Completed a 4-week observership in outpatient cardiology with attending and fellow observers. Attended daily A.M rounds in Houston Methodist Hospital in Internal Medicine Department during which i attended the didactics which include board review conference, resident report and weekly once grand rounds. In Outpatient Service I actively engaged in taking history and physical examination and presented various cases to the attending and documenting them in EMR, later I participated in group discussion with other student case presentations. During these 4 weeks I have gained hands on clinic exposure in chronic hypertension, congestive heart failure, Valvular heart disease patients. Clinical Extern October 9 - November 10 th 2018. St Barnabas Medical Center and Modern Nephrology and Transplant LC, Livingston, NewJersey, USA. Completed a 4-week externship in the Inpatient Nephrology at St Barnabas Medical Center, NJ and outpatient Nephrology with attending. It was a hands on clinical experience. Attended In patient morning rounds with Dr.Bonomini at St Barnabas Medical Center in Nephrology ICU. Each day I saw 22-28 patients in the outpatient clinic. Responsibilities include taking a detailed history, performing a physical examination and documenting in the EMR - Cerner Got acquainted with Cerner and entered the patient notes. Every patient was then seen by Dr. Bonomini, during which we discussed the management plan. Many of the patients were on chronic dialysis and waiting for transplant, i went through the possible causes and counseled patients on health care maintenance, medication reconciliation, age related screenings, vaccination and importance of regular follow up. Learned to work as an integral member of a medical team in the management of Nephrology Patient.

Alluri Sitarama Raju Academy of Medical Sciences, Eluru, AP, INDIA I worked in 1070 bed hospital in rural and urban setting. Completed clinical postings in Medicine, Surgery, Obstetrics, Gynecology, Pediatrics and Psychiatry. I did my rotations in Department of General Medicine, General Surgery, Pediatrics, Obstetrics and Gynecology, Psychiatry, Orthopedics, ER, ICU, Community Medicine and Ophthalmology. This gives me the basic clinical experience in all the disciplines of medicine and enables me to work as a General Physician I am entrusted with clinical responsibilities under the supervision of a Medical teacher a Consultant/Chief and/or a Resident a PG student/Senior medical officer Completed rotatory internship in the Departments of Internal Medicine, General Surgery, Anesthesiology, Obstetrics and Gynecology, Emergency Medicine, Radiology, Ophthalmology, ENT, Dermatology, Community Medicine and Psychiatry. Actively involved in direct patient care for inpatient and outpatient services under the supervision of residents and attending physicians. Wrote prescriptions, placed orders and worked 36 hour straight shifts atleast once a week managing the ICU and ER patients. Trained in the emergency management protocol and minor procedures such as conducting normal deliveries, lumbar puncture, securing intravenous access, intra-arterial access for blood gases, suturing techniques and wound care. Assisted on multiple surgeries including cholecystectomies, appendectomies and hernioplasties. Participated in case presentations and assisted in teaching medical students on history taking and physical examination during their clinical rotations.