What is United States Clinical Experience (USCE) for IMGs and Why is it Important? A guide by IMG Rotations
- Ash Eighaei Sedeh MD
- Feb 19
- 4 min read
Updated: Feb 22

As an International Medical Graduate (IMG) aspiring to pursue a U.S. residency, one of the most valuable experiences you can gain is United States Clinical Experience (USCE). USCE is critical in improving your residency match prospects, as it showcases your ability to work within the U.S. healthcare system and demonstrates your clinical competency to residency program directors.
In this post, we’ll explain what USCE is, why it’s essential for securing residency interviews, and how IMG Rotations can help you get the clinical experience needed to increase your chances of matching into a U.S. residency.
What is United States Clinical Experience (USCE)?
United States Clinical Experience (USCE) refers to clinical rotations, observerships, or externships completed in the United States. This hands-on experience takes place in U.S. hospitals, clinics, or medical facilities under the supervision of licensed U.S. physicians. USCE can be either observational (where you watch and learn) or hands-on (where you actively participate in patient care).
For International Medical Graduates (IMGs), USCE is not just an opportunity to learn from U.S. healthcare professionals; it’s also a way to demonstrate to residency program directors that you are prepared to work in the U.S. medical system.
Why is United States Clinical Experience (USCE) Important for IMGs Getting Residency Interviews and Matched?
Demonstrates Familiarity with the U.S. Healthcare System
United States clinical rotation (USCE) allows IMGs to experience firsthand how the U.S. healthcare system works. It familiarizes you with medical protocols, patient interactions, clinical documentation, and the work culture in U.S. hospitals. Residency programs highly value this experience because it shows you are already acclimated to their expectations.
Improves Your Application’s Competitiveness
USCE can strengthen your application by providing valuable insights into your clinical skills, communication abilities, and professionalism. This experience can significantly improve your chances of securing residency interviews and matching into competitive programs, particularly when your USMLE scores are not as strong.
Many programs view clinical rotations in the U.S. as proof that you can work in a team-oriented environment and manage patient care in the U.S.
Increases Your Chances of Getting a Letter of Recommendation (LoR)
During your clinical rotations, you will have the opportunity to build relationships with U.S.-trained physicians who can write you a Letter of Recommendation (LoR) for your residency application. A strong LoR from a reputable U.S. physician can help differentiate you from other applicants and increase your chances of getting noticed by residency program directors.
Boosts Your Professionalism and Confidence
Working in a U.S. clinical environment will improve your professionalism, communication skills, and clinical judgment, all of which are crucial during residency interviews and patient care. This experience can help you feel more confident when speaking with program directors or participating in interviews.
Meets Program Requirements
Some U.S. residency programs require clinical experience in the U.S. as part of their eligibility criteria. If you’re aiming for a competitive specialty, USCE is often a must-have to even be considered for an interview.
How IMG Rotations Can Help You Secure USCE?
At IMG Rotations, we understand how important United States clinical experience (USCE) is for IMGs residency match success. Here’s how we can help you gain valuable experience and increase your chances of matching:
1. Access to a Network of Experienced Preceptors
We work with a diverse group of experienced U.S.-trained physicians who are willing to host IMGs for clinical rotations, providing you with the opportunity to learn directly from professionals in the U.S. healthcare system. Whether you’re looking for hands-on rotations or observerships, we can match you with a preceptor who fits your goals.
We offer customized rotation opportunities based on your specialty preferences and career goals. Whether you're looking for experience in Internal Medicine, Pediatrics, Surgery, or any other specialty, we can help you secure rotations that align with your interests and make you more competitive for your desired residency program.
We provide end-to-end support throughout the process, from scheduling and paperwork to onboarding and ensuring that all HIPAA and medical licensing requirements are met. We handle all logistics so you can focus on gaining experience and excelling in your rotations.
4. Pre-Residency Preparation
In addition to securing clinical rotations, we offer comprehensive USMLE preparation, CV reviews, and interview coaching to help you put your best foot forward in the residency match process.
5. Help with Securing Letters of Recommendation (LoRs)
We work closely with U.S. physicians to help you earn strong Letters of Recommendation during your clinical rotations, further enhancing your application and increasing your chances of securing residency interviews.
Get Started with IMG Rotations Today!
Securing U.S. Clinical Experience is a crucial step in the residency match process for IMGs, and IMG Rotations is here to help you navigate this journey. We connect you with high-quality clinical rotations and provide personalized support to ensure you gain the experience needed to be competitive for U.S. residency programs.
Whether you're preparing for your USMLE exams, looking to gain clinical experience, or need guidance with the residency match process, IMG Rotations is your trusted partner.
Contact us today to learn more about how we can help you gain the U.S. clinical experience you need to succeed!