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兵庫医科大学医学会
海外研修報告

The beginning of the short-term life in Hyogo College of Medicine

● Jiayin Yuan(汕頭大学)

We took the plane from Guangzhou to Osaka at 8am, and it was 1pm when we arrived. As soon as we checked out from the Kansai airport, we met Ms. Torii who is a staff of the Center for International program. Although we had lunch at the plane, she still already prepared lunch for us thoughtfully. After that, we took a taxi to the Guest House in which we started our short-term life. The students who had been to Shantou University for exchange before treated us.

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The clerkship in the department of Thorax Oncology

The first department starting my clerkship life is in the Thorax Oncology. All of the doctors and teachers are friendly and warmhearted; I mainly followed their everyday-job, and watched the procedure they treating patients.

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Every Wednesday, I watched they proceed bronchoscopy on the patients to exam tissue masses or tumors inside the lungs. Also they used navigational bronchoscopy which is a technology combining electromagnetic navigation with real-time CT images, enabling doctors to biopsy masses in distant regions of the lungs. There are a large amount of patients who are suspected of lung cancer going through bronchoscopy, which largely improve the early diagnosis of lung cancer. I also watched they diagnose malignant pleural mesothelioma(MPM) using thoracoscopy.

In order to help me to better understand the procedure of bronchoscopy, Dr. Otsuki trained me using the models of trachebronchial tree. Under his guidance, I had quickly mastered the basic techniques of bronchoscopy and learned how to memorize where each bronchopulmonary segments located. I got benefit greatly from this training.

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In their daily working, cases discussion is also an important part. By means of discussing the intractable cases and critical cases with other department, like departments of surgery, radiation and pathology, they could have better known of the patients’ conditions, therefore, they could better diagnose and formulate effective therapeutic plans. In addition, intern students learned a lot and improved their abilities by case presentations.

07.jpgUsually, they will take plenty of time to explain pathogenetic conditions to the patients and their families, and discuss the most appropriate therapeutic plans together. If there is any development of new drugs, they will encourage patients who are in the end stage or difficult in treating to join the drug trials. This not only provides a new treatment, but also makes contributions to the scientific researches.

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During these two weeks in Thorax oncology, I really learned and communicated a lot with the doctors. I realized that no matter on the different of the culture and the methods of diagnosis and treatments between Japan and China, or the advance of medical technology in Japan. In this period, the harmony between patients and doctors left the deepest impression on me, which I am really looking forward to.

The clerkship in the Department of Surgical Pathology

The working atmosphere in Surgical Pathology is totally different from which in Thorax Oncology. Because the Surgical Pathology plays a role as an assistant department of the hospital, all the doctors arrange their jobs systematically, sometimes they also have relaxing time. I love this working way which is not so tense but not sluggish.

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12.jpgProfessor Hirota provided me with a place for working; I can use the microscopy and computer to finish my job. Every day, doctors would give me some biopsies and resection specimen, and my job is to find out the changes and diagnose them. After I finished, professor or doctors would watch with me, explaining and rectifying the diagnose I made. In the process of self-learning and instructing, I had made a great progress. Careful tissue sampling and histologic examination are very important, doctors would take a long time in marking and recording specimen, which is very different from what I saw in China.

Because I am very interested in the basic research of pathology, Professor Hirota made his time to take me to his laboratory. I was informed that Professor Hirota found out the c-kit mutations which are important to diagnosing GIST, making me admire him very much. He had a lecture of this experiment and communicated the problems during the experiment, after the lecture, I found I was even more interested in the research of Pathology.

Although professors and doctors are rigorous when they are working, but in daily life they are humorous and funny like common people. Everyone in the departments are hospitable, they held a welcome party for me, making me feel that I am a member of the department. On the last day, I participated in the Hanshin Pathology Meeting hosted by Professor Hirota. Pathologists from Osaka and Kobe gathered together, communicating the cases they met. After the meeting, I talked a lot with them. Even though all of them are so outstanding, they were still willing to solve my doubts and gave me advices.

These two weeks was short, but I still can realize the wonder of pathology, and these two weeks was too short for me to understand pathology deeply. Only if I could spend more time with them.

We also traveled many places in Japan and the students took us to Kyoto where is ancient and elegant. In Japan, all the ancient architectures are protected well.

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Special Thanks

Thank you, President Nakanishi for continually carrying out this program, and thank you, Professor Nakano and Professor Hirota, for allowing me to come to these two departments for short study. Thank you, Dr. Kuribayashi, Dr. Otsuki, Dr. Nakamura, Dr. Horio, Dr. Moriya, Dr. Shibata, Dr. Kanemura, and all the other staffs of the Thorax Oncology Department. Your patient instructions made me have a profound understanding in Thorax Oncology. Thank you, Dr. Hao, Dr. Matsuda, Dr. Nene, Dr. Kihara, Dr. Tsuchida, Dr. Kajimoto and Dr. Watanabe of the Pathology Department, division of Surgical Pathology. Thank you for your guidance and explanation of those specimens, it was very helpful for me to learn pathology. Thank you, Ms. Torii, for resolving all the things we asked. Thank you for all the Japanese exchange students—Okano san, Kumamoto san, Kobayashi san, Shimizu san, Shiraishi san, Matsumoto san, Yamamoto san and Murakami san. I really had a great and unforgettable moment in Japan.

兵庫医科大学 〒663-8501 兵庫県西宮市武庫川町1番1号 TEL:0798-45-6111 (代)

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