Historically, some pre-med students pursue a post-baccalaureate program or a “gap year” in order to gain some experiences to strengthen their applications. Others find jobs and opportunities to continue to explore whether medicine is a career path for them.
International medical graduates often seek “observerships,” un-paid clinical exposure experiences that typically do not involve any direct patient interactions, and are more of a “fly on the wall” experience. These experiences don’t typically add much in the way of mentorship and learning, and often times are completed to “check a box” to show that the individuals have had some experience to the way medicine operates here.
Interestingly enough, many large organizations have a lot of red tape and beaurocracy involved in allowing students to shadow and learn, and dedicated mentorship is not available. Direct Primary Care is a relatively young movement nationally wherein primary care physicians are generally independent and have direct authority in the operations of their practices. Many are in a micropractice model wherein there are no additional staff members, or if there are, very minimal. Growth tends to occur over a 2-3 year time span, and there is often a lot of work these physicians are doing independently. The work typically spans the full spectrum of that which a medical assistant, nurse, and office manager may do. These physicians often have the need for additional help as well as the bandwidth and interest in helping teach while they build their practices.
The 4 Elements™ Medical Externpreneur Program is our overall umbrella for educational opportunities. Currently, these fall into several categories: