Clinical Rotations and Foreign Medical Graduates

What are Clinical Rotations?

In the U.S., the first two years of medical school are typically classroom lectures and book-inspired learning with very little hands-on experience. But applying these skills to real life medical situations is difficult without actual experience. That is why the third and fourth years of medical school include clinical rotations.

Clinical rotations are time spent shadowing physicians and residents in order to see what it’s like to truly experience practicing medicine. Students get to participate in the medical decision-making process, and they gain the invaluable experience about uncertainty and solution-making inherent in medical practice. This may be the first time medical students have dealt first-hand with patients, so it is really an opportunity to understand the physician-patient relationship.

Core Rotations:

Core rotations are not elective, but they may vary depending on the medical school. These rotations cover the breadth of general medicine. They may include family medicine, internal medicine, pediatrics, OB/GYN, psychiatry, emergency medicine, and surgery. The learning opportunities expand as the student progresses through the rotations, and they leave with a greater understanding of their future responsibilities and skill requirements.

Elective Rotations

Elective rotations are specified and more applicable to your future hopes and dreams in the medical field. These rotations may cover subjects such as ophthalmology or plastic surgery. Elective rotations typically occur during the fourth year of medical school. Because of this, it is easy to get distracted and focused on residency rather than rotations. This can make it difficult to select rotations, and the help of an adviser or mentor is suggested to keep you on the right path.

Clinical Rotations are a Job

One thing about clinical rotations is that it can be very much like a job, and it should be treated like a job. Even though there is no pay, and you may work long hours, this is very similar to what you will do as a resident and then a practicing physician. The hours and the work environment will be similar, and rotations are a first opportunity to experience “the real world” of a physician.

It would be a mistake to underestimate the importance of rotations, and a medical student should take it seriously. This means dedication, attentiveness, eagerness, and self-care to make sure you are getting everything you can from every moment observing others in the medical field. It is also a chance for networking, and some of the professional connections you make during this time will be life/career-long.

Clinical Rotations and Foreign Medical Graduates

As a foreign medical graduate, U.S.-based experience is a must. It may be helpful to get assistance from an outside source such as FMG Portal to help you get started. Any U.S. experience obtained prior to the Match will help a student get into to more residency programs, as it will look better on applications and during interviews.

Advantages of Clinical Rotations for Foreign Medical Graduates

  • Hands-on Experience: For all medical graduates, foreign or not, clinical rotations add valuable hands-on experience that cannot be replaced by classroom lectures. Students will learn from actual doctors and in the professional setting.
  • Letters of Recommendation: When applying for residencies through the Match, foreign medical graduates will need letters of recommendation from colleagues within the United States. This sends a message to residency directors that your educational background includes cultural acclimatization and that you have experience practicing medicine in the U.S. Healthcare System.
  • Performance Evaluations: Most clinical rotations offer performance evaluations where you will be informed of you strengths and weaknesses in certain areas of medicine. This is very valuable for future studying and in order to know where to get more experience.
  • Pathway to Residency: As a foreign medical graduate, you need local training to be considered for many residency programs, and clinical rotations provide a pathway for that to occur before graduation, so you don’t have to spend time after graduation getting experience before the Match.

The outlook for foreign medical graduates is constantly getting better despite political issues causing problems with visas, etc. There is a physician shortage that must be filled, and the American people and residency directors are consistently looking at foreign medical graduates as hope for a system that is lacking.

One of the ways that you can help foreign medical graduates (yourself) along is by making sure you have the background to show that you will be a formidable physician in the U.S. Clinical rotations are one way to do that. Not only do they give you added knowledge, experience and skills to help you practice better medicine, but they also make you look good to residency directors who may be concerned about your medical school experience. This shows them that not only is your educational background strong, but you have already had success applying it to patients in the U.S.

10 Habits to Prep for the Match

If you are getting ready for the Match, you should have already picked your specialty and are looking at different options for residency programs. As any medical graduate, this is not a time for rest following graduation. However, foreign medical graduates have a few more things on their list if they want to be eligible for the Match (visa, ECFMG certification, etc.) Your time during The Match should be spent actively engaging yourself in the medical community and gaining any experience available through internships or mentorships. It can get pretty hectic, and one of the keys to success during this time is the proper management of life. Here are a few habits that will prep you for your life during the Match.

  1. Schedule:

There are all sorts of deadlines and appointments you will have during the Match. You should have already developed your own system for successful scheduling. If not, now is the time. An electronic schedule via Google or other technology is advised as a primary calendar, but don’t be afraid to get creative. Always keep a master calendar, but if post-its help you to get certain things done, recognize that. Use the tools at your disposal, but develop good habits to make you less reliant on your creative tools and more reliant on dependable primary schedules.

  1. Look at Requirements:

Start studying residency programs immediately. Look at their requirements. Look at their statistics in regards to accepting foreign medical graduates. Talk to other residents, and make sure you like the environment surrounding the programs you consider. You cannot have enough information about your residency. The more informed you are, the better you will perform during interviews.

  1. Study:

You still have exams in the horizon, so this is no time to lose your knack for information retrieval. The medical profession is a profession for lifelong learners, so never stop. With that said, studying beyond your capacity will not yield any better results.

  1. Eat:

It is important to take care of yourself in order to maintain a smart mind and an active body. Both are going to be required if you are to make it through this time. Don’t celebrate your graduation from med school too much, and don’t waste your money on fast food. Drink your water, and prep your own food or choose healthy options. This will make you ready for every day on this adventure and keep your mind sharp.

  1. Sleep:

It will not help you in any way to stay up late studying. Your mind will be tired and won’t retain anything more than it would had you spent very little time studying. Save room for sleep in your schedule, and you’ll be more productive.

  1. Build your Team:

The path to residency can get lonely because there is so much to do. Don’t set aside friends and family, as it increases your risk for burnout. If you are in a new area, meet new people. You will need them to bring some of the humanity back to this process.

  1. Practice:

Practice your interviews from the beginning. By the time you get to actual interviews, you should have your answers polished and be able to answer unexpected questions with ease. Half of the battle with interviews is making sure your personality shows. Interviewers don’t want an automated response from a memorized answer. Practice is the only way you can deliver real responses to tough questions.

  1. Meditate:

Meditation can mean so many things, but in this case it means spending some time on yourself for reflection. A residency is a career path, and you want to make the right choice professionally but also personally. Add time for reflection, so you make the right choice for your personality and strengths.

  1. Have Fun:

While you do need reflection, you also need fun. Go to a comedy show, or go on a date. Laugh a little. Remember that you are a normal person and a physician. Forgetting that you are a normal person with normal needs will make your journey tough, but a little laughter can fix it.

  1. Exercise:

Exercise can be your way of meditating or your way of remaining healthy. It is a stress reliever and a mind clearer. There are rarely any bad side effects and typically only good side effects. It can be difficult to develop a routine with non-routine schedules, so make sure you have some way of fitting it in.

Does it seem like all of these things are impossible to accomplish? They probably are. You will not be able to check all of these things off of your list every week, and prioritization is essential. However, remembering that each of these things is important will help you to fit some of them in on your schedule, and your sense of self will survive this process.