A short presentation to introduce AmeriClerkships Medical Society and how we can assist international medical graduates and students. Thanks for viewing! Truly truly.tyler@americlerkships.org

2. What is HOCE?
Hands-On Clinical Experience
Physician-supervised
Direct patient contact
Insured with professional medical liability
insurance
Trainee is evaluated during and at completion
NOT Externship or Observership

3. Example Program Requirements -
Family Medicine
University of Buffalo, Family Medicine
Residency requires that IMG applicants have six
months clinical experience inpatient OR outpatient,
in the past 2 years.
University of Wisconsin Madison, Family Medicine
Residency states that interview selection preference
is given to applicants who have clinical experience in
the United States or Canada that is particularly
relevant to Family Medicine (research or
observerships do not qualify as clinical experience).

4. Example Program Requirements -
Internal Medicine
Yale School of Medicine, Internal Medicine Residency seeks a
minimum of eight weeks of hands-on direct clinical experience in a
U.S. or Canadian accredited teaching hospital. We will not interview
candidates who have not obtained this required clinical
experience. Observerships without direct clinical responsibility do
not meet these criteria.
Oregon Health and Science University, Internal Medicine
Residency states that, IMGs must be ECFMG certified at time of
application, must have at least one year of clinical experience in the
U.S. or in a health care system similar to the U.S. and have graduated
from medical school within the last six years. Please note that
externships, observerships, or research work do not count as
clinical experience.

5. How does
AmeriClerkships help?
We provide hands-on clinical experience
We assist with residency application preparation
Certified Membership includes:
Residency Application Revision
Personal Statement Revision for single specialty
CV revision
We offer advice and counseling throughout the
application process

6. How do I create a
ResidencyREADY plan?
Will these clinicals be for student or graduate experience?
How many Letters of Recommendation do I need?
ERAS allows you to apply with 4 to each program
Should have at least 1-2 for each specialty to which you apply
Number of LOR needed = Number of Clinical Blocks to schedule
A Clinical Block is the time spent with 1 physician, typically either 4 or 8
weeks
Earn 1 Clinical Evaluation and request 1 LOR per each Clinical Block

7. How do I create a
ResidencyREADY plan?
When do I want to begin?
Create a backwards timeline from when you will be
applying for residency, e.g., September 1, 2012
Then add in USMLE exam dates and the number of
clinical blocks

8. How do I create a
ResidencyREADY plan?
What type experience do I need?
Outpatient only?
Inpatient and outpatient?
Inpatient only?
What specialty or specialties am I interested in?

9. Outpatient Only
Community Healthcare Experience with a Teaching Attending
Physician
Direct patient contact
Patient histories
SOAP notes
Oral Case Presentations
Round on patients
Learn about US healthcare
Supervised and Evaluated by a US teaching attending physician

10. Inpatient and Outpatient
Teaching Hospital
Hospital Guarantee
Guarantee
Community Hospital Teaching Hospital experience
experience with a Teaching with a Teaching Hospital
Affiliate
Attending Physician
―Teaching Hospital‖ means
4-4-4 Rule—round on at there is a residency program
least 1 patient at least once associated with that site
per week on average
4-4-4 Rule—round on at least
1 patient at least once per
week on average

11. Inpatient Only
Hospital or Teaching Hospital Experience
100% inpatient
Very select sites
Specialties include: Internal Medicine,
Psychiatry, Hospitalist, ICU, Pathology,
Gastroenterology

12. Sample Program – Family Medicine
Chicago native who cannot relocate
8 weeks, opportunity for 2 LOR
Clinical Block #1 Clinical Block #2
Estimated Start Date: 1/16/2012 Estimated Start Date: 2/13/2012
Duration: 4 weeks Duration: 4 weeks
End Date: 2/12/2012 End Date: 3/11/2012
Location (within 50 miles of): IL-IN-WI Location (within 50 miles of): IL-IN-WI
Chicago-Naperville-Joliet Chicago-Naperville-Joliet
Specialty: Family Medicine (FM) Specialty: Family Medicine (FM)
Clinical Features: Teaching Hospital Clinical Features: Teaching Hospital
Guarantee Guarantee
Attending Physician Status: Teaching Attending Physician Status: Teaching
Hospital Affiliate Hospital Affiliate

13. Sample Program – Internal Medicine
San Jose, CA resident who wants teaching hospital exposure
12 weeks, opportunity for 3 LOR
Clinical Block #1 Clinical Block #2 Clinical Block #3
Estimated Start Date: Estimated Start Date: Estimated Start Date:
2/27/2012 4/2/2012 4/30/2012
Duration: 4 weeks Duration: 4 weeks Duration: 4 weeks
End Date: 3/25/2012 End Date: 4/29/2012 End Date: 5/27/2012
Location (within 50 miles of): Location (within 50 miles of): Location (within 50 miles of):
NV Las Vegas-Paradise IL-IN-WI Chicago- IL-IN-WI Chicago-Naperville-
Specialty: Internal Medicine Specialty: Internal Medicine Joliet
(IM) (IM) Specialty: Internal Medicine
Clinical Features: Teaching Clinical Features: Teaching (IM)
Hospital Guarantee Hospital Guarantee Clinical Features: Community
Attending Physician Attending Physician Healthcare Experience
Status: Teaching Hospital Status: Teaching Hospital Attending Physician
Affiliate Affiliate Status: Teaching Hospital
Affiliate

14. What’s included with Certified
Membership?
• Welcome Package including embroidered lab coat, stethoscope, pocket
reference books
• 12 months of professional medical liability insurance for clinicals
organized and managed by AmeriClerkships Medical Society
• Unlimited access to bi-weekly Virtual Residency Clinic Webinars (VRCW),
while a member
• Unlimited Letters of Recommendation Analysis (LORA) by former and
current residency admission committee members
• 1 year annual paid membership with the American Medical Association
• 10% OFF Clinical Block upgrades (minimum 8 weeks)
• 10% OFF Residency Ready Application Perfection Packages

15. What else is included with
Certified Membership?
• Curriculum Vitae Review and Revision
• Personal Statement Review and Revision (single specialty)
• Residency Application Review and Revision (applicable to both Common
Application Form and San Francisco Match Applications)
• AmeriClerkships Medical Society Career Development Acculturation
Certificate (webinar)
• Basic HIPAA Online Training Certificate (online training)
• American Heart Association Basic Life Support for Healthcare Providers Part
1 (online training)
• American Heart Association Heartsaver Bloodborne Pathogens (online training)
• American Heart Association Heartsaver First Aid Online Part 1 (online training)
• These services are valued at over $1200!

16. Steps to Enrollment
Write down my contact information and share it!
Truly Tyler
Residency Strategist
truly.tyler@americlerkships.org
Direct: 949-390-7774
Mobile: 949-275-4835
Skype/Video: truly.tyler.us

17. Steps to Enrollment
Complete our Membership Application
atwww.americlerkships.org/enrollnow/apply
I will email you a ResidencyREADY that is a snapshot of your enrollment
and clinical schedule with AmeriClerkships (we can always make
adjustments if necessary). Please respond to that email with "I agree"
and include your billing address.
You will receive our agreement through a program named AssureSign.
You will review and electronically sign the AMS agreement.
The Certified Membership fee is $599; this will secure your membership
and start the enrollment process. Once you decide to enroll, I will send
you an invoice for $599 which will include a link to make the payment
online via credit card..

18. Enrollment Requirements
Notarized COPY of passport
Notarized COPY of medical education, either your
transcript, diploma or ECFMG certificate
Notarized COPY of citizenship status, i.e., visa, birth
certificate
Two passport photos (hard copies or you may email
digital copies)
Proof of personal Health Insurance

19. Immunizations Required
Hepatitis
Tetanus
Varicella
MMR
Negative PPD test

20. But what about pricing?
Price per week basis
Different clinical features and settings have different
costs
Consider both inpatient and outpatient experience
First, determine your goals for HOCE and then we’ll
figure out how to make the program work for your
budget 

21. Questions?

22. Thank you and tell all your
friends and classmates!