Should it be California Externship or Observership? - USMLE Forums
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IMG Residency Match Forum International Medical Graduates (IMGs) discussing the residency matching process.


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Old 09-09-2013
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California Should it be California Externship or Observership?

A quick question before I submit my application. I have done a rotation in private clinic in CA for 2 months. I did everything from history/ PE and discussion of treatment with my interpretation of diag and also worked with EMR. I started as an observer but end up doing everything.

Should I write it as an externship or observership?

Do I need PTAL for externship in CA?

Moderator or any one can please help me with the answer.

Thank you...
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Old 09-10-2013
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I was in a similar situation in New York, I asked my supervisors if they can write in their LoRs that it was an externship and mention specifically that i did history and physical examinations. They were all happy to do so. So, if they are okay with writing that - you can go ahead and put it down as externship.
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Old 09-10-2013
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Externship is illegal in the State of California, you may put yourself and the people you worked with in trouble if you say externship.

It's safer to say observership and try not to mention the hands on experience if you are applying to California programs.

The Medical Board of California is specifically strict regarding this issue. Read more about this here
Medical Board of California Warning about Hands-On clinical experience for IMGs

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Old 09-11-2013
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Originally Posted by Sabio View Post
Externship is illegal in the State of California, you may put yourself and the people you worked with in trouble if you say externship.

It's safer to say observership and try not to mention the hands on experience if you are applying to California programs.

The Medical Board of California is specifically strict regarding this issue. Read more about this here
Medical Board of California Warning about Hands-On clinical experience for IMGs

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Dear Sabio,

First of all thanks for the reply.

I am not applying to California as I dont have PTAL and I am not going to use the letter given by my attending as I have other good letters.

There are couple of places in Cali who offers the externship, like arrowhead hospital. Plus I am HIPPA and CITI certified.

For description I wrote: I participated in H&P under close observation of my attending (with other stuff).

So what are the odds?

Thanks a lot.
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Old 09-12-2013
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Quote:
Originally Posted by Sid_Wala View Post
Dear Sabio,

First of all thanks for the reply.

I am not applying to California as I dont have PTAL and I am not going to use the letter given by my attending as I have other good letters.

There are couple of places in Cali who offers the externship, like arrowhead hospital. Plus I am HIPPA and CITI certified.

For description I wrote: I participated in H&P under close observation of my attending (with other stuff).

So what are the odds?

Thanks a lot.
You may get away with it if the description flows into observership rather than externship.

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Old 12-04-2013
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I would say stick on to Volunteering. I know a friend who was thoroughly scrutinised for using the term observership. He was reported to the Board. There is also statutory warning from the board regarding Observership/Externship.

Most of the programs in California do not consider observership as USCE.
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