“Dr. Karmali has been an incredibly supportive and genuine mentor throughout my rotation. He is academically outstanding, highly knowledgeable, and at the same time kind, approachable, and deeply invested in teaching his students. Throughout the rotation, he ensured that every student had equal opportunities to present cases, participate in chalk talks covering important clinical topics, and improve their presentation skills. His feedback was always thoughtful, detailed, and focused on helping us grow with confidence and clarity.
One of the most impactful aspects of this rotation was the hands-on learning experience. We independently interviewed patients in the ER, took detailed histories, and presented cases the following day, which greatly improved my confidence in patient interactions and clinical reasoning in the U.S. clinical setting. Dr. Karmali also emphasized professionalism, empathy, communication, and compassionate patient care, while always encouraging questions and maintaining a welcoming learning environment.
As an IMG, navigating the U.S. healthcare system and residency application process can often feel overwhelming, but Dr. Karmali provided invaluable guidance throughout. He shared practical advice regarding residency programs, interviews, and personal statements, which was both reassuring and extremely helpful. What stood out most was the sincerity of his mentorship,he genuinely wants his students to succeed. I feel very fortunate to have learned from him and would highly recommend rotating with him.”
Dr. Prasad
“I am an IMG doing my first clinical rotation in the U.S. and feel really fortunate to have rotated with Dr. Adam Karmali. From the start, he made me feel comfortable being involved during rounds and encouraged us to actively think through cases instead of just observing.
The rotation was very hands-on with daily inpatient rounds, independent patient interactions during on-calls, case presentations, and high-yield 5-minute chalk talks after rounds that were actually really useful for reinforcing topics we saw during the day. I got exposure to a wide variety of Internal Medicine cases, including biliary/GI complications, ESRD, pneumonia, atrial fibrillation, DKA, and stroke patients.
Dr. Karmali is very patient and approachable, and he genuinely encourages questions and curiosity. I never felt hesitant to ask something or work through my thought process out loud. The rotation also leaves enough time for independent study, which helped me balance learning on rounds with reviewing topics afterward. It was a great experience for building confidence and getting comfortable with clinicals in a U.S. setting. This rotation has a human/empathetic component to it that is often overlooked but much needed in USMLE-Match Journey.”
— Dr. Akhila Pakalapati
"I will never forget my time rotating under Dr. Karmali. He is an admirable educator whose passion for teaching ensured that we learned something new every single day. On rounds, he patiently answered every case question, and the chalk talks were incredible and high yield for brushing up on important topics. He took the time to listen to our case presentations, helping us fix our mistakes and showing us exactly what US residency programs expect from a first-year intern.
Beyond clinical medicine, this rotation taught me so much about the US healthcare system and things beyond just patient data, most importantly, the deep humility with which you need to treat every patient. As an IMG preparing for the 2027 Match, his mentorship was invaluable. He took the time to answer all our questions about the cycle and programs, even going so far as to make phone calls to find answers for things he didn't know offhand. It was a great learning curve, and something that I will carry from this rotation is the goal of being a better physician like Dr. Karmali in the future. Every rotation is different, but I would love to always rotate under preceptors like him."
-Dr. Sai Manoja
“My rotation with Dr. Karmali was one of the best learning experiences I’ve had during my U.S. clinical training. He is not only an excellent physician but also a dedicated mentor who truly cares about his students’ growth. He was always approachable, patient, and willing to answer questions, making it easy to learn and build confidence. Beyond teaching medicine, he emphasized ethics, professionalism, communication, and the importance of treating every patient with compassion and respect.
One of the highlights of the rotation was the hands-on experience. We interviewed patients in the emergency department, presented our cases, and received detailed feedback that helped improve our clinical reasoning and presentation skills. Dr. Karmali always took the time to explain his thought process, shared valuable clinical insights, and encouraged us to participate in academic activities like case reports. Watching the way he connected with patients and practiced medicine with patience and integrity was inspiring.
This rotation gave me much more confidence in my clinical skills and a better understanding of practicing medicine in the U.S. I feel grateful to have learned from Dr. Karmali, and it was truly a privilege to be his student. I would highly recommend this rotation to anyone looking for outstanding clinical exposure, supportive mentorship, and a genuinely enriching learning experience.”
Dr. Srinidhi Kondepudi