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HOME > 国際交流 > 留学体験記 > Report of Oversea Clerkship Program in Osaka City University

Report of Thomas Jefferson University

Masaya TSUTSUMI
 
Philadelphia
Country
Thomas Jefferson University
School
8th August to 12th August 2016
Elective period

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Report of my studying at Thomas Jefferson University

 This program of studying at Thomas Jefferson University (TJU) was the first opportunity for me to see the medicine in the U.S. directly. Thanks to this program, I had a meaningful time in that I was able to see and hear many things. Through this practice in the U.S., I can think of the Japanese medicine and act as a doctor from the international point of view from now on. Therefore, I think this experience is precious and important. In this program, I mainly observed the activity of internal, emergency, family medicine and pediatrics. I also visited Chinatown Clinic.
 In this report, I would like to tell you about the impressive difference between medicine in the U.S. and in Japan that I learned there. At the department of internal medicine, one team consists of about four members, residents and senior doctors. They have a meeting every time before they see the patients and make a round together. In Japan, several doctors also take part in the treatment for one patient. Then, conference and professor rounds are held by all members at the department. However, in this regard, I think acting mainly by small groups is more rational and better way to discuss deeply and take measures to the situations. In fact, at the meeting they discussed about one patient for a long time. This is good not only for the patients but also for the residents because they can learn a lot of things through the discussion.
 Moreover, at the department of pediatrics and family medicine, doctors not only take care of patients but also check the health conditions of the people and development of children. I heard primary care doctors at university hospitals and local clinics do this activity in the U.S. I think this helps people undergo the physical examination and keep healthy more easily because they can see their regular doctors every time. What is more, one patient consults a doctor for thirty minutes on average and the doctor communicates with the patient closely in addition to interviewing and examining him or her. It may be difficult for doctors in Japan to see patients similarly because there are many differences between the medical system in Japan and in the U.S., but I think we should learn many things from them about the attitude to patients.
 At Chinatown Clinic, furthermore, I observed doctors' giving medical examination to patients who can't see doctors at ordinal hospitals because they are uninsured or they can't speak English. Doctors here mainly treat the symptoms or refer patients to other hospitals for free. I was impressed because these supportive examinations are unique to the U.S., where people from a variety of backgrounds live together and many people buy voluntary insurance. And I realized that public health insurance system in Japan is a great system, in which we can take pride to the world.
 As stated above, I experienced many things through this practice in the U.S. I would like to make maximum use of this experience and continue to make efforts. I will recommend this great program to my juniors. Finally, I would like to express my sincere gratitude to all the people who gave me this opportunity to study abroad. Thank you.