Rotation Sites

**All rotation opportunities are currently on hold due to the pandemic.  We are not accepting rotation requests at this time.**

Students and residents can schedule a four-week global health rotation at clinics in San Andrés Itzapa, Guatemala; Tecpan, Guatemala; Chacraseca, Nicaragua; and Ngoswani, Kenya. Rotations include exposure to aspects of patient management in a family medicine practice, and can also include reading, lectures, and community outreach, as well as some application of osteopathic principles.


In Guatemala, students and residents rotate at our partners’ clinics in San Andres and Tecpan. Both focus on under-served, low-income communities where continuity of care is relatively new and preventive medicine is emerging.

San Andres Iztapa:  San Andres Iztapa is DOCARE’s first clinic partnership, and it remains one of its most stable. This clinic is close enough to Antigua that rotating students and residents can stay there each night. During clinic hours, the on-site doctor will work closely with the rotating student or resident. In addition, the clinic might arrange occasional community outreach projects and home health visits during rotations.

Tecpan:  The community of Tecpan is located to the east of the Lake Atitlan, an area famous for its natural beauty, and 55 kilometers northwest of Antigua. This rural rotation is at a clinic with two doctors, a caseload of 250 patients a month, and a standing commitment to public health programs. Rotating students and residents will be able to complete a rotation away from an urbanized, Anglophone environment, thereby experiencing immersion in Guatemalan rural life.


The Ngoswani clinic is located in Narok County, Kenya, not far from the famed Maasai Mara National Reserve. The area is known for its rurality and strong local culture. Rotating students and residents will work closely with doctors and other health professionals at a full-service primary care clinic. Along with weekday clinic hours, visitors can expect an immersive cultural experience and guidance from the clinic’s head physician, Dr. Tonya Hawthorne, a US-trained Doctor of Osteopathic Medicine.

Note that this clinic only accepts students and residents in the primary care discipline and cannot accommodate any special dietary needs.


In Chacraseca, Nicaragua — an extremely impoverished area with just one physician and one dentist for 8,000 people — the rotation will expose students and residents to various aspects of patient management in a rural primary care setting. Rotation participants can expect to be in clinic from 7:30 a.m. to 12:30 p.m. most weekdays, to participate in house calls and health outreach programs into the outlying sectors of the community, and to spend most afternoons engaged in reading or volunteering at the community’s nonprofit organizations.