Medical Observer Testimonials

Dr. Fatima Jamshaid

By Dr. Nouman Aziz

I had a very positive experience rotating with Dr. Khan at HCA hospital and Epic Heart and Vascular Center. The inpatient experience at HCA Northwest provided me with an opportunity to observe and learn the management of complex cardiovascular conditions such as hypotensive atrial fibrillation, equivocal scenarios of acute coronary syndrome, and patent foramen ovale causing right ventricular hypertrophy in MR without pulmonary changes. I also attended cardiology consults on a variety of patients with comorbidities like stroke and COPD which helped me learn the integrated care of chronically ill patients.

In addition, the outpatient experience at Epic heart and Vascular center provided me with an opportunity to exercise and improve my clinical skills. The greatest takeaway, however, from the rotation was the exceptional education experience where all the students actively took part in the presentations and engaged in detailed discussions with Dr. Khan. I myself had the opportunity to give a presentation on “Chronic MR”, which increased my insight and grip over the topic.

Dr. Fatima Jamshaid

By Dr. Sobia Mansoor

I was fortunate enough to complete one month of externship under Dr.Khan’s Supervision at HCA Northwest Hospital and Epic Heart and Vascular Clinic. It is without a doubt that Dr.Khan is an Expert Interventional Cardiologist and yet, in addition ends up being a phenomenal mentor by using unique teaching strategies and tailoring them to the individual’s needs/goals.

During this period I could see numerous cases and observe interventions needed from the cardiovascular standpoint. I observed procedures like Venaseal, Varithena, and Radiofrequency thermal ablation of varicose veins, Cardiac Catheterization for CAD, and atherectomy for PAD.

As an observer I was encouraged to Use and learn EMR in the most ideal manner. I dealt with patients in both settings Inpatient and outpatient and actively took part in case presentation and discussions . I also participated in updating patients Assessment and management plans on EMR under his guidance. He additionally urged students to participate in weekly presentations on the most recent guidelines provided by 2020 ACC/AHA, so I presented on topic; Non cardiac surgery in patients with valvular heart disease.

In addition the rotation offered a wholesome of opportunity to observe and comprehend Nuclear stress scans, Echocardiography, carotid doppler, as well as arterial and venous duplex scans. The atmosphere at clinic was supportive, thus creating a cohesive environment for everyone to collaborate and work as a team. Dr.Khan always provided me with insightful information and resources I needed to make informed career decisions while also allowing me space to explore. His support was priceless and it was a pleasure to learn from him.

All in all , it was a great learning experience and has boosted my confidence in operating in American Healthcare system

Dr. Fatima Jamshaid

By Dr. Momna Noor

I did a rotation with Dr Khan at the epic heart and vascular centre in the month of September, 2022. This rotation was my introduction to healthcare in the US. Even though i’d done rotations elsewhere before, i learned a lot more here. Dr Khan makes sure to include you in everything going on at the clinic and hospital.

At the hospital i attended rounds, discussed echo and stress test reports with dr khan and observed a myriad of procedures. Procedures that I observed included transesophageal echocardiography, coronary angiography, angioplasties and peripheral angiographies and angioplasties. So anything that Dr khan was working on, he made sure to include us as well.

At the clinic, we had direct hands on contact with patients. I evaluated patients on their EMR profiles first, afterwards directly talking to them and examining them. This was followed by writing notes in the respective EMR system. You get to do all of this independently, so I got to learn a lot about myself as a physician, as well as the US healthcare system. I saw myself progress exponentially in my clinical skills and my bedside manner during this rotation as a result of all the practice i got.

Having access to EMR systems and directly working with it has really prepared me for residency programs. Not just the EMR access but everything else has also prepared me well to tackle whatever will be thrown at me in residency.

I also got to work with the ultrasound technicians – learnt about the basics of arterial and venous ultrasounds as well as echocardiography.In office interventions that I observed were Varithenas and venaseals. Dr Khan explained everything while he was doing the procedures.
I was given the opportunity to present AHA guidelines about surgical considerations in Valvular heart disease. We discussed the topic and was given useful feedback about it.

So over all it was a great experience and I would highly recommend anyone to come and work with Dr Khan before residency. He’s kind, very considerate and a great mentor.

Dr. Fatima Jamshaid

By Dr. Doha Mouaddine

This was an amazing learning experience and opportunity for growth. I had the opportunity to grow my medical knowledge during this period. My preceptor took the time in teaching and helping me familiarize with the U.S. healthcare system. He was extremely caring, helpful and provided excellent patient care.  Since the start of the observership, I was provided with ample opportunities to maximize my interaction with the patients under dr Khan’s supervision. I was given full access to their Electronic Medical Records. Our discussions of clinical cases were very productive. 

He also dedicated a lot of time in helping us understand and learn how to interpret EKGS, echocardiogram and stresstest. I attended ward rounds in HCA Houston Northwest Hospital and outpatient clinics in Epic Heart and Vascular Center. I got the opportunity to observe various procedures both in the hospital and clinic including cardiac catheterizations, peripheral angiograms, echocardiography, carotid doppler, arterial, and venous duplex scans. As well as various venous procedures such as radio frequency ablation, venaseal and varithena. I have found dr. Khan and the staff to be incredibly friendly and helpful with explaining the different steps of the procedures. I also got the chance to do a presentation on the 2020 ACC/AHA guidelines for the Diagnosis, Antimicrobial Therapy, and Management of Complications of infective endocarditis. I firmly believe that my clinical skills have significantly improved during this rotation. My preceptor was a great doctor to work with and I would highly recommend this rotation to everyone.

Dr. Fatima Jamshaid

By Dr. Muhammad Muneeb

In September 2022, I got the chance to rotate with Dr. Khan at Epic Vascular and Heart Center and HCA Healthcare Northwest. Being my first clinic experience in the US, I was very excited for the exposure but at the same time it was overwhelming. However, Dr. Khan made it quite easy as he is a great physician who constantly inspires both students and his medical professionals to strive for excellence. It was a wonderful learning experience, and I’m glad I chose this place to launch my career in the US healthcare system.

During my time here I was exposed to a variety of cases both inpatient and outpatient. This included rounds at the hospital in the morning with afternoon clinics at the Epic Center. During rounds we saw patients with a wide variety of conditions including but not limited to Atrial Flutter, Acute Coronary Syndrome and Premature Ventricular Contractions and Varicose Veins. He offered me an overview and a deeper grasp of each case for each patient by explaining the reasoning behind the recommended course of action.

In the clinic and hospital, I had the chance to watch a variety of procedures, including Venaseal and Varithena treatments for varicosities, Venous and Arterial ultrasounds, Doppler studies, and nuclear stress tests. The staff and Nurse Practitioner at the Epic Centre was really helpful as they went an extra mile to walk us through every procedure and discuss their findings. Furthermore, I observed cardiac catherization and stent placement which was a very unique experience for me as it was my first time in the Cath lab in this setup.

Additionally, the rotation prepared me to engage with patients and operate in a professional setting. I had the opportunity to work closely with patients, which helped me develop my skills in patient examination and history taking. Dr. Khan showed me how to use the EMR site for patient documentation and urged me to do so frequently. My interpersonal skills have improved as a result of my frequent interactions with patients.

One aspect of the rotation that truly stood out from the norm was the scholarly activities, and as part of that effort, I presented the 2020 AHA recommendations for Patients with Chronic Primary Mitral Regurgitation, which sparked an insightful conversation that was quite helpful. In conclusion, this rotation was a fantastic learning opportunity and I would suggest it to anyone looking for USCE.

Dr. Fatima Jamshaid

By Dr. Sumeet Kumar

I shadowed Dr. Khan at HCA northwest and Epic Heart and Vascular Center. Dr. Khan is not only a great physician but also an amazing mentor. He gives you ample time to teach the basics of diagnostic studies and the management of interesting cases that you see in the clinic and hospital. I thoroughly enjoyed my rotation here. On my first day, he encouraged me to get involved in patient care. I got to see various cases, such as varicose veins, acute coronary syndrome, peripheral arterial disease, atrial fibrillations, and subvalvular aortic stenosis. Furthermore, Sonologists were kind enough to educate me regarding the techniques for Echo, venous and arterial U/S. Everyone at the clinic is supportive and works together as a team. 

Moreover, I also got an opportunity to observe the various interventional procedures such as Cardiac Catheterization, PCI, Stent Implantation, and Balloon Angioplasty. I delivered the presentation on the 2020 ACC/AHA Guideline for the Diagnoses, Follow-Up and Intervention of Bicuspid Aortic Valve.

I must say, this rotation has honed my clinical skills and groomed me as a physician. On the whole, this clinical experience was incredible, and I would highly recommend this rotation to anyone who is looking to get US clinical experience.

Dr. Fatima Jamshaid

By Dr. Ezza Wasim

This shadowing opportunity with Dr. Khan helped me acquire both inpatient and outpatient exposure in the month of August 2022. As an observer, I attended ward rounds in HCA Houston Northwest Hospital; outpatient clinics in Epic Heart and Vascular Center. I also got an opportunity to observe various procedures both in hospital and clinic including cardiac catheterizations, peripheral angiograms, various venous procedures including radiofrequency ablation, venaseal and varithena, arterial and venous dopplers, echocardiography and stress tests. We spent a good time in office in understanding ECGs and interpretation of stress tests. 

The rotation itself not only improved my clinical knowledge but also helped me in effective communication with patients. I actively took part in case discussions and it helped me to improve my interpersonal skills as well. The positive feedback from Dr. Khan helped me work on my shortcomings and do better with each day.

Apart from that there was an incorporation of scholarly activities in the daily routine. I got an opportunity to present two of the topics from 2020 ACC/AHA Guidelines for the Management of Patients with Valvular Heart Disease including “Aortic Regurgitation and
valvular heart disease and pregnancy” This rotation overall encouraged me to build confidence and refined the qualities to become a better professional. Dr. Khan was extremely appreciative throughout about my eagerness to learn and energetic demeanor. This experience is something I will definitely carry into my professional career as a valuable asset.

Dr. Fatima Jamshaid

By Dr. Nain Tara

I have had this amazing opportunity to shadow Dr. Khan for the month of May 2022 as my USCE at HCA Healthcare ( Northwest, Tomball, Kingwood ) and Epic Heart and Vascular Center. The clinical experience was incredible there and I would highly recommend this to other medical graduates who are seeking USCE. This 1 month has allowed me to find much more potential in me and familiarized me with U.S healthcare system. I have found a great deal of confidence in me through this. Dr. Khan has made me jump and do things like a resident of any residency programme. He has encouraged me from the first day to observe patients under his supervision and let me present various cases to him. 

I had EMR exposure as an observer in best possible way on daily basis. I was able to get a good command on reading EKG, Echocardiography and Stress Test, also learnt about holter monitor and mobile cardiac telemetry. I used to observe 30-40 patients daily in clinic with him and then inpatient rounds at the hospital, their charting, and interventional procedures in early morning and/or in evenings, this routine has given me tough time yet improved my time management skills. I have had the opportunity to observe various interventional procedures of cardiology like Cardiac Catheterization, PCI, Stent Implantation, Balloon Angioplasty, Atherectomy.

Also, I observed various vascular techniques which I found quite interesting like Varicose veins occlusion and sclerotherapy , endogenous radiofrequency thermal ablation. I have witnessed the Vascular Doppler Studies, Exercise Stress Testing and Nuclear Cardiac Testing. Dr. Khan made my habit to review various new articles on cases which we used to see in inpatient rounds and that motivated me to write a case report under his supervision.

Dr. Khan is an amazing mentor. Not only he has given me knowledge but also has sharpen my mind, horned my skills and groomed me professionally to achieve my goals in medicine field. Apart from this, Dr. Khan has friendly and humble nature with other staff at the clinic and hospital and with patients. This makes the clinic environment very healthy to work at. I am eternally grateful to Dr. Khan and all his team ( NPs, MAs, USG team) for giving me this tremendous amount of support, guidance and upbringing such qualities in me which I was unaware of. I wish him and his team very good luck.

Dr. Fatima Jamshaid

By Dr. Maheen Anwar

My rotation at Epic Heart and Vascular Center and HCA Northwest was a great learning experience. I was able to work as a part of a team, taking patients’ histories, discussing assessments and plans, and writing notes in the EMR under the direct supervision of Dr. Khan. The rotation provided ample clinical exposure and I got to see bread and butter cases of cardiology, such as coronary artery disease, atrial fibrillation, and valvular heart diseases, along with some other very interesting cases. I remember seeing a complicated case of an elderly woman with moderate-severe MR and Secundum ASD, who had developed isolated right heart failure without any pulmonary hypertension or left heart involvement. 

Dr. Khan was highly impressed by my pathophysiological explanation behind the patient’s condition, i.e, mitral regurgitation leading to increased left atrial volume which was being transmitted to the right side via the secundum atrial septal defect sparing the LV and pulmonary vasculature. We identified it to be a possible case of atypical Lutembacher syndrome and Dr. Khan guided me in writing it as a case report. I saw 5-6 patients on an average day which provided me with some valuable first-hand insight into the everyday practice of outpatient medicine in the U.S. Dr. Khan appreciated my knowledge base, and clinical acumen and stated that it was comparable to that of a resident.

The observership experience at HCA Northwest also helped me learn more about the dynamics of inpatient medicine in the U.S. I also had the opportunity to observe some of the procedures such as cardiac catheterization, including an interesting case of left-dominant circulation, vein procedures like radiofrequency thermal ablation, Venaseal, and Varithena along with diagnostic tests like stress testing, echocardiography, carotid doppler, arterial and venous duplex scans. Dr. Khan is very enthusiastic about teaching, he spent ample time teaching us the basics of intervention and diagnostic studies, and by the end of my rotation, I could identify major findings on EKGs, and echocardiograms.

A strong emphasis is also placed on scholarly activities. I had the opportunity to present the 2020 ACC/AHA Guideline for the Management of Patients With Aortic Stenosis. I also presented topics such as types of Aortopathies and when to intervene, and the association of hematuria and proteinuria with rosuvastatin versus atorvastatin. Overall, I had a great experience during this rotation with Dr. Khan. I got to learn more about the vast field of cardiology and the most recent advances and trials. Dr. Khan is a great mentor and an amazing teacher. His qualities of teamwork and patient care have influenced me greatly, and I consider myself fortunate to have learned so much from him.

Dr. Fatima Jamshaid

By Dr. Safina Ali

I had the opportunity to rotate with Dr Khan in August 2022 . Dr Khan typifies professionalism and competence at the highest level. Not only a great doctor, but his set up includes a great staff in a great facility that ensure top quality patient healthcare.

During my one month of rotation, i was able to to obtain outpatient and inpatient exposure and observed a variety of patient populations. My day at the clinic consisted of taking patient histories, performing pertinent examinations and then making patient notes. I also got the chance to observe many cardiovascular procedures like cardiac catheterization and had the chance to see and learn about stress testing, echocardiography, carotid doppler, arterial, and venous duplex scans. I observed a variety of chronic venous insufficiency treatment methods, including radiofrequency thermal ablation, venaseal and varithena.

The best part of rotation was that we all worked as a team. Dr. Khan’s MAs and nurse practitioner made us familiar with how things go on in the clinic and would graciously help us out with everything.

The integration of academic pursuits into the everyday schedule caught my attention in this rotation. Weekly student presentations on the most recent recommendations and journal clubs to discuss cutting-edge research would be held. I presented the 2020 ACC/AHA Guidelines for the Management of Patients with Valvular Heart Disease.

To conclude, this rotation was a great learning experience and I would highly recommend this rotation to all the aspiring doctors and medical students.

Dr. Fatima Jamshaid

By Dr. Fatima Jamshaid

I thoroughly enjoyed my rotation under the supervision of Dr. Usman Khan. In July 2022, I was able to obtain outpatient and inpatient exposure. The day usually consisted of attending rounds and consults at Houston HCA. In addition, I got to observe various cardiovascular procedures in the clinic and the hospital, such as cath lab procedures and venous ablation. I also actively contributed as a member of the Epic Heart and Vascular Center team by taking patient histories and performing physical examinations in the clinic. I would then document the relevant details in the EMR system and discuss the patient cases with Dr. Khan, who always took it as an opportunity to teach and offer feedback. This practice significantly aided in the improvement of my clinical skills.

Moreover, I got along with the team very well, who was more than welcoming. Tran, the sonologist at the clinic, was kind enough to educate me regarding the techniques for performing Echo and venous Doppler U/S. The rotation allowed me to showcase my teamwork, clinical and interpersonal skills truly. The opportunity to immerse in extensive patient care and collaborate with the team to provide the best management was definitely a highlight.

What stood out to me in this rotation was the incorporation of scholarly activities into the daily routine. We would have weekly student presentations on the latest guidelines and journal clubs to discuss novel research. During my rotation, I presented the 2020 ACC/AHA Guideline for the Management of Patients with Valvular Heart Disease. It felt like a short-internship crash course and was one of my favorite rotations during my time in the United States. I truly appreciated Dr. Khan’s interest in teaching and dedication to making this a memorable rotation for all students. The encouragement and constructive criticism I received during my experience at Epic Heart and Vascular Center will be something I will definitely carry into my professional career as a valuable asset. Although my time was short, I would 10/10 recommend this rotation to all visiting medical students and graduates.

Intern testimonial cover Dr Salman Sabri

By Dr. Ahmed Ali

I did one month rotation at epic heart and vascular center in July. I found this rotation to be extremely beneficial for both learning and also for my personal growth. It was inspiring to see the professionalism of all the staff members yet at the same time everyone was very friendly and you get along with them very easily. Dr. Khan is an outstanding clinician and a very good mentor, he always gives you positive and constructive feedback which help you understand and work on your shortcomings. During rotation you are exposed to diverse patient population, and toward end of rotation you are comfortable at taking good history, doing relevant examination and coming up with a plan for common cardiovascular diseases. I also got opportunity to observe many procedures like Arterial and venous Ultrasounds, Stress Testing, Echocardiogram and common vein procedures like Varithena and Venaseals, Dr. Khan and ultrasound tech are very willing to teach and answer any questions you have.
I also got to present on 2021 ACC/AHA/SCAI Guideline for Coronary Artery Revascularization: Executive Summary: A Report of the American College of Cardiology/ American Heart Association Joint Committee on Clinical Practice Guidelines. We had a good discussion about the topic after the presentation. I also got chance to attend the topic presentation by Dr. Khan on Anticoagulants and Anti platelet in front of medicine department of HCA Hospital King wood, it was very through and informative presentation.

To conclude my experience, I will say that this rotation teaches you a lot about how USA medical system works and you learn a lot from Dr. Khan about professionalism, how to interact with staff members and patients and about time efficiency and management. This rotation not only helps to improve your knowledge of cardiovascular diseases and management but also encourages you to build confidence and qualities to a become better professional in the future.

Medical Observer Testimonial

By Dr. Salman Sabri

I rotated with Dr.Khan for a month in HCA North West Houston and epic vascular heart and vascular center. I extremely recommend the extensive and high quality US clinical experience that I gained from this rotation. Dr. Khan makes sure from the first day that the observer or extern starts working on EMR and get involved in patient management which is the essence of US clinical experience. I was able to observe heart catheterization at HCA hospital. There is plenty of opportunity to observe and learn stress testing, Echocardiography, carotid doppler, arterial and venous duplex scans. I observed different techniques for treatment for chronic venous insufficiency like radiofrequency thermal ablation, venoseal and sclerosing therapy. I had the opportunity to present presentations on 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines and SGLT-2 trial( DAPA-trial and emperor trial). I also did a case report under the kind supervision of Dr. Khan.
Everyone at the clinic works together as a team and has great respect for each other. Dr. Khan, nurse practitioners and the MAs constantly gave me feedback how to improve and I noticed a huge improvement by following their advice. The amount of experience and work was comparable to the responsibilities of an intern in a residency program. A typical day was seeing patients back to back and then working on EMR which made me aware of my shortcomings and helped me improve them. Dr. Khan is not only an exceptional physician and cardiologist but a great mentor as well that is unmatchable. I’m happy that I was able to work with him and was able to grow professionally under his supervision. You get to see around 30 patients every day that puts you in a residency comparable environment and help to learn and handle the workload in a time efficient manner. It is located at a very nice location with an affordable suite within a mile from the clinic and hospital. I feel very confident and honoured after rotating with Dr. Khan. I would definitely recommend this rotation to any medical student who is looking to gain clinical experience in the US.

By Dr. Rumael Jawed

I did an observership under the kind stewardship of Dr.Usman Khan for a duration of four weeks at HCA North West and epic vascular and heart center in Houston. It is my pleasure to recommend to all this comprehensive, elite quality US clinical experience. From the very beginning of this rotation Dr.Khan makes you feel special, instead of him illustrating his expectations and demands from any typical observer. He asks for your goals and aspirations from this acquaintance. This leads to the formation of a very strong bond between Dr.Khan and his observers which is immensely important for any good clinical observership. Dr. Khan makes sure from the first day that the observers familiarize themselves with the EMR and get involved in patient management by asking possible differential diagnosis and management plan for every patient seen stimulating an observer’s medical knowledge and cognition. There is plenty of opportunity to observe and learn stress testing, Echocardiography, carotid doppler, arterial and venous duplex scans. I also observed different techniques for treatment for chronic venous insufficiency like radiofrequency thermal ablation, venoseal and sclerosing therapy. 

At the Hospital observers follow Dr.Khan for patient rounds, view multiple procedures like cardiac catheterization, TEE and percutaneous intervention (PCI), he also made sure that I learned the EMR used at the hospital as well. Dr.Khan takes a keen interest not just in answering your queries and clearing your concepts but he also gives invaluable tips for your residency application, interview skills and life as a practicing physician in general. I also got the opportunity to deliver a presentation on “2019 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the management of Blood Cholesterol: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines.” Dr.Khan has the most unique way of conducting a presentation as he helps you understand each and every point, making sure the audience and the presenter both can gauge the presented concept. He was extremely appreciative of my effort and applauded my communication skills, knowledge of the topic and language fluency.

I also had the privilege to attend a presentation given by Dr.Khan himself at HCA Kingwood on Anticoagulants and Anti platelet in front of the whole Medicine department. This presentation not only enhance my medical knowledge but also allowed me to communicate with medicine residents, multiple attending doctors and hospital staff members. After the presentation Dr.Khan also introduced me to the assistant program director of Internal Medicine at HCA kingwood, who welcomed us at the hospital and provided incredible words of encouragement and advice for the NRMP match process. Everyone at the clinic and the hospital works together as a team and has great respect for each other. Dr. Khan, nurse practitioners and the MAs provided me with constructive criticism on how to improve as a practicing physician. The amount of experience and work I did overall was comparable to the responsibilities of an intern in a residency program. A typical day was seeing patients back to back and then working on EMR which made me aware of my shortcomings and helped me enhance my qualities. Dr.Khan also gives weekly assignments to be done at home and verbally presented later. He was extremely impressed with my assignment verbal presentation on “Aortic Dissection and its management”. Dr.Khan gave critics on my performance at the clinic and the hospital on daily and weekly basis which helped me tremendously to improve my performance. He was really appreciative of my dedication, knowledge, compassion, consistency, ability to learn, my team player ability. He was happy to see my energy and eagerness to learn and improve not just as a doctor but also as a person.

In conclusion I can proudly say that this observership was my best US clinical experience. As it provided me with the opportunity to not just interact with the patients, the staff and work with two different EMR system but it enhanced my knowledge, communication skills, mannerisms and English language proficiency. At the end of the rotation Dr.Khan conducts an exit interview with all observers providing them with positive and negative feedback as appropriate. To anyone looking for a US clinical experience I with the bottom of my heart recommend this clinical observership to become better physicians and better human beings.

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