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21+
Years of IMG Match Strategy
Established 2005 · Fairfax, VA
amsa+ALLIANCE
AMSA Alliance Member
Aligned with the American Medical Student Association
What USCE is actually for
USCE is not a letter generation service. It is the work of becoming a U.S.-ready candidate. It is the moment when international training meets American clinical practice, where the candidate that programs are looking for begins to emerge.
What the rotation closes
The gap between how you trained and how programs expect you to practice.
The clinical workflow.
U.S. medicine has its own rhythm. How rounds are conducted, how presentations are structured, how decisions are made and documented. International training rarely covers this in the way American programs expect to see it. The rotation is where it becomes second nature.
The communication norms.
How attendings expect to be addressed. How disagreements are voiced. How patients are spoken to. How a senior resident is questioned without challenging hierarchy. These signals are read closely by the people who write your letters and by the programs that interview you.
The clinical reasoning style.
American programs expect a particular style of clinical reasoning: evidence-bound, differential-driven, articulated aloud. The rotation is where that style is observed, practiced, and internalized.
The candidate the letter describes.
By the time the rotation ends, the candidate that an attending writes about is genuinely different from the candidate who walked in. The letter has something true to say. That is what makes it weigh in a holistic review: the realness of the underlying experience.
What IMGPrep arranges
Hands-on clinical externships.
Direct patient care under attending supervision. The candidate is in the room, taking histories, presenting on rounds, contributing to clinical decisions. This is where the gap actually closes, through doing, not observing.
Experienced Preceptors
U.S.-licensed attending physicians affiliated with accredited hospitals, medical schools, and residency programs.
Liability Insurance
Full professional liability insurance for every participant. Documentation support included.
Financing Options*
Available where qualified to make the rotation accessible without front-loading the full cost.
Tailored Rotations
Specialty, location, training stage, and timing matched to what the candidacy actually needs.
* Financing options available for U.S. Citizens and Green Card holders only.
Specialties offered
Externships available across all major specialties and sub-specialties.
Internal Medicine
Cardiology
Gastroenterology
Infectious Disease
Endocrinology
Pulmonology
Nephrology
Hematology/Oncology
Family Medicine
Geriatrics
Women's Health
Adolescent Medicine
Preventive Medicine
Sports Medicine
Urgent Care
Pediatrics
Psychiatry
General Surgery
OB/GYN
Emergency Medicine
Neurology
Specialty availability varies by site. Externships are typically four weeks; multi-month and extended rotations are available. IMGPrep arranges externships across 200+ cities in the United States. Early planning improves access to preferred specialty and timing.
Who IMGPrep arranges USCE for
USCE serves three kinds of candidate.
Each needs a different kind of rotation, at a different point in their journey, for different strategic reasons.
For the Physician Graduate
IMGs With Completed Training
For IMGs who have finished medical school abroad, USCE is often what closes the visible gap on the application. Programs want to see recent, relevant U.S. exposure, not because they doubt your training, but because they need evidence you can step into a U.S. residency without an extended onboarding curve.
IMGPrep helps you choose the right specialty rotation, at the right depth, with the right attending, in service of the application you are building.
Begin the conversation →For the Caribbean Graduate
Caribbean-Trained Students and Graduates
Caribbean candidates often arrive at USCE with prior clinical exposure, but with a different set of strategic concerns: rotation quality, attending letters that carry weight, and how rotations fit into the broader application narrative.
IMGPrep helps position USCE within the candidacy, arranging rotations that strengthen the application's actual weak points, not the ones that are easiest to schedule.
Begin the conversation →For the Medical Student
Current International Medical Students
For students still in training abroad, early USCE is one of the most decisive moves available. It compounds: each rotation builds U.S. clinical fluency that strengthens every rotation that follows.
IMGPrep works with students years before they apply, mapping a USCE trajectory that builds toward the candidate they are becoming, not a transcript line item.
Begin the conversation →Why IMGPrep
What sets our U.S. clinical experience model apart.
Fees go to the attendings.
IMGPrep does not profit on rotations. Rotation fees go to the attending physicians who supervise the work. Our compensation comes from advising: the strategic and curatorial work of helping a candidate get into the right rotation, not from selling the rotation itself.
Rotations chosen for the candidate.
The right rotation depends on specialty, training stage, candidacy gaps, timing, and where the candidate is in the broader application arc. IMGPrep arranges what fits the candidate, not what is easiest to fill.
Attendings who teach.
IMGPrep works with teaching faculty. The rotation is structured to instruct, not just to host. That is what makes the experience real, the candidate stronger by the end of it, and the resulting letter credible to the program directors who read it.
USCE inside one strategy.
USCE at IMGPrep is part of match consulting, integrated with ERAS document development, program list construction, and interview preparation. Every piece is built and delivered in-house, under one strategy.
Frequently asked questions
About the IMGPrep externship.
Click any question to expand the answer.
If you are ready
Begin the conversation.
An initial consultation to understand your trajectory, your training stage, and which kind of U.S. clinical experience would actually move your candidacy forward.
Schedule Your Initial Consultation →About Us
Established in 2005, IMGPrep assists International Medical Graduates in searching for U.S residency positions. We offer a complete set of affordable services. Our experts evaluate each IMG candidate and suggest what is needed for a medical residency match in the USA.
