Each year. Shah Associates hosts a handful of graduates from foreign medical schools. encouraging them to seek opportunities beyond big cities. This summer. four recent graduates of Mumbai medical schools traveled to Southern Maryland on tourist visas for an unpaid crash course in American medicine. The graduates watched as the Shahs cracked jokes with their patients. reassured them about upcoming operations and gently recommended diet changes. Mitesh Lotia. 24. one of the graduates. said that the oneonone interaction held great appeal. "In India. we would see 100. 150 patients a day." he said. "There was no time to get to know patients.