exchange clinical observation! in Osaka Medical college

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1 exchange clinical observation! in Osaka Medical college Ling Hsin / Taipei Medical University!!

2 Regarding to the one-month stay in Osaka Medical College, to me it is an experience that would be definitely considered extraordinary than any of others. Before I came here to OMC, I have had many experiences of many exchange programs. I didn t actually expect this time would be any thing different than the past experiences. However, the hospitality, thoughtfulness and warm relationship with the staff and students in OMC made me hard to ever forget this month. And what I have been through here is incomparable. We had been lucky to visit Kansai in time of the cherry blossom season. Despite the many times of travel to Japan, this is the first time I see cherry blossom in Japan, and especially in the Kansai area, where I believe to have the heaviest traditional Japanese atmosphere. I also learned this was a season of farewell party and welcome party. I got to know more about Japanese Culture. In OMC, I could see doctors always try to make contribute to young generation and treat them as trustworthy individuals. They mentor the young and lead them on the path to maturity step by step. That really has impressed me. In fact, many hospitals back in Taiwan do not treat us as good as in OMC. Especially some popular departments have some senses of

3 superiority and disdain the medical students or young faculties. They don t think they have the responsibility to instruct the young generations. And students must try every mean to please them to earn some chance to learn. This is the opposite to what I have experienced in OMC, and the latter always gained much of my appreciation during my stay. Thanks to Nakayama Center, our schedule in OMC was pretty set up before we arrived and all we needed to do was to dedicate ourselves into the adventurous life and fully enjoyed it! For the first day of exchange program we got to see Doctor-Heli in Osaka University. I knew how valuable this privilege to go to Osaka University is from my past experience in Japan and had been expecting it long ago! I am a big fan of Japanese drama, and I can recall that several years ago I ve seen the drama Code Blue, which was just like the same as we saw in Osaka University Emergency Center! Ophthalmology Next day, I visited ophthalmology department. I am pretty interested in ophthalmology and this is definitely enriching to me seeing so many different exam machines in this department. I ve observed ophthalmology in both Taiwan and the US. Now this time in Japan I see a more different style. I was pretty amazed at how the out patient clinic used the remote controlled light that can quickly swapped between bright and dark room, which really facilitated the process of ophthalmological examinations. I didn t see this being used

4 even in the US and I think we should introduce this back to Taiwan as it is just as busy as in Japan! The ophthalmology department in OMC is pretty prestigious and thanks to the wonderful arrangement of Nakayama Center, I had the chance to observe the surgeries in two afternoons. There were so many different types of ophthalmological surgeries in OMC hospital and two kind and young doctors trying to describe every detail in both Japanese and English to me. Whenever I had questions, they showed me some real good textbooks for my references. The environment was so welcoming and doctors treated me warmly, making me feel touched and totally not lonely on the first day being alone in OMC. Pediatrics and Dermatology When visited pediatrics and dermatology, I had a mission from Taiwanese doctor to learn the difference between Japan and Taiwan. The pediatricians and dermatology in OMC are unbelievably gentle and soft-hearted. Every time I came to a new department in OMC, I always have new sense of feeling. I can see all the staff working hard together for sick kids patients. In pediatric I studied the x-rays of children with the doctors and went to the rounding. Also I observed lower GI series. There are so many doctors working with one child at

5 the same time. By this not only the children can receive the best treatment, but the young doctors can also learn under senior doctors supervision. In Dermatology I got to out patient clinic, and how they use microscope to make diagnosis. I took back some great teaching materials with me. And they gave me a more than great memory. Clinical teaching Later on we have moved around from department to department day to day. I have observed in OB/GYN, General and Gastroenterological Surgery, Thoracic and Cardiovascular Surgery etc. The simulation center in the hospital was very impressive. In taiwan, most hospital I had been to did not provide this advanced simulating equipment for students to practice. There are models named Hanako and Ichiro for us to practice auscultation, endoscopic simulation machine, laparoscopy dry lab and all the materials we need to practice suture. I felt I could spend the whole day in simulation center to learn and never lost my interest! On the third Monday, we had a special day with OMC second grade students in Anatomy. On that day they were having a

6 small oral exam on the parts that they have dissected. It was very nice to see how many cadavers they had and how much time student can spend on Anatomy class. This day also recall my memory in Anatomy class many years ago. In Taiwan we must learn all the body parts in English, therefore I was surprised when I saw Japan medical students can learn everything in Japanese. Some of the students can answered in English, I believe they must have spent extra time learning! The same week we visited Osaka Mishima Emergency Critical Care Center. It is a very unique center designed specially for emergency need. Therefore, unlike ordinary hospitals, Mishima center has almost no out patient clinic. On the other hand, all the staff are specially trained for emergency conditions. The interior design of the hospital facilitate the process of admitting an emergency patient. CT scan, MRI, angiography and many other things can be done in a close distance and right after admission of a patient. The staff in Mishima Center are also so kind and gentle to us. From this observation, I believe patients in urgent condition can receive the best treatment in Mishima center. This is a very advanced design that is not usually seen. The beautiful time I have had in OMC set me more sorrow when the separation came. I miss the doctors and students who treated us so nicely. Prof. Hayashi made me understand more about the essentials of Japanese culture, and is like our father in OMC. Prof. Hanafusa gave us great chance to see around OMC, Kyoto University and other associations. Mr. Ogawa and Ms. Matsumoto always help us a lot. And the cute and smart students from OMC always made us feel like we

7 have been old friends since the first moment we met. Even until now I still feel like I am an OMC student. I believe this experience will help all of us very much in the future. And hopefully with this relationship, we can meet each other together again.

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