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US Clinical Experience & LoRs

Gaining hands-on experience in the US healthcare system and securing powerful Letters of Recommendation.

US Clinical Experience & LoRs

Pathways to US Clinical Rotations

VSLO® & Affiliate Electives

The gold standard for senior medical students.

The Visiting Student Learning Opportunities® (VSLO) program and other affiliate agreements offer hands-on electives at US teaching hospitals. These are highly competitive and require meticulous preparation.

Common Requirements:

Active university affiliation
Active university affiliation
Professional liability coverage
Professional liability coverage
Up-to-date immunizations
Up-to-date immunizations
Proof of English proficiency
Proof of English proficiency
Completed background check
Completed background check

Direct-Apply Programs

Accessible opportunities for international students.

Direct Apply Programs

Some US institutions and private organizations offer clinical experiences specifically for international medical students and graduates. While varying in scope, these provide valuable exposure to the US system and opportunities to build connections for LoRs. We help vet and identify quality programs that fit your profile.

Our Letter of Recommendation (LoR) Strategy

A great LoR is earned. We provide the framework to help you secure strong, personalized letters.

Designate Supervisor

Designate Supervisor

Identify and build rapport with a specific attending physician or supervisor early in your rotation.

Deliverables Calendar

Deliverables Calendar

We help you create a timeline for requesting the letter, providing your CV/personal statement, and sending gentle follow-ups.

Target 2-3 US LoRs

Target 2-3 US LoRs

The goal for every candidate is to secure a minimum of 2-3 strong LoRs from US clinical faculty to submit with your residency application.

Medical professionals

An Important Distinction

Hands-on vs. Hands-off Experience

Post-graduation "observerships" or "externships" can be used to supplement your application, but they carry significantly less weight with residency program directors than hands-on clinical electives completed while you are still an enrolled medical student. Our primary focus is securing these high-value, in-training experiences.