2024 Student from TU Dresden:Clinical training at the Dept of Surgery

Name: Emilia Marie Fitze
Home Institution/ Country: TU Dresden/Germany
Year of university: 6th
Designated department at Shinshu University: Department of Surgery (Gastroenterological, Hepato-Biliary-Pancreatic, Transplantation and Pediatric)
Training Period: from 30/12/2024 to 23/02/2025
Training: Clinical training

1. What made you come train at Shinshu University School of Medicine and how did you find the School through your stay?
My reasons for choosing Shinshu University School of Medicine for my surgical training were both academic and personal. A friend of mine participated in the exchange program between Shinshu University and TU Dresden last year and spoke very highly of his experience. His enthusiasm and the insights he shared about the university's excellent teaching environment and advanced surgical techniques motivated me to apply independently. Additionally, I have always been fascinated by Japan's unique blend of tradition and innovation, and I was eager to experience its medical system firsthand. The university's location in the scenic Nagano prefecture also appealed to me, as it offered the chance to explore Japan's beautiful nature.

My time at Shinshu University was a highly valuable experience. The doctors and staff were very welcoming, and the atmosphere was personal and supportive. I observed a wide range of surgical procedures and gained valuable insights into different techniques and approaches in gastrointestinal surgery. The structured and precise approach to surgery, as well as the high level of professionalism, left a lasting impression on me. This experience greatly enriched my medical training and broadened my perspective on surgical practice.

2. Please describe your training at host department/lab.
During my training at the host department, I attended morning briefings with the department's physicians on Tuesdays, Wednesdays, and Fridays, where patient cases were discussed and surgical procedures were planned. Following these meetings, I observed a variety of surgeries in the operating room, including both open and robot-assisted procedures. On Mondays and Thursdays, I participated in comprehensive conferences held jointly by the HPB and GI surgery departments, led by the head of the department. After these sessions, I joined the ward rounds, assessing post-operative patients and discussing their further treatment plans.

3. Please list what you have gained from your experiences through the training at Shinshu University and the stay in Matsumoto, Japan.
During my training at the host department, I gained invaluable insights into both surgical techniques and clinical decision-making. Observing a variety of open and robot-assisted procedures deepened my understanding of GI surgery, while participating in morning briefings and departmental conferences sharpened my ability to analyze and discuss complex cases. The structured exposure to patient care during ward rounds enhanced my clinical reasoning and post-operative management skills, significantly broadening my medical knowledge and practical expertise.
Beyond the medical experience, my time in Matsumoto was incredibly enriching, allowing me to learn more about Japanese culture and way of life. I was especially fascinated by the beautiful nature and landscapes surrounding Matsumoto, which provided a unique contrast to urban life. Since I will be spending another two months in the surgical department at Juntendo University Hospital in Tokyo, I am excited to experience and compare not only different aspects of Japan's healthcare system but also the differences in daily life between Matsumoto and Tokyo.

4. How do you think you can apply those experiences to your future career?
The experiences and skills I gained during my training will be highly valuable for my future medical career, regardless of my final specialization. Observing a wide range of open and robot-assisted procedures has deepened my understanding of surgical techniques, indications, and perioperative care, which are essential aspects of any clinical discipline. The structured discussions in morning briefings and departmental conferences enhanced my ability to analyze complex cases and make informed decisions - an important skill for any physician.
Beyond medical expertise, experiencing different aspects of Japan's healthcare system has broadened my perspective on patient management and hospital structures. The contrast between Matsumoto and Tokyo will further enrich my understanding of healthcare delivery in different settings. I hope to apply these insights to improve my adaptability and approach to patient care in my future practice.

5. Advice to those who are interested in studying at Shinshu University
For those considering studying at Shinshu University, I highly recommend taking the opportunity with an open mind. The university offers excellent clinical training, especially in surgery, with exposure to both open and robot-assisted procedures. Morning briefings and departmental conferences provide valuable insights into complex cases, enhancing clinical decision-making skills.
Beyond academics, Matsumoto's beautiful nature and welcoming atmosphere make it a great place to experience Japanese culture. To make daily life and interactions smoother, I suggest learning a few basic Japanese phrases for everyday use and communication in the hospital before arriving. Engaging with faculty and fellow students will further enrich both the professional and cultural experience.