INTRODUCTION

JAPAN MEDICAL EDUCATION ＶＳTAIWAN MEDICAL EDUCATION BY ISABELLE LOW HUI YING

CHUNG SHAN MEDICAL UNVERSITY

M6 STUDENT

　 　Ｔｏｋｙｏ ｍｅｄｉｃａｌ ｕｎｉｖｅｒｓｉｔｙ

　１ｓｔ ｇｒａｄｅ

　 　Ｃｈｕｎｇ ｓｈａｎ ｍｅｄｉｃａ　 　ｌ ｕｎｉｖｅｒｓｉｔｙ

　１ｓｔ ｇｒａｄｅ

general　medicine,　maths,　physics,　statistic,　biology,chemistry,latin,practice(medical　electronics,chemistry,biology)medical　law,german　language　or　french　language　,exercise　and　medical,medical　ethics,psychology,medical　history　,introduction　to　medical　information　concept

Biology(lecture　and　lab),　Chemistry　(lecture　and　Lab),　Chemistry,　Psychology　,Physics　(lecture　and　　Lab),organic　Chemistry　(lecture　and　lab)　Calculus,Physical　Education,Military　Training,　Nutrition　,Medical　Information　Concept, 　 English　Reading, 　Introduction　to　Music, 　MedicalTaiwanese, 　 Philosophy　and　Life　Chinese　.

ＴＭＵ　 　２ｎｄ ｇｒａｄｅ

ＣＳＭＵ　２ｎｄ ｇｒａｄｅ

gross　anatomy,human　anatomy,lab,biochemistry 　（ lecture　and　lab),medical　english,neurology,medical　ethics,histology(lecture　and　practice),molecular　biology,practice　of　biochemistry　or　physiology),pathology,immunology,　parasitology

English　conversation　,Sociology,　　　Biochemistry(lecture　and　lab),Medical　Law　&　Regulation,Medical　Arts　&　Humanities,Biostatistics,Medical　English,Physical　Education,The　Meaning　of　Life,Communication　Skill,Physician　and　Society,Medical　Psychology,Medical　History,Analysis　of　Medical　Dispute　Cases,Life　Ethics,Cancer　　Life　Management,Stories　of　Nobel　Laureates　in　Medicine,Nursing　and　Medicine,Disease-Misconstruction　and　Social　Prejudice,Molecular　Biology

ＴＭＵ3rd　grade

ＣＳＭＵ3rd　grade

medical　english,medical　ethics,　Pathology,　Pharmacology,　Microbiology　&　Immunology,　sociology　,clinical　medicine,　Obstetrics　&　Gynecology,　　Ophthalmology,　Otolaryngology,　Orthopaedic　Surgery,　Urology,　Physical　Medicine　and　rehabilitation,　Psychiatry,　Dermatology,　Anesthesiology,　Neurology,genetic　engineering　,　Dermatology,　Medical　Oncology　and　Hematology　

Histology　Lab　and　,Gross　Anatomy(Lab　and　lecture),Human　Anatomy　Lab,Microbiology　&　Immunology 　（ lecture　and　Lab） Parasitology　(lecture　and　Lab)English　Listening,　Medicine　and　Principles,Neuroscience　,Cardiovascular　System,Respiratory　science,Gastrointestine　,Kidney　and　Urogenital　System,Osteoarthrology　and　Myology

ＴＭＵ　４ｔｈ grade

ＣＳＭＵ　４ｔｈ grade

Internal Medicine, Surgical Medicine, Obstetrics & Gynecology, Pediatrics, Ophthalmology, Otolaryngology, Orthopaedic Surgery, Urology, Physical Medicine and rehabilitation, Psychiatry, Dermatology, Anesthesiology, Neurology, Family and Community Medicine, Radiology, Nuclear Medicine, Oncology, EmergencyMedicine,Gastrointestine,kidney and urogenital,endocrinology and metabolism,infectious control,forensic medicine.

Nuclear Medicine,Medical Imaging, Emergency Medicine,Physiology Lab,Pathology Lab,Pharmacology lab,Clinical Diagnosis and Physical Skill ,Pediatrics ,Basic Medicine and Principles,CardioVascularsystem,RespiratoryMedicine,Gastrointestine ,Endocrinology and metabolism ,Immunity and Infection,Hematology and Oncology,Family Medicine and Community Medicine ,English Paper Writing,English Writing for medical record,Toxicology, Chinese Medicine &Acupuncture

General English Proficiency Test

Ｎ ational doctor qualification examination stage 1 (1 DAY 200 ｑｕｅｓｔｉｏｎ）

ＴＭＵ　５ｔｈ ｇｒａｄｅ

ＣＳＭＵ　５ｔｈ ｇｒａｄｅ

Ｃｌｅｒｋ ship　 Emergency medicine,Psychiatry,Urologic Surgery,Gynecology.Pediatrics ,Fundamentals of Orthopaedics,Neuroscience,Gastrointestine, kidney and Urogenital System,Medical Oncology and Hematology,Ophthalmology,Otolaryngology and Oral medicine, Endocrinology and Metabolism,(Practice) clerkship

ＴＭＵ　６ｔｈ ｇｒａｄｅ

ＣＳＭＵ　 　 　６ｔｈ ａｎｄ ７ｔｈ ｇｒａｄｅ

national　doctor 　qualification　exam（ 3days500question　）

Internship in Internal Medical ， Obstetrics &Gynecology ， Surg ｅｒ y ，PediatricsNational doctor qualification exam stage 2 (clinical)【 2days320question ）

OUR RELATIONSHIP In order to help to develop personnel who will be

internationally active, Tokyo Medical University is promoting very lively international exchange programs. Internationally, ChungShan Medical university, Taiwan are sister schools, and Tokyo Medical University actively promotes study abroad programs.

Narita Airport With ESS Member

1ST

DAY

ARRIVAL

=excited

1ST　DAY　ARRIVAL　

Cosmo 　house 　

3rd day schedule

orientation =educational journey began

MY　CLERKSHIP　IN　TOKYO　MEDICAL　UNIVERSITY　HOSPITAL

=broaden my view&scope of knowledge

1st　coursegeneral　medicine　and　primary　care

　 1ST　WEEK 　 SCHEDULEDATE Morning Afternoon1:00pm

3/1Monday　 Outpatient　clinicsTalk(　 Ｄ r.otaki)

Met　with　Dr　hirayama

3/2Tuesday　 Outpatient　clinicsLunch　with　(　 Ｄ r.otaki)

Outpatient　clinicsEvening　conference5:30pm

3/3wednesday

Morning　conference(the　way　to　approach　patient,history　taking)　Drug　conference12pm

Smoking　cessation　unit(Dr　hirayama)Evening　conference

3/4Thursday　 Outpatient　clinics　 HIV　and　HemophiliaClinical　laboratory　ward　and　OPDDinner　with　residents

3/5Friday　 OPDLunch　with　residents

Smoking　cessation　unit(Dr　hirayama)Evening　conference

3/6Saturday　 Graduation　ceremony Dinner　with　junior

3/7　sunday Asabujuban　with　ESS　member

Date　 morning afternoon

3/8monday Outpatient　clinics Infectious　control　dep.conference　

3/9tuesday Morning　conferenceOutpatient　clinics　

Infectious　control　dep.chart　round　Evening　conferenceSnow　rain

3/10wed Morning　conferenceOutpatient　department　Drug　conference

Smoking　cessation　unitEvening　conferenceDinner　　and　karaoke　with　residents　

3/11thursday Outpatient　department　Lunch　with　residents

Evening　conferencesummary

3/12friday Ueno　park　with　ESS　member

Metropolitan　building

3/13Saturday Narita　airport

3/14Sunday　 Shibuya　

　　 2ND WEEK SCHEDULE

2nd　rotation　Emergency　medicine

SCHEDULE

serious ,fast paced,challenging and busier work.

　　 3rd week scheduledate Morning8.30am Afternoon1.00pm

3/15(Mon.) Morning　conference,journal　reading　(7.30am)Chart　round(8.30am)Emergency　room

Emergency　roomInpatient　wards

3/16(tues.) Morning　conference(8.30am)Emergency　roomInpatient　ward

Emergency　roominpatient　ward

3/17(Wed.) Emergency　roomDrug　conferenceInpatient　ward

Emergency　roomInpatient　ward

3/18(Thurs.)

Morning　Conference(Dr.schwab)Emergency　room

Emergency　roomInpatient　ward

3/19(Ｆ ri.) Combined　meeting　with　neurosurgeon(8.00am)Emergency　room

Emergency　roomInpatient　ward

3/20-3/22(Sat-mon)

Odaiba　with　ESSmember

　　 4th&5th week scheduledate morning afternoon

3/23(Tuesday) Emergency　roomChart　round

3/24(Wednesday) sick

3/25-3/28(thursday—Sunday)

Emergency　room Trip　to　sapporo

3/29(Monday) Journal　reading Emergency　room

3/30(Tuesday) Morning　conference Emergency　room

3/31(Wednesday) rest Emergency　roomNight　shift

4/1(Thursday) Morning　presentation rest

4/2(Friday) Morning　conferenceEmergency　room

4/3(Saturday　) Hanami　with　pro.izumi　family

4/4(Sunday) Asakusa　with　residents

My 3rd rotationgeriatrics department

Fruitful,refreshing ,promising

date Am9:00 pm1:00

4/5　Monday　 Orientation-inpatient 　Ward（ 15f　west)

Inpatients　ward　and　Group　conference

4/6　Tuesday　 Lecture　on　ageing　and　elderly　patient

Lecture　on　geriatric　syndrome（Dr.Iwamoto）

4/7　Wednesday　

presentation-round　(Dr.sakurai)

15f　inpatients　wardCardiac　echo

4/8　Thursday　 Dementia　（Dr.Hanyu) Inpatients　wardIVH

4/9　Friday　 Lecture　on　comprehensive　geriatrics　assessment　

Inpatients　wardPEGHarajuku,ometesando　with　friend

4/10　Saturday　

Lunch　with　resident

4/11　Sunday　 Nakano　with　aunt

6th week schedule

7th week scheduleDate Morning 9.00am Afternoon 1.00pm

4/12　Monday　　 Morning　conference　(8am)

Team　conferenceこらくえん with　friend

4/13　Tuesday　 かくらざか Dinner　with　Yuri

4/14　Wednesday　

Presentation(8am)Dr.iwamoto

Bone　marrow　aspirationOutpatient　dementia　clinics(Ｄｒ .Sakurai)ESSwelcome　party

4/15　Thursday　 Inpatient　ward Outpatient　ward(Dr.Iwamoto)

4/16　Friday　 Lecture　(Dr.iwamoto)Inpatient　ward

Inpatient　wardFarewell　Party　

4/17　Sat。 Inpatient　ward Lunch　with　nurse　

4/18　Sunday　 いけぶくろ with　friends

Last rotation cardiology department

8th week scheduleDate Morning 7.30am Afternoon1.30pm

4/19 （ Monday)

Morning conferenceChart round(Dr.yamashina)Lunch with 　 (Dr.yamashina

Pacemaker insertion(op.room)

4/20(Tuesday) Inpatient ward(18 Ｆ） 9.00amCatherization

PCI(5F)ESSwelcome party

4/21 （Ｗednesday)

Morning Ｃ onferenceInpatient wardDrug conference(12pm)

Lecture on heart failure ( Ｄｒ。たかだ）Evening conference5.00pm

4/22(Thursday ) Inpatient ward 9amLecture 10.30am

Physical examinationCardiac echo(4.30pm)

4/23(Friday) Morning conference Inpatient ward&op.room

Catheterization(3.30pm)Dinner with Dr.Mishima

4/24(Saturday) Suidobashi(laqua)

4/25(Sunday) Tokyo tower

9th week scheduleDate　 Morning　7.30am Afternoon1.30pm

4/26（Monday)　

Morning　conferenceChart　round(Dr.yamashina)CCU

Lecture　on　valvular　diseaseOp.room(3pm)Farewell　party　

4/27(Tuesday)

CCU9.00amCatherization

Farewell　party　

4/28（Wednesday】

Morning　ConferenceCCUDrug　conference(12pm)

Catheterization　conference

4/29（ Thursday　）

Ghibli　musuem

4/30（ Friday ）

Morning　conference　CCU

CCU

5/1(Saturday)　

Packed　luggage

5/2(Sunday)　 Narita　airport　to　Taoyuan　international　airportback　to　Taiwan

CCU =interesting , challenging

CONCLUSIONTMU:prepare　good　physicians　and　researchers　has　an　excellent　faculty,　up-to-date　equipment,　and　well-constructed　teaching　programs.

medicine　is　a　humanist　industryMedical 　 care:Patient　=centerMedical 　 knowledge:most　valuableClinical 　 experience:practice　makes　perfect 　Medical 　 information:science　&technologyCommunication 　 skills:good　curesHumanist 　 spirit:virtuesEthical 　 considerations:first　principleLifelong 　 learning ： never　too　late　to　learn 　

さいごに・・・

ありがとうございました

•Four　rotations=Meaningful,Fruitful

•Eye-opening　experience

•unforgettable

Moment with pro. izumi=Thanks for taking care of us&always be with us

Make good friends; friendship=forever

Moment with ESS member ＝ enjoyable

lunch box =never forge ｔ＝ delicious

wonderful trip =meaningful&fruitfully

THANKS FOR ATTENTION