Timon Leskeさん

Dear readers, I hope this report gives you great insight about my delightful time in Japan.

As I prepared for my medical internship, I knew that understanding the language would be crucial for eff e communication in a hospital setting. Thus, I enrolled in a Japanese language course at Würzburg University and supplemented my learning with Duolingo and YouTube - Learn Japanese with JapanesePod101.com had some great resources, focusing on key phrases and learning Hiragana and Katakana. This foundational knowledge was important in easing my transition into the healthcare environment in Japan and showing respect. Do not be fooled however, my Japanese skills were still rudimentary and not sufficient for a full communication. The language is extremely difficult and so most of my communication was done using English. Concerning travel arrangements, I opted for a flight that cost approximately 1100 Euro and routed through Taipei, as I preferred to avoid a transit through China despite the lower costs associated with that route. Financially, I prepared by applying to PROMOS Scholarship. I was not bringing cash, relying instead on two reliable debit cards - DKB and Revolut getting my cash at one of many convenience store ATM. Just be sure to select credit and the yen as currency of choice, so you get the conversion rate of your card and not from the ATM machine. Cash is king in Japan and Germany alike. My packing list prioritized warm clothing, essential for the chilly March weather and the typically poorly insulated Japanese homes. Additionally, I secured an eSIM for my phone, which was the most economical option for mobile data, ensuring I stayed connected throughout my stay.

My clinical training commenced in the Radiology Department under the supervision of Takaki- Sensei. On my first day, I was escorted by Madoka from the international office to the department where I was warmly welcomed by the team. The rotation began around 8:30 to 9:00 AM and in the evening of the first day the department hosted a welcoming party, where I had the opportunity to introduce myself and get to know the whole department. The two weeks in radiology were highly engaging and passed incredibly quickly. I received outstanding hospitality and was constantly supported by a physician who answered all my questions. The team was attentive to my research interests, integrating me into their ongoing projects and even involving me in an international symposium held in Osaka. Throughout my stay, the team’s English proficiency, although varied, was generally good and facilitated eff e communication. Daily activities typically started in the Interventional Radiology (IVR) department, where I observed and assisted in various proce- dures. The physicians were eager to demonstrate and explain the techniques being used. I also trained on simulators, such as for ultrasound-guided central venous catheter placement and spent time learning with models rather than actual patients due to restrictions on student involvement in patient care. In the afternoons, I attended lectures that often involved analysing CT scans to identify pathologies. The department also generously provided delicious bento boxes for lunch, on top of that I had the option to eat at the university cafeteria for free. My training in the Anesthesia Department began usually around 7:50 AM, although I was typically allowed to start at 8:30 AM since the morning conferences were conducted in Japanese. Here, I observed various anesthesia procedures and received in-depth explanations of airway management, including lear- ning intubation techniques on simulators. The department, being larger, had a less personal but very professional atmosphere. The team was young and dynamic, which contributed to a sup- portive learning environment. The Pain Clinic offered an insightful perspective into specialized medical procedures. I observed numerous techniques, particularly ultrasound-guided nerve and ganglion blocks. The training here also included learning procedures such as lumbar punctures

and epidural anesthesia, practiced on models.

During my internship in Japan, my leisure time was filled with cultural exploration and interac- tions that enriched my experience. Weekend trips were a highlight, providing the perfect escape to discover the historical and natural beauty of Japan. I visited Nara, Hiroshima, Kyoto, and Koyasan, with each location offering unique insights. Koyasan stood out as a personal favorite due to its serene environment and spiritual significance.In Osaka, known as the kitchen of Japan, the exploration of its vibrant culture and culinary scene was particularly exhilarating. I enjoyed regular runs in Shikagawa Park after my shifts, which was a refreshing way to unwind and soak in the local atmosphere. Participating in sports activities at the university gym, where access was free, allowed me to interact with Japanese students in a relaxed setting. These students, especially those from the English club, were incredibly welcoming and facilitated various social events that enhanced my stay. They were eager to share their culture and often invited me to join them in exploring local eateries and popular spots, making my experience feel truly immer- sive and authentic. Communication with the students was surprisingly smooth; even those who did not speak fluent English were enthusiastic in making connections, celebrating cultural diffe- rences in fun and engaging ways. This social interaction extended beyond organized club events, as students often approached me in the cafeteria to chat and plan activities. These moments underscored the warmth of the friendships I formed, some of which I believe will last a lifetime. Lastly, living as a vegetarian in Japan presented its own set of challenges, particularly because many local dishes, including ramen, Sushi, Okonomiyaki, Takoyaki etc commonly contain meat. As a vegan in Germany, I aimed to maintain at least a vegetarian diet during my stay. Despite the difficulties, vegetarian soba noodles and Onigiri became a staple in my diet, and I frequently cooked in our well-equipped guest house kitchen. While Osaka was not the easiest place for a vegetarian, the cultural and culinary experiences were well worth the adaptation.

Reflecting on my time in Japan, the experience was unforgettable and transformative. The friend- ships I made, coupled with the professional growth I experienced, have left a lasting impression on me. The generosity and kindness shown by the Japanese people, especially my peers and mentors, made me feel at home in a country far from my own. This journey was not just about gaining medical knowledge and skills, but also about personal growth and understanding different ways of life. To anyone considering a similar opportunity, I would say: be bold and apply. The challenges are part of a journey that opens up a world of new perspectives and possibilities. My time in Japan was a unique blend of learning, adventure, and meaningful connections, and I am eagerly looking forward to the day I can return or meet my friends again, wherever that may be. The experience is one I would recommend without hesitation, as the personal and professional benefits are invaluable.