Step 1: Understand the Different Types of Clinical Experiences

US Clinical Experience (USCE) is designed to evaluate an IMG’s familiarity with U.S. hospital practices and procedures. This experience is pivotal for demonstrating your readiness to deliver medical care in the U.S. healthcare system. 

• Clinical Rotations: Hands-on experience in various medical specialties completed in U.S. or Canadian hospitals

• Clerkships: Supervised practical training in a specific medical field

• Externships: Short-term placements that provide practical exposure to U.S. medical practices.

• Sub-internships: Advanced clinical training opportunities that offer deeper involvement in patient care.

• Observerships: Shadowing opportunities to observe healthcare professionals

• Experiences such as observerships, research opportunities, and volunteer work, while valuable, generally do not count as USCE for the purposes of residency applications.

Step 2: Meet the Prerequisites

• Be enrolled in or have graduated from an accredited medical school

• Have a strong command of English (OET, TOEFL or IELTS scores may be required)

• Communication Skills: IMGs must adapt to the communication styles prevalent in the U.S. healthcare system, which includes both verbal and written communication

• Proficiency in documenting medical records and composing reports is an asset. Training will be provided

• Obtain necessary immunizations and health screenings

• Secure malpractice insurance (for hands-on clinical experiences)

Step 3: Research Programs and Institutions

Use resources like:

• AAMC's Visiting Student Learning Opportunities (VSLO)®

• Individual hospital and university websites

Step 4: Prepare Your Application. 

Typical requirements include:

• CV/Resume

• Personal statement

• Letter of recommendation from your medical school

• Transcripts

• USMLE Step 1 score (if available) Step 2 (optional)

• Proof of immunizations

• ECFMG certification (for some programs)

Step 5: Apply and Follow Up

Submit your applications well in advance of your desired rotation dates. Follow up politely if you haven't heard back within the expected timeframe.

Step 6: Visa Considerations

Most international students will need a B-1/B-2 visitor visa for observerships or a J-1 visa for hands-on clinical experiences. Start the visa application process as soon as you receive an acceptance letter.

Step 7: Prepare for Your Experience

• Arrange housing

• Secure health insurance

• Familiarize yourself with the US healthcare system

• Brush up on medical terminology in English

Ready to Start Your Journey?

​Gaining clinical experience in the US can be a valuable step in your medical career. Start your application process today!

Securing USCE Opportunities

There is no standardized method for obtaining USCE. Here are some strategies:

• Networking: Utilize your professional connections to find rotations or externships. Networking with medical professionals can often lead to valuable opportunities

• Direct Contact: Reach out to hospitals directly to inquire about placement opportunities. Some hospitals advertise these positions through paid services or universities

• Placement Agencies: Consider working with placement agencies that specialize in matching IMGs with appropriate clinical experiences. Be sure to research agency reviews and services to ensure they meet your needs effectively.

Benefits of Completing USCE

Incorporating USCE into your ERAS application provides several advantages:

• Demonstrates Competence: It showcases your ability to communicate effectively, handle high-pressure situations, and perform clinical skills within the U.S. healthcare context.

• Enhances Understanding: It helps you grasp the nuances of the U.S. medical environment and build valuable professional connections.

• Strengthens Your Application: USCE contributes to obtaining letters of recommendation, gaining hands-on experience, and developing essential skills for a successful medical career in the U.S.

Need Assistance with Your USCE Journey?

​For personalized guidance with your USCE application, clinical clerkships, or other preparatory needs, Medyoucation offers comprehensive support. We work with international medical students and graduates to provide hands-on training, application preparation, and other services to enhance your residency application and overall success.

Contact us today to learn how we can assist you in achieving your professional goals in the U.S. medical system.