We offer most hands-on experiences  through our partners. Please see below for available opportunities. Due to our partnership, our students get a preferred rate.

Hospital based- Electives/Hands-on, Secaucus/Passaic, NJ

These hospitals offers completely hospital based hands-on experience to our students. The students will work directly with Attendings. They will participate in Rounds, present the patient, and be involved in complete. Patient work-ups will include performing a complete history and physical, developing a problem list, a differential diagnosis, and a management plan for each patient. Students will be able to write orders which will be countersigned by an attending physician and perform or observe all procedures performed on their patient. The student will substantially increase his/her cognitive knowledge, further acquire technical skills required to diagnose and treat patients with medical problems, and learn how to participate in a traditional house-staff role. Active participation is under the discretion of the Attending physician and in accordance with hospital policies and guidelines. These hospitals currently does not offer a residency program but plans to start one.

Location code: L1IMNJ- when you call or send email to check availability
Specialty: Internal Medicine, Family Medicine, Obgyn
State: New Jersey
City: Secausus, Passaic
Fee: $2100 (4 weeks) and a non refundable application fee ($150)
Any additional malproactic insurance needed: yes. You will need it, unless you already have a valid insurance
Duration: 4 weeks 
Type of rotation: Hands-on 
Rotation setting: Outpatient and Inpatient 
Physician affiliations: St. Mary's General Hospital
Hospital Exposure/rounds: Yes
Do affiliated hospitals have residency programs? Not yet. Planned for 2020
Letter of Recommendation: Performance based

Hands-on rotation/Elective, Primary care (Internal Medicine/Family Medicine), Detroit, MI​

This is a hand-on with 80% clinic setting and 20% hospital setting.
The clinical setting is composed of mainly a 35-40-hour patient care work schedule. The clinic runs from M-Th from 9 am - 5 pm and Fri from 9 am -2:30 pm. In that time students and interns will be exposed to and engaged in performing physical examinations, presenting clinical cases, direct access to patient care and the clinics EMR system. Participants will be writing their own H/Ps and reviewing medications and reading urine drug screens and lab results. They will also be able to see 40-60 patients per day and be exposed to 80% primary care cases including hypertension, diabetes, hypercholesterolemia and other internal medicine related cases along with 20% of patients suffering from addictions such as opioid or alcohol addiction.

Students and interns will also have inpatient opportunities in physician’s affiliated hospitals depending on their clinical competency. There are two affiliated hospitals and both hospitals have an internal medicine and family medicine residency. Participants will be able to observe in the hospital setting and shadow the physician in that capacity at the hospital. The inpatient to outpatient exposure can fluctuate but is ideally 20%- 80% exposure.
Letters of recommendation will also be issued based on the merit of the individual. Letters of recommendation will be given on hospital letterheads. It is also imperative that participants must appear on time and have reliable access to transportation and be ready and capable to write and be familiar with performing histories and physical exams on patients.
​
Location code: L1IMMI- when you call or send email to check availability
Specialty: Internal Medicine, Family Medicine
State: Michigan
City: Detroit
Fee: $1400 (4 weeks)
Any additional insurance needed: No
Duration: 4 weeks/ 8 weeks
Type of rotation: Hands-on
Rotation setting: Outpatient and Inpatient
Physician affiliations: William Beaumont Hospital, Saint Joseph Mercy Hospital
Hospital Exposure/rounds: Yes, depending on student performance
Do affiliated hospitals have residency programs? Yes
Letter of Recommendation: Performance based, hospital letterhead
​​

Hands-on rotation, Family Medicine, Detroit, MI​

The physician will provide students with the experience to a wide range of conditions and illnesses reminiscent of the family populations including but not limited to diabetes management, CHF, SLE, URI, Hyperlipidemia, Hypernatremia, COPD, Bipolar disorder, ADHD, weight loss program, nutrition programs and opioid dependence etc. The interns will be expected to see patients on their own to take their own history and physicals and be able to present the cases.  Interns will also be able to take down vitals and if appropriate assist with physical exams with physician present. Experience is out patient only. There are two clinics one in Northville and the other in South Lyon. Weekly Schedule will range from M-Th from 7- 2 pm and 9 - 5 pm. LOR merit based on hospital letterhead.

Location code: L2FMMI ​when you call or send email to check availability
​Specialty: Family Medicine
State: Michigan
City: Detroit
Fee: $1600 (4 weeks)
Any additional insurance needed: No
Duration: 4 weeks/ 8 weeks
Type of rotation: Hands-on
Rotation setting: Outpatient
Physician affiliations: Michigan State University
Hospital Exposure/rounds: No
Do affiliated hospitals have residency programs? Yes
Letter of Recommendation: Performance based, hospital letterhead
​

Hands-on rotation, Obgyn, Detroit, MI

The physician is is a leading and award winning OBGYN. She provides one of the most elaborate experiences for OBGYN in the Detroit area. Interns can expects to have a 60-40% exposure from outpatient to inpatient cases. Interns will be provided DMC credentialing in order to partake and even have some limited assisting opportunities for some procedure in the hospital including stitching and manipulation of cytoscope during hysterectomy or cytoscopies. Students will be able to have at most 2 surgery days at DMC and 3 in clinic day in Southfield at clinic. There they will also assist in taking histories of patients, taking fundal heights, fetal HR, gestational period, LMP, contraceptive care and Women’s health and preventative measure for plans of care. LOR merit based. Hospital and Surgery room rounds are available. 

Location code: L3OBMI when you call or send email to check availability
Specialty: ObGyn
State: Michigan
City: Detroit
Fee: $1800 (4 weeks)
Any additional insurance needed: Likely
Duration: 4 weeks/ 8 weeks
Type of rotation: Hands-on
Rotation setting: Outpatient/Inpatient
Physician affiliations: Wayne State University, Detroit Medical Center
Hospital Exposure/rounds available: Yes
Do affiliated hospitals have residency programs? Yes
Letter of Recommendation: Performance based, hospital letterhead
​

HANDS-ON Rotation, INternal medicine, CHICAGO, IL

​Students follow the physician in the Hospital (in the morning). Daily clinic schedule varies. After the clinic students get to observe at another hospital, depending on the number of patients. Both hospitals have residency spots (Internal Medicine) and are IMG friendly.

Location code: L1IMIL ​when you call or send email to check availability
Specialty: Internal Medicine
State: Illinois
City: Chicago
Fee: $1400 (4 weeks)
Any additional insurance needed: ​No
Duration: 4 weeks/ 8 weeks 
Type of rotation: Hands-on 
Rotation setting: Outpatient/Inpatient
Physician affiliations: Weiss Memorial Hospital, Swedish Covenant Hospital 
Hospital Exposure/rounds available: Yes
Do affiliated hospitals have residency programs? Yes
Letter of Recommendation: Performance based, hospital letterhead

Hands-on Rotation, Pediatrics, Detroit, MI

Physician will allow students full access to her pediatric population. She will allow students to perform full histories and review of systems. Interns will also be allowed to perform physical exams if necessary and will also write their own SOAP notes and also come up with their own plan of care and diagnosis for each case and present it to the physician.  Physician is available to round 3 days out of the week from 9-2 or 1-6 pm. LOR merit based.
 
Location code: L4PdMI ​when you call or send email to check availability
Specialty: Pediatrics
State: Michigan
City: Detroit
Fee: $1600 (4 weeks)
Any additional insurance needed: Yes, malpractice insurance is additional
Duration: 4 weeks/ 8 weeks
Type of rotation: Hands-on
Rotation setting: Outpatient
Physician affiliations: William Beaumont Hospital
Hospital Exposure/rounds: No
Do affiliated hospitals have residency programs? Yes
Letter of Recommendation: Performance based, hospital letterhead
​

Hands-oN Rotation, Endocrinology, Detroit, MI 

Physician is a leading endocrinologist in the metro Detroit area. Interns will be allowed to perform histories and review of systems at her clinic. Interns will also be allowed to assist and observe physical exams if necessary. Interns will also complete their SOAP notes in the EMR system - eclinical works. They will also be able to observe U/S of thyroids, DEXA scans, continuous insulin monitoring, and also Thyroid biopsies. Physician is available M-Thursday for clinic as an outpatient setting only. LOR is merit based

Location code: L5ENMI ​when you call or send email to check availability
Specialty: Endocrinology
State: Michigan
City: Detroit
Fee: $1600 (4 weeks)
Any additional insurance needed: No
Duration: 4 weeks/ 8 weeks
Type of rotation: Hands-on
Rotation setting: Outpatient
Physician affiliations: William Beaumont Hospital
Hospital Exposure/rounds: No
Do affiliated hospitals have residency programs? Yes
​Letter of Recommendation: Performance based, hospital letterhead
​

Hands-on Rotation, Orthopedic surgery/Sports Medicine, Detroit, MI

You will have an in depth experience in Orthopedic Surgery and Sports medicine. You will have an experience in operative and non-operative Orthopedic and sports medicine interventions. You will be able to develop and perfect skills in non-operative treatment of fractures, including fracture reductions, casting, splinting. As well as minimally invasive techniques in joint aspiration and injection. You will be able to round and see inpatient consults, and participate in treatment planning. You will be able to observe and participate, when applicable, in the outpatient setting.
​
Location code: L6OSMI ​when you call or send email to check availability
Specialty: Orthopedic Surgery and Sports medicine
State: Michigan
City: Detroit
Fee: $1600 (4 weeks)
Any additional insurance needed: No
Duration: 4 weeks/8 weeks
Type of rotation: Hands-on
Rotation setting: Outpatient
Physician affiliations: William Beaumont Hospital
Hospital Exposure/rounds: No
Do affiliated hospitals have residency programs? Yes
​Letter of Recommendation: Performance based, hospital letterhead
​

Hands-on rotation, Psychiatry/Addiction Medicine, Family Medicine, Detroit, MI

The physician is is a DO with a family medicine and psychiatry background as well as one of 80 DO in the state with a addiction medicine board certification. Interns can expect to be to observe Mon-Sat. They can expect a range of different cases found in a family population including but not limited to COPD, asthma, hyperlipidemia, arrhythmia, CHF, CVD, URI, UTI, diabetes, obesity, substance abuse disorder and also bipolar disorder. Interns may also have opportunities to go to hospital. LOR will also be merit based. 
 
Location code: L7PYMI when you call or send email to check availability
​Specialty: Family Medicine/Psychiatry/Addiction Medicine
State: Michigan
City: Detroit
Fee: $1600 ​(4 weeks)
Any additional insurance needed: No
Duration: 4 weeks/8 weeks
Type of rotation: Hands-on
Rotation setting: Outpatient
Physician affiliations: St. Joseph Mercy. Pontiac General Hospital
Hospital Exposure/rounds: Depends on student performance
Do affiliated hospitals have residency programs? Yes
​​Letter of Recommendation: Performance based, hospital letterhead

CLINIC /HOSPITAL BASED HANDS-ON, DURANT, OK

You have the option to do Clinic only (outpatient setting)- which is hands-on, or a mix of Clinic and hospital (inpatient)

Outpatient setting:

Students will be responsible coming to clinic 9 am. We expect professional look wearing white coat and have a stethoscope. 
Students will follow with the attending and see patients in regular basis  for the first week. As they get comfortable are given independent charge to interview the patient take history and physical and present to attending. Attending will be teaching and stimulating the students' knowledge base. Afternoon sessions with didactics are also part of this experience.

In office setting there are variety of procedures. Initially students will be observing the attending and once they get comfortable, they can assist attending.  

Students will also see nuclear stress test, echo-cardiogram , pulmonary function test EKG , chest x-rays. The office handles the following procedures:

• Joint injections
• Biopsies 
• Cryotrearments
• Incision and drainage 

Hospital setting :

The hospital setting is observership. The attending will perform history and physical, write orders, dictated notes and do procedures. Students will get a great experience and learn how to how to communicate with the patients, families and how to break bad news

They will observe the following procedures in the hospital

• Intubation
• Central lines
• left heart cathetrization
• Thoracentesis
• Paracentesis 

Location code: L1IMOK when you call or send email to check availability
​The fee 
Clinic only: $1400 for 4 weeks
Clinic+Hospital experience: $2000 for 4 weeks

observership,  PSYCHIATRY, Detroit, MI

​You will work with a dedicated team of licensed professionals including psychiatrists that understand the struggles of dealing with the health, substance abuse and other behavioral & mental health issues. Interns will have access to patients for a variety of mental health issues including depression, bipolar disorder, schizophrenia, schizoid, schizophreniform, OCD, mood disorder etc. Limited hands on exposure will be available. Outpatient only.

Location code: L8PYMI
​Specialty: Psychiatry
State: Michigan
City: Detroit
Fee: $1600 (4 weeks)
Any additional insurance needed: No
Duration: 4 weeks/8 weeks
Type of rotation: observership
Rotation setting: Outpatient
Physician affiliations: No hospital or university affiliates
Hospital Exposure/rounds: No
Do affiliated hospitals have residency programs? No
LOR: Clinic letterhead

Observership, Neprology, Harrisburgh, PA

Students will work with a team of nephrologists in their clinics and dialysis units. The physicians are affiliated with UPMC Pinnacle hospital and this will be a good opportunity for students looking for Internal Medicine or Nephrology rotations.​

Location code: L1NEPHPA
​Specialty: Nephrology
State: Pennsylvania
City: Harrisburgh, Camp Hill
Fee: $1300 (4 weeks)
Any additional insurance needed: No 
Duration: 4 weeks
Type of rotation: observership
Rotation setting: Outpatient
Physician affiliations: UPMC Pinnacle and Geisinger Holy Spirit Hospital
Hospital Exposure/rounds: No
Do affiliated hospitals have residency programs? Yes
LOR: Clinic letterhead

Hands-on Rotation, Family Medicine, Internal Medicine, Detroit MI

​This location allows for excellent hands-on experience.  You will immerse yourself into the U.S. healthcare system with hands on experiences, direct patient care and access to one of the most popular U.S. EMR systems. Externs are encouraged to participate and engage with our staff or physicians. Our goal is to support you in reaching your fullest potential as you prepare for your next steps as a future health care professionals. Our regular  outpatient intake is an average of 40 patients per day. With the growing importance of Urgent Care clinics taking offsetting the wait times of ER visits and providing access to immediate hands on care for urgent cases, externs will gain vital experience in a large range demographic of pediatrics , geriatric and adult populations. Exposure is extremely beneficial to applicants preparing to match in Psychiatry, Family Medicine and Internal Medicine and ER residency programs. Clinic is regularly open from Monday- Saturday.

​Location code: L9FMMI
​Specialty: Family Medicine, Internal Medicine
State: Michigan
City: Detroit
Fee: $1400(4 weeks)
Any additional insurance needed: No 
Duration: 4 weeks
Type of rotation: Hands-on
Rotation setting: Outpatient
Physician affiliations: Ascension St. John Hospital
Hospital Exposure/rounds: No
Do affiliated hospitals have residency programs? Yes, in Pediatrics and Emergency Medicine
LOR: Hospital Letterhead

Partners

ACE MD (www.ace.md) offers  offers hands-on rotations, electives, and externships to earn hospital-letterhead LORs.
All USMLE Sarthi student get a 1-time $200 discount when signing up for rotations. If you are a Sarthi student and you are interested in exploring rotations with ACE, please email contact@usmlesarthi.com.

How to book the rotations

Please read the instructions carefully

1. If you are interested in any of the hands-on experiences and if you need more information, please email aratibandgar@usmlesarthi.com about available dates and spots. Make sure to mention the location code and preferred start date and duration.
2. A non refundable application fee of $150 is required. This will be adjusted against the total fee for all rotations but not for the hospital based NJ rotation
3. To register for the inpatient rotation, hospital based in NJ, pay registration fee by clicking here and download forms.
4. To register for all other listed rotations, pay registration fee by clicking here and download forms.
5. Fill up the forms and submit/upload the registration form only on this page. or you can email the form to aratibandgar@usmlesarthi.com
6. Once all application requirements are met, we will confirm the start date and other logistics.
7. Balance payment needs to be made as soon as possible upto 4 weeks prior to the start date. 

Want to be ready for your upcoming rotation? Click here and check out our affordable online course ​"USCE for IMGs:  How to impress the programs and get a great recommendation"