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This program is developed to the specific clinical and administrative interests of the participating physician. Participants engage in one-on-one clinical and surgical observations, and shadow staff involved in departmental administrative functions, while examining best practices and operational strengths of Cleveland Clinic.
Who is Eligible?
Fully trained international physicians and specialists with several years of medical practice and who may or may not hold administrative roles in their hospitals.
Fully trained physicians with clear and specific learning objectives who may have a limited timeframe to participate in an education program.
Below are the clinical and surgical specialties that offer preceptorship programs at Cleveland Clinic.
Adult Cardiothoracic Anesthesia and Surgical Intensive Care: Participants will observe all types of simple and complex cardiac, thoracic and vascular procedures and surgeries, including percutaneous transcatheter interventions, lung and heart transplants, and mechanical assist device placements along with hemodynamic and echocardiographic monitoring. Participants will attend patient evaluation and preoperative assessment and teaching conferences, as well as fellows’ and residents’ teaching sessions and transesophageal echocardiography review with staff. Participants will be able to discuss and participate in multidisciplinary perioperative decision-making.
General Anesthesia: The program, which is observational in nature, is designed to reveal the best practices followed by our department in providing anesthetic care to a diverse, high acuity patient population and for a broad range of complex surgical procedures. Participants may observe the general anesthetic care of patients undergoing a variety of surgeries, including robotic urologic surgery, neurosurgery, orthopedic surgery, advanced bronchoscopy, bariatric surgery and more. They may also observe our acute pain and regional anesthesia service as well as the surgical intensive care units. Depending on case availability, participants may be exposed to liver, pancreas, kidney and small bowel transplantation cases. With enough advance notice, the program may be tailored to include a more focused experience in a single discipline.
Pain Management: Participants will observe the care of patients with complex pain conditions using a comprehensive approach. They will be able to discuss the clinical reasoning of diagnosis and selection of treatment. They will also watch and discuss interventional pain procedures and attend lectures, journal clubs and workshops as available.
Cancer Center (Taussig)
Radiation Oncology: The program will allow the observer to be exposed and gain a structured approach to the educational practices and procedures of the staff physicians. The experience will provide an introduction to the following aspects to the field of Radiation Oncology:
- Outpatient Clinical Practices; the day-to-day practices of the Radiation Oncology physicians who specialize within particular disease sites
- Observing the development and decision-making process of treatment plans and disease site management
- Procedures: IORT, HDR/LDR Brachytherapy, Gamma Knife, Stereotactic Radiosurgery, SBRT
- Institute and Departmental daily educational conferences
Digestive Disease and Surgery Institute
Breast Surgery: Participants will be introduced to procedures such as nipple-sparing mastectomy, lymphaticovenous bypass, fluorescence lymph node mapping and breast reconstruction.
Colorectal Surgery: Participants will observe all types of simple and complex colorectal procedures and surgeries, as well as patient histories and physicals. Participants will also attend ward rounds and educational conferences.
Hepatic-pancreatic-biliary Surgery: Participants will observe advanced hepatobiliary surgeries, with a particular focus on liver resection and bile duct surgery, and liver transplant surgeries, including living donor surgery. Participants will attend tumor board and multidisciplinary liver transplant committee meetings, where patient candidacy and living donor liver transplant decision-making are conducted.
MIS Abdominal Wall Reconstruction: Participants will learn advanced abdominal wall reconstruction techniques including laparoscopic repairs, complex component separations techniques, parastomal hernia repairs, flank hernia repairs and robotic approaches to hernia repair.
General Surgery: Participants will observe all types of simple and complex procedures and surgeries.
Obesity Management: This program focuses on the surgical and clinical case, and the pathophysiological basis of that care, to prepare participants for emerging developments in the field of obesity management.
Endocrinology & Metabolism Institute
Endocrine Surgery: Participants will observe all types of simple and complex procedures in the care of endocrine surgery patients.
Center for Functional Medicine
Functional Medicine Clinical Experience
This program will expose participants to Cleveland Clinic's Center for Functional Medicine's model of care implemented within an world-renowned academic medical center. Participants from around the world can experience patient care in both one-on-one and shared medical appointment settings.
Heart, Vascular & Thoracic Institute (Miller Family)
Cardiac Resynchronization Therapy and Heart Failure Clinic: Therapy and Heart Failure Clinic Participants will observe a novel care pathway approach for the management of patients receiving biventricular device for resynchronization therapy. The observers will shadow in a dedicated multidisciplinary CRT heart failure clinic, where an algorithmic approach is used to maximize patient outcomes and improve CRT device response rates.
Catheter Ablation for Cardiac Arrhythmia: Participants will observe the workflow of complex atrial or ventricular arrhythmia management, from assessment and scheduling of patients to observing cases of complex ablation procedures including SVT, atrial fibrillation, VT and epicardial VT ablations. Participants will also attend weekly electrophysiology conference where staff present the best EP cases of the week.
Cardiac Implantable Electronic Device: Participants will observe the workflow of CIED implantation, from assessment and scheduling of patients to observing cases of implantation or extraction of all devices. Devices include pacemakers, ICDs and biventricular pacemakers, defibrillators, leadless pacemakers and subcutaneous defibrillators. Participants will be exposed to device clinic and heart failure resynchronization clinic for non-responders to CRT.
Heart Failure: The program will allow the participant to observe the management of advanced heart failure patients admitted to the Kaufman Heart Failure recovery unit. These patients present with varying severities and different underlying etiologies of cardiogenic shock. The participant will be exposed to swan ganz guided tailored therapy and different mechanical circulatory support platforms-used for both short term and long-term purposes. The participant will also have the chance to attend our daily multi-disciplinary team huddle, our weekly advanced therapeutic conference to define the benefits and risk of heart transplant and durable left ventricular assist devices and our weekly HF education-related conferences.
Echo Lab: The program will allow the opportunity to visit the echocardiographic lab on main campus at the Cleveland Clinic. Participants will observe reporting of high volume, complex case-mix studies, as well as observe sonographer – fellow – physician interactions.
Coronary Intervention: Participants will observe advanced coronary interventions, such as rotational atherectomy, interventions with mechanical support and CTO interventions, as well as outpatient encounters and catheter lab procedures. Participants will also learn about the process of evaluation and decision-making.
Structural Heart Intervention: Participants will observe procedures such as TAVR, MitraClip, paravalvular leak closure, ASD and PFO closure, WATCHMAN device and more. They will observe outpatient encounters and catheter lab or hybrid operating room procedures. Participants will also learn about the process of evaluation and decision-making.
Preventive Cardiology and Cardiac Rehabilitation: Participants will observe how a comprehensive preventive cardiology program (cardiology, endocrinology, nutrition, exercise, psychiatry) and is set up and maintained and how a busy cardiac rehabilitation program is maintained. Participants will see how we monitor and maintain overall high-quality programming for a complex patient population.
Neurosurgery, Skull Base: This experience will expose the participant to clinical and surgical cases, which includes open surgeries and endoscopic surgeries with rhinology. Open skull base surgeries including skull base neurology alone or combined cases involving head and neck surgery, neuro-otology, spine surgery and reconstructive surgery. In addition, participants will have the chance to attend conferences such as brain tumor board, pituitary board, grand rounds and journal clubs.
Ob/Gyn & Women's Health Institute
General Gynecology: Participants will observe minimally invasive surgical techniques and learn about treatments for infertility, menstrual disorders, pelvic floor disorders and more. The institute also specializes in urogynecology and menopause.
Pathology & Laboratory Medicine Institute
- Anatomical Pathology
- Clinical Pathology
- Molecular Pathology
Urological & Kidney Institute (Glickman)
Duration & Cost
Preceptorships can be arranged for one to eight weeks, depending on the participant’s availability as well as program complexity.
Fully Trained Physicians
*Letter from program director is required; otherwise, the Practicing Physicians cost will be charged.
Please note the fees are exclusive of travel and accommodations.
How to Apply to the International Physician Preceptorship Program
- Preceptorship applications are presented to one specialty only; please select the one specialty that reflects your area of expertise or that you are most interested in
- Refer to the schedule below and select an application period most appropriate for you
- Create an account [All visitor programs are suspended until further notice due to COVID-19]
- Complete the application form and submit all required documents before the close date of the period you are applying to
- Pay the fee
|Application periods 2022||Online application open date||Online application close date||Expected notification of final decision|
|Period 1: January to June 2022||On Hold||On Hold||On Hold|
|Period 2: July to December 2022||On Hold||On Hold||On Hold|
|Application periods 2023||Online application open date||Online application close date||Expected notification of final decision|
|Period 1: January to June 2023||June 1, 2022||July 31, 2022||August 30, 2022|
|Period 2: July to December 2023||December 1, 2022||January 31, 2023||February 28, 2023|
Requests for final decisions earlier than the notification dates listed in the last column above cannot be accommodated under any circumstances.
Documents Required to Apply
- Each applicant is responsible for ensuring their application is complete.
- The Review Committee will not consider any additional changes once an application has been submitted for review.
- Applicants are responsible for ensuring that all information and supporting documents provided are authentic and accurate.
- We reserve the right to request additional information or verification of information and documents submitted. If an applicant is unable to do so, we reserve the right to withdraw consideration of the application.
- Applicants assume all costs associated with authenticating, retrieving and submitting documents and material in support of their application and fulfillment of preceptorship.
- The tuition fee needs to be paid in full in advance prior to start of the program. No cash payment in accepted.
- Up-to-date CV/Resume.
- Personal Statement – one page addressing your interest in this program.
- Letter of Recommendation from a physician who can attest to academic and other relevant experience issued in the past 12 months. It needs to be printed on physician's or dean's office letterhead with appropriate signatures.
All documents submitted must be in:
- PDF, DOC or DOCX format