The first of these are Observerships, which have no hands on experience with patients. These positions mostly consist of shadowing a physician, and in some occasions can involve research work as well. Observerships are traditionally built into an AMGs school curriculum their second year of medical school. The benefits of an observerships are that an IMG can prepare for residency by observing clinical practice and gain experience, however the downside to an Observership is that they are not very respected. Residency programs want more hands on experience to match for residency in that location, especially if a particular specialty is wanted by the student.