health. You will receive a performance-based letter of recommendation on hospital letterhead.

Physician affiliations: Neurology and Epilepsy Specialists affiliated with Sunrise Children’s Hospital, Children’s Hospital of Nevada at University Medical Center (UMC), Las Vegas, Nevada

Rotation setting: Outpatient + Pediatric Epilepsy Monitoring Unit (1 month)

Invitation letter for visa support: Yes

Does the hospital have residency?: No

Grand rounds or Hospital rounds: No

LoR type: Performance-based, Clinic letterhead

Case report and Presentation/Publication: Yes, National conference presentation. Manuscript guidance will be provided only if students do the work and students will cover the article processing fee.

Description: 

Neurology and Epilepsy Specialists is the only comprehensive inpatient pediatric neurology service provider in Southern Nevada—serving Las Vegas, Kingman, Death Valley, and Bishop—offering critical care through Sunrise Children’s Hospital and Mountain View Hospital. As one of the oldest and largest pediatric neurology practices in Las Vegas, we are a regional referral hub for complex conditions such as epilepsy, spinal muscular atrophy (SMA), and Duchenne muscular dystrophy (DMD), and have pioneered several state-first programs, including Nevada’s only pediatric epilepsy monitoring unit and gene replacement therapies. Our dual board-certified physicians, Dr. Chavda and Dr. Jiang, lead innovations in care while collaborating with public health agencies like the Nevada Newborn Screening Program and the Department of Health. We are also committed to community outreach by offering reduced fee schedules, Medicaid support, and developing treatment protocols for rare disorders like adrenoleukodystrophy (ALD), ensuring equitable access to cutting-edge care for all children in need.

Pediatric neurologist with epilepsy subspecialties is covering the entire southern Nevada, part of Death Valley California, and part of Arizona (Primarily Kingman). The population of southern Nevada itself is around 2 million. The group cover major hospitals in person and other hospitals over the phone. Practice is very busy, yet thorough and patient-centered. You must have patience with differently-abled children.

The primary location for rotation is Neurology and Epilepsy Specialists Clinic. They get to manage all varieties of patients, including rare genetic, metabolic disorders like Pompe and spinal muscular atrophy (SMA), neuroimmunology disorders like multiple sclerosis and neuromyelitis optica, pediatric movement disorders like opsoclonus myoclonus, paroxysmal dyskinesia, Parkinsonian disorder, vascular disorders like aneurysm and stroke (pediatric strokes are very fascinating as the etiology is very different), presurgical evaluation for epilepsy, and neuro-oncological tumors like medulloblastoma and JPA. He is a Principal Investigator (PI) at the Jazz Pharmaceutical location in Las Vegas for a phase 2 clinical trial involving the use of cannabinoids (CBD) for epilepsy. You will get to see how clinical trials run. He runs a support group for patients and parents of patients with epilepsy through the Epilepsy Foundation of Nevada; certainly, you can join and get to meet all patients with epilepsy and their families (the best topic to discuss in the interview). You will get to see all the rare disorders that you have only read about in your books. You will learn about neuro exams, EEG interpretation (very difficult to interpret in neonatal age groups), how to approach genetic testing, how to read an MRI of the neuraxis, the interpretation of EMG and NCV, the use of all anti-epileptic medications as well as immunosuppressants like rituximab in pediatric age groups, and various treatments for headaches and surgical treatment for epilepsy. This clinical rotation is shadowing under the direct supervision of a physician.

Only two spots are available per month. As you always have one adult neurology resident, participants will be mentored closely, and their clinical skills will improve due to being part of a two-member cohort. The clinical rotation is scheduled for four weeks, five days a week, from 8 am to 4 pm. The student will also work on a case study and be mentored to publish it at a national conference. Students need the approval of our mentors before submitting the case study to the national conference. Only students participating in our rotation can participate in the case study; no other students or friends are allowed to be included in this publication. Letters of recommendation will also be issued based on the merits of the individual.

PS: The hospital is 5 minutes away from the world-famous Las Vegas Strip. You will never get bored in Vegas.

Physician affiliations: Donald and Barbara Zucker School of Medicine at Hofstra/Northwell Health

Rotation setting: Tele-rotation (2 months)

Invitation letter for visa support: No

Does the hospital have residency?: Yes

Grand rounds or Hospital rounds: No

LoR type: Performance-based, Hospital letterhead

Case report and Presentation/Publication: Yes, National conference presentation. Manuscript guidance will be provided only if students do the work and students will cover the article processing fee.

Description: This two-month tele-rotation will be with the staff pathologist. He is also an assistant professor at the Donald and Barbara Zucker School of Medicine at Hofstra/Northwell. His interest is in anatomic and surgical pathology. Participants will meet twice a week through Microsoft Team Viewer sessions for 1.5 hours. (Total 8 week block of 25 hours of live interactive hours of hospital-based education + 25 hours of pathology research + assignments + project submission to US pathology conference). The pathologist will review a variety of his patient’s cases and provide didactics on how to approach and diagnose these patients. Participants are expected to study the topics and receive feedback and participants will also able to submit and present one study at a national conference. Letters of recommendation will also be issued based on the merits of the individual on hospital letterhead.

Physician affiliations: Interfaith Medical Center and New York University Langone Health

Rotation setting: Inpatient, Outpatient and Procedures (1 month)

Invitation letter for visa support: Yes 

Does the hospital have residency program?: Yes, both hospital systems have residency programs

Grand rounds or Hospital rounds: only if rounds are not scheduled at the same time as doctor’s rounds

LoR type: Performance-based, Hospital letterhead

Case report and Presentation/Publication: Yes, National conference presentation. Manuscript guidance will be provided only if students do the work and students will cover the article processing fee.

Clinical Description: NYU Langone was established in 1948, a century after its Medical College. New York University Langone has 10 specialties ranked in the top 10 nationally by U.S. News & World Report. NYU Langone Hospital—Brooklyn also has the best safety rating of any hospital in Brooklyn. It also has Internal Medicine and more residency programs. It has an advanced technological cardiac catheterization laboratory and a Heart Rhythm Center in Brooklyn. Also, our hospital is home to NYU Langone’s Comprehensive Stroke Center (24 hours a day, a team of neurosurgeons, neurologists, neuroradiologists, and specially trained nurses are available at all times to provide lifesaving stroke treatment). In addition, it is the only hospital in Brooklyn to achieve Magnet recognition from the American Nurses Credentialing Center. Magnet recognition is one of the highest honors a healthcare institution can achieve, and it reflects its commitment to providing the highest level of quality and safety to all of its patients. Moreover, it is certified by the American College of Surgeons as a Level 1 trauma center. Furthermore, according to the Centers for Medicare and Medicaid Services, we are the only five-star hospital in the borough.

Interfaith Medical Center (IMC) was established in 1982 and is a teaching hospital. It operates residency training programs, training 120 residents in the specialties of internal medicine, dentistry, podiatry, and ophthalmology. Additionally, Interfaith has fellowships in cardiology, pulmonary, and gastroenterology.

This clinical rotation is a hands-on rotation at inpatient hospitals and outpatient settings. Only four spots are available per month. So participants will be mentored closely, and their clinical skills will improve due to being part of a four-member cohort. The clinical rotation is scheduled for four weeks, five days a week, from 9 am to 4 pm. Medical trainees will see an average of 10 to 15 patients in the inpatient setting and 20–30 patients in the outpatient setting. While rotating, the student will perform and write their physical examinations, review medications, interpret lab results, present clinical cases, discuss the differential diagnosis and management plans, have direct access to patient care, and enter the patient’s data in the EMR system. Students can only observe procedures. Procedures are scheduled two to three times per week, most of the time. After procedure days, the students will continue under the attending’s guidance, either in an inpatient or outpatient setting. This clinical rotation will provide a variety of first-hand experiences with differential diagnoses and treatments for congestive heart failure, different types of arrhythmias, acute coronary syndrome, coronary artery diseases, peripheral vascular diseases, and more cardiovascular diseases. Commonly observed procedures are coronary angiography, coronary stents, peripheral angiography, and venous ablation. Participants will become very familiar with the treatment protocol for cardiovascular disease and its documentation in EPIC (hospital EMR) and Practice Fusion (outpatient EMR). Students will be rotating under the doctor in different hospitals depending on the doctor’s assigned schedule for that month (either Interfaith Medical Center or NYU Langone Health or both), which means that depending on the month of rotation, one hospital letterhead will be assigned based on that hospital experience.

Physician Affiliations: Saint Francis Health System

Rotation Setting: Inpatient + Procedures (1 month)

Invitation Letter for Visa Support: Yes

Does the Hospital Have Residency?: No

Grand Rounds or Hospital Rounds: Yes

LoR Type: Performance-based, Hospital letterhead

Case Report and Presentation/Publication: Yes, National conference presentation. Manuscript guidance will be provided only if students do the work and students will cover the article processing fee.

Description: Saint Francis Health System, located in Tulsa, OK, is a premier healthcare institution recognized for its excellence in patient care, medical education, and cutting-edge research. It offers a robust learning environment, particularly through its comprehensive interventional neurology and neurosurgery rotation.

Interventional neurology and neurosurgery, which is also known as neuroendovascular surgery or interventional neuroradiology, is a branch of neurology and neurosurgery that uses image-guided, minimally invasive techniques to find and treat neurological problems involving blood vessels in the brain and spine. Neurologists or neurosurgeons who are experts in vascular interventions can do these advanced procedures, such as coiling an aneurysm, removing clots, embolizing arteriovenous malformations (AVMs), and decompressing the spinal cord.

During this rotation, participants will gain hands-on experience and in-depth exposure to this dynamic field. Trainees will learn to perform detailed neurological examinations, review imaging studies such as angiograms and MRIs, and identify vascular abnormalities in the brain and spinal cord. They will also observe and participate in endovascular procedures that use specialized catheters and microdevices to access affected blood vessels through small incisions in the groin. Key procedures include:

• Brain aneurysms: Coiling or stent placement to prevent rupture
• Ischemic stroke: Mechanical thrombectomy to remove clots causing strokes
• AVMs: Embolization to block abnormal blood vessels
• Spinal cord compression: Minimally invasive decompression using spinal injections

Additionally, participants will analyze live X-ray images during procedures to guide catheter placement and assess blood flow dynamics. They will also be involved in preoperative assessment, informed consent, managing intra-procedural complications, and post-operative care, including monitoring for neurological deficits and potential bleeding.

Collaboration is a cornerstone of this rotation. Participants will work closely with neurologists, neurosurgeons, neuroradiologists, and other specialists to develop comprehensive treatment plans for patients with complex neurological conditions. The program also emphasizes the use of emerging technologies, showcasing how advancements in devices and techniques are enabling treatment of increasingly complex neurological disorders.

The four-week rotation, limited to two participants per month, ensures personalized mentorship and skill development. Students will review neuroimaging, observe telestroke services, and learn advanced neurovascular anatomy, imaging, and procedural techniques. A case study will be completed during the rotation, with opportunities to present at national conferences, under guidance.

This rotation provides a unique opportunity to gain expertise in minimally invasive neurovascular interventions. Performance-based letters of recommendation will be issued based on the individual merits of participants.

Physician affiliations: University of Texas Health Science Center Houston (Division of Critical Medicine, under the direct observation of the Program Director of Interventional Pulmonology)

Rotation setting: Inpatient + Hospital Outpatient (2 month)

Invitation letter for visa support: Yes

Does the hospital have residency?: Yes

Grand rounds or Hospital rounds: Yes

LoR type: Performance-based, Hospital letterhead

Case report and Presentation/Publication: Yes, National conference presentation. Manuscript guidance will be provided only if students do the work, and students will cover the article processing fee.

Description: 

University of Texas Health Science Center at Houston, known as UTHealth Houston, is a premier public academic health center established in 1972 and part of the University of Texas System . It encompasses six professional schools—including the McGovern Medical School, School of Dentistry, Nursing, Biomedical Informatics, and Public Health—providing comprehensive education, research, and clinical care across the Texas Medical Center . Its clinical arm, UT Physicians, is a multispecialty physician group with over 2,000 providers spanning 80+ specialties, offering care through more than 100 clinic locations in Greater Houston. As full-time faculty in McGovern Medical School, UT Physicians doctors integrate patient care with teaching and cutting-edge medical research.

Interventional Pulmonology at McGovern Medical School is a high-tech, minimally invasive subspecialty rooted in the Memorial Hermann–Texas Medical Center setting . This program utilizes a multidisciplinary approach—integrating pulmonologists with thoracic surgeons, oncologists, radiologists, and anesthesiologists—and performs advanced procedures in both bedside and endoscopy suites to diagnose and treat airway and pleural conditions. Common interventions include rigid and flexible bronchoscopy, electromagnetic navigational bronchoscopy, endobronchial ultrasound, stenting, thermoplasty, and pleural catheter placements. The IP program is embedded in fellowship rotations spanning top-tier hospitals like Memorial Hermann-TMC, LBJ, MD Anderson, Kindred, and TIRR, offering fellows experiential learning in critical care, interventional pulmonary techniques, and consultative roles across diverse inpatient and outpatient environments.

This high-yield, hospital-based externship is tailored for International Medical Graduates (IMGs) seeking strong U.S. clinical experience in Pulmonary and Critical Care Medicine with focused exposure to Interventional Pulmonology.

Program Highlights

• Hands-on clinical externship (not observership) with full EMR documentation
• Only 1 student accepted per month: Highly mentored, intensive rotation
• 4-week duration, Monday–Friday schedule in a 100% hospital-based setting

Clinical Experience

• Directly assist faculty in managing 20–30 patients/day
• Perform Physical exams and SOAP note
• Medication and treatment reconciliation
• Interpretation of labs, imaging, and pulmonary function tests
• Clinical presentations and management discussions
• Rotate through Internal Medicine and Pulmonary Critical Care units
• Common cases: Asthma, COPD, emphysema, ILD, pulmonary hypertension
• Internal medicine overlap: Hypertension, diabetes, hyperlipidemia, infections

Interventional Pulmonology Skills & Observation

• Learn indications, techniques, and post-procedure care for:
  • Bronchoscopy (7–8 cases/week)
  • Endobronchial ultrasound (EBUS)
  • Thoracentesis – Fluid removal and analysis
  • Chest tube placement – For pneumothorax or effusion
  • Pleuroscopy – Diagnostic and therapeutic uses in pleural disease
• Understand procedural decision-making and complications

Research & Presentation Opportunity

• Work on a case study with mentoring for national conference submission
• Case must be independently developed by the student during rotation
• No external contributors (friends, peers) allowed on the manuscript

Letter of Recommendation (LoR): On hospital letterhead, based on active participation, knowledge, and professionalism

Housing: Housing is mandatory for the students rotating at this location in Houston Housing (https://www.jotform.com/form/231040261154137) due to its proximity to hospitals and safety issues.

Radiology Bootcamp Program

Physician Affiliations: Saint Francis Health System

Rotation Setting: Inpatient + Procedures (1 month)

Invitation Letter for Visa Support: Yes

Does the Hospital Have Residency?: No

Grand Rounds or Hospital Rounds: Yes

LoR Type: Performance-based, Hospital letterhead

Case Report and Presentation/Publication: Yes, National conference presentation. Manuscript guidance will be provided only if students do the work and students will cover the article processing fee.

Description: Saint Francis Health System, located in Tulsa, OK, is a premier healthcare institution recognized for its excellence in patient care, medical education, and cutting-edge research. It offers a robust learning environment, particularly through its comprehensive interventional neurology and neurosurgery rotation.

Interventional neurology and neurosurgery, which is also known as neuroendovascular surgery or interventional neuroradiology, is a branch of neurology and neurosurgery that uses image-guided, minimally invasive techniques to find and treat neurological problems involving blood vessels in the brain and spine. Neurologists or neurosurgeons who are experts in vascular interventions can do these advanced procedures, such as coiling an aneurysm, removing clots, embolizing arteriovenous malformations (AVMs), and decompressing the spinal cord.

During this rotation, participants will gain hands-on experience and in-depth exposure to this dynamic field. Trainees will learn to perform detailed neurological examinations, review imaging studies such as angiograms and MRIs, and identify vascular abnormalities in the brain and spinal cord. They will also observe and participate in endovascular procedures that use specialized catheters and microdevices to access affected blood vessels through small incisions in the groin. Key procedures include:

• Brain aneurysms: Coiling or stent placement to prevent rupture
• Ischemic stroke: Mechanical thrombectomy to remove clots causing strokes
• AVMs: Embolization to block abnormal blood vessels
• Spinal cord compression: Minimally invasive decompression using spinal injections

Additionally, participants will analyze live X-ray images during procedures to guide catheter placement and assess blood flow dynamics. They will also be involved in preoperative assessment, informed consent, managing intra-procedural complications, and post-operative care, including monitoring for neurological deficits and potential bleeding.

Collaboration is a cornerstone of this rotation. Participants will work closely with neurologists, neurosurgeons, neuroradiologists, and other specialists to develop comprehensive treatment plans for patients with complex neurological conditions. The program also emphasizes the use of emerging technologies, showcasing how advancements in devices and techniques are enabling treatment of increasingly complex neurological disorders.

The four-week rotation, limited to two participants per month, ensures personalized mentorship and skill development. Students will review neuroimaging, observe telestroke services, and learn advanced neurovascular anatomy, imaging, and procedural techniques. A case study will be completed during the rotation, with opportunities to present at national conferences, under guidance.

This rotation provides a unique opportunity to gain expertise in minimally invasive neurovascular interventions. Performance-based letters of recommendation will be issued based on the individual merits of participants.

Physician affiliations: University of Texas Health Science Center Houston (Division of Critical Medicine, under the direct observation of the Program Director of Interventional Pulmonology)

Rotation setting: Inpatient + Hospital Outpatient (2 month)

Invitation letter for visa support: Yes

Does the hospital have residency?: Yes

Grand rounds or Hospital rounds: Yes

LoR type: Performance-based, Hospital letterhead

Case report and Presentation/Publication: Yes, National conference presentation. Manuscript guidance will be provided only if students do the work, and students will cover the article processing fee.

Description:

University of Texas Health Science Center at Houston, known as UTHealth Houston, is a premier public academic health center established in 1972 and part of the University of Texas System . It encompasses six professional schools—including the McGovern Medical School, School of Dentistry, Nursing, Biomedical Informatics, and Public Health—providing comprehensive education, research, and clinical care across the Texas Medical Center . Its clinical arm, UT Physicians, is a multispecialty physician group with over 2,000 providers spanning 80+ specialties, offering care through more than 100 clinic locations in Greater Houston. As full-time faculty in McGovern Medical School, UT Physicians doctors integrate patient care with teaching and cutting-edge medical research.

Interventional Pulmonology at McGovern Medical School is a high-tech, minimally invasive subspecialty rooted in the Memorial Hermann–Texas Medical Center setting . This program utilizes a multidisciplinary approach—integrating pulmonologists with thoracic surgeons, oncologists, radiologists, and anesthesiologists—and performs advanced procedures in both bedside and endoscopy suites to diagnose and treat airway and pleural conditions. Common interventions include rigid and flexible bronchoscopy, electromagnetic navigational bronchoscopy, endobronchial ultrasound, stenting, thermoplasty, and pleural catheter placements. The IP program is embedded in fellowship rotations spanning top-tier hospitals like Memorial Hermann-TMC, LBJ, MD Anderson, Kindred, and TIRR, offering fellows experiential learning in critical care, interventional pulmonary techniques, and consultative roles across diverse inpatient and outpatient environments.

This high-yield, hospital-based externship is tailored for International Medical Graduates (IMGs) seeking strong U.S. clinical experience in Pulmonary and Critical Care Medicine with focused exposure to Interventional Pulmonology.

Program Highlights

• Hands-on clinical externship (not observership) with full EMR documentation
• Only 1 student accepted per month: Highly mentored, intensive rotation
• 4-week duration, Monday–Friday schedule in a 100% hospital-based setting

Clinical Experience

• Directly assist faculty in managing 20–30 patients/day
• Perform Physical exams and SOAP note
• Medication and treatment reconciliation
• Interpretation of labs, imaging, and pulmonary function tests
• Clinical presentations and management discussions
• Rotate through Internal Medicine and Pulmonary Critical Care units
• Common cases: Asthma, COPD, emphysema, ILD, pulmonary hypertension
• Internal medicine overlap: Hypertension, diabetes, hyperlipidemia, infections

This rotation offers hands-on training in minimally invasive surgical procedures within the field of Interventional Pulmonology, a subspecialty that bridges pulmonary medicine and thoracic surgery. Trainees will work closely with board-certified interventional pulmonologists and thoracic surgeons in hospital-based settings, gaining exposure to a wide range of diagnostic and therapeutic procedures.

Key surgical/procedural skills include:

• Rigid and flexible bronchoscopy

• Endobronchial ultrasound (EBUS) with transbronchial needle aspiration (TBNA)

• Medical thoracoscopy/pleuroscopy

• Airway stent placement

• Balloon dilation and laser therapy

• Foreign body removal

• Percutaneous tracheostomy

• Chest tube placement and management of pleural effusions

Participants will observe and assist in pre-operative planning, intraoperative technique, and post-operative care of patients with complex airway and pleural diseases, lung masses, and mediastinal pathology. Emphasis will be placed on sterile technique, imaging-guided interventions, and multidisciplinary collaboration with thoracic surgery, oncology, and critical care teams.

This surgical subspecialty rotation is ideal for those interested in pulmonary surgical interventions, offering procedural proficiency, critical decision-making, and advanced airway management skills essential for careers in thoracic surgery, critical care, or advanced pulmonary medicine.

Research & Presentation Opportunity

• Work on a case study with mentoring for national conference submission
• Case must be independently developed by the student during rotation
• No external contributors (friends, peers) allowed on the manuscript

Letter of Recommendation (LoR): On hospital letterhead, based on active participation, knowledge, and professionalism

Housing: Housing is mandatory for the students rotating at this location in Houston Housing (https://www.jotform.com/form/231040261154137) due to its proximity to hospitals and safety issues.