31st Mar – 25th Apr 2019 (4 weeks)— Ratchapoom Kittiwattanasarn 4th year medical student, Khon Kaen University
Orthopaedics, Oncology & Respiratory Medicine, Neurosurgery
I went to the Faculty of Medicine, Shimane University which located in Izumo city, Shimane prefecture in western Japan. It is a small city but full of nice places and environments.
I have attended to in clinical elective program with my friend, Parn, for 4 weeks which are 2 weeks in Orthopedics, 1 week in Respiratory and Oncology medicine and 1 last week in Neurosurgery.
First 2 weeks, I had attended in Orthopedics department. I accompany with Shimane 5th-year medical student, We observed many operations: shoulder arthroplasty, decompressive laminectomy, etc. Moreover, we had observed in the OPD session, The professor demonstrated how to make appropriate history taking and focused physical examination including some special test in each patient. Differently, to Thailand, they emphasized in Rehabilitation. They serve individual comprehensive program for each patient. patient get rehabilitation program since they were in the hospital until they can go back to work.
My another week in Respiratory and oncology medicine department. It’s almost similar to Thailand. I was so surprised when my professor told me that the 65-year-old patient was very young for lung cancer, the average life span of Japanese is 87-year-old. and I was very impressed by my professor how he takes care of the patient by giving them a summary letter of treatment history for every patient to give them understand the disease. The last thing I like about this department is a morning conference activity that gave medical students to introduce themselves like habits hometown and future planning.
Last week, I had attended in Neurosurgery department. I had observed many operations such as superficial temporal artery (STA) to proximal posterior cerebral artery (PCA) bypass, posterior communicating artery aneurysm clipping and neurointervention.
In addition to academic achievement, I also got many new friends and learning many cultures and shared healthcare system in Thailand.