Posts Tagged ‘observer’

Observership List

January 3, 2012 3 comments

I wanted to share an exciting new course offered by Harvard Medical School called “Introduction to the Practice of American Medicine (IPAM).” The course was designed by myself and my colleagues to assist international medical graduates in gaining a residency. We will offer the course this year in Dubai, New York, and plans for courses in Chicago, Mumbai and Delhi.  For those who cannot physically attend we offer an IPAM Live Stream and On-Demand option.

The course is a two-day workshop designed to optimally prepare candidates to apply for and achieve medical residency training in the United States. More information on the course including how to apply can be found here.

As promised, here is an up-to-date list (as of December 2014) of observership opportunities at programs that are IM friendly. I have confirmed that these programs do have observership programs.
I advise you to do observerships in several places if possible and focus on those programs that have a history of taking IMGs.

Observerships at Large University Hospitals
Tufts University School of Medicine
Johns Hopkins
Beth Israel Deaconess Medical Center Cardiology Cindy Cabral, Fellowships Coordinator
University of Pittsburgh Critical Care Medicine
Sparrow Hospital/Michigan State University Program
Cleveland Clinic, Ohio International Physician Observer Program and Global Clinical Observer Program
Beth Israel Medical Center, University Hospital for the Albert Einstein College of Medicine
University of Texas MD Anderson Cancer Center (Integrative Medicine, Anesthesia/Critical Care)
University of Texas MD Anderson Cancer Center (Pulmonary Medicine)
Thomas Jefferson (applicant must have letter from Thomas Jefferson Faculty member to be accepted)
George Washington University Hospital
University of Miami Observership Program (Foreign nationals may be eligible for a 3-month Observership Program) Contact Olivia Cata (
Dana-Farber Cancer Institute
University of Washington

Observerships at hospitals with Internal Medicine Programs that have taken a large % of IMGs
Griffin Hospital Program
Cleveland Clinic (Florida) Program
Mercy St. Vincent Medical Center
Mercy Health Partners/Mercy Hospital St. Louis
Providence Hospital ProgramDana-Farber/Children’s Boston Hospital
MedStar Montgomery Medical Center
Wayne State University/Detroit Medical Center Program
Providence Hospital and Medical Centers Program
St John’s Mercy Medical Center Program
University of Texas Health Science Center at San Antonio Lower Rio Grande Valley RAHC Program IMG physicians currently enrolled in training programs
Drexel University College of Medicine/Hahnemann University Hospital Program Offers a Structured Preceptorship which is expensive

Other Observership opportunities
Children’s Hospital Boston
Michigan State University-Sparrow Hospital
Florida Hospital Medical Center Program contact Nicole Yates, Residency Coordinator
Baptist Health South Florida
Washington Hospital Center
Harbor Hospital Baltimore, MD. A valid ECFMG certificate is required to qualify. Contact the coordinator Terry Kus
University of South Florida
Methodist Hospital Houston TX
Allegheny General Hospital–Western Pennsylvania Hospital Internal Medicine Residency Program
Jackson Memorial Hospital/Jackson Health System Program
Moffitt Cancer Center – Tampa, FL and here

Associations offering Observerships
American Association of Physicians of Indian origin (AAPI) Clinical Observership Program
The Oklahoma State Medical Association has created an observership program. The 12-week program will be made up of three to six rotations in various specialties.

Updated 12/04/2014
If you do find a link that no longer works please send a message to

The views expressed in this post are those of Kenneth Christopher, MD and do not necessarily reflect the views of Dr. Christopher’s employer Partners HealthCare.

“Externship” doesn’t mean anything

“Externship” is a meaningless word.  I cringe at the word “Observership.”  As far as I am concerned, if you are a medical school graduate seeing patient care with an attending supervisor you are an observer.  There is a huge difference between observing and doing a clinical rotation as a student at a hospital in the US.  Rules on observers are in place to ensure compliance with state and federal laws and hospital accreditation standards as well as ensure the legal safety of observers, staff and patients.  Some programs do not consider your USCE as clinical experience unless you have done clerkships in the US as students or have done a PGY1 year in the US.

As an observer you don’t have malpractice insurance.  That is one reason that you cannot legally examine patients and a big reason why so many hospitals do not allow observers.  If you examine patients (even if your resident says its OK) and a patient complains, you are the one that will take the heat and likely asked to leave.   In the presence of a patient or in any patient care area, observers cannot not be asked or allowed to answer specific questions about a patient’s care or treatment, or otherwise provide medical or professional opinions.  The observer is permitted only to view patient care, and in some hospitals only with patient consent. Observers cannot have direct patient contact or provide any type of medical care.  Protect yourself and don’t cross the line.  Don’t write notes, don’t talk to patients, and don’t examine patients.  You never know when a patient (who is a lawyer) will say “and who is this?” when you are listening to his heart.  Your answer “Um, I’m a doctor from Antarctica and I’m just an observer and I don’t um have a US license to touch patients or um malpractice insurance to cover me if you decide to sue me…OK?”

I often see letters that inflate how much an observer has done.  Sometimes I have to look at the date of graduation and the date of the USCE to figure out if it was a student rotation or time as an observer.  I hate that.  The letter writers who laud their observer’s clinical skills are lying or they were foolish to allow an uninsured observer to touch / talk to a patient.  When I see these inflation letters I wonder about the judgement of the letter writers which reflects badly on the candidate (you).  Letters from a time of observation need to have the following statement: “Our hospital policy on observers forbids any patient contact so I am not able to directly comment on the observer’s clinical skills.”  The letters can and should comment on how much they liked you as a person and how good your English is.

Observer time does not allow you to showcase your organizational skills or clinical skills. Those are very important for program directors to know. Observer time is an opportunity to show off your knowledge base, your social skills and your flair for the English language.  These are also important for program directors to know.

Time spent as an observer can be quite fruitful.  Try to get observer time at IMG friendly hospitals were you can spend time getting to know the hospital and especially the program director.  If you are liked at that IMG friendly hospital, you will probably get an interview there.  Candidates that I know only got interviews at hospitals where they did observerships.

If you are lucky enough to have had time as an observer describe it in your application as “Observer at Man’s Greatest Hospital in the Hematology Department, July 2011″  and not “Externship in Hematology, Man’s Greatest Hospital, July 2011.”


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