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He/she wants/needs to do US clinical electives to get some experience to try and get into a US surgery residency.
To the OP:
if your medical school does not/will not provide you with malpractice coverage good in North America, you need to find US elective programs which will offer it to you (Baylor is one I know off the top of my head), as purchasing it for yourself is hard to find and very expensive.