Application Process for Clinical Observerships

IMPORTANT NOTICE: The Clinical Observership Program for international medical graduates has been terminated by the Office of International Affairs. Observerships for international visiting physicians actively engaged in clinical practice remain available (see application process below).

Tufts University School of Medicine (TUSM) welcomes the interest of practicing visiting physicians in the clinical observership programs at our affiliated and training hospitals. All candidates must submit all the necessary documents listed below to the Office of International Affairs (OIA) to be considered for these programs.

Close and early attention to fulfilling all OIA requirements will ensure a smoother and speedier application process, helping to ensure that all observership deadlines are met.

When to apply:

Because the available rotations fill up rapidly, candidates should begin the application process as early as possible — not less than 16 weeks before the starting date of their chosen observership.

How to get started:

Thank you for your interest in the Observership Program at Tufts University School of Medicine (TUSM). There are tuition costs associated with observership positions. If you do not have a current relationship with a Tufts-affiliated sponsor (such as government-sponsored program), then the tuition for observerships is $7,500 per month. You either need to pay for yourself or have someone or an organization cover the tuition.

To apply, please send your CV, transcripts, letter of recommendation and personal statement (emphasizing your area of interest) in a single PDF file to

If you have any questions, please send an e-mail to Thank you again for your interest in furthering your medical education at Tufts University School of Medicine.

After you apply:

Once the OIA has your completed application and all supporting material, here is what happens during the approval process for clinical observerships at TUSM affiliated or training hospitals.
  • The OIA will schedule and conduct an interview with you via video conference. Please do not call or email the OIA to inquire about your interview status. We will contact you.
  • If you meet our qualifications, we will notify you and pass on your application to the appropriate specialty program directors and/or physicians at TUSM training hospitals.
  • If, after reviewing your application and credentials, a hospital program director and/or physician wishes to accept you as a clinical observer, he or she will issue a letter of sponsorship. That letter will be forwarded to the OIA, and to the hospital’s Human Resources and Health department for its approval.
  • The OIA then will notify you and initiate the visa process, providing you with the information needed to obtain your visa at the U.S. embassy or consulate in your home country. (More information on Visas)
  • As soon as your acceptance in the program is confirmed, you are required to send full payment of your previously agreed-upon training fee to the OIA – payable via electronic bank transfer only (here is the Tufts electronic transfer information you will need to provide at your bank). Prompt payment will avoid unnecessary delays or potential cancellation of your observership.
  • The approving hospital's Human Resources, Health and specialty departments will send you paperwork which must be completed and returned by the specified date(s). Please note: It is imperative that you take the responsibility for properly completing and returning all documents on time.
  • You also must have, and so certify, personal health insurance coverage that meets TUSM requirements. Please fill out and return to the OIA via email ( this International Applicant Health Insurance Coverage Statement.
  • In addition, before you begin your observership, you must provide to the hospital health department written proof of testing/immunization for a number of infectious diseases. Please complete and return to the OIA via email this International Applicant Immunization Form.
  • You also will be required to fill out a personal health history form to receive clearance to work from the hospital health department.
  • You will be expected by your assigned hospital to be knowledgeable on these Patient Privacy and Health/Safety issues. Please study them carefully.

Congratulations. You then will begin your observership assignment after your visa is approved.

After completion of your observership, the supervising hospital program director will write a letter evaluating your performance and present it directly to you.

The OIA staff is ready and able to help international candidates navigate the often-complicated post-application process. Please don't hesitate to contact us.