I am honored to provide this attestation regarding my experience with Internal Medicine Solutions under the direction of Dr. Ali.

As a US-citizen international medical graduate, I know what the years between medical school and residency can do to a physician. You watch classmates move forward while you fight to stay clinically relevant. You wonder if the door will ever open. What Dr. Ali’s program gave me during these past 2 years was something no review course or observership ever could: the chance to actually be a doctor.

For two years, I practiced across several skilled nursing facilities, including Fairview Nursing Care Center, South Shore Rehabilitation & Nursing Center, and Park Avenue Extended Care, all under a structured supervision model with collaborating doctors’ oversight. I carried real clinical responsibility for medically complex subacute and long-term care patients: managing multimorbidity, post-acute rehabilitation, goals-of-care conversations with families in their hardest moments, and the documentation and regulatory standards unique to the SNF setting. These patients and their families trusted me with what mattered most to them, and that trust shaped me more than any exam ever did.

When I finally sat across from residency interviewers, I was not describing the physician I hoped to become. I was describing the physician this program had already made me. I have no doubt it was a decisive factor in my securing an Internal Medicine residency position at NYC Health + Hospitals/Woodhull beginning August 2026, the culmination of a five-year journey I refused to give up on.

To Dr. Ali: thank you for believing in international medical graduates when much of the system does not, and for building a program that turns waiting years into growing years. To any IMG reading this and wondering if there is a real path forward — there is. I lived it. I recommend this program without hesitation.

Working as a Limited Permit Physician in a skilled nursing facility through Internal Medicine Solutions, P.C. was instrumental in preparing me for residency and ultimately contributed significantly to my successful residency match. In this role, I developed proficiency in writing comprehensive admission notes, daily progress notes, and discharge summaries while managing medically complex patients under the supervision of attending physicians. I also gained experience presenting patients during interdisciplinary discussions, refining my clinical reasoning and oral presentation skills. Additionally, I participated in advance care planning and goals-of-care conversations, which strengthened my communication skills and ability to navigate sensitive discussions with patients and families. During residency interviews, many interviewers remarked that these responsibilities closely mirrored the day-to-day work of an Internal Medicine resident. My ability to discuss real-world experience with documentation, patient management, interdisciplinary collaboration, and transitions of care demonstrated that I was well prepared to transition into residency from day one. I believe this experience enhanced my confidence, strengthened my understanding of the U.S. healthcare system, and played a pivotal role in my successful match into an Internal Medicine residency program.

Working as a House Physician at a nursing facility with Internal Medicine Solutions PC gave me valuable hands-on clinical experience and greatly prepared me for residency training in the United States. I cared for elderly patients with multiple chronic medical conditions, performed patient evaluations, reviewed labs and imaging, documented in EMR systems, and worked closely with attendings, nurses, and other healthcare staff to provide coordinated patient care. This experience helped me strengthen my clinical judgment, communication skills, professionalism, and ability to work in a fast-paced healthcare environment. It also gave me important exposure to the U.S. healthcare system and improved my confidence in managing patients and working as part of a multidisciplinary team. Most importantly, the experience helped bridge the gap between medical school and residency by allowing me to continue developing my clinical and patient care skills. I believe working with Internal Medicine Solutions PC played an important role in helping me become a stronger residency applicant and contributed positively to my successful residency match.

Dear Dr Ali and Team, I truly appreciated my experience working with your team as a Limited Licensed Physician at Golden Hill Nursing and Rehabilitation Center. This role was one of the most important parts of my clinical journey and had a direct impact on my successful match into residency. Working in this setting gave me consistent hands on clinical exposure and helped me develop stronger clinical judgment, efficiency, and confidence in patient care. Dr. Ali and the entire team were extremely supportive throughout my time here, and I always felt well guided and part of a collaborative environment. My attending physician also provided strong supervision and mentorship, which greatly contributed to my success. During my residency interviews, I was specifically asked about this position, and I was able to clearly discuss my responsibilities, clinical exposure, and day to day learning experience. It became a strong talking point in my interviews and played a meaningful role in helping me stand out as a candidate. I am very thankful for the experience I gained here, which helped me significantly in my journey to residency. I have now matched into Internal Medicine at Richmond University Medical Center in Staten Island, and I truly believe this role was an important stepping stone in reaching that goal. I would strongly encourage other physicians considering this path, as it provides valuable real world experience, strong clinical responsibility, and excellent preparation for residency training. Thank you once again for everything and for being part of my journey.
Best regards, Dr. Deoram Kajram

Working as “House Physician” with Inrernal Medicine Solutions was one of the most formative experiences in my medical journey. The role provided me with exceptional clinical exposure and hands-on medical training that significantly strengthened my skills and confidence as a future physician. Through direct patient interaction, collaboration with experienced healthcare professionals, and exposure to a wide range of clinical cases, I was able to deepen my medical knowledge and develop critical thinking in real-world settings. The mentorship and supportive learning environment helped prepare me for the challenges of residency and played an important role in helping me successfully match into residency training. I am truly grateful for the opportunities, guidance, and experience I gained during my time there. The training I received not only enhanced my clinical abilities but also reinforced my commitment to compassionate, patient-centered care.

Highly recommend for physicians seeking strong clinical experience and professional growth. I worked on a limited permit at a large, fast-paced skilled nursing facility. After time away from medicine, I pursued this role to regain clinical proficiency and prepare for residency. The position strengthened my skills and confidence through the care of medically complex patients, and I particularly enjoyed working with nursing home residents and staff. Leadership was accessible and clinically engaged, and ongoing didactics and case discussions fostered a supportive learning environment. When I applied to residency, I was fortunate to receive multiple interview invitations and ultimately matched to my top-choice program.

I can honestly say that working as a house physician at IMS was the best decision I made before applying for residency. The variety of patient cases I handled, coupled with direct supervision from experienced attendings, gave me a real-world foundation that I could speak to with confidence during interviews.

I wasn’t just talking about textbook knowledge; I was sharing stories of real patients and real challenges. When I started my PGY-1 year in Family Practice, I felt prepared to manage high-pressure situations and think critically under stress. I didn’t expect it to be easy, but the experience I gained through IMS gave me the tools to handle the intensity of my first year with much more ease than I anticipated.

I still look back at my time with IMS as one of the most formative parts of my journey.