Hospital Medicine Observership Program

The United States' physician shortage is projected to worsen by the AAMC (American Medical Colleges). As a result, the United States is filling approximately 50% of open physician training positions nationwide with international medical graduates (IMGs). IMGs are facing challenges navigating the US health care system, and these challenges begin long before residency application.

To smooth this transition, IMGs routinely seek observership opportunities in the US. In the past few years, the Division of Hospital Medicine at Johns Hopkins Bayview Medical Center developed a curriculum to meet the specific needs of IMGs. The Hosptial Medicine Observership Program will accept observers through a competitive process and provide the opportunity for clinical observation in a six-week accelerated rotation. By the end of the rotation, the observers will obtain critical knowledge of the US healthcare system and acquire practical medical knowledge and communication skills. The observership program aims to help observers become even more competitive for residency applications.


At the conclusion of this program, the observer will have:

  1. Observed the delivery of health care in a hospital-based clinical setting.
  2. Observed how a physician interacts with patients, noting how to take a history, perform an examination and diagnosis, recommend a treatment, code status, write prescriptions and enter information in the patient’s electronic health record, etc.
  3. Observed professional communication and interaction between the physician and members of the health care delivery team.
  4. Observed how physicians’ access and optimize the use of electronic medical records for patient care.
  5. Built skills of self-directed learning and will demonstrate high quality teaching practices through the delivery of chalk-talks.
  6. Observed and be able to role model professional behaviors in clinical settings.
  7. Observed and will understand the concept of AAMC Entrustable Professional Activities for entering residency. 


  • Six week rotation

  • 1 to 1 mentorship: Mentors will meet with observers periodically throughout the 6 weeks of observership. This program focuses on mentees’ professional wellness and career success.

  • Clinical rotations: Observers have the opportunity to rotate through a variety of services and obtain critical experiences in patient care, communication skills, oral presentation, critical thinking, and more.

  • Night hospital medicine: A unique experience to explore the hospital medicine at night. To observe from admitting, cross-covering, and responses to critical conditions.

  • Triage: Working closely with the ED team, promotes understanding of this critical role in the transition of care from the outpatient to the inpatient settings.

  • Hospital medicine team: Appreciating the complexity of the US healthcare system by observing and working closely with the partners in Hospital Medicine.

  • Conference: Participation in grand rounds, noon conferences, and morning reports with residents, medical students, and hospital medicine faculties.

  • Online modules/Asynchronous learning: Recorded topics specifically tailored for International Medical Graduates, provided a fast-track learning experience for observers to adapt to the US healthcare system in a timely fashion.

  • Certificate upon completion.

Frequently Asked Questions

Curriculum, Assignments and Evaluation

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Contact Us

If you have questions about the program, please contact Amy Yu.