US Clinical Experience for International Medical Graduates (USCE)

Hands-on Clinical Externship Program

The transition from an international healthcare system to the US healthcare system can be challenging. US clinical experience helps international medical graduates acclimate to the United States clinical environment, and prepares an applicant for their future internship training. As a result, US residency programs require that applicants can demonstrate that they have US clinical experience (USCE). International medical graduates can find a quality clinical externship through IMGPrep. Our clinical externship program designed to help our applicants to pass program requirements.

Our Basic Specialties and Internal Medicine Subspecialties

us clinical experience for international medical graguates

Internal Medicine

Family Medicine


Obstetrics and





Sports Medicine

Allergy and immunology




Geriatric medicine


Infectious disease



Some examples of six-week Internal Medicine rotations

  • Participate in a rotation with a “Preceptor of the Year” who is an Associate Professor at Duke University.
  • Combine clinical experience with research opportunities with a HEME/ONC Clinical Research Director, and Associate Professor of Internal Medicine.
  • Learn from a hands-on rotation with an Associate Professor of Internal Medicine at Florida State University.

About Externship Program

IMGprep has developed hands-on externship rotations for international medical graduates (imgs) that are designed to give you the US clinical experience (USCE) you need to transition into US-based healthcare. Through carefully designed objectives and performance guidelines that revolve around individual medical specialties, we help our applicants become acclimated to our healthcare system.

Once you have completed an IMGprep rotation, you will receive a performance evaluation from your preceptor. You will also be given an individual letter of recommendation that details your level of competency and the extent of your medical knowledge. Letters of Recommendation will reflect your clinical acumen and readiness to begin residency, and are a key component of all residency applications.

clinical externships for imgs

Our unparalleled US clinical externship rotations include

Guaranteed Hands-On Experience Icon

Guaranteed Hands-On Experience

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Minimum requirements

While we understand that each applicant is unique, participation in the IMGPrep Externship for IMG program requires the following:

  • Each applicant must provide immunization Records showing current inoculations for Hepatitis B, MMR, and Tetanus.
  • Each applicant must provide proof of a negative PPD results within the previous 12 months. If the applicant’s skin test is positive, we require proof of a negative chest X-ray reading completed within the U.S. during the past 12 months.
  • Each applicant must provide proof of a completed criminal background check. A criminal background check may be obtained online or by a visit to your local police department.

* For U.S. Citizens and Green Card holders only

Curious about how to get U.S. clinical experience for IMG or do not see your specialty in the list? Discover how we can help in your particular situation.

Frequently Asked Questions

Straightforward answers to common questions about US clinical experience for international medical graduates.


Does your program provide complete liability insurance?

You must carry liability insurance when participating in an Externship for IMG in USA. IMGPrep provides a complete liability insurance policy for each of our clients. We will also provide you with the insurance company name and a direct contact that you can speak with if you have questions. Your policy can begin in as little as two weeks. When you enroll in the Externship program with IMGPrep, you will receive a copy of your own, individualized policy.


What kind of attending physicians do you work with?

IMGPrep works exclusively with attending physicians who provide hands on clinical experience for IMGs. All attending physicians are affiliated with a U.S. medical school, teaching hospital or residency program.


Can I speak with an Extern who has rotated before me?

IMGPrep will gladly provide you with contact information for previous clients who have participated in our program. We encourage you to ask questions.


Is my US clinical rotation considered US clinical experience?

IMGPrep only places our externs into hands-on rotations that provide the clinical experience you need to receive a quality letter of recommendation for residency placement.