OBSERVERSHIP LINKS

ACTUAL OBSERVERSHIP LINKS


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Notice: We are reviewing candidates for Spring 2018 Observerships. Please email your CV and USMLE reports with an email of interest at that time.

Observership requests are only reviewed via email on a weekly basis.

TIPS FOR OBSERVERS on obtaining an observership and matching into a residency program

DEPARTMENT OF INTERNAL MEDICINE

DIVISION OF EDUCATION
OBSERVERSHIP POLICY
FOR ADMISSION TO COMPLETE UP TO A MONTH LONG OBSERVERSHIP STATUS ROLE

In support of its educational mission, the Division of Education within the Department of Internal Medicine at the University of Nebraska Medical Center provides individuals with observership experiences in its Internal Medicine Training Program. An observership is a shadowing experience of at least two weeks and no more than four weeks. The purpose of this policy is to provide an environment that is safe for patients, office staff, students and medical staff; respect patients’ rights to privacy and confidentiality; and enhance the experience of the observers.

I. An observership is a voluntary experience that does not constitute medical education, graduate medical education, continuing medical education, or any training leading to licensure or board certification. Observers receive no academic credit for the observership, but may receive a letter of recognition or a certificate of completion for fulfillment of an observational or shadowing requirement as necessary.

II. All observers must wear a University of Nebraska (“UNMC”) photo ID at all times while on sites. The UNMC badge must be returned at the end of the rotation. There is an assessment of $25.00 for unreturned or damaged ID badges.

III. UNMC Department of Internal Medicine (“IM”) does not provide housing or food for observers.

IV. Observers must complete all compliance requirements prior to starting their observership; including, but not limited to: showing proof of immunizations, proof of PPD within the last 12 months, completing all computer-based learning modules provided by UNMC.

V. Observers must be directly supervised at all times by the supervising faculty attending, physician attending, physician in training, or another representative from the Division of Education.

VI. Observers may participate in lunch conferences and other didactic activities as appropriate.

VII. Observers must not provide medical care, conduct patient interviews, take a medical history, examine a patient, provide medical advice to a patient, or assist in any procedure.

VIII. Observers must not make entries into patient medical records. They must not make copies of any patient medical records or other materials identified with patient names or other patient information.

IX. Observers must not write orders for patients or make verbal orders for patients.

X. Observers must not bill for any service.

XI. Any violation of the above policies will result in immediate termination of the observership experience.

XII. UNMC IM reserves the right to modify any of the above guidelines.

QUESTIONS:
Erin Maxwell, MPA
Administrator, Educational Programs
Division of Education
Department of Internal Medicine
erin.maxwell@unmc.edu

https://www.unmc.edu/intmed/residencies-fellowships/residency/observership.html

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Global Observership Program
Quality healthcare and medical breakthroughs occur through collaboration. When physicians and researchers can learn from each other and share best practices, patients everywhere benefit.

That’s the guiding principle behind the International Medicine Institute’s Global Observership Program, which offers qualified foreign medical students and physicians one- to three-month rotations at the University to observe the activities of a particular department, division, center or institute.

We launched the Global Observership Program in 2008 to build on the successes of the Harrington Program. To date, the program has received over 850 participants from Europe and Asia.

We’re proud to act as a hub for the international medical community — and to pass the benefits on to patients from around the world.

For more information on the Global Observership Program, please email Jacqueline Aguirre, Program Coordinator at jaguirre1@med.miami.edu

Applicant can mail documents to :

*International Medicine Institute
Global Observership Programs
University of Miami Miller School of Medicine
1400 NW 10th Avenue, Suite 201
Miami, FL 33136
USA*

http://imi.med.miami.edu/education-and-training/global-observership-program

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Observership Policy Overview
*** Before applying please note that October and November are completely FULL

Upstate Medical University is pleased to offer the opportunity for physicians from around the world to observe Department of Internal Medicine physicians, residents and fellows in practice. The goal of the Observership Program is to provide insight into day to day responsibilities of physicians in their respective specialties and provide a basic overview of the American medical system.

Observership Opportunities Available

General Medicine
Cardiology
Endocrine, Diabetes & Metabolism
Gastroenterology
Geriatrics
Hematology/Oncology
Infectious Diseases
Nephrology
Pulmonary/Critical Care
Rheumatology
Application Process

In order to maintain security for the Upstate Medical University campus, privacy of protected health information, and the appropriate Employee Health clearance, visitors to University Hospital sites of service must be properly logged according to the policy of Visiting Health Care Providers, which covers individuals who are visiting the campus for the purpose of learning, training, observing, or delivering direct or indirect patient care for a brief period of time. Observership Privileges must be obtained for Visiting Health Care Providers through the Medical Staff Office. Observers will not be granted privileges for direct patient care.

Applications (see links below) and all supporting documents (as noted on the application) must be received 8 weeks prior to the requested start date to allow for processing. Please indicate on the application the preferred rotations and dates available. Our rotations are two weeks in length and can be renewed for additional weeks with the consent of the Observership Coordinator, the Supervising Physician, and the Chair of the Department of Medicine.

***Please note that the month of JULY is a very DIFFICULT time to accept observers due to new incoming residents and fellows

Multiple rotations are permitted for a maximum of eight total weeks per application. Each rotation must be two weeks in duration, and must fit within the dates available. There is a $300.00 (US Funds) application fee which is non-refundable. A Certified Check or Money Order needs to accompany the application and should be made payable to Upstate Medical Universtiy, Department of Medicine/MSG. Personal Checks will not be accepted.

The cost for each 2 week rotation is $1,500. This MUST be paid either through certified check or money order.Upon acceptance, and based on number of total weeks of approved rotation, payment must be received and processed prior to the first day of the rotation. You will be notified, in writing, of either acceptance or denial of your application within 4 weeks of initial receipt. You may ask questions or check on the status of your application after four weeks have passed by emailing the Educational Programs Office, observer@upstate.edu

***Please note that once dates are confirmed, they cannot be changed without a new application and application fee.

Department of Medicine Application Information

Department of Medicine Observership Application PDF Icon
Observership Rotation Request Form PDF Icon
Medical Staff Application Information (To be completed if application is approved)

Visiting Health Care Provider (Observer Only) PDF Icon
Certificate of Health Form (found by following the link - it's located about midway down the page)
Downtown Campus Orientation Guide & Completion Certificate (found by following link)
HIPPA Privacy Rule Education & Completion Certificate (found by following link)
All costs associated with the application process (visa processing, travel, health clearance, etc) will be the sole responsibility of the applicant. Upstate Medical University is in no way responsible for processing costs.

What to Expect

Your request for an Observership will be processed upon receipt of your application (see application form for required documents). Your application will not be processed without all the required documents. We will be in contact with you as soon as we have all the information needed.

Where to Report

Specific reporting instructions will be included in your acceptance correspondence, and will be based on the rotations in which you are scheduled to participate.

Identification Badges

Report to the Payroll Department with a form issued by Payroll (Request for Non-Employee ID Badge), with an approved signature from the appropriate department, and an additional form of photo identification in order to obtain an ID badge. At the completion of your rotation, return the ID badge to Payroll to inactivate the ID Badge. ID badges must be worn at all times.

Dress Code

Observers are expected to dress in a professional manner. T-shirts, cutoffs, open toe shoes etc. are not allowed. It is recommended that you wear comfortable shoes. Lab coat must be worn at all times.

Parking

You are responsible for all parking costs. Parking passes must be obtained directly from the Parking Office, located in Room 1801, University Hospital

Lab Coats

It is required that you wear a Lab Coat during your rotation and while on the premises of Upstate Medical University. You are responsible for providing your own lab coat, one will not be provided for you.

Working Hours

Services vary with each specialty. Once approved, the Coordinator in each specialty / department will provide your specific working hours.

Meals

The sponsoring institution does not provide funding for meals. You are responsible for all meals.

Housing

Observers are responsible for securing their own accommodations. There are many, quality hotels nearby. Another popular option among observers is renting or subletting rooms on craigslist.org External Icon. We do recommend to be cautious when using this option. Please feel free to contact the observership coordinator with any other questions you may have.

Cancellation Policy

Once your assignment has been confirmed via e-mail, you are expected to complete the rotation as we will close out that rotation to other learners. While cancellations may be necessary in the event of an emergency, money paid for rotations will only be refunded if we are notified a minimum of 30 calendar days in advance. No refunds will be given if cancellation takes place less than 30 days to the start of the rotation, or during the rotation itself. As stated earlier, the $300 Application Fee is Non-Refundable under any circumstance. If you want to change the date to a later time after already confirming your dates with the coordinator, you will need to re-apply and send another $300 application fee.

Termination Policy

Upstate Medical University reserves the right to terminate an Observer’s rotation at any time in the event that the Observer’s performance jeopardizes a patient’s well-being or performance is unable to achieve the objectives of the educational experience. If termination of rotation is warranted, a pro-rated fee will be refunded to the Observer for the time left in the rotation, however, the $300 application fee remains Non-Refundable.

Medical School Library

Your Identification Badge will allow you to gain access as a visitor to the Medical School Library facilities.

Teaching Conferences

Information will be provided regarding regularly scheduled conferences and didactic sessions, based on the specific rotation in which you are scheduled to participate.

General Questions

If you have questions about your rotation, or if a problem arises, please contact the Observership Program Coordinator immediately, observer@upstate.edu.
Absence During Your Rotation

Excused absences are limited to one day per two-week rotation. If a problem arises, please see the Observership Program Coordinator and the Supervising Physician for approval. Unexcused absences may result in termination of the rotation and inability to obtain a Completion Certificate. Please see Termination Policy above regarding refunds of monies paid in the event of termination!

Certificate

At the completion of the approved rotation, Observers will receive a certificate acknowledging their participation and length of rotation at Upstate Medical University.

We look forward to seeing you and hope your rotation with us is educationally rewarding. If you have any question, please feel free to contact the Observership Program Coordinator – we will be happy to assist you in any way we can.

Information on the City of Syracuse, New York

Please refer to the following links/websites to learn more about our program and the Syracuse area and for the latest updates on what is happening in the city during the time of your visit.

Residency Website
Upstate Visitor Guide
Syracuse Area Websites External Icon
Upstate Medical University in Syracuse New York shall admit students of any race, color, religion, sex, age, national origins or ancestry, handicap, or status as a disabled or Vietnam veteran, to all rights, privileges, programs and activities generally accorded or made available to all of the students involved in any of the Clinic’s educational programs.

Upstate Medical University in Syracuse New York will not discriminate on the basis of race, color, religion, sex, age, nation origins or ancestry, handicap, or status as a disabled or military veteran, in the administration of its educational policies, admissions policies, training programs, stipend awards and all other such administrated programs.

Acceptance of an individual to the Observership Program does not constitute a commitment by Upstate Medical University or the Department of Internal Medicine to interview or accept the individual for residency training in the Department of Internal Medicine or any residency or fellowship program at Upstate Medical University.

http://www.upstate.edu/medresidency/beyond/observership-overview.php


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Please read the following information carefully to ensure your application is complete.Incomplete applications/applications without immunization records will not be accepted.

Observable medical staff at UWMC includes: Physicians, Dentists, Psychologists, ARNPs, RNs, CNMs, CRNAs, Microbiologists and other PhD level Laboratory personnel, Optometrists, Pharmacists, PAs, and Podiatrists.

Clinical observation is mandated by UW Medicine Compliance and applies to observational activity only. No patient care or “hands on” medical training will be conducted. Observers will not perform any medical procedures on patients. They will not have direct contact, or unsupervised access to patients. There will be no compensation provided by the Medical Administration. The observer or sponsoring provider/department is responsible for arranging visas, travel, and accommodations.

RN Observations: Complete the RN Application and Agreement for Observational Activities and submit to obsvrn@uw.edu.

Pre-Medical Students: Visit the School of Medicine website to set up an observership and apply.

Please be advised
Persons under the age of 16 cannot apply for observation privileges per UWMC Regulations.
Persons under the age of 18 are not allowed in operating rooms per UWMC Regulations.

Process

Allow 2 weeks for processing.  Applications submitted less than two weeks from the observation start date may not be processed and approved in time.

Please read through the following information carefully to ensure appropriate steps are taken BEFORE you begin the application process:

Finding a Provider to Observe

Observational privileges will not be granted without the agreement and signature of a UWMC provider to take full responsibility for the observer's time at UWMC – Step 3 of the application.

It is the observer’s responsibility to identify a provider to host them before submitting an application.  If a provider has not been identified prior to the decision to observe, the observer may contact the department in the area of interest to discuss setting up an observational experience. Please note the Medical Director’s Office cannot assist in matching prospective observers with providers.

Immunizations

Observers are required to comply with all UWMC Immunization Policies and Procedures. Applications with incomplete immunization documentation will not be approved.

Read through all of the required proof of immunizations listed in the application.  A copy of your immunization history must be provided with the application.  You will attach a copy of your immunization history to the end of your application and submit as one PDF.

Important to Note:

Tuberculosis/PPD

All observer applicants must submit records of a single TB skin test placed within one year prior of your observation date. In addition, they must complete and submit the TB symptom survey – Step 6 of the application.  All applicants must provide a copy of their PPD results, which includes written documentation of the skin test reaction size.
Applicants with positive PPD results must submit any available supporting documentation, such as a positive TB skin test reading and chest x-ray results.  In addition, they must complete and submit the TB symptom survey - Step 6 of the application.
Influenza Vaccine/Flu

All observer applicants must submit proof of an up-to-date flu vaccination, valid through the end date of the observation application.
Again, proof of all required immunizations listed in the application must be provided with the application.  Please attach a copy of your immunization history to the end of your application and submit as one PDF.

Please contact UWMC Employee Health directly if you have any questions regarding immunization, (206) 598-4848.

How to Apply

Answer all questions following the instructions below, and obtain all signatures.

Click here for the form: Application and Agreement for Observational Activities

Instructions

Page 1: UW Medical Center Observational Privileges/RN Observational Privileges request
Observer's name – Full name of observation applicant
Supervising Provider's Name – Full name of Active Medical Staff Member
Department – Department under which observation will be taking place
Job Title – Should be filled in as 'Observer', if not, write/type 'Observer'
End Date of Observational Activity – This has to be an exact date – Tentative/TBD is not allowed
Are you shadowing an RN – Answer Yes or No
Page 2 – Step 1: Biographical Information
Your Name – Full name of observation applicant
Your Email – Email address for observation applicant
Your Address – Full address for observation applicant
Are you 18 year of age or older – Answer Yes or No
Have you ever been convicted of a felony – Answer Yes or No
Have you ever had a medical license revoked or denied – Answer Yes or No
Read through. Observer applicant SIGNS AND DATES the bottom of this page.  Obtain parental/guardian permission if under 18 years of age.
Page 3 – Step 2:Confidentiality Agreement
Read through. Observer Applicant SIGNS AND DATES bottom of this page
Page 4 – Step 3: Supervision
Who is supervising your observation – Fill in the name of the provider you will be observing
What department or unit are they with – Fill in the name of the department the supervising provide works within
What is their phone number – Fill in the phone number of the supervising provider
What is their email – Fill in the email address for the supervising provider
What is the first day of your observational activity - This has to be an exact date – Tentative/TBD is not allowed
What is the last day of your observational activity – This date must match the End Date indicated on Page 1.  Again, this has to be an exact date.
UWMC Clinical Staff Sponsor – Supervising provider must sign and date
 If observing more than one provider, please provide those providers full names, department, email addresses, signatures and date, as indicated at the bottom of this page.
If the observer will be with more than three providers, an additional page with the provider's information and signatures of approval is required and must be included in the application
Applications without a signature in the “Clinical Staff Sponsor” section of the form (or additional provider’s page) will NOT be processed or approved.
Page 5 – Step 4: Letter of Intent
Type a 100-250 word paragraph explaining why you are interest in observing at UWMC and what you hope to gain from the experience.
Page 6 – Step 5: Immunization History
As indicated in the Immunization section above, read through this page carefully and provide proof of immunization history for those listed on this page.
You will attach a copy of your immunization history to the end of the application
If you have any questions about your immunization, please contact UWMC Employee Health directly, (206) 598-4848.
Page 7 – Step 6: Tuberculosis Symptom Survey
Fill in the date, observer applicant's Last Name, First Name, Middle Initial, Date of Birth, Employee Identification Number (EID) or UW Student ID number is only required if they are already affiliated with UW
Answer Yes or No to all 7 symptom questions
Attached a copy of your immunization history to the end of the application

Scan the completed application, save it as a PDF

Email the PDF to the Medical Director's Office at observer@uw.edu

Allow 2 weeks for processing. Applications submitted less than two weeks from the observation start date may not be processed and approved in time.
Notifications & Next Steps

Application received by the Medical Director’s Office
The application and immunizations will be reviewed by the Medical Director’s Office
Medical Director’s Office notifies applicant (including any department coordinator included in the email submission process) of approval and next steps for badging.

The Observer must bring the approval memo and application provided by the Medical Director’s Office to Public Safety (located in BB-120) to obtain a temporary identification badge. This badge will allow the observer into patient care areas and must be worn visibly at all times. Individuals without a UWMC badge may be asked by Security to leave patient care areas.
If you have questions or need further information please contact the Medical Director's office at observer@uw.edu

Vendors

All vendors are required to register with VendorMate

Observing at Harborview

Visit the HMC Observation Privileges page to find more information about observing at Harborview.

http://www.uwmedicine.org/uw-medical-center/observership

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Clinical Observerships
Einstein Medical Center is pleased to offer clinical observerships to physicians hosted by our graduate medical education programs.  Graduates and students of LCME, AOA, ADA, or CPME schools are eligible to participate.  International graduates and medical students are also welcome.

An observership is an educational experience (longer than a day but no longer than 4 weeks) that is restricted to watching and listening during patient histories, physical examinations, procedures, surgeries, outpatient appointments, teaching rounds, and educational conferences.  An observer is under direct supervision by an Einstein sponsoring healthcare provider in the department where he/she will be doing observership.  An observership DOES NOT include participation in direct or indirect patient care or management, nor constitute medical training.  An observership is NOT a clerkship, nor an experience that should confer academic credit.  At the end of the observership, you will receive a letter of completion.

A request for an observership does not guarantee a slot will be available.  In addition, Einstein Medical Center may delay the start, terminate early, or cancel an observership at any time at its sole discretion.  Einstein Medical Center maintains the right to remove an observer from assignment after it has been determined by Einstein Medical Center that such removal is in the best interest of Einstein Medical Center and/or its patients and their families.    Einstein Medical Center shall have the right at any time to take whatever action it deems necessary, including the barring of an observer from its premises, in order to ensure the safety and welfare of its patients and to maintain the operation of its facilities free from disruption.

Observership Requirements:

The following is required for acceptance and review of application:

Must be fluent in the English language.
Must complete an Observership Application. A request for an observership does not guarantee a slot will be available.
Must provide current curriculum vitae indicating prior training, research, publications and ECFMG status if applicable or available.
Must provide copy of current transcript from medical or clinical training school.
Must provide USMLE/COMLEX scores (if applicable)
Programs Offering Observerships:

Observerships are being offered by the following programs:

Emergency Medicine – 4 weeks
Radiology – 4 weeks
Internal Medicine – 2weeks
Infectious Disease – 2 weeks
Gastroenterology – 2 weeks
Pulmonary/Critical Care Medicine – 2 weeks
Hematology/Medical Oncology – 2 weeks
Geriatrics – 2 weeks
Cardiology – 2 weeks
Interventional Cardiology – 2 weeks
Nephrology – 2 weeks
Inpatient Hepatology – 1-4 weeks
Outpatient Hepatology – 1-4 weeks
Transplant Hepatology – 1-4 weeks
Pediatrics – 2 weeks
Psychiatry – 2 weeks
Surgery – 4 weeks
Transplant Surgery – 4 weeks
Urology – 4 week
Fees:

Only checks or money orders will be accepted upon approval of the observership and prior to the start date.  We will accept credit/debit cards as form of payment in person.   The fees are non-refundable.

The charge for observerships is as follows:

$1600 for 4 weeks
$800 for 2 weeks
$400 for 1 week
Contact Info:

Submit your application along with your current CV, medical school transcript and USMLE/COMLEX scores to Sandra Swint-Jones at physicianobserver@einstein.edu.

https://www.einstein.edu/education/medical-students/clinical-observerships

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Medical Observership and Shadowing
Seattle Children’s offers medical observerships, an educational opportunity to shadow experts at our world-class hospital.

Medical observerships are intended for:

Individuals who are 18 years of age or older and out of high school
Individuals who are interested in the medical field
Individuals who work in healthcare and are interested in different aspects of a pediatric hospital setting and not seeking or being granted medical education credit. This includes all University of Washington medical students.
Medical observerships do not fulfill requirements for high school senior projects. Those who are still in high school are not allowed to observe. See a description of our opportunities for high school and youth service projects.

If you are interested in observing at Seattle Children's, you must complete an online observership request form and applicable HIPAA paperwork. We ask that you indicate which areas of the hospital you would like to observe (e.g., cardiology clinic, orthopedics, etc.). Please note that not all departments are able to accept observation requests. A description of our departments can be found on the Clinics and Programs section of our website.

Submit the appropriate observership request form:

UWP
All others (including University of Washington medical students)
These forms are a request to observe. If the request is granted, you will receive the applicable HIPAA paperwork. This paperwork must be completed, turned in and processed before you can observe.

The review process takes approximately three weeks. Due to the high volume of requests we receive, we cannot accommodate all of the requests. All requests are subject to availability.

For more information, please see the FAQ.

http://www.seattlechildrens.org/healthcare-professionals/education/observership/

http://www.seattlechildrens.org/healthcare-professionals/education/observership/request/


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Applications are reviewed once per month.

Thank you for your interest in Heart & Vascular Institute’s teaching program. Our program will provide you with the opportunity to work with teaching attending physicians.

Our externship program has a two-month minimum requirement. Once your rotation is complete, you will receive a certificate of completion. Completion of a rotation does not guarantee a letter of recommendation. An evaluation by attending physician, staff and coordinator will determine LOR eligibility.

Requirements:

Candidate must present a certified degree from medical school.
Candidate must submit a Word or PDF version of CV
Candidate must submit a cover letter describing why you believe you are qualified for this rotation.
Candidate must have a valid and unexpired ECFMG certification
Candidate must present at least one letter of recommendation from professional contacts.
Candidate must possess proper documentation with regard to his/her status in the country (F-1 or J-1 visa)
Candidate must be interviewed over the phone to assess the applicant’s ability to speak and understand English.
Rotations are offered at a minimum of two months. If you’d like to extend your rotation, an evaluation will be conducted to determine eligibility.
Candidate must be ready to devote for a full time rotation for two complete months.
**PLEASE ALLOW APPLICATION FOUR WEEKS PROCESSING TIME**

Additional Rules:

Any misconduct or breaking of company rules will result in immediate termination.
Two-month minimum is required. Failing to show up on assigned days (and on time) without prior notice will result in forfeiture of your rotation. Please advise Coordinator or Lead Extern if a day off is needed; at least 48 hours notice is required.
You may not leave clinic during clinic hours without authorization from Lead Extern or the coordinator.
All questions/comments or requests must be made via email. Do NOT send multiple emails.
Dress Code:
Males: Casual business attire (dress shirt & tie). A white lab coat is REQUIRED. Absolutely no jeans or gym/sport shoes will be permitted.
Females: Business attire and white lab coat.
Please maintain proper hygiene and cleanliness on a daily basis.

http://www.heartteam.com/externship.php

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International medical graduates face several challenges when applying to U.S. graduate medical education training programs. In addition to the competitive nature of these programs, international physicians may not be accustomed to the U.S. medical system.


Drexel’s Physician Refresher/Re-entry program offers courses to help ease the transition into a U.S. graduate medical education training program. Our international medical graduates have the opportunity to learn alongside Drexel students, residents, fellows and faculty before applying to graduate medical education programs.

At the end of the Structured Preceptorship course, we write a final letter stating your accomplishments. We ask for feedback from the various faculty members you have worked with and include their thoughts in this final letter. Often, trainees taking our course have this letter sent to the Electronic Residency Application Service (ERAS).

http://drexel.edu/medicine/academics/continuing-education/physician-refresher-re-entry-program/for-prospective-students/international-students/

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Many participants in our Physician Refresher/Re-entry courses come seeking a residency program. While participation in our program does not guarantee residency, we offer courses to prepare medical graduates for residency and have been successful in helping many participants obtain their goals.

The Structured Preceptorship course, in particular, helps prepare physicians for residency programs through participation in inpatient and outpatient rounds, with core conferences and lectures about integrative, high quality medical care in the United States.

At the end of the Structured Preceptorship course, we write a final letter stating your accomplishments. We ask for feedback from the various faculty members you have worked with and include their thoughts in this final letter. Often, trainees taking our course have this letter sent to the Electronic Residency Application Service (ERAS).

http://drexel.edu/medicine/academics/continuing-education/physician-refresher-re-entry-program/for-prospective-students/students-seeking-residency/

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The Drexel Medicine® Physician Refresher/Re-Entry Course structured preceptorship is an innovative program for physicians wishing to return to active clinical practice, enhance their focus or area of interest or prepare for admission to U.S. graduate medical education training programs.



If you plan to take this course, please note the following:

Trainees may take the course for 6 or 12 weeks.
The course starts on the first Monday of every month and is first-come, first-served.
The application process takes 4-6 weeks.
We have preceptorships in internal medicine, pediatrics, obstetrics and gynecology, surgery, radiology and anesthesia.

Individualizing Physicians’ Educational Needs

Participants may outline their individual needs in the written application. The admissions committee reviews this and further explores individual goals during a personal interview. The director customizes each participant’s curricula (daily schedules) to suit the individual goals guided by the overall goals of the course. The Physician Refresher/Re-Entry Course makes every effort to identify a preceptor within the participant’s area of interest for ongoing teaching, mentorship and feedback. The director maintains ongoing contact with the participant and formally meets regularly for curricular discussions, feedback, to monitor progress in meeting the educational goals, to provide assistance with any potential barriers and to revise the goals or curricula as necessary.

During the physician refresher structured preceptorship, participants will:

Observe alongside a general medical team, attending patient rounds and learning about integrative up-to-date high quality medical care in the United States.
Have the opportunity to care for virtual on-line patients (DxR) and standardized patients (laypersons trained to be medical educators. In that role, they portray a patient and remain true to standardization factors. Thus, in this role, they may give feedback on learners' performance), where they will receive formative feedback and assessment.
Be assigned a faculty preceptor for patient rounds, regular discussions, instruction and feedback.
Have the opportunity to attend grand rounds, noon conferences and lectures with Drexel fellows, residents and students.
Participate in the doctoring curriculum facilitated by the director (comparable to one taken by DUCOM’s internal medicine interns.) The doctoring curriculum emphasizes acculturation into current U.S. practices, physician well-being, documentation and coding guidelines, feedback skills, practicing board review questions, quality of care and disclosure of medical errors.
Formally meet with the director for feedback, monitor progress in meeting the educational goals, receive assistance with any potential barriers, and revise the goals or curricula as necessary.
Have opportunities for possible presentations during rounds, with the preceptor and at the end of the preceptorship.
Have access to Drexel’s medical library.
Build a portfolio of accomplishments which documents activities completed and performance evaluations by faculty.
Structured Preceptorship Target Audience

Physicians who wish to return to active clinical medicine after an extended leave.
Physicians who wish to enhance their focus or area of interest and need a primary medical update.
International medical graduates who wish to become acculturated into the U.S. medical system in order to enhance competitiveness for a U.S. graduate medical education training program.
Physicians who wish to enhance their clinical skills.
Structured Preceptorship Faculty

Faculty members are from Drexel University College of Medicine under the leadership of Nielufar Varjavand, MD.

View continuing medical education credit information and faculty disclosures for the Structured Preceptorship

Structured Preceptorship Goals and Objectives

The goals and objectives of the structured preceptorship address several maintenance of certification (MOC) objectives and core competencies defined by the American Board of Medical Specialties (ABMS), competencies set forth by Accreditation Council for Graduate Medical Education (ACGME) and the physicians' individual goals. They are:

http://drexel.edu/medicine/academics/continuing-education/physician-refresher-re-entry-program/courses/structured-preceptorship/

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Physician Refresher/Re-entry Program Online Clinical Skills
Serious female physician sitting at desk during consultation.
Curriculum

The physician refresher online clinical skills program is a distance-learning, interactive program that includes individualized assessment and enhancement of skills in communication, history taking, physical exams, clinical reasoning and patient management.

Target Audience

Physicians who wish to return to active clinical medicine after an extended leave
Physicians who wish to enhance their focus or area of interest and need a primary medical update
International medical graduates who wish to become acculturated into the U.S. medical system in order to enhance competitiveness for a U.S. graduate medical education training program
Physicians who wish to enhance their clinical skills
Goals

To enhance learners’ abilities in medical interviewing and advanced communication challenges in patient care
To enhance learners’ diagnostic reasoning skills
To enhance learners’ physical exam knowledge and skills
To help prepare learners for the clinical skills licensure exams – National Board of Medical Examiners (NBME) step two Clinical Skills (CS) and the Education Commission for Foreign Medical Graduates (ECFMG) exam
Faculty

Faculty members are from Drexel University College of Medicine under the leadership of Nielufar Varjavand, MD.

http://drexel.edu/medicine/academics/continuing-education/physician-refresher-re-entry-program/courses/online-clinical-skills/

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Physician Refresher/Re-entry Program How to Apply
Older male physician.
Application Process

Please complete the appropriate application, filling out your address, phone, email, head shot photo, country of citizenship, documentation of appropriate work visa or citizenship, references, contact information in case of emergency and verification of employment and licensure.

APPLICATIONS (These are best viewed in Internet Explorer or Google Chrome)

Structured Preceptorship [PDF]
Medical Update Curriculum/Targeted Training and Remediation/Online Clinical Skills [PDF]
The application will include a section where you can write in your interest and goals for participating in our program, as well as how you anticipate this program will help in your future career plans.
Please also include your curriculum vitae, a copy of your medical degree certificate, transcripts from medical school, copy of recent license, USMLE step 1 score, and a copy of your GME certification (if applicable).
In addition to a review of your application, we will contact you for a personal interview.
For the preceptorship, Drexel’s requirements include HIPAA training, health screening which includes PPD and vaccine titers [PDF], proof of health insurance, as well as criminal background check via Verified Credentials.
We would appreciate your completing our short applicant survey. [PDF].
There will be a $150 (non refundable) application fee.
Tuition and Fees

Participants may take course modules in sequence or independently. Tuition must be paid in full prior to the start of the course.

Medical Update Curriculum and Assessment (one year access)

Cost is determined by individualized program
Structured Preceptorship (per six week rotation)

Cost is determined by individualized program
Online Clinical Skill and Assessment

Cost is determined by individualized program
Targeted Remediation and Training: Medical Documentation

Cost is determined by individualized program
National Board of Medical Examiners/Federation of State Medical Boards (NBME/FSMB) Exam (Post-Licensure Assessment System, or PLAS)

The selection and pricing of the NBME/FSMB exams (PLAS) vary and are based on individual needs

http://drexel.edu/medicine/academics/continuing-education/physician-refresher-re-entry-program/how-to-apply/

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https://client.verifiedcredentials.com/drexelcme/default.cfm

https://webcampus.drexelmed.edu/DxR/

http://ihousephilly.org

https://webcampus.drexelmed.edu/doccom/db/read.aspx

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Cleveland Clinic Florida offers physicians from around the world the opportunity to observe our physicians and residents in practice. The Observership Program provides insight into the day-to-day responsibilities of Cleveland Clinic physicians in their respective specialties. For more information about Cleveland Clinic Florida’s Observership Program, please email FlaObservers@ccf.org.

Cleveland Clinic Florida Global Health Center and International Medical Education offers Allied Health Professionals the opportunity to observe several medical departments. For more information, please visit the Allied Health Observership webpage or email flahealthobserver@ccf.org.

Observership Programs (Physicians)

Cardiology
Colorectal Surgery
Critical Care /ICU (Pulmonary)
Breast Surgery
Gastroenterology
General Surgery
Nephrology & Hypertension
Radiology
Urogynecology
Urology
Vascular Medicine
Application Process

The Observership Program offers an orientation to Cleveland Clinic Florida’s model of health care excellence and teamwork in an environment that, in addition to its clinical focus, includes opportunities to participate in research and education.

On the program application, please indicate your preference of rotations and dates available. Our rotations last 4 weeks and can be renewed for an additional 4 weeks with the consent of the supervising physician. The maximum rotation for observers is a 2-month period.

There is a $500.00 application fee which is non-refundable. Checks should be made payable to Cleveland Clinic Florida. In addition to the application fee we require a weekly tuition fee in the amount of $100.00. This fee can be paid on or before starting your rotation.

You will be notified in writing either that your request has been accepted or that we cannot accommodate it at the time. If we are unable to provide your requested rotation, you will be offered the next available rotation date. You may ask questions about the program or check the status of your application by sending email to the Observership Program Office at FlaObservers@ccf.org.

Download Observership Application
Download Observer Guidelines
Upon receipt of your application, application fee and required documents to include proof of up-to-date immunizations, Overseas observer need a valid B-1, B-2, J-1, H-1b, or O-1 visa. The required documents include a curriculum vitae (CV) and current photograph (passport size preferred; color or black & white, or a copy of your drivers license/passport). Your application will not be processed until you have submitted all of the required documents. If additional information is needed, you will be notified by email. This process will take approximately 15-30 days from the time received.

As an observer, you may watch procedures, surgeries, patient histories and physicals; and you may attend patient rounds and teaching conferences. You may not scrub in, and you may not participate in patient care or research. You may only observe.

For observers in all specialties, we require proof of the following immunizations:

Varicella, rubella, titers, and/or immunizations MMR (mumps, measles and rubella)
Recent documented TB test or recent chest X-ray (<1year) if="" known="" tb="">
Proof of hepatitis B immunity (serology)
Where to Report

This information will be sent to you in a confirmation letter prior to your start date.

Identification Badges

At your orientation, you will receive a temporary photo ID badge. You must wear this badge at all times while on Cleveland Clinic Florida premises. A $20.00 deposit is required for the ID badge; this deposit will be reimbursed when you return your badge at the end of your observership.

Dress Code

Observers are expected to dress in a professional manner. T-shirts, jeans, cutoffs, open-toe shoes, and other casual articles of clothing are not permitted. We recommend that you wear comfortable shoes.

Observers must wear a white lab coat while on the premises of Cleveland Clinic Florida. You will be responsible for bringing your own white lab coat.

HIPAA Privacy & Confidentiality

Observers are required to watch the video located below. You will be given a HIPAA attestation form to sign prior to your rotation.

Parking

Parking is provided at no charge. Observers must register their cars (make, model, year, and license plate number) with Cleveland Clinic Florida Security/Facilities by completing a form on the first day of orientation. When parking at Cleveland Clinic Florida, you must display your temporary parking permit on your car’s dashboard. Observers must park in the overflow parking lot (please refer to the parking map that you will receive on the first day of orientation).

Working Hours

Clinic (outpatient) services are usually provided from 8 a.m. to 5 p.m., Monday through Friday. Hospital services vary in each department. Your department coordinator will assign your working hours.

Meals

You will be responsible for paying for your own meals. Cleveland Clinic Cafe, located on the 1st floor of the hospital, is open during the following hours:

Monday – Friday:
7 a.m. – 10 a.m. – Hot Breakfast
11:30 a.m. – 3 p.m. – Lunch & Dinner

Weekends & Holidays:
7 a.m. – 11:30 a.m. – Continental Breakfast
11:30 a.m. – 6 p.m. – Lunch & Dinner

Housing

Housing is not provided for observers. You will be responsible for your own accommodations. At your request, the program coordinator will provide you with a list of accommodations in the area.

Cancellation Policy

Once your rotation has been confirmed by email, you are expected to complete your delegated observership. If cancellation is unavoidable, please submit your notification in writing at least 30 days before your observership is scheduled to begin. Please be aware that your $500 application fee is non-refundable.

Medical Library

The A. Lorraine and Sigmund Goldblatt Medical Library is located on the first floor of the clinic. Books and journals do not circulate and are to be used in the library. Computer workstations are available to access Medline and other Internet library resources. The library is open Monday through Friday, 8:30 a.m. to 5 p.m. There is no after-hours access.

Scientific Publications

The Medical Library Department produces the Clinic Journal of Medicine. To obtain current or back issues of the journal, please visit the library. You may also be placed on the journal’s mailing list however; there is a charge for subscriptions. For more information, contact the medical library office at 216.444.2662.

Teaching Conferences & Postgraduate Courses

The following conferences are open to observers and visitors of Cleveland Clinic Florida

Medical Grand Rounds

Noon – 1 p.m., every Wednesday
Jagelman Conference Center Rooms 1-2

Surgical Grand Rounds

7 a.m. – 8 a.m., last Thursday of the month
Jagelman Conference Center Rooms 1-2

General Questions

If you have questions about your rotation or if a problem arises, please contact the Department of Graduate Medical Education and speak with the Observership Coordinator. We can be reached at 954.659.6418

We look forward to your rotation and hope your stay with us is an educationally rewarding one. If you have any questions that we did not answer here, please feel free to contact the Research and Education Office – we will be happy to assist you in any way we can.

Cleveland Clinic Florida reserves the right to terminate an observer’s rotation at any time in the event that the observer’s performance jeopardizes a patient’s well-being or if the observer is unable to achieve the objectives of the educational experience.

Further Information

Please contact the Department of Graduate Medical Education if you need additional information.

Graduate Medical Education

Cleveland Clinic Florida
2950 Cleveland Clinic Boulevard
Weston, Florida 33331
Phone: 954.659.6418

Email: FlaObservers@ccf.org
Cleveland Clinic Florida shall admit students of any race, color, religion, sex, age, national origins or ancestry, handicap, or status as a disabled or Vietnam veteran, to all rights, privileges, programs and activities generally accorded or made available to all of the students involved in any of the Clinic’s educational programs.

Cleveland Clinic Florida will not discriminate on the basis of race, color, religion, sex, age, nation origins or ancestry, handicap, or status as a disabled or military veteran, in the administration of its educational policies, admissions policies, training programs, stipend awards and all other such administrated programs.

https://my.clevelandclinic.org/florida/medical-professionals/education/observerships

total: Min. $500, Max. $920 (4 weeks)

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The International Observership Program at Massachusetts General Hospital

The International Patient Center at Massachusetts General Hospital coordinates informal educational initiatives, called observerships, for physicians, researchers, and other healthcare professionals who wish to observe specific areas of clinical care, research or administrative operations at Mass General in Boston, MA. These customized educational programs facilitate knowledge sharing and expertise in clinical care, as well as quality and innovation in health care.

The International Observership Program builds on the hospital’s rich legacy and mission to educate future administrative, clinical and research leaders in health care. The program coordinates observerships based on the needs and interests of each prospective observer and the availability of professional staff. The topics covered in this program are broad and tailored to each individual or group based on the observers’ learning objectives.

Observership programs have ranged from four-hour observerships within one department to month-long, interdisciplinary observerships that include multiple departments and faculty. Observers from all over the world, including leading clinicians, researchers, government officials and hospital administrators, work with the International Patient Center at Mass General to arrange educational programs to address:

Innovations in patient care
Leading-edge research
Hospital management and operations
 The observership program is designed for currently practicing clinicians and is not suitable for students or individuals seeking residency opportunities at the hospital.

Please be advised that in an observership, observers will not physically engage with any patients or advise on any cases. Observers will strictly be observing/shadowing our professional staff. Participation in our observership program does not have any bearing on pending or future internship/fellowship applications.

The Mass General International Observership Program is not affiliated with any Harvard Medical School program(s). Mass General does not award medical education credits for observerships. Upon successful completion of an observership program, observers will receive a certificate of attendance (issued by the Mass General International Patient Center).

About Massachusetts General Hospital

Each year, Mass General is recognized for achieving the highest standards in patient care, education and research, ranking the hospital among the world’s most prestigious medical institutions. Observerships coordinated by the International Patient Center can provide insights into the history of Mass General, its role in shaping health care practice and policy in the United States and its vision of the future of health care.

Mass General is located in the heart of downtown Boston, a historic and vibrant coastal city in the northeastern United States. Boston is among the most diverse and welcoming communities in the United States, home to world-renowned universities, hospitals and corporations that attract staff, patients and customers from around the world.

Mass General’s Commitment to Diversity and Inclusion

Guided by the needs of our patients and their families, Massachusetts General Hospital aims to deliver the very best health care in a safe, compassionate environment; to advance that care through innovative research and education, and to improve the health and well-being of the diverse communities we serve. Mass General has a specific commitment to values we call Diversity and Inclusion:

“Diversity is the richness of human differences. Inclusion is when everyone feels connected, valued and engaged. At Massachusetts General Hospital, we believe that because of diversity we excel; through inclusion we respect; focused on equity we serve, heal, educate and innovate.”

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http://www.massgeneral.org/education/fellowship.aspx?id=259

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Requirements

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International Observership Requirements


Applicants to the Massachusetts General Hospital International Observership program must complete the following:

Provide proof of proficiency in English (listening, speaking, reading and writing)
Pass a criminal background investigation. Foreign nationals of countries or territories that do not allow for criminal background investigations to be conducted by United States companies are ineligible to participate in the observership program
Receive satisfactory employment references/verification
Provide proof of insurance coverage. In compliance with state and federal mandates, Mass General requires all non-employee observers to purchase and maintain health insurance for the period of time that they are engaged in Mass General-sponsored activities and/or programs. Proof of coverage will be required at least 10 days in advance of the non-employee’s arrival to Mass General
Provide documentation of current immunizations:
MMR (Measles, Mumps, Rubella)
Hepatitis B
TB (tuberculosis) status (If there is a history of a positive PPD (tuberculosis) test, applicant must provide a chest x-ray report from within the past year)
Current flu vaccination

http://www.massgeneral.org/education/fellowship.aspx?id=259&display=Requirements

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MGH Observership Application
he International Center coordinates observerships based on the needs and interests of each prospective observer and the availability of professional staff at Massachusetts General Hospital. The International Observership program is designed for currently practicing clinicians and is not suitable for students or individuals seeking residency opportunities at the hospital.

Observerships are informal educational initiatives for health care professionals who wish to observe specific areas of clinical care and / or administrative operations at Massachusetts General Hospital. Sample observership programs have ranged from four-hour observerships within one department to month-long, interdisciplinary observerships that include many departments and faculty at Massachusetts General Hospital.

Please be advised that in an observership, observers will not physically engage with any patients or advise on any cases; observers will strictly be observing / shadowing our professional staff. Participation in our observership program does not have any bearing on any pending or future internship / fellowship applications. The observership program is not affiliated with any Harvard Medical School program(s). Mass General does not award medical education credits for observerships; upon successful completion of an observership program, observers will receive a certificate of attendance (issued by the International Center).


Observership Program Requirements

Be proficient in English (listening, speaking, reading and writing)

Successfully pass a criminal background investigation. Foreign nationals of countries or territories that do not allow for criminal background investigations to be conducted by US companies are ineligible to participate in the International Observerships program

Receive satisfactory employment references / verification

Provide documentation of current immunizations:

MMR
Hepatitis B
TB status
Current flu vaccination

In compliance with both State & Federal mandates, the Massachusetts General Hospital requires all non-employee visitors to purchase and maintain health insurance for the period of time that they are engaged in Massachusetts General Hospital-sponsored activities and/or programs. Proof of coverage will be required 2 weeks in advance of the non-employee’s arrival to the Massachusetts General Hospital.

Observership Application Process

To apply for an International Observership, please click the “apply now” button below. In addition to completing the online application, you will be required to upload the following documents:

Current C.V.
Statement of Purpose (1-page or less) outlining specific learning objectives to be achieved while observing
2 letters of recommendation from (and signed by) director-level supervisors on company / institution letterhead
Signed background authorization form
Completed MGH Occupational Health form


A $300 non-refundable application fee will be due upon submitting all applications. The application fee will be deducted from the total amount due.

* Please note that application fees will not be refunded for applications that are deemed incomplete or unqualified (based on programs requirements) or otherwise unapproved by the Massachusetts General Hospital.

The MGH International Center requires a minimum of 8-weeks (from receipt) to process observership applications.

2017 Observership Fee Schedule

 Please note that fees are exclusive of travel and accommodations

Duration (Up to 3 Months)	Fee (USD)
Non-refundable Application	$300
1-day (8 business hours)	$1,500
1-week (5-working days)	$6,000
  Discount Eligibility:
 1-2 month	Weekly rate*4 or 8+25% discount
 3 month
Weekly rate*12+30% discount



All fees must be paid in US funds 15 business days prior to the observership start date. The non-refundable application fee can be paid using credit cards via application link. The remaining observership fee will be accepted via credit cards (Visa, MasterCard, Discover, and American Express) or wire transfers (subject to additional banking fees).

http://www.cvent.com/events/mgh-observership-application/event-summary-e2ae98e1eab64111be399882c05cd5e0.aspx

http://www.massgeneral.org/education/fellowship.aspx?id=259&display=participating_departments

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Massachusetts General Hospital International Observership Program

Phone: 617-726-2787

Fax: 617-726-2543

Email: Intlobservers@mgh.harvard.edu

Address: 55 Fruit Street
Blake 180
Boston, MA 02114

http://www.massgeneral.org/education/fellowship.aspx?id=259&display=contact_us

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http://medschool.creighton.edu/neurology/neurologyobservership/

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The Department of Critical Care Medicine (CCM) at the University of Pittsburgh provides cutting edge, exemplary, state-of-the-art care for critically ill patients in several of the intensive care units (ICUs) at the University of Pittsburgh Medical Center (UPMC). The adult division of the Department of CCM accepts national and international trainees and physicians on an individual basis for the clinical observership program who meet the eligibility criteria and other requirements as outlined below. The observership program is offered in the cardiothoracic, liver transplant, neurovascular, neurotrauma, and acute care surgery and trauma ICUs. Approved applicants may be accepted for consecutive days ranging from two weeks (minimum) to two months (maximum) duration after paying the appropriate fee for the program.

Eligibility Criteria


We will consider applicants who meet the following criteria for the clinical observership:

1. National or international medical students, residents, or fellows (trainees) enrolled in any training program who are actively supported for this observership by their training institution and who will be returning to that institution after the observership.

2. National or international physicians who are employed in their profession and care for critically ill patients and who will be returning to that position immediately following observership.

3. Applicants must apply 3 months before the anticipated date of observership.

An Observer's Story
Maite, Columbia

4. Applicants need to provide a sponsorship letter from their immediate supervisor on institutional letterhead. The letter must be typed, dated, and signed by the supervisor in English and must specify the exact dates of the proposed observership. The letter should also have the contact information of the supervisor.

5. The applicant must provide a curriculum vitae (CV). The CV must provide details on training, contact information, date of birth, nationality, citizenship, visa status, and name and address of two references.

6. All applicants will be interviewed by videoconference using Skype.

If you meet all of the above criteria, you may apply here.

Observership Requirements

The following requirements must be completed before acceptance of an applicant into the program:

1. Once an applicant meets the above eligibility criteria, the paperwork will be forwarded to the UPMC GME office.

2. All applicants must be vetted and approved by the GME office.

3. The GME office will require obtaining confidentiality and HIPAA agreement from the applicant; child protection clearance; proof of health insurance; proof of vaccination (Hepatitis B, MMR, Influenza) and other background checks.

4. The applicant must provide a documented tuberculosis clearance certificate (either negative PPD or CXR documentation) obtained within the past 1 year from an approved physician in the United States.

5. Following approval by the UPMC GME office, a formal invitation letter with firm, non-negotiable dates will be provided to the applicant.

http://www.ccm.pitt.edu/clinical-observership-program

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Important Information for Applicants Accepted into the Observership Program

Prior to Traveling:

Applicants are requested not to make any travel arrangements until all procedures are complete and a formal letter of acceptance is offered.
Applicants are personally responsible for all financial obligations, including travel, lodging, meals, health insurance, etc., incurred during their visit. The CCM department will not provide any stipend, tuition fee, health insurance, accommodation, or other forms of payment to an observer during their stay.
The CCM department will not sponsor any type of visa for the applicant. If accepted into the program, the CCM department will only provide a letter of acceptance to the applicant, which can be used to apply for visa, if needed.
Often an observership is a prelude to seeking future training in the U.S. However, being invited as a clinical observer with CCM department does not guarantee a training or employment position with the department.
Applicants coming for clinical observership will not be able to do research observership. If an applicant is interested in doing a combined clinical and research observership, they need to apply separately for the clinical and research observership programs and pay the appropriate fee before coming to Pittsburgh. Requests to do research observership after starting the clinical observership will not be entertained.
After Arriving at UPMC:

The observer will meet with Dr. Murugan (Program Director) and Ms. Bonacci (Project Analyst) on the first day of the observership to get an orientation.
An orientation manual with a brief description of various departmental activities will be provided.
The applicant must have a valid UPMC ID badge before being admitted to any of the ICUs.
The applicant must sign a UPMC confidentiality and EMTALA agreement before starting the program.
The applicant must undergo a drug screen test before starting the program.
The applicant must provide their contact information in the US (e.g. cell phone number and place of stay).
It is expected that all accepted applicants would spend the entire duration of rotation in the department. Failure to report to the assigned ICU for two consecutive days without permission will result in termination of visit.
No clinical duties are allowed as US law prohibits foreigners lacking valid medical license to practice medicine in the US from participation in direct patient care. All observer agreements state clearly that observers cannot provide direct patient care or conduct research.
During observation in the ICU, any type of interaction with a patient is strictly prohibited, as the US law does not allow examining or directly interacting with patients without a valid medical license. Any violation will immediately terminate the observership.
All patient related information is highly confidential. The applicant must follow all UPMC policies and procedures including HIPAA, infection control, safety, ethics etc.
All observers must behave in a collegial manner during their stay.
All applicants must immediately contact Dr. Murugan/Ms. Bonacci if any problems or issues arise during the observership.
 The following are strictly prohibited in all of the UPMC ICUs by observers:
-The observer must not have any form of direct patient contact. Contact is defined as physically touching, performing a medical history and/or examination, counseling (patient or patient’s family/friends), assisting in surgery or any other procedure, or otherwise interacting with patients, either individually or in the presence of others.

-Touching or tampering with any ICU devices (e.g., ventilator, infusion pumps) that are located inside the patient’s room.

-Discussing about patients with anyone other than the ICU team providing care.

-Discussing about patients or patient-related information in public areas such as hospital corridors, elevators, cafeteria, lounges, or outside the hospital.

-Carrying any form of printed patient medical records (e.g., printed patient reports from PowerChart/Cerner). In particular, the observer is not allowed to take any patient related material outside of the ICU.

-Taking any pictures of patients, medical records, radiology images using cell phones, ipads, or other portable electronic devices.

-Asking for access (User ID or Password) to electronic medical records from any other care provider.

-Entering written orders into any electronic medical records or providing verbal orders to nurses on behalf of other care providers.

-The applicant is not allowed to make any hard or electronic copies or transfer any patient related material from UPMC computers to other portable electronic devices (e.g. downloading radiology images into a USB flash drive are strictly prohibited).

-The observers should not render any form of treatment or services to patients.

-The observers should not be involved in obtaining patient consent for any encounter or procedure including research.

All applicants are encouraged to do the following during their visit:
-Dress Code: Business or business casual attire (dress pants, dress shirt and tie, close-toed shoes). Jeans and/or T-shirts are not acceptable.

-Clinical observers are required to wear white lab coats (issued by their home institution) along with their UPMC ID badges.

-Actively discuss about medical care provided to patients during rounds with the ICU team (i.e. ICU Attending and the Fellows)

-Applicants are allowed to see electronic medical records and radiology images under the supervision of the Attending or Fellows during rounds.

-Applicants are allowed to watch procedures being performed in the ICUs

-Applicants are allowed to watch patients being examined by the medical team in the ICU.

-Applicants are allowed to enquire about specific ICU protocols and other reading materials that are available.

-All applicants will be provided access to the CCM Evidence-Based Medicine library articles.

-All applicants will be provided access to select mini-lectures and podcasts that are relevant to the ICU in which they will be doing the observership.

-All applicants are advised to attend grand rounds, journal clubs, and other research conferences presented in the department.

-The observer will be able to use the CCM study lounge and computer for Internet access, literature search, and other educational activities.

Before leaving UPMC:

21.Upon completion of the program, an exit interview will be offered to obtain feedback from observers.

22.A letter indicating dates of visit and educational activities participated in will be provided. Recommendation letters for ACGME application or other reference letters will not be provided.

http://www.ccm.pitt.edu/important-information-applicants-accepted-observership-program

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Effective July 1, 2012

University of Pittsburgh Medical Center (UPMC) has updated its policy for observerships effective July 1, 2012. Policy is as follows:

Note: The GME Observership Registrar will process all observership requests. All requests require a minimum 30-day notice for processing. (A $2,500 fee is assessed for any requests less than 30-days.)

Step 1: Pre-Application Agreement

Once a faculty member has agreed to host an individual as an observer, he/she must email the Registrar the observer’s full name and any contact information to be sent out for an internal security check done by the GME office. The results are sent back to the point-of-contact person in the department. If anything adverse is found within this check, that individual’s request will be denied.
After the Registrar receives the results and the observer’s background check is clear, the Registrar will then contact the observer providing the Pre-App packet.
The Pre-App outlines UPMC Observer Policy in the most general sense. It notifies the observer of a non-refundable $200 application fee that will need to be received prior to them receiving the actual application.
Observer must sign and return the form with a money order to receive an application.
Step 2: Observership Application

This application that outlines in detail every document that must be received PRIOR to the observer’s arrival in the United States.
Please note there are separate applications for international/domestic candidates.
Necessary documents may include:
Completed application
Visa status
Results from Clearances 33, 34, and 73 submission:
Act 33: Submit online, results are sent by postal mail to Registrar, taking two to three weeks.
Act 34: Electronically submitted, results sent immediately, needs to be forwarded to Registrar.
Act 73: Partially complete online to get in system, complete with fingerprint test at UPMC.
Current CV
Signed UPMC Confidentiality Agreement
PPD test result within one year
Proof of health insurance
Attestation to vaccinations as outlined in application
Upon arrival to UPMC, observer must also:
Visit Employee Health for required drug screening and vaccinations (if needed).
Obtain UPMC ID badge (registrar will submit badge request).
Receive scrub card.
Get fingerprints at UPS store.
Complete HIPAA module (done online through department).
Step 3: Observership Approval Letter ·

After all aspects of application are completed, the approval letter is sent to the observer:
Once signed and returned, it must be countersigned by department program director.
Flow Chart for Observership Application:

Observer accepted by UPMC faculty.

↓

Name sent to GME Registrar to be sent for security check.

↓

Security background check is approved.

↓

Observer is sent Pre-Application Form (minimum 30 days prior to arrival at UPMC).

↓

Pre-Application Form is completed and returned with $200 money order.

↓

Application is sent to observer.

↓

Act 33 is completed, results sent to department (postal mail results).

↓

Act 34 is submitted, results sent to department (electronic submission, postal mail results).

↓

Act 73 registration is completed to extent possible (electronic submission).

↓

Application is sent back in entirety, including all necessary supplemental documents.

↓

Observership Approval Letter with applicable departmental fee is sent for completion.

↓

Observership Approval Letter with applicable departmental fee is returned to Registrar with

required signatures.

↓

Observer arrives in Pittsburgh and visits; department to complete online HIPAA training, Employee Health for required drug screening and vaccinations (if needed), UPS store for FBI fingerprints, and badge office to obtain Observer ID badge.

↓

Observership begins.

http://www.ccm.pitt.edu/university-pittsburgh-medical-center-physician-services-division-observership-policy

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http://www.ccm.pitt.edu/webform/observership-form

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faculty that will sponsor them for an observership.  We DO NOT provide information about faculty or contact information for faculty.  Please review the FAQ’s prior to beginning the process  *********

The Department of Internal Medicine allows visitors to come through clinical and research areas in compliance with rules and regulations promulgated by EVP Academic & Research. Faculty members in each Internal Medicine division can be found on the individual division websites or the faculty listing page. The department does not provide names or contact information of the faculty. While we hope that all visitors have a great learning experience, visitors are not allowed on inpatient wards due to the number of learners on those services. Original completed applications must be typed and submitted to the Administrative Contact for your Faculty Sponsor at least 6 weeks in advance of the desired start date. Each visitor is charged a non-refundable application processing fee by the Department and sponsoring Division. A schedule of fees is listed in the “Fee Structure” page. Only  money orders are acceptable.

https://med.uth.edu/internalmedicine/education/observership/

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This process is only for the department of Internal Medicine at UT Health.  If you would like to apply for a visiting position in a different department, you will need to contact that department.

The first step in obtaining an observership with the UT Health’s Internal Medicine department is to secure faculty sponsorship.  The department does not have a list of faculty that regularly accept observers.  It is the responsibility of the applicant to research Internal Medicine faculty and reach out, either by email or by phone, the physician and explain that he/she is looking for that particular physician to sponsor them.  Faculty from other specialties cannot be the sponsor for and Internal Medicine observership/professional trainee/pre-baccalaureate trainee/visiting student trainee/visiting scientist.
Once the applicant has obtained a faculty sponsor, the applicant must review the application instructions to determine which category is appropriate for the applicant to apply under.  This needs to be discussed with the faculty sponsor before completing the application.  Beginning with the first page of the application (not including the directions), the applicant must complete pages 1-4 TYPED and attach all supporting documentation, as outlined by the application.
Once the applicant has completed his/her portion, the entire application must be forwarded to the faculty sponsor for completion of the faculty sponsor portion (pages 5-6; if applicable, the Pre-Baccalaureate/Professional Trainee Plan).
Upon completion of the application by the applicant and faculty sponsor, the entire application, with the appropriate fees, should be forwarded by the Administrative Contact of the Faculty Sponsor for signature by the Vice Chair for Education.
Once the application has been signed by the Vice Chair, it will be returned to the Faculty Sponsor for further processing.
*****  Applications submitted less than 4 weeks in advance of the desired start date will be returned without review.

https://med.uth.edu/internalmedicine/observership-process/

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There is a departmental processing charge of $500 for observerships/professional trainees. This is in addition to the fees charged by the divisions as stipulated below.  We only accept money orders, no personal checks.  PLEASE NOTE:  These are non-refundable processing fees.

Cardiology – $300
Critical Care – $200
Endocrinology – $1000
Gastroenterology, Hepatology, and Nutrition – $750
Geriatrics – $1000
Heme-Onc – $250
Infectious Disease – $2,500
General Medicine – $1000
Renal – $1,000
Pulmonary – $200
Rheumatology – $1000
*** The Application lists an additional processing fee ($750.00 USD) non U.S. citizens or non U.S. permanent residents

https://med.uth.edu/internalmedicine/fee-schedule/

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This policy applies to Applicants interested in doing a clinical or research rotation. Upon approval from the Vice-Chair of Education, Applicants shall be allowed to rotate in outpatient clinical settings or consult services, depending on space availability.   Applicants will be required to comply with UTHealth’s procedures, policies and other applicable rules and regulations pertaining to their participation in the program.  These procedures, policies, rules and regulations pertain to a range of matters, including, but not limited to, the confidentiality of patient records, general conduct, professional attire and personal appearance (see the UTHealth Handbook of Operating Procedures at:  https://www.uth.edu/hoop/index.htm).  Failure by an Applicant to comply with UTHealth’s procedures, policies, rules and regulations may be cause to terminate the Observer’s participation in the program immediately and without refund.

https://med.uth.edu/internalmedicine/internal-medicine-policy/

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Policy Number: 125

Subject:
Visitors

Scope:
Visitors

Date Reviewed:
February 2014
Responsible Office:
Office of the Executive Vice President & Chief Academic Officer; Office of Global Health Initiatives
Responsible Executive:
Executive Vice President & Chief Academic Officer
I. POLICY AND GENERAL STATEMENT

The University of Texas Health Science Center at Houston (“university”) welcomes visiting colleagues and students for research and educational collaboration, observation, and study (“Visitors”). The university also has an obligation to structure such associations so as to protect the interests of the university and the Visitors.

Visitors are defined as individuals who are not compensated by the university and are not enrolled in university educational programs but who are granted access to university property, facilities and/or information systems for a specific period of time for approved collaborative or educational purposes.  There are multiple categories of Visitors to the university, which are defined on the website of the Office of the Executive Vice President & Chief Academic Officer on the Observers, Trainees and Visitors webpage (“OTVS webpage”).

Visitor associations are offered by the university and not by individual employees. Failure to comply with this policy and the associated procedures found on the OTVS webpage may result in disciplinary action and/or personal liability.

Each school must appoint a coordinator(s) whose responsibility is to facilitate all Visitor programs. All Visitors must be processed through the coordinator(s); faculty and staff are not permitted to host Visitors on an ad hoc basis.

Visitors are not authorized to have university business cards or to be issued university property such as pagers, cell phones and laptop computers or to have any other privileges normally associated with being an employee, including reimbursement for travel to attend conferences.

II. PROCEDURE

The procedures and forms required for bringing Visitors to the university are found on the OTVS webpage.

The privileges of all Visitors at the university are at the pleasure of the university.  The university may, at any time, and in its sole discretion, end a Visitor’s relationship with the university.

https://www.uth.edu/hoop/policy.htm?id=1448098

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Frequently Asked Questions
Are there specific faculty that will sponsor me in the Department of Internal Medicine?

There are no Internal Medicine faculty members who are assigned to sponsor Visitors. If you are wishing to participate in an observership/trainee/visiting scientist position, you will need to research and find a willing faculty member. The department does not provide names or contact information.

How much will I pay to do an observership?

The fee schedule is listed online. Every observer/professional trainee will pay a fee of $500. Depending on the division your faculty member is a part of, you may pay an additional amount. There is an additional fee by UT Health depending on Citizenship status.  Please review the application and contact the appropriate offices for information on their fees.

Who do I make the money order payable to?

The $500 fee to the department should be made out to the Department of Internal Medicine. Any additional fees to the Division need to be addressed to the Division. The separate application processing fee of $750 should be addressed to UTHSC – H.

What do I need to turn in with the application?

The application is assembled by the Office of Academic and Research Affairs. They have listed and included a check off sheet for all required documents. Every single item that applies to you must be checked off and completed with the application. No substitute forms will be accepted (i.e., immunizations). Any incomplete forms will be returned to the applicant.

https://med.uth.edu/internalmedicine/frequently-asked-questions/

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Boston Children’s Hospital is committed to providing high-quality continuing education to pediatric specialists throughout the world. As a teaching hospital of Harvard Medical School, we have more than 1,000 physicians and researchers who are at the forefront of understanding and treating pediatric diseases and disorders. The goal of the Observership Program is to facilitate knowledge transfer from BCH experts to advanced pediatric health care providers based in other countries through an informal, immersive shadowing program. Observers are given access to, the latest information, protocols, and best practices, as well as effective strategies to implement change when they return to their home institutions.

The Observer Experience

Participants observe clinical activities and procedures, attend rounds, lectures, seminars, and other interdisciplinary conferences at the hospital.
Participants also receive an introduction to some of the hospital’s most innovative programs, including OPENPediatrics and the Simulator Program.
Available Programs

Observerships are offered in a number of subspecialties including but not limited to: Allergy and Immunology, Cardiology, Critical Care Medicine, Endocrinology, Gastroenterology, General Surgery, Genetics and Genomics, Neurology, Newborn Medicine, Ophthalmology, Otolaryngology, Pathology, Plastic Surgery, Psychiatry, Pulmonary and Respiratory Diseases, Radiology, and Urology. Observerships are also offered in the Simulator Program, the Nutrition Center, and Dentistry. Please note observerships are not offered in general pediatrics.

Application Process

To apply, please visit our web portal and complete the application form. Please note, observerships are generally limited to 4-weeks. We recommend applying at least six months prior to the intended start date. Due to the individual department and division criteria, processing times vary. The review process generally takes around 6-weeks.

Participant Profile

Participants of the Observership Program are generally:

Practicing clinician with a specific pediatric subspecialty background or interest.
Current trainees (i.e. residents or fellows) with a demonstrated interest in a specific pediatric subspecialty.
If you have any questions, please contact the Observership Program office at: Observership.Program@childrens.harvard.edu

For guidelines regarding observerships please view our Expectations for Observers.

Observerships in Cardiac Surgery

Please contact the department contact below.

Congenital Cardiac Surgery
Sylvia Noel-Fagan | 617-355-7932

Medical Students

Observerships at Boston Children’s Hospital are generally not intended for medical students. Medical students are encouraged to apply to the HMS Clerkship Exchange Program. For questions, please email: exclerks@hms.harvard.edu.

http://www.childrenshospital.org/clinician-resources/education-and-training/office-of-graduate-medical-education/observerships

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https://apps.childrenshospital.org/clinical/observership/

https://apps.childrenshospital.org/clinical/observership/accounts/createAccount.cfm

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The application process for 2018-2019 will open August 1, 2018 through September 30, 2018. We accept new applications during this time only. Please refer to the table below for available rotations.

UPDATE! 10/26/2017

We are no longer accepting any new applications for 2017 - June 2018. All positions through February 2018 have been filled. Rotation assignments through June 2018 will be communicated shortly. If you were not selected at this time but meet our criteria, you may check back with us after the match.

Observership is granted to foreign medical school graduates for the duration of a 1 month. (4 WEEKS)

Rotation Objectives

To familiarize yourself with the U.S. medical system.
To become proficient in presentation of history and physical examinations on daily rounds.
To become proficient in ascertaining patients’ acute symptoms and making a therapeutic plan.
To learn to write daily progress notes.
To learn how to interpret basic lab tests and radiology data such as blood, urine serum, X-rays, etc.
Eligibility Criteria

Foreign Medical Student Graduates: Must be a GRADUATE of a Medical School

Must be ECFMG certified
Must have up to date immunization records including flu shot during flu season(Oct-March)
No exceptions are made in fairness to all applicants
Applications

A formal application shall be submitted to the Clinical Observership Program Committee during the designated application dates, Aug 1 through Sept 30 of each year.
Standardized applications such as an ERAS application is acceptable. If using an ERAS application, months for which the candidate is applying for should be indicated in the email. In the event that ERAS application is not available, a Common Application Form can be substituted.
The following are required to be submitted to the Committee for consideration of participation in the program:

A completed application or ERAS application
A cover letter detailing desired rotation
Your C.V.
At least one letter of reference from a clinical supervisor or advisor, or an attending physician
USMLE score reports
Medical school diploma
ECFMG certificate
TOEFL score report ( if available)
Documentation of up-to-date immunization record (please see details below)
Proof of health insurance coverage
A recent photograph for identification
Copy of passport and valid visa
Application Deadline

A completed application must be received no later than Oct 1
Formal start date is usually the first working day of a calendar month.
Timing is at the discretion of the program coordinator and teaching service schedules.
Approval Process

Applications will be formally reviewed for each year. Each applicant must provide 3 different months they are available for the rotation. If all criteria is met, the applicant will be contacted via email if selected for one of the months requested.

The Clinical Observership Program Committee will meet and review each application carefully. There are observership positions in each of the following areas:

General Medicine (1) slots
Neuro - Cardiac Telemetry (1) slot
Observership selection is based on the following criteria, where no single criteria can guarantee acceptance:

USMLE board scores
Letter of Reference
Medical School Academic Performance
Interest in Griffin Hospital Residency program and prospects of becoming a resident at Griffin Hospital in future, does not automatically result in acceptance for observer-ship.
Screening Process

Griffin Hospital reserves the right to screen any worker for drug abuse. Candidates may be asked to undergo drug testing. It is the policy of Griffin Hospital to do background checks on its employees. We routinely perform background check on sub-interns and observers. The sub-intern and observer are required to pay for this background check and/or drug testing. The cost of background check is included in the application fee. If a drug testing is mandated, additional costs will incur.

Fee

A non-refundable fee of $750. will be charged for each month of rotation. The fee is required (6) weeks prior to the start date of the rotation. Payment will only be due if acceptance to the program has been confirmed. Any additional months of rotation will require an additional non refundable fee of $750. per month of rotation.

Immunization Record

All applicants will be required to show proof of:

Flu vaccine (during flu season Oct-March)
MMR titers ( Measles, Mumps and Rubella)
Varicella titers
PPD (within 1 year if negative, chest x-ray within 3 years if positive)
Additional Rotations

It is generally the policy of Griffin Hospital NOT to extend the duration of observership . Under certain circumstances, we will allow a person to extend the duration, such as: when there is an empty slot available which has not been filled with a new candidate In the event that a slot is available due to lack of candidate, a candidate shall make a formal request to the Coordinator for an extension. In the event that a present observer and a new application compete for a slot, preference will be given to the new candidate.

Evaluation

Evaluation of an observership performance is based on:

Teaching Attending’s feedback and written evaluation
Resident feedback and written evaluation
Intern’s feedback and written evaluation
Any other formal or informal feedback with may include:
Nursing evaluation
Patient feedback
Chief Resident’s feedback
Feedback from morning reports and lectures participation
Reference Letters

A candidate may request one letter of reference from the teaching attending on their team with whom they had a significant interaction with. It is the candidates' responsibility to obtain such letter. It is not the responsibility of the committee or the coordinator to obtain the letter for you.

Parking


Free parking is provided in the lower lot across from the hospital on Seymour Avenue. There is also parking at The Center for Cancer Care at Griffin Hospital on the corner of Seymour Ave and Division St. There is no parking allowed in the upper lot. This lot is strictly for patients and/or visitors of the hospital.

Lodging

Griffin Hospital does not make arrangements for lodging or rental of apartments. Candidates are directed to contacting previous observers, as we have had good results for accommodations. Candidates are also asked to share their email address amongst the team of each rotation month. Communication between each other has been very helpful with travel and/or accommodations. Please let us know if you would NOT like your email shared.

Equipment

We do not provide white coats, on-call gowns, stethoscope, tendon hammers etc. It is your responsibility to obtain these items on your own. A white lab coat or jacket is required by all observers while  in the hospital.

http://www.griffinmeded.org/Clinical-Observership.aspx

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International Observership Program
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Our International Observership Program gives doctors and scientists sponsored by an MSK faculty member the opportunity to interact with our experts and participate in clinical and educational activities, including various conferences, medical grand rounds, and seminars.

The sponsor is a physician or scientist who has agreed to serve as host and mentor during the observership period. Observerships are usually for one month and may not last longer than 2 months.

Eligibility
To be accepted to the program, applicants must

have completed their training and be a practicing physician, PhD, or DDS with a hospital affiliation
possess strong English-language skills and be responsible for obtaining their own visa and living accommodations.
choose an official start date below. Start dates are Monday’s unless otherwise noted.


Request Sponsorship

Contact a Memorial Sloan Kettering faculty member to request an invitation to apply for an observership.

Provide the potential host/sponsor with the following information:

your name
contact information (email address and phone number)
title/position
current employer or affiliated academic institution, along with proof of employment
preferred dates of visit
If the individual you have contacted agrees to sponsor your visit, he or she will arrange for you to receive access to the online application.

https://www.mskcc.org/hcp-education-training/international/observership

https://observership.mskcc.org/

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