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Overwhelmed by Good Hearts and Good People

Filed under: GEMx Global Network GEMx Student Ambassador Network GEMx Student Reflections Uncategorized

Post by Syafaf Humaira Binti Aman, global exchange student from Penang Medical College (Malaysia) who recently completed a GEMx Exchange at University of Sharjah in United Arab Emirates.

Who knew, a split-second decision of applying for GEMx Electives, and travelling alone to a country which was 5000km away from home would bring such an impact to my life – especially my medical student life. My name is Syafaf Humaira Aman and I am currently a final year medical student from Penang Medical College, Malaysia.

I’ve always known by my friends as a person who would leap into any great opportunities that comes and this was definitely one of those opportunities that I had decided to venture upon. Despite of that statement making me sound all very brave and courageous, there was still a hint of nervousness and anxiety when I got on the plane, heading to the UAE for my electives. This was the first time I solo-travelled, my first time going to a country that I am very unfamiliar with, and also my first time being a part of a new student community – alone.

Smiling young woman and young man by palm trees shops and restaurants

With Fuad, the student ambassador from University of Sharjah

All the worries and anxiousness slowly started to dissipate away when I was greeted by Fuad, the student ambassador from University of Sharjah (UoS) and his friend Dalia at the airport. Starting from the first meet up, up until the very last day of my stay in UoS, they had definitely helped me a lot – from helping me to settle down in my new dorm, helping the administrative officer to arrange my hospital posting, and introducing me to most of their friends so that I wouldn’t feel very lonely throughout my stay. I truly owe them a lot, as it was so much easier for me to blend in and get used to the new campus life with their help.

One thing I’ve learnt a lot from this experience is actually travelling alone isn’t as bad as I thought it would. It used to be a scary thought back then, but after this elective programme, I’ve came to learn that more opportunities tend to open up when you travel alone. When you’re all alone, you’ll be forced to get out of your comfort zone, and you’ll be ‘pushed’ to make a whole bunch of new friends. Without you even realizing, you’ll find yourself meeting new people, making connections with people that you’ve never intended to meet, and getting inspired by their life stories. This includes meeting a fellow Malaysian occupational therapist who had been working in the UAE for the past 8 years. It was amazing to get to hear her life experiences over there.

As for my clinical posting, I was being posted to Al-Baraha Hospital in Dubai under the Surgical Department. Truth to be told, it was definitely one of the best clinical experience I’ve ever went through my whole life as a medical student!

student posing with group of fellow students and instructors

With surgical team in Al Baraha Hospital, Dubai

The surgical team consisted of this set of surgeons of different nationalities, with years of experiences working at different regions of the world before. One thing I am truly awed was to see how dedicated these surgeons were, in both healing the patients and teaching the students. Despite their tight schedule during the OT days, they would still make time to teach us in the operation theatre, as well as in between the surgeries. Sometimes they would let us hang around at the surgeons’ lounge and they would share their experiences with us students too.

Instructing Surgeon and student in surgery

Me assisting in one of the surgeries done at the hospital while being assisted by the surgeon

During this posting too, I was fortunate enough to be given multiple chances to assist in several surgeries, guided by these aspiring surgeons. Even though the tasks that was given were pretty minor, but it was already more than I bargained for, and come to think of it, it was a fair start for me as a medical student. It was definitely a great exposure for me, one that I would never experience back home. I couldn’t help but to be thankful for these surgeons had never failed to make me feel as part as their team. At times, they would even introduce us students to the patients as the ‘training surgeons’ who had made them (the patients) feel better, and it was definitely one of the best feeling to hear the patients thanking you profusely for treating them. All in all, it was never a day that I wasn’t looking forward to step into the hospital as I knew I would be greeted by them with smiles and the day would then be occupied with bed side teachings, teachings at the outpatient department and multiple case discussions with the whole surgical team.

smiling students outside of hospital

With my groupmates after our daily clinical bedside teachings

My groupmates in Al-Baraha Hospital were truly amazing too. They were all very friendly and my four weeks at the hospital would have never been the same without them. In between the bedside teachings, or after we’ve all clerked patients, we would then be discussing the cases together, sometimes recalling what the surgeons have taught us by the end of each day. Sometimes these so called ‘hangout’ sessions would be filled with us sharing stories about each other’s families, travel stories, and favourite past times. One thing I find interesting in the UAE is that, all of the students there mostly originates from somewhere else outside of the UAE. Some of my groupmates for instance, were originally from Syria, Palestine, Turkey, Egypt and many more. Although they have stayed in the UAE for most of their live, they would still go back there once in a while and they would then share their stories and how their culture are back home. Not just that, they would also be the ones to prepare a long list for me consisting of interesting places I need to visit, and food that I need to try throughout my stay.

smiling girl by waterfront

Me at Madinat Jumeirah, with the Burj Al-Arab in the background

On the weekends, I would then take the opportunity to travel around Dubai, and explore the city as much as possible. The famous Burj Khalifa, Burj Al-Arab, the souqs and the beaches in Dubai were all truly breath-taking. I had even managed to make my way to Abu Dhabi on one of the long weekends during my stay in the UAE. Although it was pretty taxing to travel from UoS to Dubai, it was always be worth it. Taxing, because the transportations were pretty expensive, especially when you’re travelling alone, so sometimes I would need to opt for multiple forms of transportations in order to get to the places that I wanted to go. However, it definitely taught me the value of perseverance, independence and the importance of planning ahead of time.

All in all, not only I had gain ample amount of new knowledge within the medical field, but I had also obtained countless life lessons throughout this elective. It was a whole new level of experience which had definitely built my confidence and I hope that I could emulate all of these invaluable lessons throughout my life as a person, and a medical doctor in the future. I would like to extend my gratitude to GEMx for this once in a lifetime experience, and for encouraging me to step away from my comfort zone, and experience all of this. Not to forget Dr Nabil Sulaiman and Dr Osama Seif for being my supervisors over at University of Sharjah and Hospital Al-Baraha.

Inspired By Life- Elective experience in Manipal, India

Filed under: GEMx Global Network GEMx Student Ambassador Network GEMx Student Reflections

student standing by Kasturba Medical College Manipal sign

Post by Yik Chin Low, GEMx global exchange student (and GEMx student ambassador!) from Penang Medical College (Malaysia) who recently completed her GEMx Exchange at Kasturba Medical College – Manipal in India.

I always want an opportunity to learn medical in India as I have lot of friends sharing their experience there with me and I found it could be challenging to me. Thus, I applied to do my elective in Kasturba Medical College in India under Gemx as it is well known as top 10 medical school in India over years.

When I first arrived, I met a lot of Malaysian as well. They were curious on my choice to do my elective here rather than other developed countries but I believe that India as an underdeveloped country is the place where you can experience different healthcare system that could not be obtained in the home medical school and it’s teaching hospital. Thus, I want to use this opportunity to attain experience in the management of uncommon diseases.

exchange student surrounded by host school students

In the ward with KMC-Manipal students

I am honored to be guided by Professor Rama Bhat. He taught me a lot during the ward rounds as well as in the clinic session. However, language is always a barrier to me and I am lucky enough to have the final year students who are willing to translate for me. I realize how common TB case in India and it becomes  a taboo for them to even mention it and they called it Koch’ disease instead, same goes to leprosy and they only mention Hansen disease.

student standing next to her faculty supervisor

In the ward with my supervisor, Professor Rama Bhat

I have seen so many different cases that I never see in Malaysia and most of the patients presented to the hospital only when the symptoms get severe.  I remember how surprise I was to see a really bad case of Rhematoid Arthritis with severe deformities of both upper and lower limb and the chik’s sign on Chikukunya patient that I never even heard of the name. Through the ward rounds, I was able to join the discussion on different cases presented . The students here are genuinely smart and taught me a lot as well. They are so friendly that they always helped to translate the language when I have difficulty understand the patients.

Most of the patient here are of low socioeconomic and some of them don’t even have money to pay for the big sum of medical expenses. It is heartbreaking to see the family members lying all around the floor besides the bed while taking care of their family.

I also learn how important of the ethical and professionalism and come to realize how patients are reliable on the doctors’ judgement that they put their life on your hand.

The culture in India is another thing that Iearn. For instance, there is no secret in neighbourhood in India, and news spread real fast. Also, when any car accidents happen, there will always be a big crowds on either side of the party even though none of them are related to the accident or the person involved. However, the good thing is whenever things happen, there are  always someone there to lend you a hand.

Indian food selections

Indian food selections

I first came here with fear of hygience of the food here but after a week I fell in love with different types of Indian food here.

Furthermore, the visit to the museum of anatomy in KMC had indeed open my eyes and I can never find any more awesome museum that this one. It is really astonishing to actually witness with your eyes how the tumour cell can invade the body cell and the changes seen on the organ itself with your own eyes.

I also get an opportunity to travel around Mangalore. The beach in St Mary Island  is breathtaking and I like how spontaneous the people here. They literally just dance on the boat while the music is on. It is pretty amusing.

girl on beach

My weekend trip to St. Mary Island

I learn to self- improve on my inadequacy and work hard on my dream to be a great doctor because in the end, what you learn today might save a patient life another day.

Thanks so much to GEMx, I have this wonderful experience and It definitely going to help me a lot in my future. I have seen the medical care system in Ireland, Malaysia and India and it definitely give me a better understanding and I learn to appreciate what we have and know what to improve on.

Student Exchange From MOSC Medical College (India) to Penang Medical College (Malaysia) by Prannoy Paul

Filed under: GEMx Global Network GEMx Student Reflections

Post by Prannoy Paul, Medical Student at Malankara Orthodox Syrian Church Medical College (India) who completed a GEMx Elective at Penang Medical College (Malaysia)

Our institution, Malankara Orthodox Syrian Church Medical College, Kolenchery, Kerala, India, has always encouraged students to get more exposure in medicine by attending various medical competitions and medical student conferences happening around the world. It was in December 2016, that the GEMx coordinator of our institution, Dr. Anna Mathew informed me that I and my friend Kiron are selected for the GEMx student elective for the year of 2017 from our institution. I was really excited hearing the news, but I was also uncertain about how it is going to be or where should I be going.

Photo of MOSC Students at Airport

At the airport

While we were discussing about which institution to apply for the elective, it so happened that the GEMx representative from USA, Mr. Justin Seeling visited our institution for the promotion of GEMx. We had an opportunity to talk with him and he recommended that Penang medical College, Malaysia would be a good choice for us. So we contacted Penang Medical college, sent all the documents required and we got approved for the elective in the department of Surgery for the month of May, 2017.

Photo of Penang Medical College Taken by MOSC Students

Penang Medical College (PMC) is a private, Malaysian campus owned by two world-renowned medical universities in Ireland, the Royal College of Surgeons in Ireland (RCSI) and the University
College Dublin (UCD). PMC is affiliated to the Penang General Hospital, also known as Hospital Pulau Pinang, which is very near the medical college campus. Being the largest public hospital in Penang with 1090 beds, Penang general hospital is always busy with patients.

Photo of MOSC Students with Professors of Surgery and Medicine

With Professors of Surgery and Medicine

On our first day at PMC, we were introduced to Penang Medical College and Penang General Hospital by the administrative officer at PMC, Ms. Masitah Sihabudeen and we got an orientation session about the college. Our supervisor for the elective was Dr. Premnath, the head of Department for Surgery at PMC. We were grouped along with the final year students there at PMC.

Photo of MOSC Students with With Surgery Unit C2 at Penang Medical College

With Surgery Unit C2

In the mornings, we had to go to the wards to clerk the patients and take cases. Patients spoke mainly Malay, Chinese and English. For the patients who spoke Malay and Chinese, we were provided with translators to help with our communication. The students there were also very helpful in our communication with the patients. I was able to see and understand many diseases that are not very common here. We discussed often about the variety of diseases and surgical conditions that present to the hospital, and how it was different in India.

In the afternoons, we had various sessions like seminars, tutorials, case presentations etc. Professors and students ensured that I actively participate in those sessions and asked me to explain how various procedures were done in my country and how it was different from that being done in Malaysia. Those sessions were filled with lots of fun along with gaining new knowledge .Our classes in the mornings would begin as early as 7 am on some days and the afternoon classes typically lasts till 5pm. Saturdays and Sundays were holidays. Apart from that, there are also many local holidays every month in Penang due to the rich cultural heritage of the city. Throughout the elective, our supervisors and student representatives were always in touch with us to know if they can help us with anything.

Photo of MOSC Students with the GEMx Student Ambassadors at Penang Medical College

With GEMx Student Ambassadors of PMC

The GEMx student ambassadors at PMC were Syafaf Humaira Aman and Yik Chin Low. They were very helpful to us throughout our stay in Penang. They helped us with our academic doubts, took us to the major tourist destinations and also helped us try out some local cuisine in Malaysia.

Malaysia is a favorite tourist destination for tourists all over the world. On holidays, we were able to visit some of the major tourist destinations in Penang. Our friends at PMC and even the professors suggested good places to visit for the holidays. Penang is also very famous for the food. It is called the food heaven of Malaysia. The varieties of foods include Malay, Chinese and Indian cuisine. Penang is also very famous for its very delicious but cheap street food which is a very important attraction for the tourists visiting Penang.

Photo of Transportation in Malaysia

The population in Malaysia is mainly Malay, with others being Malaysian Chinese, Malaysian Indians, and other indigenous people. Islam is the state religion while many other religions like Buddhism, Hinduism and Christianity are also common. Languages spoken include Malay, which is the official language, English, and Tamil.

As most people, especially the younger generation spoke English very well, communication was not a problem for us while in Malaysia. People were very friendly and helpful. If we asked someone for the way to a place, they would eagerly tell us in detail. The hospitality of the Malaysian people made our stay, a very comfortable and enjoyable experience.

Photo of Malaysian Cuisine

Char Keoy Teow

The elective to Penang Medical College in Malaysia was a wonderful experience for me. It helped me understand how the health systems and medical education work in Malaysia and  how to interact with patients, medical students, and professors from another country. I also learned and understood the differences in medical conditions and health care in another country and achieved a broader, a global perspective in medicine. I recommend more students make use of the fantastic student exchange program provided by GEMx, it is very easy to apply to, and we are supervised in each step of the elective. The elective improves our academic knowledge, our communication skills, confidence, and our very perspective about medicine and about the world.

GEMx Elective Reflections – Student Exchange from Penang Medical College, Malaysia to University of Gadjah Mada, Indonesia

Filed under: GEMx Global Network GEMx Student Reflections

Post by Thaneswaran Jeyakrishnan, Medical Student at Penang Medical College (Malaysia) who completed a GEMx Elective at Gadjah Mada University (Indonesia)

Student Exchange from Penang Medical College, Malaysia to University of Gadjah Mada, Indonesia
I have now completed an elective course of 4 weeks in a tertiary hospital named RS Dr. Sardijito in Yogyakarta, Indonesia. The course comprises of 2 weeks of being in surgical rotation and 2 weeks in Orthopedics. I have chosen this place via the GEMx School Partnership program that was offered in my home institution (Penang Medical College, Georgetown, Malaysia). After being selected by my institution I was offered a range of options to carry out electives, all of which were listed in the website in terms of the GEMx Partner Schools and the courses they offered. I chose Indonesia mainly because of its expanding expertise in medicine and surgery in the expense of a low-resource setting especially with the burden from the rural areas and the ever growing population. RS Sardijito is a university hospital, attached to a reputable Indonesian public university called University of Gajah Mada. My time was entirely spent in the hospital and I was able to use the university facilities such as the library which was situated in close proximity to the hospital.

Thaneswaran Jeyakrishnan
Initially before embarking the elective, I was brought on an orientation to visit the facilities in Sardijito Hospital. The students from the university there was very welcoming regarding my visit. On the first day of my rotation, I introduced myself to the supervisor whom was the person-in-charge for me and he gave me a brief outline of the possible activities that I could benefit during the rotation. I was then placed in a group of residents who are doing their postgraduate course and for most of the times I was in this team of doctors whom I have been tagging along. The beautiful aspect of work in this hospital is that everything that is done here was more of team-work whereby the residents would help each other out and together they divide their tasks besides updating each other about their patients’ condition. I find this method very efficacious not only theoretically in preventing overworked atmosphere but it is healthy in many ways in maintaining the best patient care. Moreover, the residents working as a team teach and guide each other at all times. My routine usually starts as early as 6 am when the residents would do their patient-visiting and review their cases. At around 7.30 am in the morning report presentation would take place where the residents would present their cases in PowerPoint slides to the panel of specialists and consultants. There would be exchange of questions and queries which were all beneficial in the point of view of learning. I learned about the importance of a good presentation skill which comes with practice. I understand that only through discussion and reflection that one would be a better doctor. After this, I would usually go to either the operating theater or the outpatient clinic.

Thaneswaran Jeyakrishnan photo 2
The residents here in Indonesia have all been so welcoming, friendly and helpful. Something to be highlighted here is the way they handle patients- besides being friendly and caring, they show enormous amount of empathy towards their patients via body language, verbal and actions all of which are explicitly patient-centered. Perhaps it is the culture of politeness here that has shaped these doctors to be very empathic but I can assure that these values came-forward so often here not only in just the patient-doctor setting but even in my everyday lives in Indonesia. Since my stay here I realize that the locals are very helpful and friendly in which there were many situations when the locals tend to offer helping hands even though if you don’t ask for one. There are lots of ‘sorry’ and ‘thank yous’ going around in their own way of language expressions and sign. I believe that these are something that should be modelled everywhere else too. In terms of the patient care, the social aspects are always taken into serious consideration especially in terms of patient’s access and transport to hospital, finance and support from the family. Whilst this is how it should be anywhere globally, nevertheless there are many circumstances when doctors somehow omit these aspects of care when there is overcrowding and overwhelming stress especially in developing countries with low-resource settings. This is one of my salient learning point during my elective course in Indonesia which is to pay attention on how patient is going to recover in a long-term. During the course here, the senior residents here were very encouraging and they have provided adequate guidance for me.

 

 

Elective experience in the Incredible India

Filed under: GEMx Global Network GEMx Student Reflections

Post by Faizah Ramle, Medical Student from Penang Medical College (Malaysia) who completed a GEMx Elective in Internal Medicine at Kasturba Medical College Manipal (India)

Dates of exchange – November 7, 2016 to December 7, 2016

Faizah Ramle, Medical Student from Penang Medical College

I had the privilege to conduct my elective posting for 4 weeks in Manipal, Karnataka, India. As a country that has established one of the world’s earliest civilization, India has presented me with nothing short of what I had expected. Colorful, loud, and vibrant- the whole nation has an energy like no other.

I was honored to be guided by Professor Manjunatha Hande, the head of department of Internal Medicine in Kasturba Medical College (KMC), Manipal. Under his guidance, I had been able to join ward rounds, clinics and also bed side teachings with the final year medical  students of KMC.  I was very fortunate to get the opportunity to get to know local patients better, learn about medical conditions that I would have never seen back home in Malaysia, and indulge in the local learning environment in India.

Faizah Ramle completed a GEMx Elective in Internal Medicine at Kasturba Medical College Manipal

Throughout my learning expedition in India, I was surrounded with a group of incredibly smart, confident and well-read students. They are cultivated to memorize and be hard-working from a very tender age. Being the second most populous country in the world, medicine is one of the most competitive and expensive field to get yourself into, and students there take it as no joke.

Being surrounded in a mentally challenging environment can be good. For one,  it pushes you to step up your game to live up to their standards. You too have to be as confident and out spoken as the local students are. However, at times this can also be rather draining. More often than not, I felt very inferior to my peers. Being  2000 miles away  from home doesn’t help either; you don’t exactly have your family and support system with you.

learning expedition in India
But I realized that this is how it meant to feel like when you stepped out of your comfort zone. In situations like this, you have no other choice but to stand on your own two feet. Personal growth happens when you are put in situations that gives you an opportunity to grow and mature. A higher benchmark prevents you from becoming complacent with what you have, hence drives you to be better. Once I accepted my weakness, I managed to learn a lot by asking questions and opening up more. This bunch of smart people shouldn’t make me feel small and disheartened, they act as a booster, and offered me an opportunity to learn.

Challenges do not confide themselves within the four walls of the hospital.

No matter where you are in the world, another existential problem would be the language barrier. Either it is because of the disparity in education level, or in this case-  you’re  in  a  country  with  a  completely  different  set  of  vocabulary  and accent. Although discussions and teachings are conducted in English, it wasn’t until the second week of the elective posting that I was able to comprehend what was being uttered and became comfortable to participate in the discussions.

In the hospital, everyone will remain professional and I was quite happy with the hospitality I received.  However, do understand that there will be miscommunications  and  frustrating  moments  in  dealing  with  admins.  There  is still no clear policy being made to manage and guide the international students, and you have to be quick on your feet to solve issues that arise. Expect problems to be on a national scale even. I was unlucky enough to experience the government abolishing certain Indian rupees overnight to overcome the “black money” issue in the country. Despite saying all this, dealing with these problems was what brought me to experience the true Indian culture.

Manipal, India
All in all, India has opened my eyes to remind me how blessed I am to be able to study medicine in Ireland and Malaysia. Medicine is neither a race, nor a competition to see who the best is. I am fortunate to be surrounded in a supportive and healthy community, that fits to the way I embrace medicine. Here the systems enrich us to develop holistically, to understand, rather than to memorize and mug up for the sake of exams. My experience in India has taught me to value what I have back home, and be thankful with the blessings in this country.

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