US Clinical Rotations in Texas: Where IMGs Can Train
Texas offers something most states on our roster do not: a true inpatient sub-internship. Between an Internal Medicine placement in McAllen and three outpatient rotations in Houston and Richmond, Texas covers a wider range of clinical settings than almost any other state we work with.
Texas Rotations at a Glance
| Rotation | Specialty | City | Setting | Price |
|---|---|---|---|---|
| Internal Medicine Sub-Internship | Internal Medicine | McAllen | Inpatient | $3,500 |
| Flourish Mental Health | Psychiatry | Houston | Outpatient | $2,800 |
| Psychiatry: 30 Years Experience | Psychiatry | Houston | Outpatient | $2,000 |
| Family Medicine: IMG Physician Mentor | Family Medicine | Richmond | Outpatient | $1,675 |
An Actual Sub-Internship in McAllen
The Internal Medicine Sub-Internship at South Texas Health System (DHR Health & Cornerstone Regional Medical Center) is the closest thing on our roster to a true acting internship. You are managing patient care from admission to discharge, rounding daily, and presenting cases directly to the attending, inside an active IM residency environment capped at just 3 students. At $3,500, it is priced accordingly for the depth of hands-on responsibility it offers.
Two Psychiatry Options in Houston, at Very Different Price Points
Flourish Mental Health is a one-on-one rotation (max 1 student) with a child and adolescent psychiatrist who has particular expertise in autism-spectrum cases. It runs a full Monday–Friday, 9am–7pm schedule at $2,800.
The second Houston option, Psychiatry with 30 Years of Experience, is broader in scope: the preceptor sees patients of all ages, from children through adults, and has served on the medical staff at the University of Houston providing psychiatric evaluations for graduate students. At $2,000 for a max of 2 students, it is one of the more affordable psychiatry placements on our entire roster.
Family Medicine with a Mentor Who Was an IMG Himself
The Oakbend Medical Center rotation near Houston stands out for one specific reason: the supervising physician was an IMG himself, and understands the residency-match journey firsthand. You will see up to 20 patients per day on a flexible schedule (daily or 3 days per week), with involvement ranging from observation to active participation in procedures as your skills develop. At $1,675, it is the least expensive rotation in this guide.
What Every Texas Rotation Includes
- A personalized letter of recommendation on hospital or clinic letterhead
- 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
If your goal is Internal Medicine or Hospital Medicine and you want a rotation that reads as a genuine sub-internship on your ERAS application, McAllen is the clear choice (just apply early, since it caps at 3 students). If you are targeting Psychiatry, decide between depth (Flourish's one-on-one, subspecialty-focused mentorship) and breadth (the 30-years-experience preceptor's all-ages caseload). And if Family Medicine is your track and budget matters, Richmond offers the highest patient volume per dollar on this list.
You can browse every current placement, including all Texas sites, on our Clinical Rotations page.
Trying to decide which Texas rotation fits your specialty goals? Book a free guidance call with USMLE Wise and we'll help you plan it out.