Securing quality IMG clinical rotations in the USA can feel overwhelming—especially when you’re balancing Step prep, documentation, and a residency application that needs real U.S. clinical experience.
Whether you’re looking for hands-on externships, hospital-based rotations, or outpatient opportunities to build your CV and LORs, it’s critical to work with a company that understands IMGs and delivers what they promise.
We’ve reviewed 10 of the most talked-about IMG rotation companies and ranked them based on quality, communication, support, transparency, and student satisfaction.
🥇 #1: ACE MD
Best for: Experience and reliability
Why it ranks #1 (for now): ACE MD has been a staple in the IMG clinical rotations USA space for years. Their established infrastructure, strong hospital relationships, and clinical support staff have helped thousands of international students build competitive U.S. residency applications. What really sets them apart is consistency—when you need rotations that check all the boxes, ACE usually delivers.
- ✅ Long-established and well-connected
- ✅ Smooth placement process with school support
- ✅ IMG-focused with a human, hands-on approach
- ❌ Some sites book far in advance—plan early
🧠 Bottom line: ACE remains the most reliable option for students who want a rotation company that’s seen it all and built the systems to handle it.
🥈 #2: Clerkship America
Best for: Personalized support and fast-growing access
Why it’s a very close second: Clerkship America is rapidly gaining ground thanks to its sharp focus on IMGs, a genuine human-first approach, and a network that’s expanding quickly across the U.S. Their team doesn’t just process your request—they get to know you, match you thoughtfully, and support you before, during, and after your rotation. And they do all of that with reasonable, transparent pricing that feels fair.
- ✅ Fast-growing nationwide network of preceptors
- ✅ Deeply IMG-focused with real mentorship and support
- ✅ Competitive, clear pricing with no surprise fees
- ❌ Tech platform still catching up to the scale—but staff communication more than makes up for it
🧠 Bottom line: If ACE is the steady veteran, Clerkship America is the rising star—and in many ways, it’s already delivering more student-focused service than anyone else. Both companies share a commitment to human connection, IMG success, and honest guidance—and that’s what makes them stand out.
🥉 #3: AMOpportunities (AMO)
Best for: Ease of booking + university-affiliated options
Why it ranks high: AMO offers a tech-forward platform where students can search, select, and book clinical rotations with full visibility into pricing, location, and availability. Many of their sites are hospital-affiliated or tied to U.S. academic centers, which adds legitimacy. It’s a great option for students who want control and transparency.
- ✅ Transparent platform with instant booking
- ✅ Wide range of clinical types and specialties
- ✅ Trusted by many U.S. and international med schools
- ❌ Limited personalized advising unless requested
🧠 Bottom line: AMO is built for the modern IMG—organized, proactive, and looking for a clear process with professional standards.
#4: FMG Portal
Best for: IMG-specific rotations with research support
- Focused entirely on international medical graduates
- Offers solid rotations and occasionally pairs them with research
- Responsive but limited site variety compared to top 3
#5: AmeriClerkships
Best for: Premium, full-service advising packages
- Known for comprehensive packages including Match coaching and document prep
- More expensive than most competitors
- Some students love the attention to detail—others prefer less upselling
#6: Brooklyn USCE
Best for: In-person New York-based rotations
- Affordable and well-regarded for internal medicine and family medicine
- Local to NYC, with solid preceptor relationships
- Strong choice if you’re geographically fixed
#7: USMLE Sarthi
Best for: Application coaching with rotation add-ons
- Core service is residency application coaching and strategy
- Clinical rotations are secondary but still available through partners
- Best as a companion to another service
#8: AMIQT
Best for: Telehealth and flexible formats
- Offers virtual and hybrid USCE options
- Responsive team and smaller student load
- Limited locations for in-person rotations
#9: Chicago Clerkships
Best for: Midwest-based students
- Based in Illinois, with connections to Caribbean and international students
- Lower-cost rotations, but support may be more limited
- Smaller organization still building recognition
#10: MD2B Connect
Best for: Custom observerships and specialty matches
- Mix of observerships and hands-on rotations
- Ideal for visa-restricted students or those needing flexibility
- Pricing varies widely depending on site and specialty
Final Thoughts: Choose the Team, Not Just the Site
There’s a lot at stake when selecting your IMG clinical rotations in the USA. Beyond the city and specialty, you need a company that supports you, communicates clearly, and actually delivers.
- ✅ ACE MD takes the top spot with its long-term consistency and structured approach
- 🥈 Clerkship America is redefining what support should look like—personal, affordable, and fast-moving
- 🥉 AMO delivers a professional-grade online experience with high-quality clinical settings
Wherever you are on your IMG journey, remember this: you don’t need to do it alone—and you definitely don’t need to settle.
