Clinical Rotations in Florida for IMGs: Your Complete Guide (2026)
Florida shows up constantly in conversations about IMG clinical rotations, and for good reason. It has a dense concentration of teaching hospitals, a large existing IMG community (which means preceptors who already know how to mentor visiting students), and a mix of ACGME-accredited and community sites across nearly every core specialty. If you are trying to build a US clinical experience (USCE) record before ERAS, Florida is one of the most efficient states to do it in.
Here is a breakdown of every current USMLE Wise placement in Florida, followed by how to think about choosing between them.
Florida Rotations at a Glance
| Rotation | Specialty | City | Setting | Price |
|---|---|---|---|---|
| AdventHealth Kissimmee Campus | Hospitalist | Kissimmee | Inpatient | $2,425 |
| General Surgery: Larkin Community Hospital | General Surgery | Miami | Inpatient + Surgical Centers | $3,400 |
| General Surgery: Kissimmee | General Surgery | Kissimmee | Clinic + Surgical Procedures | $3,200 |
| Pediatrics: Mercy Hospital Faculty | Pediatrics | Miami | Clinic + Hospital | $3,200 |
| Family Medicine: Larkin Program Director | Family Medicine | Hialeah | Inpatient + Outpatient + Telemedicine | $4,196 |
| Family Medicine: Keralty Hospital Faculty | Family Medicine | Miami | Inpatient + Outpatient | $3,800 |
Hospitalist Medicine in Kissimmee
The AdventHealth Kissimmee Campus rotation, affiliated with AdventHealth Orlando, is a 100% inpatient hospitalist experience built around a 7-days-on/7-days-off schedule. On your "on" weeks you get roughly 5–6 hours of direct clinical exposure daily; "off" weeks are reserved for self-study and case presentations. At $2,425 with monthly starts and a max of 4 students, it is one of the more accessible entry points into inpatient medicine in the state.
General Surgery: Two Very Different Miami-Area Options
Florida has two General Surgery placements, and they are worth comparing directly. General Surgery at Larkin Community Hospital (with rounds also at Hialeah Hospital) is an ACGME-accredited site. You will round alongside Caribbean students enrolled in accredited programs and get real OR observation time, which is a genuine differentiator on an ERAS application. It runs $3,400 for 4 weeks, capped at 2 students.
General Surgery in Kissimmee is clinic-based rather than hospital-based: a steady Monday–Friday, 9am–5pm schedule with pre- and post-operative evaluations, wound care, and suturing practice, plus OR observation. At $3,200, it is a strong option if you want more consistent one-on-one time with a single surgeon rather than a larger teaching-hospital environment.
Pediatrics in Miami
The Mercy Hospital Faculty rotation pairs clinic and inpatient hospital rounding with full EMR access (useful if you want documentation experience alongside direct patient care). It starts on the first Monday of each month, and documents are due 28 days in advance, so this one requires planning further ahead than most.
Family Medicine: Program-Director-Level Mentorship
Florida's two Family Medicine rotations both come with unusually senior mentors. The Larkin Community Hospital rotation is run by the Family Medicine Program Director himself, and combines inpatient rounding, outpatient clinic, telemedicine, and weekly online didactics. It's the most structured, classroom-adjacent experience on this list, and it accommodates up to 6 students at $4,196.
The Keralty Hospital rotation in Miami is inpatient plus outpatient at $3,800, but it comes with two conditions worth knowing before you apply: USMLE Step 1 must be completed first, and the letter of recommendation is performance-based rather than guaranteed: if you round well, you earn it (and potentially an interview opportunity).
What Every Florida Rotation Includes
- A personalized letter of recommendation on hospital or clinic letterhead (except Keralty, where the LOR is conditional on performance)
- A $500 deposit applied toward your total balance, due before your start date
- Standard required documents: updated CV, AAMC standardized immunization records, and your medical school transcript or ID
How to Choose Between Them
Start with specialty fit: if you already know you are applying Surgery, the ACGME-accredited Larkin site is the stronger signal on paper. If you are still exploring or want a calmer, more mentorship-heavy pace, the clinic-based options (Kissimmee Surgery, Keralty, Mercy Pediatrics) tend to give you more direct one-on-one time. If budget is the deciding factor, the Hospitalist rotation in Kissimmee is the lowest-priced entry point into inpatient training in the state.
You can browse every current placement, including all Florida sites, on our Clinical Rotations page.
Not sure which Florida rotation fits your application? Book a free guidance call with USMLE Wise and we'll help you match your specialty goals to the right placement.