DISCLAIMER: The information presented here is made available solely for general informational purposes only and does not constitute an endorsement.

Observerships are designed to help international medical graduates (IMGs) adapt to the practice of medicine in the United States. Review the list of observerships that have registered with the AMA.

The American Medical International Quality Training (AMIQT) is specifically designed for international medical graduates (IMGS) and students to be able to function within the United States health system by observing the delivery of care first-hand. The AMIQT Observership Program is not intended to fill gaps in clinical knowledge or training; it is meant to familiarize and acculturate an IMG to the practice of medicine in a U.S. clinical setting. This a great introduction to U.S. medicine before IMGs successfully match into a hospital-based residency program.

Observership listings

Find out how to establish an observership, and submit an application to list your program on our website.

We have more than five years of experience and enjoy teaching/training doctors. Our trainees have come from all over the world and have gone on to do their internships and residencies in the U.S.

We currently offer rotations in neurology, internal medicine, family medicine, pediatrics, obstetrics-gynecology, psychiatry, ophthalmology and nephrology. If you are interested in other specialties, let us know and we will try to accommodate you.

Length of program

This is a month long U.S. clinical observerships and externships in the Washington, D.C. metropolitan area.

Program overview

  • Gain insight into the day-to-day operations of clinical care in the United States
  • Enhance history taking, assessment and diagnostic skills
  • Attend weekly university hospital grand rounds
  • Explore areas of interest in ongoing research and initiatives
  • Opportunity to give presentations and receive valuable feedback
  • Earn a letter of recommendation upon successful completion of rotation
  • Guidance with ERAS residency application process
  • Work and learn in the vibrant Washington D.C. metro area

Application process

  • Apply on website or email your request
  • An application form will be sent to you
  • Free residency process consultation upon request
  • Submit completed application, required documents and payment
  • Rotation will be confirmed and an acceptance letter will be sent to you

Visit www.amiqt.com to learn more about our program. If you have additional questions, email us at [email protected] or call (202) 728-0099.

Length of program

Minimum four weeks; maximum 48 weeks. Start in as little as two weeks.


Program Directors (PDs), Associate PDs, Residency Program Faculty, Teaching Attending Physicians and Residents

Program overview

AmeriClerkships Medical Society (AMS) in partnerships with Graduate Medical Education (GME) departments offers a rare opportunity for medical graduate members of AMS to enroll in Postgraduate Subinternships (PGSIs) in over 30 specialties.

PGSIs are designated as AMS-PGY1CONNECT sites, meaning that AMS members have secured residency interviews and even “matched” into such hospital(s).

A typical “matched” AMS member who has matched into a PGSI residency program has:

  • Completed 12-28 weeks of PGSI
  • Secured two-four letters of reference directly from PGSI supervising attendings
  • Is a U.S. citizen or permanent resident
  • Passed USMLE Step 3

By enrolling as an AMS PGSI, medical graduates may expect to gain first-hand exposure to the inner workings of U.S. GME and medical residencies (even in 100% inpatient settings) and develop into an effective PGY1 by learning how to:

  • Become an integral member of U.S. medical residency teams that manage acute and chronic medical problems
  • Rotate and collaborate with top residency program faculties, teaching attending physicians, chief residents and even program directors
  • Participate in teaching rounds and possibly present in journal clubs and residency conferences
  • Refine history taking and physical examination skills
  • Formulate problem lists, prioritize medical problems, select laboratory and ancillary tests, as well as institute drug and supportive therapies
  • Utilize subspecialty consultative services
  • Develop definitive plans for ongoing care and follow-up of dismissed patients

Upon satisfactory completion of each PGSI clinical block, AMS PGSI will be evaluated based on the six ACGME Core Competencies, and may request a performance-based letter of recommendation on official GME/teaching hospital letterhead.

For questions and enrollment, please contact AmeriClerkships Medical Society directly at (949) 417-8980, or visit the website.

Length of program

AMOpportunities offers three pathways for international medical students and graduates: hospital core and elective rotations, AMO four-week rotations and university observerships.

Our support system


AMOpportunities’ preceptors include chief physicians, professors, department heads, attending physicians and residency program directors. These preceptors provide letters of recommendation to visitors based on merit, which can be the deciding factor in a residency Match application.

Visitor Experience Coaches

Immediately upon reserving, visitors are assigned an AMO Visitor Experience Coach who works with them one on one from start to finish, assisting with everything, from finding housing to answering questions about what to wear on the first day. While a trainee is in the country, a coach is on call for any issues or questions that can arise. These coaches also host a pre-departure orientation to make sure you’re prepared on your first day. 


AMO Advisors help visitors select and reserve a clinical experience that fits their needs. Advisors will ask you about your professional goals and recommend program choices that will help you develop your skills and CV to reach these goals. 

Program overview

AMOpportunities is the only company that contracts directly with ACGME teaching site hospitals. Direct relationships with teaching hospitals allow IMGs to receive credit at their home schools and letters of recommendation from hospital directors, which can be the deciding factor in a residency match application.

AMOpportunities connects health care trainees around the globe to U.S. clinical experiences at teaching hospitals. The platform pairs a centralized application system for on-demand clinical experience with services such as visa and housing support. An experience coach guides each trainee from application to completion.

AMOpportunities has hosted more than 2,700 international medical students and graduates in 200-plus clinical sites across the country. AMOpportunities grows every year, forming partnerships with academic institutions globally and connecting them to our partnered hospitals

AMOpportunities offers these pathways:

  • Premier hospital core and elective rotations
    • Four-week experiences for final-year medical students
    • Green Book rotations at ACGME-accredited hospitals
    • Rotations with U.S. medical students
    • Selection of your preferred city, specialty and hospital
  • AMO four-week rotations
    • Clinical experiences at top hospitals with LORs based on merit
    • Selection of your preferred city, specialty and hospital
    • Multiple options offered with discounts
    • Certificates of completion
  • University observerships
    • Four-week clinical observerships at prestigious U.S. medical schools
    • Featured experiences at the University of Illinois and University of Miami
    • Selection of your preferred specialty
    • Certificate of completion

Eligibility criteria

AMOpportunities requires:

  • ONLY a CV/resume to apply (unless a hospital requires more to accept your application)
  • After you’re accepted, to complete enrollment you will need:
    • Proof of immunizations (MMR, hepatitis B, meningitis, tetanus, varicella, influenza when in season and a recent PPD)
    • Health insurance
    • Proof of student or graduate status
    • Professional liability insurance (for hands-on experiences)
    • Proof of English proficiency
    • B1 visa or other valid U.S. entry status (or citizenship/permanent resident)
    • Other paperwork required by specific clinical sites (background checks, additional references, other immunizations, etc.)

Application process

  • Create an application.
  • Search the 200-plus rotations on our website.
  • Select your preferred experience.
  • Upload your CV.
  • Submit your application.

Note: Many hospital applications require a minimum of 60 days to process and complete your enrollment. If you are looking for inpatient experience, applying a minimum of two months in advance is recommended. Application deadlines vary by program.

Contact information

For questions, please contact an AMO advisor by email at [email protected], call us at (312) 821-9020, ext. 2, or WhatsApp at +13123585101.

To apply and reserve your rotation, please go to www.amopportunities.org. Our blog can also provide you with information.

Bridgeport Family Medicine offers real hands-on experience in family medicine, internal medicine, pediatrics and urgent care medicine. The program is structured as a "mini residency program" to prepare IMGs for the U.S. medical system by using state of the art EMR/HER systems.

Length of the program:

Four-twelve weeks, extern may start any Monday of the week

Program overview

The extern interviews the patient, performs the physical exam along with attending physician and discusses differential diagnoses, management options, labs, imaging and forms a management plan. In addition, the extern will:

  • See and manage patients with their preceptor
  • Learn on a state-of-the-art Electronic Medical Record
  • Improve physical examination skills
  • Improve patient note taking skills
  • Improve history taking skills
  • Learn to perform EKG, Phlebotomy, PFTs and UA
  • Discuss family medicine topics and the latest guidelines on a daily basis

For more details, visit www.usmedicalextern.com or email: [email protected].

Contact Bridgeport Family Medicine at (203) 923-2204 or [email protected].

Chicago Clerkships will assist you in securing U.S. clinical experience that best aligns with your career goals. 

Length of program

Clinical rotations are four-weeks.

Program overview

Rotations for medical schools are individually arranged according to the school's requirements.

All rotations include:

  • Inpatient, outpatient and combined placements
  • Nearly all specialty areas available
  • Supervision by board certified physicians
  • High-quality LORs that speak to your demonstrated clinical skills and professionalism
  • Medical malpractice liability insurance
  • Return client discounts
  • CV and personal statement review and editing
  • Assistance with finding housing and access to exclusive Homestay Network
  • Help with navigating public transportation
  • Orientation and information about cross-cultural health care, resources and certifications including HIPAA
  • Personal attention and immediate response from staff
  • Recorded webinars that you can download at your convenience

Unique opportunities with Chicago Clerkships include:

  • Hands-on rotation placements offered with clinical faculty of teaching hospitals
  • Hands-on family and internal medicine (and subspecialty) rotations that include hospital exposure
  • Hospital rotation in emergency medicine
  • Research internships in immunology at Northshore Evanston/University of Chicago
  • Rotation boot camps where you can do two rotations simultaneously and get two LORs (for those with time limitations). We will help you work out the schedule.
  • Buddy discount for two or more friends reserving rotations starting between Oct. 1 and Jan. 31.

Application process

  • Apply on our website
  • You will be directed to an online form with instructions and requirements
  • Submit completed application and required documents
  • There is no application fee

If you are looking for online lectures, teaching tutorials, case presentations, practice exams and interviews, check out our partner IMG Village.

For more information, contact Chicago Clerkships by email via the website or call (312) 985-6354.

Length of program

Clinical Rotation’s intelligent marketplace platform allows for complete customization of observership duration to best suit the busy schedules of health care learners and medical graduates.


Clinical Rotation brings together the most recognized health care leaders, attending physicians, clinical professors and residency program directors from across the globe on our USPTO trademarked platform for seamless booking of high-quality observerships and clinical rotations.

Program overview

Established by health care professionals and leaders in medical education, Clinical Rotation offers individual and institutional-level options for the highest-quality clinical placements in observership programs and official, hands-on, Green Book clinical rotations globally. Our partners include some of the most elite names in health care from New York to London to Sao Paulo.

Clinical Rotation’s mission is to connect the world’s community of health care learners, graduates and professionals to recognized experts in clinical education and:

  • Guarantee career pathways and residency matching
  • Optimize government, system and individual-level health care education
  • Share cutting-edge medical and surgical practices
  • Ensure best practices and outcomes for our patients

Eligibility criteria

Eligible health care learners include:

  • International medical graduates
  • International medical students
  • Domestic health care graduates (all health care professions)
  • Domestic health care students (all health care professions)
  • Established health care professionals
  • International health care training programs & schools
  • Domestic health care training programs & schools

Application process

Our Clinical Rotation marketplace platform cuts red-tape involved in securing observership and rotation placements. Our learners/institutions reserve their desired experience and we collect information and site-specific documents. If we don’t have a particular clinical experience available, we find it. We assist provisional, new and established domestic and international health care training programs and institutions arrange their curriculum map.

Contact information

For inquiries, please contact our Clinical Rotation team by email at [email protected]. To search our listings and reserve your clinical experience today, visit us at www.clinicalrotation.com/.

Length of program

Four-week rotations; repeatable once. The course starts on the first Monday of every month and is first come, first serve. The application process takes four to six weeks.

Program overview

  • Meet weekly with preceptor to review the exercises and receive feedback
  • Homework will be assigned to hone in on medical knowledge, clinical reasoning and communication skills
  • Self-paced online learning
  • Didactics
  • Multi-source assessments
  • Clinical case discussions
  • Group discussions with peer and dedicated faculty preceptors
  • Clinical reasoning exercises with preceptor feedback
  • Documentation exercises

For more details on the program, email us at [email protected] or call (267) 359-2759.

Length of program

Four weeks

Program overview

  • To familiarize yourself with the U.S. medical system
  • To become proficient in presentation of history and physical examinations on daily rounds
  • To become proficient in ascertaining patients' acute symptoms and making a therapeutic plan
  • To learn to write daily progress notes
  • To learn how to interpret basic lab tests and radiology data such as blood, urine serum and X-rays

Eligibility criteria

Foreign medical student graduates must be:

  • Graduates of a medical school
  • ECFMG certified

The following are required to be submitted to the committee for consideration of participation in the program:

  • A completed application or ERAS application (For ERAS, months for which the candidate is applying should be indicated in the email. In the event that ERAS application is not available, a common application form can be substituted.)
  • A cover letter detailing desired rotation
  • A curriculum vitae
  • At least one letter of reference from a clinical supervisor or advisor, or an attending physician
  • USMLE score reports
  • Medical school diploma
  • ECFMG certificate
  • TOEFL score report (if available)
  • Documentation of up-to-date immunization record (including flu shot during flu season (Oct.-March)
  • Proof of health insurance coverage
  • A recent photograph for identification
  • Copy of passport and valid visa

Observership program at Griffin Hospital application (PDF)

Application deadline

  • A completed application must be received no later than Oct. 1
  • Formal start date is usually the first working day of a calendar month
  • Timing is at the discretion of the program coordinator and teaching service schedules

Visit Griffin Medical’s website for more details and to apply, or contact the Griffin Hospital Department of Medical Education at (203) 732-7327.

Allegheny General and West Penn hospitals host observers from around the world. This program was designed for physicians, nurses, pharmacists, medical students, physiotherapists, technologists, technicians and health administrators.

Length of program

Four weeks

The observership is a specific exchange program in which the observer accompanies the medical staff through their daily hospital routine, sharing experiences with doctors, residents, staff and students. This program is not for academic credit.

Program overview

  • Observation of the clinical care of patients
  • Participation in lectures, grand round and other related events
  • No privileges are granted to participate in the clinical treatment of patients to assist in any medical procedures, test or surgeries

For inquiries about international educational opportunities available through Allegheny General, call International Services (412) 359-5269 or email [email protected].

It is the policy of the Public Health Trust to accept physicians or resident physicians desiring to participate as an observer/rotator at Jackson Health System facilities. All requests for observer/rotators must be reviewed and approved by Risk Management.

Length of program

Observerships may last up to four weeks (one month), longer with written approval by the department.

Program overview

The individual desiring to participate must provide the Office of Physician Services all required documentation as set forth in this policy in order to be considered for a rotation or observership. Jackson Health System will not provide professional liability coverage for any resident for an outside institution. If the home institution will not provide the coverage, then they will be classified as observer status only. An observer is a health care professional or student who will not provide patient care or have direct patient contact. Observers differ from students in an academic program in that the observership is not an educational requirement of any academic program (see administrative policy 389 for students).

Observer may be one of the following:

  • Physicians (foreign or domestic)
  • Registered nurses (foreign or domestic)
  • Other health professionals (e.g., radiology, respiratory therapy, psychology, pharmacy technicians)
  • Students not covered under an existing affiliation agreement

Observerships may be in an inpatient or outpatient setting and must be approved by the Jackson Health System facility’s department(s) director(s) of the area being observed. For physicians, approval is needed from the associate/chief medical officer. For residents, approval is needed from the GME office. For nurses, approval is needed from the director of patient care services and/or the chief nursing officer. For all other students, approval is needed from the associate/chief medical officer.

For more information, view the Policy & Procedure Manual.

Jackson Health System Policy & Procedure Manual (PDF)

Contact information

Graduate Medical Education Office
Jackson Memorial Hospital
Institute 118B
1611 NW 12th Avenue, Miami, Florida 33136
Phone: (305) 585-4310
Fax: (305) 585-4309

For more information on visiting medical students, please visit the information page.

The MD2B Connect IMG Rotation Program was founded by Samir Desai, MD, author of the book, The Successful Match. The goal of this program is to link international medical graduates with dedicated physicians who are committed to providing excellent patient care and mentoring the next generation of physicians. Every one of our physician partners has been carefully chosen by Dr. Desai with two goals in mind: to provide an exceptional hands-on or observership experience and to help you maximize your chances of a successful residency match.

Length of program

Four-week rotation (option to extend duration if interested); quick placement into rotation.


Many of our physicians are either faculty members at U.S. medical schools or active teaching staff at residency programs throughout the country. Letters of recommendation written by such physicians carry more weight in the residency selection process. Rotations are offered in internal medicine (and its subspecialties), family medicine, pediatrics, psychiatry, pathology, anesthesiology, physical medicine and rehabilitation, dermatology, ophthalmology, geriatrics, as well as other specialties.

IMGs in our program benefit from the following:

  • Introductory strategy session with Dr. Desai prior to the rotation to understand your strengths and weaknesses followed by a targeted plan to follow during the rotation so that you can make the most of your clinical experience.
  • Complimentary copy of Dr. Desai’s book, The Successful Match, which was named by the AAMC Group on Student Affairs as a high-value resource.
  • Complimentary copy of Dr. Desai’s book, Success on the Wards, which is widely used by U.S. medical students during their core clerkships. The tools, strategies, and recommendations in this resource will help you make a more favorable impression during the rotation, leading to a stronger letter of recommendation.
  • Rotations in both the inpatient and outpatient setting, as well as options to complete hands-on (externship) or observership experiences.
  • Opportunity to be an active and integral member of the team with the following responsibilities: taking the history, performing the exam, ordering and interpreting tests, developing differential diagnoses, formulating assessments/plans, presenting cases, writing notes in written or electronic medical record, collaborating with team members to implement patient care plan and arrange follow-up, present medical topics.
  • Our rotations are structured to provide the opportunity for substantial one-on-one time with the preceptor.
  • Periodic follow-up with you during the rotation by Dr. Desai and his team to ensure that the rotation is meeting your needs and that you are reaching your goals.
  • Dr. Desai and his team will guide you on how to provide the attending physician with the information needed to write a strong letter of recommendation.
  • Our attending physicians have had years of experience writing letters of recommendation. Dr. Desai and his team will also provide each attending physician with guidelines and recommendations for writing powerful letters of recommendation.
  • Many of our rotations offer advantages that go beyond the patient care experience. You may have opportunities to lead, direct, or participate in practice improvement projects. Our IMGs have also written case reports and review articles and taken part in the preceptor’s research projects. These efforts will strengthen your CV, making you a more attractive candidate for residency training.

We expend tremendous effort to provide you with an optimal experience. Dr. Desai knows how important this rotation is to your future, and he is passionate about helping you reach your professional goals in medicine.

  • USMLE not required
  • Flexibility with several U.S. visas
  • Start date flexible
  • Quick placement into rotations


Visit www.md2bconnect.com for rotation opportunities, pricing and other details. For additional information or questions, email us at [email protected] or call (248) 595-2638.

Contact MD2B Connect: Samir Desai, MD at (248) 595-2638 or [email protected].

Hands-on externship/observership in outpatient family medicine in Michigan for FMG, international medical graduates, Caribbean medical students and Caribbean graduates.

Length of program

Minimum 4 weeks; maximum 12 weeks


Neil Jaddou, MD, MS, board-certified in family medicine, clinical assistant professor of family medicine and community health, Wayne State School of Medicine and Oakland Beaumont Medical School. Staff at four hospitals and affiliated with St. John Oakland-Macomb medical students teaching program.

Program overview

  • Outpatient family medicine office in Troy and Sterling Heights, Michigan.
  • Learn EMR: Program directors will want you to know and be efficient in Electronic Medical or Health Record.
  • U.S. health system: Get familiar with the American health system.
  • Present a patient and do H&P: Practice on presenting a patient and do history and physical examinations.
  • Diagnostic studies: Learn how to interpret basic lab tests and radiology data such as blood, urine, X-rays, EKG and PFT.
  • Increase medical knowledge: Expand your medical knowledge and build on your differential diagnosis.
  • USMLE emphasis: Improve your scores on CK, CS and USMLE Step 3.
  • Attend conferences: Tour the hospitals and attend conferences when available.
  • Free online lectures: Online lectures given by Dr. Jaddou on common problems in family medicine, taken from future textbook by Dr. Jaddou.
  • Publish articles: Opportunity to publish patient education article in the community newspaper.
  • LOR: At the end of the rotation you will receive a letter of recommendation that has a university and hospital logo.
  • Certificate of completion: Given at the end of externship. Also, possibility of student of the month award and finishing with honors.
  • Leadership: You will have an opportunity to be chief extern and teach others.
  • Community work: Volunteer in the church clinic once a week.
  • Safe: We are in the very nice city of Troy and Sterling Heights, Michigan.

Eligibility criteria

  • USMLE not required
  • Immediate availability. Start any day that is convenient for you.
  • Must be living in U.S.A. to apply. We do not sponsor visas.
  • All visas are accepted if you are physically present in U.S.A.


Visit our website for details on price and application. Email us at: [email protected] or call (586) 722-7240 if you have any questions.

USDoctors.co is a one-stop solution for health care professionals. Our network holds the top-tiered talent from around the globe; while providing you accessibility, streamlined solutions, speedy processes all on one platform.

Length of program

Clinical rotations from 2-12 weeks depending on the request of the student. We offer services for IMG & FMG students.


We have hundreds of preceptors across the nation with rotations available to be filled in various specialties.

Program overview

Medical technology platform built for international medical students and health care professionals to have instant access to clinical training. We partner with training hospitals, clinics and doctors with experience training IMG students. Our technology allows students to apply for rotations of their choice and get approved. We have medical students, universities, training hospitals and preceptors on one network matching IMG and FMG students directly.

Eligibility criteria

  • Register for free on USDoctors.co
  • Complete profile with a picture and all required information
  • Get your profile verified
  • Upload to profile:
    • Proof of immunizations
    • Health insurance
    • Proof of student/graduate status
    • Professional liability insurance (for hands-on experiences)
    • B1 visa or other valid U.S. entry status
    • Other paperwork required by specific clinical sites

Application process

Join free to network and fill out the application to receive acceptance into the program.

Contact Waqar Khan by email [email protected] or call (224) 698-7113 if you have any questions.

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