During my one-month rotation at Epic Heart and Vascular Center, under the guidance of Dr. Khan, I had the privilege of immersing myself in the intricacies of the United States healthcare system and acquiring the essential skills and qualities necessary to become a competent resident. Dr. Khan ensured that I gained a comprehensive understanding of the healthcare landscape, focusing on electronic medical records (EMR) and the intricacies of the US health insurance system. This knowledge proved invaluable in navigating patient care and understanding the administrative aspects of healthcare delivery in addition to the clinical experiences, I had the opportunity to present on the topic of “Deferring Revascularization of Intermediate Coronary Stenoses Based on FFR in Patients with Reduced Left Ventricular Ejection Fraction: Clinical Outcomes at 10 Years.” The presentation provided a platform to share and discuss the long-term clinical outcomes associated with this specific approach.
Dr. Khan facilitated a fruitful discussion following my presentation, allowing for a comprehensive exploration of the topic. We delved into the nuances of deferring revascularization in patients with intermediate coronary stenoses and reduced left ventricular ejection fraction. The exchange of ideas and perspectives with Dr. Khan and fellow colleagues further enriched my understanding of the subject matter. One of the highlights of my rotation was the exposure to a diverse patient population encompassing various cultures and languages. I encountered patients with a wide range of cardiovascular and peripheral vascular diseases, both in the inpatient and outpatient settings. Joining Dr. Khan on hospital rounds was a source of great excitement for me, as it allowed me to witness firsthand the diagnostic and therapeutic decision-making process. During my time at the center, I had the opportunity to observe and participate in a multitude of diagnostic tests, including Echocardiography, Ultrasonography of vessels, Nuclear Cardiac Tests, Exercise Stress Tests, and Mobile Cardiac Telemetry. Additionally, I was fortunate to observe outpatient procedures such as Varithena, Venaseal, and Venous ablations, as well as inpatient procedures including Cardiac Catheterization, Angiography, and Coronary Angioplasty with stent placement. Dr. Khan consistently ensured that I understood the rationale behind each procedure, shared his observations during the intervention, and provided updates on the obtained results. Apart from clinical skills, Dr. Khan emphasized the importance of maintaining a solid academic foundation. Regular discussions on EKG interpretation, laboratory and diagnostic results, and management strategies enriched my understanding of cardiovascular medicine. Dr. Khan encouraged us to stay up to date with the latest research by reading renowned cardiac journals such as AHA and JACC. Moreover, I had the opportunity to work with both inpatient and outpatient settings, gaining access to EMR software and engaging in discussions on new innovations and recently published articles. Dr. Khan fostered an environment that encouraged active participation, allowing me to interact with patients, take notes, place orders, and present cases. I also had the privilege of observing procedures such as cardiac catheterization, PCI, venaseal, varithena, IVUS, and echocardiography. Participating in inpatient rounds further enhanced my learning experience, providing valuable insights into patient management and decision-making processes. Dr. Khan’s feedback during the rotation was motivating and rewarding. He commended my independence, proactive approach, and dedication to assigned tasks. His encouragement strengthened my medical knowledge and clinical skills and nurtured my teamwork and mentoring abilities. Weekly assignments, including discussions on the latest AHA/ACC guidelines for lipid management, hypertension, and heart failure, broadened my understanding of evidence-based practices. Working closely with Dr. Khan and his team allowed me to refine my communication skills, fostered effective teamwork, and taught me the importance of leaving a positive impact wherever I go. Additionally, Dr. Khan provided me with a unique opportunity to explore my research interests, further fueling my passion for the field. I wholeheartedly recommend anyone seeking US clinical experience consider rotating under Dr. Khan’s mentorship. In conclusion, this observership at Epic Heart and Vascular Center, led by Dr. Khan, has been the most enriching US clinical experience for me. It provided me with invaluable patient interactions, exposure to different EMR systems, and opportunities for personal and professional growth. Dr. Khan’s commitment to mentorship and comprehensive learning experience has undoubtedly contributed to my development as a physician and as an individual. I wholeheartedly recommend this clinical observership.