Dr. Yen Ta Huang, M.D., M.S, Ph.D.
2014年11月17日 Mon 〜 2015年5月16日 Sat
Attending Physician in Surgical Intensive Care Unit, Buddhist Tzu Chi General Hospital, Hualien, Taiwan
Assistant Professor in Department of Pharmacology, Tzu Chi University, Hualien, Taiwan
Huang先生は，台湾のBuddhist Tzu Chi General Hospital,の准教授です。2014年11月17日より６ヶ月間，共同研究と国際診療強力のために名古屋大学大学院医学系研究科 救急・集中治療医学分野に留学されます。よろしくお願いします。 教授 松田直之
2014年医学生留学受入 Welcome !
Join to nurture a so beautiful dream and ambition in Acute & Emergency Medicine.
MEIDAI Emergency & Critical Care Medicine
Yu-Jen Jan さん
National Taiwan University
2014年2月10日 Mon 〜 2月22日 Sat
Emergency & ICU department in Nagoya University Hospital
Due to geographical and historical reasons, Taiwanese people and Japanese people have a close relationship. We share some of the same cultures and languages, so it is easy for Taiwanese people to travel to Japan. For me, I have traveled to Japan 7 times already, but I haven't been to ToKai area. Since Nagoya University Hospital is a outstanding institute in Japan and our school have exchange program with NU, I choose here for my rotation in foreign countries. Being able to learn and see Japanese medical culture is like a dream-come-true for me. I want to see for myself of what is the real medical settings here in Japan. After asking the senior students (先輩) in my school, they all recommend this ER&ICU department, so here I am.
For ER, the amount of patients is much lesser than where I am from. But in that way the doctors get more time to think and provide better management than just react to every patients problem. I have the opportunity to follow the doctors to take a car accident patient from the beginning in ER to the admission in ICU. At arrival, everyone reacted quickly and orderly. And the team leader coordinated the team in an efficient order and always beware of vital events. It's an art. I have learned a lot and been amazed by the speed and coordination of ER staffs. I think this place would definitely be the major trauma center of the area.
In ICU, the working culture here is ideal and patient-centered. Through every morning and evening meeting of the staffs and doctors of other specialties, all of the doctors are being able to know the status and problems of each patient. For me, I followed every patients' condition during this two-week interval. I got a really good chance to think and discuss with the doctors, learning the thinking process in the ICU. Also, I got several chances to perform echo exam to the patient and improved some skills. These valuable experience will be very helpful in my future studying and career.
I also get the chance to see "Doctor Heli", the helicopter ambulance was awesome. I think with good use of it, it can benefit lots of emergency patients.
Special thanks to Prof. Matsuda for this great rotation. Also thanks to Dr. Hinoshita, Dr. Yoshimoto, Dr. Aoyama, Dr. Ueda, Dr. Numaguchi, Dr. Hatano, Dr. Asada, Dr. Takatani and all doctors for taking care of me. It's is my honor and pleasure to learn and work with the doctors in the department of emergency and critical care here at Nagoya University. Hope to see you in the future!
Chao Ting Chen さん
National Taiwan University
2014年5月12日 Mon 〜 5月23日 Fri
Emergency & ICU Department of the Nagoya University Hospital
My senior in the Taiwan National University had recommended that I choose Emergency & ICU department as one of my rotation in NUH since the environment of emergency room is quite different from which in Taiwan and all the doctors are nice. I didn’t think much then but now I appreciate his advice very well.
The two-weak-rotation in Emergency & ICU department wasn’t very long but it surely impressed me very much. The atmosphere in the department is friendly. Professor Matsuda, the leader of the department, always wears a kind smile and encourages other members to express their ideas during the meeting. I felt warm when he first introduced me to other doctors and asked everyone to take care of me. Dr. Hinoshita and Dr. Numaguchi speak good English and help me to understand the meeting, which makes me feel like an honored guest. Although not everyone is confident in their English speaking, they are willing to talk to me and try their best to express what they are doing. Dr. Yamamoto even shared Japanese history and political affairs with me.
Comparing to Taiwan, the emergency room in japan is neat and efficient. One of reasons is that the amount of patients is much lesser, meaning that only the patients who really in need will come to the emergency room. Therefore doctors can take time to evaluate patients' conditions carefully. Another merit is that the referral system in japan is more comprehensive. For most of emergent patients, doctors know their conditions and decide whether to receive these patients. Before the patient come, the doctors are well prepared. By the way, doctors in Emergency & ICU department of the NUH are divided into three teams and they need to support other hospitals. I think it is a good idea to concentrate medical resource in medical centers for emergent case since the doctors will be more experienced and trained. In Taiwan, it wastes much medical resource for local hospital to establish emergency room but has only limited ability to help patients.
The team spirit is fully demonstrated in ICU. For each patient, doctors of all specialties related to him attend every morning and evening meeting In ICU. No wonder nearly all the doctors here know the whole ten patients’ condition in ICU.
Although they are busy, they kindly help me follow every patient's condition during two weeks and discuss about decision making with me. I am sure it is a great learning experience.
to be continued