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Dear Administrator,

As a Fellow of the American Academy of Family Physicians, I have practiced family medicine in San Jose, California, for over 35 years. Over the years, I have been an associate clinical professor at the Stanford Medical School affiliated with the San Jose Family Medicine Residency program and a department chairman of the Good Samaritan Hospital in San Jose. I have also served as a preceptor for the learning experience of Stanford medical students, physician assistant students, family practice residents, and international medical graduates.

On (date), the (IMG Participant) completed a four-week Observership-type clinical experience designed to provide an international medical graduate with a comprehensive introduction to US Healthcare…

During the four weeks, I discussed and gave participants insight into the following:

• daily responsibilities and various roles of the primary care physician, including the role of gatekeeper for referral to specialists, Administrator for paperwork such as state disability, work and jury duty excuses, and adjudication for the DMV
• patient-centered, integrated, holistic approach to patient care
• …