International Medical Education

Observership Program listings for international medical graduates

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.

AMOpportunities U.S. clinical rotations

Length of program

AMOpportunities offers four pathways for international medical students and graduates: four-week rotations, personalized one- to two-week boot camps, four-week university observerships, and four-week premier hospital core and elective rotations.


Our physicians include chief physicians, professors, department heads, attending physicians and program directors.

Program overview

AMOpportunities is the only U.S. clinical rotation company that partners with medical schools and teaching hospitals to provide international medical students and graduates with experience in the U.S. health care system. These experiences can help IMGs obtain LORs to eventually match into a U.S. residency program. Our software makes searching, applying and booking simple. 

Immediately upon booking a rotation, visitors are assigned an AMO visitor experience coach who is with them every step of the way from preparing for their rotation to completing their program. They also help find housing, travel, visas and anything else visitors might need. These coaches ensure a smooth and positive experience for the visitor.  

AMOpportunities visitors receive letters of recommendation based on merit from their hosting physician, which can be the deciding factor in a residency match application.

AMOpportunities has helped 2,500-plus visitors from more than 75 countries travel to the U.S. for clinical rotations across the country. We offer more than 200 rotations in almost all specialties, meaning we have something for everyone.

AMOpportunities offers these pathways:

  • AMO boot camps
    • One to two weeks of clinical experience at U.S. hospitals in all specialties
    • Local medical school tours
    • Certifications
    • Orientation and social events with AMO
  • 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
    • Select your preferred city, specialty and hospital
  • AMO four-week rotations
    • Clinical experiences at top hospitals with LORs based on merit
    • Select 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 University of Illinois and University of Miami
    • Select your preferred specialty
    • Certificate of completion

Eligibility criteria

AMOpportunities requires:

  • CV/resume
  • 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)
  • Proficient in English
  • B-1 visa
  • Other paperwork required by specific clinical sites (background checks, additional references, other immunizations, etc.)


How to apply:

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

Note: All applications must be submitted 45 days before the rotation starts.

Contact information

For questions, please contact an AMO advisor at [email protected] or call (312) 821-9020, ext. 2. To apply and book your rotation, please go to Our blog can also provide you with information.

AmeriClerkships postgraduate subinternships with residency programs

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.

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:

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 or email: [email protected].

Contact Bridgeport Family Medicine at (203) 923-2204 or [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

Six-week rotations; repeatable onceThe course starts on the 1st Monday of every month and is first come, first serve. The application process takes four to six weeks.

Program overview

  • 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

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 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

Observer-ship 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.

Contact Griffin Medical

Griffin Hospital Department of Medical Education at (203) 732-7327.

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

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].

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 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.

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.

Program overview

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.

Eligibility criteria

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


Visit 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].

Somerset Family Medicine

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.