PRACTICE IN JEFFERSON HOSPITAL

1. What I saw in this stay

- Emergency Medicine
In the first day, I visited there. So I felt very nervous. I was surprised that pharmacists worked in the same place. I think that was good because it was very easy to consult each other. In Japan, I did not see pharmacists at the inpatient department. I saw patients with sickle cell disease and knew that was common in the U.S. So there is a sickle cell clinic. I think this is a good experience to know the disease witch I cannot see in Japan. However, I felt that almost all patients were mild symptom. If I could, I would like to stay in the ER at night.
-Internal Medicine Inpatient Rounds
I was surprised when I saw patient’s rooms, because most of them are one person each. In the rounds, medical students discussed about patients with doctors. I felt that the medical students were more active than in Japan.
-Outpatient Family Medicine
I followed the 4th grade medical students. They took history, did physical examination, made their plan and then did presentation to the attending physician. That was a good training for students. I saw the student as if she was a resident.
-Outpatient Pediatrics
I followed attending physician. I saw history taking with healthy babies who they would take preventive vaccinations. I think the physician took a lot of time for patients.
-University Clinical Skills and Simulation Center
That was very huge. I was surprised that they had the computers which we could simulate the cholecystectomy. The lecture of Dr. Majden was very helpful for my study.
-JeffHOPE
JeffHOPE is an association which was developed by students. Their activity is to go to shelters and to care homeless. I think that it is good both homeless and students. Homeless can be treated, and students can learn what medical care is. I was very impressed, because students could prescribe medicine at that place if attending doctor checked.

2. My Impressions

This experience is my treasure. I strongly recommend this program be continued. If I could, I would like to practice taking history. I really thank Dr. Sato, Dr. Gonnella, Dr. Ishimura, Ms. Radi, Ms. Sato and for all persons who took part in this program.