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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 05-10-2014
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Default Postgraduate for Clerkship, is it possible?

I heard that if someone had graduated from med school, he was no longer eligible for clerkship, yet some companies such as medclerkshio e-mailed me saying that they can offer some by-pay clerkship programs, is it possible? And, are these programs acknowledged as USCE?
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Old 05-10-2014
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From all of the research that I did and reading about other people's experiences, I don't think that you can take part in an official "clerkship" after you have graduated from medical school. Companies like Medclerkships can connect you to physicians who can facilitate U.S. clinical experience. Some are more hands-on than others. I personally did not use a paid service but some of these experiences can definitely be considered USCE. I would just make sure as much as possible that it's going to be a good-quality experience before you pay and commit.

I would be interested to hear if you are able to secure a "clerkship" through this company. If you do, would you be able to share with the rest of us (if you feel comfortable with that)? Thanks!
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Originally Posted by StepsToResidency View Post
From all of the research that I did and reading about other people's experiences, I don't think that you can take part in an official "clerkship" after you have graduated from medical school. Companies like Medclerkships can connect you to physicians who can facilitate U.S. clinical experience. Some are more hands-on than others. I personally did not use a paid service but some of these experiences can definitely be considered USCE. I would just make sure as much as possible that it's going to be a good-quality experience before you pay and commit.

I would be interested to hear if you are able to secure a "clerkship" through this company. If you do, would you be able to share with the rest of us (if you feel comfortable with that)? Thanks!
Sorry, my fault, it appears to be externship but not clerkship... Is it worthy of doing? I heard that PDs do not like paid externship, is that true?
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Old 05-10-2014
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Ah, okay. That makes more sense. It's not easy to generalize the value of an externship. Really as an IMG your options are likely to be an observership (hands-off, so it's hard for you to get good LORs) vs an externship (hands-on, but usually paid because they are so hard to find on your own. LOR quality may vary).

You'll find a lot of different opinions about what PDs think of externships. For example, you can have a read of this article that argues that externships are not worthwhile (I believe it's written by a Harvard-affiliated MD). On the other hand, there are people who anecdotally could not match with an observership USCE but did with an externship.

I think the key is to ultimately think about how to strengthen your own application packet. You may want to think about where you want to match at and get USCE at that institution or that state. If you do decide to do an externship then really try to find out the quality of the experience. This means trying to find out who your preceptor will be (academic hospital-affiliated, etc) and what your actual rotation will look like.

You can also read an article on USCE on my website where I flesh out the types of USCE a bit more. There's a Kaplan video in the article which argues that observerships are useless. I don't entirely agree at all with that (different residency programs have different definitions of what they consider adequate USCE. Some are fine with observerships).

In any case, getting USCE can be a confusing and difficult process, so think carefully about it and keep talking with people about what's best for you.
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Last edited by StepsToResidency; 05-10-2014 at 10:35 PM. Reason: post link
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