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兵庫医科大学医学会

My clinical training at Hyogo College of Medicine

Tegan Buckinghamさん(第3学年次)

Two weeks of acute care placement were completed in the Department of Emergency and Critical Care Medicine at Hyogo College of Medicine Hospital as a part of the year 3 compulsory requirements. It was such an excellent experience. I am very interested in the emergency field of medicine and have thought about becoming an ED physician prior to this placement. I think it is an interesting, fast paced job and work environment which always keep you on your feet although it can be stressful I think that it would suit my personality. I have also thought of other specialities I would like to pursue but after the completion of this placement, ED physician is my number one.
It was very interesting to see new patient presentations come through into the emergency bay, which I have never seen before. The 2 patients that were really interesting and new to me included a complete foot and ankle amputation and 3rd degree burns covering chest, arms and face. One minute we would be in ICU seeing patients who have had an idiopathic oesophageal rupture or purulent spondylitis and in the next we would see a paramedic running with someone’s foot in a bag. Surprisingly, this did not phase me at all even though I had not been exposed to something like this before, I was able to cope with it and see the acute management and investigations carried out on the patient. Another intriguing point was to see the differences between the health system procedures and the roles of various people for example a large team including ED physicians, interns, med students would all see each other patient together and discuss them upon arrival. Although they were long days, I thoroughly enjoyed myself during this placement. We had an assignment to do for this placement (2 written cases about 2 patients we have seen in the ED), every doctor especially Dr. Mambo and the interns were very willing to help us out with the information and understanding the patient’s condition as I have not heard of purulent spondylitis or an idiopathic oesophageal rupture before. After some help with Google translate we were able to obtain all the necessary information to write an exceptional report. I would also like to say that even though the doctors and interns were busy all of them went out of their way to help us which was really appreciated it. On one of our first days, Prof. Kotani took us to an emergency drill show at the airport, which was very interesting to see, and an opportunity we will probably not receive again.
It was a great opportunity to be able to meet Japanese medical students as we can bond on many things and had some fantastic times. We compared our courses and although they are both six years it was obvious they were very different. For example we start our placement and clinical skills such as cardiac examinations, suturing and cannulation in our first and second years and in fourth year we are in the hospital. Our course content is also quite different in the way that we would never be expected to hand draw out histological slides taking over 6 hours on average. Among the highlights of spending time with the medical students was definitely attending their kendo class and badminton practice. Kendo for me was very scary at the start because I have never really seen it before and everyone was so good, but with a lot of help from Yoshi, I really enjoyed myself. When I first arrived at badminton practice, I could not hit one ball as I am used to playing tennis, which was really embarrassing, but after a while and with everyone being so welcoming I had a great time. We have made some great friends and we are hoping that they will be able to visit us on placement.
The accommodation was very nice and a perfect location. It was amazing and beyond generous that the accommodation was provided and free for us, along with food, restaurant voucher and scholarship money. We would have never expected all this and are very appreciative of such generosity. It was an experience to be able to stay in a Japanese house, practice customs such as wearing house slippers and eat Japanese food, which I love!
I will definitely be recommending this placement to other medical students as it was such an outstanding opportunity that really shouldn’t be missed. Michael and I will be trying our best to form a formal partnership between our university and yours, as we would love to have Japanese medical students come to Townsville.

研修中の様子

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