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Dinda Ines Secsaria completed a month-long clinical exchange program in Messina, Italy through SCOPE IFMSA. She spent her time in the Obstetrics and Gynecology department at Policlinico Universitario "G. Martino" hospital, where she observed operations, visited patients, and learned surgical techniques. Some key differences she noticed between the Italian and Indonesian healthcare systems included universal coverage in Italy versus class-based distinctions in Indonesia. In addition to clinical work, the exchange program included social activities that allowed Dinda to learn about other cultures.
Dinda Ines Secsaria completed a month-long clinical exchange program in Messina, Italy through SCOPE IFMSA. She spent her time in the Obstetrics and Gynecology department at Policlinico Universitario "G. Martino" hospital, where she observed operations, visited patients, and learned surgical techniques. Some key differences she noticed between the Italian and Indonesian healthcare systems included universal coverage in Italy versus class-based distinctions in Indonesia. In addition to clinical work, the exchange program included social activities that allowed Dinda to learn about other cultures.
Dinda Ines Secsaria completed a month-long clinical exchange program in Messina, Italy through SCOPE IFMSA. She spent her time in the Obstetrics and Gynecology department at Policlinico Universitario "G. Martino" hospital, where she observed operations, visited patients, and learned surgical techniques. Some key differences she noticed between the Italian and Indonesian healthcare systems included universal coverage in Italy versus class-based distinctions in Indonesia. In addition to clinical work, the exchange program included social activities that allowed Dinda to learn about other cultures.
activities conducted in August 2017 as an elective block hosted by SCOPE IFMSA is a very valuable and unforgettable experience for me. I got a lot of new experiences that I have not got in Indonesia, besides I also got the opportunity to study the health system in Italy, especially in Messina, and met with 33 other incoming from various countries in the world. I held a one-month exchange program in Messina, Italy. Messina is one of the largest cities located at the very northern tip of Sicily, Italy. The only university in the city, the Universita degli Studi
Di Messina is a typical "religious" university, a
Jesuit College, founded in 1548. The medical faculty at the university has its main hospital Policlinico Universitario "G. Martino "which is the hospital where I am performing this exchange program. My department is Obstetrics and Gynecology (Dipartimento in Ginecologia E Ostetricia). I chose this department because I want to someday continue the Obstetrics and Gynecology specialization. Therefore doing exchange on this department is a great opportunity for me to get to know more about Obstetrics and Gynecology and be my provision to prepare for my future. In Messina this clerkship activity is held for 16 days with work schedule from Monday to Friday. As a student exchange every day is required to follow this program for 5 hours from 08.00-13.00, but in the department I do not necessarily do it for 5 hours due to an uncertain operating schedule. Sometimes at times there are many operations in one day or several major operations that can take up to 3-4 hours per operation. And sometimes do not reach full 5 hours due to ineffective working time in hospital during summer because many doctors and other staff who take time off for vacation so that hospital only do action for emergency case only. In addition to work in the hospital, there are also social programs that are held every weekend. The first day of my clerkship at the hospital is on Wednesday, August 2, 2017. Before going to each department, all incomings are grouped by department and each department is guided by one person from the exchange committee to meet with the supervisor doctor. After meeting with the supervisor's doctor, I was immediately allowed to follow the course of the accidental operation at the time of the caesarean section and since I was in the obstetrics and gynecology department, I was required to wear scrubs and slippers. Every morning after I wear scrubs and slippers, I enter the operating room to see the timetable operations to be performed, the type of surgery, the doctor responsible for performing the surgery. After that before entering the operating room, I washed my hands and put on PPE. After the surgery is completed, usually held a small discussion about the surgery that has just done, about the patient's illness, subsequent treatment and I was taught sewing techniques and also make a knot. In addition to following the course of the operation, every day I was allowed to follow the visitation of patients in the inpatient room. During this program I was accompanied by a resident or midwives who explained about the procedure performed during the operation, even with minimal use of the English language. The number of cases handled daily is not so much. I often find cases of patients who give birth to caesarean sections or even cases of interrupting a pregnancy voluntary or involuntary. I am very interested to always learn every detail of procedure done in helping natural delivery, cesarean section, abortion and many cases from gynecology because I have not been able to have such rare opportunity in Indonesia. The striking difference that I have encountered between health systems in Italy and in Indonesia is that there is no difference in the health services provided by each patient. All patients receive the same services and facilities without any class distinction as in Indonesia. That's because they have all been covered by health insurance taken from their basic salary every month, so they do not have to worry about the cost during hospitalization. In addition, there is not too much difference between the length of medical education S1 in Messina with Indonesia is six years. In addition, the length of education of specialist doctors were also the same about 4-5 years. Following this exchange scope makes me more open minded and learn to be independent.in addition to a clerkship in the hospital, the activity program arranged by the committee is very fun. Started from welcoming dinner, karaoke party, international food and drink party, lanterns party to farewell party. I can also knew and learnt about other cultures with such amazing friends.