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兵庫医科大学医学会

Clinical Program at the Hyogo College of Medicine

Mila Prskalo

I would like to start this report by introducing myself. My name is Mila Prskalo and I am a medical student at the University of Rijeka. This summer, I took part in the Exchange Student Clinical Program spending 4 weeks at the Hyogo College of Medicine. When I arrived at Shin-Osaka with my colleagues, Marko Mikolcevic and Ruben Kovac, Japanese students Takuya Kusumoto and Mayuko Sasawaki welcomed us and took us for a dinner. We ate delicious traditional Japanese food and we loved it. However, I have to mention that this meeting was prearranged as Takuya and I exchanged a number of emails before our arrival to Japan.
The first day at the hospital, we met administrative assistant Miss Kyoko Torii, who helped us with administration and introduced us to president of Hyogo College of Medicine, Sir Koichi Noguchi. Doctors, Shiro Nakamoto and Ayano Tsuji personally welcomed me and took me to the Department of Anesthesiology, where I met Professor Munetaka Hirose. They showed me around the hospital, walking me through the fitting room, the conference room and operating rooms. I got my schedule from the professor, who organized it and emailed it to me before I even came to Japan. I was absolutely thrilled and genuinely touched by such a warm welcome. I did not expect reception at president office and such a care for me.
We started every morning with a presentation about some topics of interests, and then we went to the operating rooms. Professor Hirose would present his topic in English, so I could understand everything. He even wrote the title of presentation in Croatian. He put such an effort to teach me as much as he could and I found that remarkable. If it happened that a presentation was in Japanese, some other doctors would translate it to English for me. Professor Hirose and Doctor Shiro Nakamoto organized my days, so I could observe as many different operations as possible regarding the induction of anesthesia and patients’ recovery. Depending on which operation I was observing that day, I worked with different anesthesiologists – Nakamoto, Ayano Tsuji, Nana Ogino and Yusuke Okuno. I learned a great deal by observing the rare cases and watching the doctors work with amazing equipment like MAC and King laryngoscope or just practicing intubation, spinal anesthesia and transesophageal echocardiography on a stimulator. It was an amazing experience because I have never had an opportunity to practice on such a sophisticated stimulator. I observed the TAVI procedure which was for the first time performed in Croatia this October. During the heart bypass surgery, doctors showed me patients’ TEE and I found some of them very interesting since I could observe Lambl’s excrescence, persistent left v.cava superior and Chiari network on them. In the end, I was observing gastrointestinal, thoracic, orthopedic, pediatric, biliary, cardiovascular, gynecology, otorhinolaryngology and ophthamology operations and transplantations. I have to commend the surgeons, who explained me and showed me patients’ CT scans of before every operation. Every Thursday, I was at the Pain Clinic with professor Hirose and doctors Norihiko Sukenaga and Takashi Tsunetoh. It was very interesting for me, because Pain Clinic is a novelty in Croatia and therefore, I was not familiar with all the procedures for treating different kinds of pain. Doctors put great effort into informing me and teaching me everything they knew about it. I observed different procedures: spinal cord stimulation, radiofrequency ablation for chronic low back pain, subacromial bursa block and epidural block. Professor Shinichi Nishi from the Intensive Care Unit even invited me to attend his lecture about the adaptive lung ventilation and he showed me around the ICU department. Professor Hirose and doctors organized a welcome dinner for me. We spent a nice evening together, eating some excellent beef and in the end, I was even presented with a small gift. I had the honor to work with an extraordinary team of doctors and I got a new precious friends.
Besides observing at the hospital, I have visited Osaka, Kyoto, Nara and Kobe. I have spent time with Japanese students, tried karaoke and different Japanese food (including raw fish, ramen, takoyaki, okonomiyaki, raw beef and sushi). And I have learned how to use chopsticks! In Kyoto, I have visited many memorable sights: Kinkakuji, Kyoto Imperial Palace, Nishiki Market and Fushimi Inari Shrine. Nara was really lovely;I have never seen so much deer just walking around in my whole life! The guest house was very nice and comfortable.
Last day at hospital, I was both happy and sad. We had a reception at the presidents’ office and a Certificate Awarding Ceremony. I still keep my certificate at special place in my living room. Miss Kyoko also gave us each a unique present which I really liked.
I cannot express my joy and happiness because of this experience. I have to thank Ms Kyoko Torii for all her efforts and President Koichi Noguchi for awarding me a scholarship without which I would not be able to visit Japan.

研修中の様子

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