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I would assume that an observership consists of observing a professional doing his/her job, sort of like medical students following doctors on hospital rounds, but not really proving services by themselves. A clinical rotation can be time spent in a clinical setting as part of a class, or can be part of an internship.
Externships are vital to the residency program application form because students receive LORs aka Letters of Recommendation which paint your application to be part of the top barrel. Observerships on the other hand, allow you to shadow a doctor at a US medical hospital to gain insight in the clinical world.
An observership is a structured and supervised clinical rotation without direct patient contact. This type of rotation offers visitors exposure to the U.S. medical system but limits them to observing. One may be able to participate in active case presentations and practice differential diagnoses.
Observerships, also called job shadowing, provide current or prospective healthcare students the opportunity to observe healthcare employees in a workplace setting. The goal is to help individuals learn about health career options and the required occupational skills.
Observership vs Shadowing The main difference between observership and shadowing is the involvement of observer in rotation. In shadowing, observer only follows the day-to-day activities of the attending physician. However, observership is the combination of shadowing and some sort of active participation.
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Emailing physicians who graduated from your country or medical school. People empathize with people from their own city or country. Send a very nice, individualized email, attach your CV, and mention your goals. This might help you get an observership for free.
If you are interested in doing an observership, there are a few things you need to know: It would help if you found a hospital or clinic willing to host you. You need to apply for a visa. You will need to ensure you have the necessary insurance.
The primary difference between the two is the amount of interaction the student has directly with patients and the healthcare team. An externship is a hands-on experience. An observership is more of a shadowing experience. At our office, the externship is very much a hands-on experience.

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