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.
AmeriClerkships postgraduate subinternships with residency programs
Length of program
Minimum 4 weeks; maximum 48 weeks. Start in as little as 2 weeks.
Program Directors (PDs), Associate PDs, Residency Program Faculty, Teaching Attending Physicians and Residents
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 2-4 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 6 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.
Bridgeport Family Medicine Externship/Preceptorship Program
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:
4-12 weeks, extern may start any Monday of the week
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]
Drexel Medicine® Physician Refresher/Re-entry Preceptorship
Drexel University College of Medicine has a tuition-based structured preceptorship/observership for IMGs preparing for a U.S. residency. Preceptorships are offered in internal medicine, pediatrics, OB-GYN, surgery and anesthesia. Rotations are all on the main university campus in Philadelphia.
Length of program
6-week rotations; repeatable once. The course starts on the 1st Monday of every month and is first come, first serve. The application process takes 4–6 weeks.
- Attend inpatient and outpatient rounds, core conferences, lecture and learn about medical care in the United States
- Attend didactics: morning reports, noon reports, grand rounds and clinical case discussions
- Homework will be assigned to hone in on medical knowledge, clinical reasoning and communication skills
- Meet weekly with preceptor to review the exercises and receive feedback
Find more details on the program or call (215) 762-2580.
Griffin Medical Clinical Observership Program
The application process for 2018-2019 runs through Sept. 30, 2018. New applications are accepted during this time only.
The program is no longer accepting applications for October 2018-January 2019. All positions for time have been filled. Only applications for the months of February 2019-June 2019 are being accepted.
Length of program
- 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
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 1 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
- 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.
International Observership Program
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
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.
- 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]
Jackson Memorial Hospital
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 4 weeks (1 month), longer with written approval by the department.
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.
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.
MD2B Connect IMG Rotation Program
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.
Somerset Family Medicine
Hands-on externship/observership in outpatient family medicine in Troy and Sterling Heights, Michigan, for FMG, international medical graduates, Caribbean medical students, Caribbean graduates and international medical students.
Length of program
Minimum 3-4 weeks; maximum six months
Start any day that is convenient for you.
Neil Jaddou, MD, MS, Board Certified Family Medicine
Faculty/Clinical assistant professor of Family Medicine and Community Health, Wayne State School of Medicine and Oakland Beaumont Medical School.
Affiliated with Wayne State University Medical School teaching program and Oakland Beaumont Medical School medical student teaching program.
On staff at four hospitals: St. John Ascension Health, Beaumont Health, Detroit Medical Center and Henry Ford Hospital.
- Become efficient in electronic medical or health records.
- Get familiar with the health system in the United States.
- Practice on interviewing and presenting a patient and doing history and physical examination. It is a hands-on program that resembles residency.
- Learn how to interpret basic lab tests and radiology data such as blood, urine, X-rays, EKG and PFT.
- Come up with differential diagnosis and plan.
- Learn how to work in a team of medical professional.
- Expand your medical knowledge and build on your differential diagnosis.
- Improve your scores on CK, CS and USMLE Step 3.
- Tour the hospitals and attend conferences when available.
- Online lectures given by Dr. Jaddou on common problems in family medicine, taken from future textbook by professor Jaddou.
- Opportunity to publish patient education article in the community newspaper.
- Receive a letter of recommendation at the end of the rotation that has a university and hospital logo.
- Receive a certificate of completion at the end of externship. There is also a possibility of finishing with honors and student of the month award.
- Opportunity to be chief extern and teach others.
- Volunteer in the church clinic once a week.
- Convenient housing and transportation in the very safe cities of Troy and Sterling Heights.
- Immediate availability. Start any day that is convenient for you.
- All visas are accepted, we do not sponsor visas.
- USMLE not required.
Visit www.americanexternship.com for details on price and submitting an application. For any questions email Dr. Jaddou: [email protected]