Lea Cofekさん

What is there to be said about Japan that has not been said already? The country's beautiful nature and architecture, wonderful food, and welcoming people make it truly special. Not only did I experience Japanese culture and go sightseeing, but I also had the opportunity to study at Hyogo Medical University.

My experience in Japan started from the moment I applied for the exchange program. The process was unnerving. I knew that many students had applied, and the available places were limited. When I received an email on November 4th, I was ecstatic. I was one of the lucky three who got the opportunity to go to Japan. To say that I had high expectations for this exchange would be an understatement. The students who went a year prior all had only good things to say about the University and their time in Japan. From that point on, I couldn’t wait to finish my fifth year of studies and start my journey.

As the time of my departure was approaching, my excitement grew. The preparations were extensive, and my itinerary was getting longer and longer. I was nervous but thrilled. From the moment I set foot in Kansai Airport, the hustle and bustle of the people around me overwhelmed me. No matter how many countries I have had the privilege of visiting, Japan was by far the liveliest of them all. The nerves quickly turned into joy. Upon my arrival, I was warmly greeted by the staff of Hyogo Medical University. They kindly showed me around the campus and the hospital, which would be my home for the following month.

The first department I studied in was Anaesthesiology. The two weeks my colleague and I spent there were engaging, enjoyable, and a perfect start to the exchange. The culture shock came early. During the morning conference, we were asked to introduce ourselves to the entire department. This is something not usually done in Croatia. Although it felt strange at first, it turned out to be an excellent icebreaker, helping everyone feel more comfortable.

Our time in Anaesthesiology included the operating rooms, the Pain Clinic, and the ICU. Observing surgical preparations and the induction of anaesthesia allowed me to notice many differences between our healthcare systems, which I later discussed with the doctors. The team was incredibly kind and welcoming. Despite the language barrier, I always felt respected and well-supported. One of the most memorable moments of my exchange was witnessing my first anaphylaxis patient. The doctors reacted so swiftly and efficiently that I didn’t even realise what was happening at first. One moment, we were discussing antibiotics, and the next, ten doctors were in the room responding. The teamwork and coordination were inspiring.

I also spent two days in the Pain Clinic. I had only studied that topic in theory, never having the opportunity to observe the work of a Pain Clinic doctor. I found these days fascinating. The Pain Clinic team was outstanding. I was amazed by their ability to treat a wide range of symptoms. With techniques such as nerve blocks, they were able to dramatically improve patients' quality of life. Until then, it never occurred to me that certain problems could be solvedwith such quick and easy procedures. Chronic pain or autonomic nervous system dysfunction could be treated instantly.

The two days I spent in the ICU were equally impressive. The ICU is usually my favourite part of any department, and this was no exception. The diverse range of patients and diagnoses provided invaluable learning experiences. From pneumonia to strokes, I saw it all. What stood out the most was the ability to observe an improvement in the patient’s condition. Adjusting the treatment plan to aid their recovery, constantly checking laboratory findings showed the brilliance of the ICU.

In my third week, I joined the Urology department, a choice made on a whim. At the time of the selection, I was enjoying my urology lectures. This prompted me to make my decision and join urology in Japan. I did not regret that decision for a second. That week was filled with positivity, laughter, and extensive learning. From day one, everyone was relaxed and friendly. I was included in conferences, morning rounds, outpatient clinics, and surgeries. There was never a dull moment. I assisted with examinations and even scrubbed into surgery. The highlight came on my final day with the department: I had the chance to observe a robotic-assisted prostatectomy. I spent hours in the operating room, completely enthralled by the procedure. The doctors explained every step, making the experience even more rewarding.

Finally, I spent my last week in the Cardiology Department, a perfect way to end my time in Japan. My schedule was thoughtfully arranged, allowing me to fully experience this exceptional department. From ablation and pacemaker implantation to heart catheterisation and TAVI, I saw a broad spectrum of cardiological procedures. The doctors and nurses were diligent and always eager to explain, helping me compare everything with my experience back home. My favourite part of the rotation was the CCU. From the first day until my last, I wanted to spend all my time there. The staff and the cases I witnessed there will stay with me throughout my career. I assisted in emergency cases, performed ultrasounds, and gained insight into some of the most challenging cases in cardiology. One of my favourite cases was the PSVT patient from the emergency department. I saw everything. From the arrival of the ambulance to the treatment and discharge of the patient. I felt as if I were a part of the team because I was included every step of the way.

As much as I liked the cities I visited (Osaka, Nara, Kyoto, Hiroshima, Tokyo, and, my favourite, Kobe), it was the people I had met in Japan who made the greatest impact on me. Everyone was incredibly kind to us, helping us navigate both the culture and everyday life in Japan. It has left a lasting impression on me, and for this, I am forever grateful. I will cherish these connections and friendships for the rest of my life.

Saying goodbye to Japan, Hyogo Medical University, and the friends I had made was not easy — but it only shows how truly special the entire experience was.