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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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  #1  
Old 05-31-2013
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Arrow Americlerkships

So, I have been receiving a lot of PMs regarding my experience with Americlerkships. I have tried to answer them but I think it's better to have it posted here for your reference.
I faced a few issues with Americlerkships initially but were later resolved. There was one incident in which wrong documents were sent and I was unable to get a visa as a result. But they did everything they could to rectify this issue. They even waived the fee beyond what I had paid for initial enrollment.
Pros: having US clinical experience is extremely important. Some amount of USCE is required even if you have sky high scores If you impress your attending, you can get a letter that says you have examined patients, presented cases, done ECGs etc which is not possible with an observership.
Moreover, if you develop a good rapport with your physician, he will introduce you to his colleagues. You may even able to land other externhips/ observerships using contacts you developed here.

Cons: they are expensive, you don't get a hospital experience. You are not informed of the exact site or the name of the physician till a few days before you start. This is particularly hard if you need to seek accommodation. I am not aware if they reveal the neighborhood.

My advise: 1. if you are a graduate and have no contacts I the US to help set you up with clinics, use Americlerkships. They are legit. If you are an undergraduate, you have several other options for clerkship in hospitals that have residency programs. If you apply early, you may get in, if you are already well into your internship, use Americlerkships.
2. Do your research before contacting them. Know the location you want to do it at, the type of experience you want.
3. Be pro active and Communicate clearly.
4. If you do not hear from them, email them and call them.
5. Read the terms and conditions before signing anything. 6. Check for errors in the documents sent to you. Convey information regarding any discrepancies promptly.

There are very few options to get USCE. Getting USCE via Americlerkships/ other paid externhips is not ideal but is usually the only option available to most. My ride with the Americlerkships was in no way smooth; but in the end I got what I wanted. That's what's most important.
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  #2  
Old 06-03-2013
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thanks for sharing your experiences. very helpful~!

would you be able to say more about,like how long your experience, how much it cost ? how many LOR you finally got...etc ? thanks
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  #3  
Old 06-03-2013
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Quote:
Originally Posted by eric2013 View Post
thanks for sharing your experiences. very helpful~!

would you be able to say more about,like how long your experience, how much it cost ? how many LOR you finally got...etc ? thanks
My experience was 1 month long. Hand on including documentation using electronic medical records, doing ECGs, spirometry.
It cost me $1000 as they waived additional fees. It is usually around $ 500/ week. I am not sure though.
LORs: that depends on you. I asked for two LORs. I got one. This was because I wasn't persistent. I did my externship about a month after applying for residency. I was already getting interviews and had 3 other US LORs from a 2 month observes hip. But if you do well during your externship, you will get letters from whoever you worked with.
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  #4  
Old 06-08-2013
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Did you request a THG rotation? Was your rotation entirely outpatient?
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  #5  
Old 06-08-2013
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Quote:
Originally Posted by jasonb123 View Post
Did you request a THG rotation? Was your rotation entirely outpatient?
I am not sure. It's what I had asked for. But since I was in an out of network area and since they didn't charge me post initial enrollment, I don't know if that's what I got. The clinical site was outpatient. The attending had admission rights to a teaching hospital - which would work well if you apply there.
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Old 06-08-2013
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Quote:
Originally Posted by tanujasalim View Post
I am not sure. It's what I had asked for. But since I was in an out of network area and since they didn't charge me post initial enrollment, I don't know if that's what I got. The clinical site was outpatient. The attending had admission rights to a teaching hospital - which would work well if you apply there.
So did he take you to the hospital for his patients?
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  #7  
Old 06-09-2013
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Quote:
Originally Posted by jasonb123 View Post

So did he take you to the hospital for his patients?
No, he didn't. The idea is to have an LOR from the attending. If the teaching hosp knows him, then it's an advantage to you when you apply there that's all.
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  #8  
Old 08-27-2013
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Quote:
Originally Posted by tanujasalim View Post
No, he didn't. The idea is to have an LOR from the attending. If the teaching hosp knows him, then it's an advantage to you when you apply there that's all.
Hey just wondering if the LOR had the hospital letterhead or was it just the clinic? Can you get research opportunities ?
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  #9  
Old 10-17-2013
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Default Americlerkship serves a purpose

I'm an IMG with no contacts in the US and I used Americlerkships to secure rotations. The rotations weren't awe-inspiring, but I did secure some great LORs from the attendings (interestingly, I received interviews at those hospitals the attendings work at)....so, Americlerkships serves a good purpose, and it is legit.
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  #10  
Old 01-26-2014
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Unhappy Still confused about the legitimacy of paid externship.

Quote:
Originally Posted by tanujasalim View Post
So, I have been receiving a lot of PMs regarding my experience with Americlerkships. I have tried to answer them but I think it's better to have it posted here for your reference.
I faced a few issues with Americlerkships initially but were later resolved. There was one incident in which wrong documents were sent and I was unable to get a visa as a result. But they did everything they could to rectify this issue. They even waived the fee beyond what I had paid for initial enrollment.
Pros: having US clinical experience is extremely important. Some amount of USCE is required even if you have sky high scores If you impress your attending, you can get a letter that says you have examined patients, presented cases, done ECGs etc which is not possible with an observership.
Moreover, if you develop a good rapport with your physician, he will introduce you to his colleagues. You may even able to land other externhips/ observerships using contacts you developed here.

Cons: they are expensive, you don't get a hospital experience. You are not informed of the exact site or the name of the physician till a few days before you start. This is particularly hard if you need to seek accommodation. I am not aware if they reveal the neighborhood.

My advise: 1. if you are a graduate and have no contacts I the US to help set you up with clinics, use Americlerkships. They are legit. If you are an undergraduate, you have several other options for clerkship in hospitals that have residency programs. If you apply early, you may get in, if you are already well into your internship, use Americlerkships.
2. Do your research before contacting them. Know the location you want to do it at, the type of experience you want.
3. Be pro active and Communicate clearly.
4. If you do not hear from them, email them and call them.
5. Read the terms and conditions before signing anything. 6. Check for errors in the documents sent to you. Convey information regarding any discrepancies promptly.

There are very few options to get USCE. Getting USCE via Americlerkships/ other paid externhips is not ideal but is usually the only option available to most. My ride with the Americlerkships was in no way smooth; but in the end I got what I wanted. That's what's most important.


Hi tanujasalim, in response to your post i would like to ask you few important questions which might benefit a lot of students viewing this thread:

1.)The LOR you got, was it under an official hospital letterhead or was it just a plain LOR issued by the physician with no such hospital or institution name on it?

2.) Did you have any issues with the LOR you got using this paid externship in your residency application or were you questioned by the PD about the legitimacy of the LOR.

3.) The main goal of doing USCE is to get a strong LOR under some kind of official letterhead (and not just from a private physician) stating that the student had hands on experience with the patients and is very well familiar with the medical system in US. How well this paid externship does to ensure this... because you said in your post that you dont get any hospital experience and as undergraduates we should look for other options.
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