Clinical Exposure Designed for International Medical Graduates

U.S. Clinical Experience (USCE) plays a critical role in strengthening an IMG’s profile for residency, fellowship, and other physician pathways. It’s worth noting that we don’t recommend this for everyone — in practice, USCE benefits a smaller subset of candidates than many assume. Nevertheless, everyone thinks that if they need to train or work in the USA, they need a USCE. This is not always the case. But if this applies to you, these experiences — often referred to as clerkships or externships or observerships or many other names — may help programs that you have spent some time in the U.S. healthcare system.

At IMG Secrets, we focus on quality, relevance, and individualized exposure, rather than volume-based rotations.

When U.S. Clinical Experience Matters

For many international medical graduates, strong academic credentials alone are not enough. Programs want to see:

01.

Familiarity with U.S. clinical workflows

02.

Patient interaction and documentation exposure

03.

Professional conduct in a U.S. healthcare setting

04.

Meaningful clinical supervision and feedback

The right USCE can significantly strengthen your application — while the wrong one may add little value. Our role is to help you choose experiences that actually matter.

Program Overview

Our U.S. Clinical Experience program is designed to provide focused, hands-on exposure in real clinical environments.

Wherever possible, we intentionally limit each rotation to one IMG per site, ensuring:

This approach allows candidates to gain deeper clinical insight and meaningful mentorship — rather than being one of many observers.

What’s Included in the Program

The USCE program fee includes:

Participation in a supervised U.S. Clinical Experience rotation
Opportunity to attend patient consultations and gain hands-on exposure, as permitted by the clinical setting
Visa support letter (if required) *The final decision for the visa is made by USCIS and not IMG Secrets LLC.
Letter of Recommendation (LOR) for U.S. or Canadian residency applications, based on performance and evaluation

Each experience is structured to help you demonstrate professionalism, clinical understanding, and readiness for the next step in your career.

What’s Not Included

The following are not included in the USCE program fee and remain the responsibility of the candidate:

Transparency is important to us — there are no hidden assumptions.

Additional Support Beyond the Rotation

While not included as part of the program fee, IMG Secrets provides guidance and direction to help candidates navigate:

01.

Visa planning and documentation requirements

02.

Accommodation options near clinical sites

03.

Logistical planning for a smooth stay in the U.S.

Our goal is to ensure your clinical experience is productive, focused, and aligned with your long-term goals.

Locations

Current U.S. Clinical Experience locations include:

Availability may vary based on specialty, timing, and candidate profile. Details are discussed during the initial consultation.

Specialties That Can Benefit

We offer clinical exposure across a wide range of specialties and subspecialties like Anesthesiology · Emergency Medicine · Family Medicine · Internal Medicine & Subspecialties · Neurology · Orthopedic Surgery · Pain Medicine · Pediatrics · Physical Medicine & Rehabilitation · Psychiatry . Sports Medicine · Surgery and many others.

If your specialty is not listed, it can still be discussed during your consultation.

Program Cost & Next Steps

Program pricing depends on:

To maintain quality and appropriate placement, pricing details are discussed after an initial evaluation. This is to ensure observerships are not “sold” but given only to eligible candidates.

During this session, we’ll:

The initial consult will include a strategic career guidance with situation analysis and guidance. In addition, the appointment fee is credited toward your U.S. Clinical Experience program fees if you proceed.