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USCE & Clinical Rotations IMG discussions of United States Clinical Experience (USCE), clinical rotations, clerkships, externships, observerships, electives, and internships.


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Old 02-09-2013
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Info How legal is an externship?

I have a question to ask from those that have more experience in the process.

I am planning an application for General Surgery Match in 2015, but do not have any USCE yet. I see many posts/advertisements about externships where you can get hands-on experience, preferred to an observership.

However on residency program sites and the more "official NRMP sites" everybody says externships are frowned apon by most program directors and in many cases are actually illegal and can cause your application to by disregarded.

Any advice on the topic? Are the only options left for IMG observerships?

Thanx in advance
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Old 02-09-2013
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You are not going to write prescriptions in your externships. You are going just to take history and do physical and maybe write some notes.

Externships are just like elective rotations but designed for graduates not students.

It's illegal in California and Texas and maybe some other States but it's absolutely legal in other States.

I don't think program directors will frown upon your externship experience.

I have done it myself and then got into residency, it did not put me in any troubles.

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Thank you for clarifying. Any ideas on how to get a good General Surgery externship? Preferably at an academic institution?
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Old 02-13-2013
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heyhi...i have a question

one of my uncle is a doctor in new jersey and he has a private practice along with other physicians there. I talke to him about doing an externship there and his answer was that his hospital has no prior history of giving externships to grads but he'll be happy to have me there as a first extern.

my question is...how much weight such an externship will carry. Given that hez my uncle i can easily do the externship for 6 months
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Old 02-13-2013
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Quote:
Originally Posted by MadCat View Post
Thank you for clarifying. Any ideas on how to get a good General Surgery externship? Preferably at an academic institution?
We have access to over 1,000 clinical sites and affiliations with US Attending Physicians across the US, including General Surgery, to help you obtain hands-on clinical experience.

Contact us for more detailed information.


Best - Victor
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Quote:
Originally Posted by sachinkumar View Post
heyhi...i have a question

one of my uncle is a doctor in new jersey and he has a private practice along with other physicians there. I talke to him about doing an externship there and his answer was that his hospital has no prior history of giving externships to grads but he'll be happy to have me there as a first extern.

my question is...how much weight such an externship will carry. Given that hez my uncle i can easily do the externship for 6 months
This will definitely help you obtain USCE.

However, one of the main purposes of completing hands-on clinical rotations in the US is to network with US Physicians and residency programs.

Traditionally in the US one hands-on clinical rotation is 4-8 weeks, there are required certifications and insurances to practice hands-on clinical skills, takes place under the supervision of an Attending Physician and 1 LOR and 1 Clinical Evaluation should be obtained per rotation. Clinical rotations and LORs must also relate to the specialty you are pursuing.

Contact us for a free consultation and more detailed information on how we can help.


Best - Victor
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Old 04-03-2014
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Quote:
Originally Posted by StepTaker View Post
You are not going to write prescriptions in your externships. You are going just to take history and do physical and maybe write some notes.

Externships are just like elective rotations but designed for graduates not students.

It's illegal in California and Texas and maybe some other States but it's absolutely legal in other States.

I don't think program directors will frown upon your externship experience.

I have done it myself and then got into residency, it did not put me in any troubles.

-
Kindly can you tell me how it's illegal in texas ?!! Can you tell the your source . I mean are you sure . Thank you so much
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Old 04-04-2014
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@Madcat:
-I think opinion may be varied regarding externships regarding legality and legitimacy. The issue in states where it's illegal (eg. California) is that externships can be seen as US physicians assisting the unlicensed practice of medicine by IMGs. You can read about this on the California Board newsletter here (it's on page 5) - it's a harsh warning. So be careful where you go.

@sachinkumar:
-Externships at a private practice clinic may or may not help you, depending on what your residency goals are. If you're able to rotate through a hospital, that may be in general more useful. Also, are you thinking about working with you uncle? I'd worry about the legitimacy of a LOR coming from a family member. The author of the LOR is at least as important as the contents of the letter. If the author has affiliations with an academic institution that would be best.
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Old 06-19-2014
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Originally Posted by naghoma View Post
Kindly can you tell me how it's illegal in texas ?!! Can you tell the your source . I mean are you sure . Thank you so much
Is this really illegal in texas? Is it illegal if you only do history and physical exam?
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Old 02-12-2017
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There seems to be a misunderstand with 'externs are illegal in CA' but in fact it's not illegal to do externships in California. It is illegal to hire externs to 'practice medicine', which means no examining patients and managing patients without direct supervision from licensed doctor. However, It is completely legal to have externs assist in a doctor's clinic. This means that you can exam patients and more if the doctor has asked the patient and gave you permission.

Just like any medical student, you don't need to have ECFGM or PTAL to do an externship. You do, however, need a valid medical degree.

Here is the actual quote from the Medical Board of California newsletter: “If graduates are unable to gain admission into an accredited training program, they cannot gain clinical experience by working in a physician’s private office or clinic performing any duties other than those routinely fulfilled by a medical assistant. They cannot perform as a trainee (in a residency program) nor a physician assistant. International graduates may be employed as medical assistants in a physician’s office if they do not represent themselves as medical doctors nor exceed the duties specified in Business and Professions Code section 2069-2071 and Title 16, California Code of Regulations, sections 1366-1366.4.”

Last edited by smallserenity; 02-12-2017 at 09:18 PM.
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