Disciplene
centered options abroad
There is a varied set of
choices for medical training overseas, as these two stories from the West and
East show Medicine remains a dream career for many and some of the aspirants go
abroad to train as doctors. While a majority look to countries like the US for
postgraduate training (residency), others go to places such as China for their
Bachelors.Here are two experiences, one in the West and the other in the East:
As an intern from the University College of Medical Sciences and GTB Hospital
in Delhi, I went to the US to take clinical electives for three months.
Electives provide medical students hands-on experience in a hospital, working
as part of a team of doctors treating patients.
As an intern in Delhi, I
collected blood samples, measured blood pressure but was missing from the
rounds and invisible to the professor teaching the residents. This experience
taught me time management and made me realise the importance of the staff that
would do this work when I am a resident or am attending. In contrast, in the
US, I was addressed as a student doctor. Assigned to two patients, I had to
follow up with them daily, read about the diagnosis and discuss it with the professor
on the rounds. This is what a resident is supposed to do in the US, minus
filling prescriptions. This is not the only difference. In India, we rush
through things because of the skewed doctor-patient ratio, while in the US, I
was taught to think through everything I said.America has a defensive practice
of medicine (litigation) while in Indian medical schools, the doctor's clinical
judgment is counted upon.
I went for three electives
at Kansas University Medical Centre (oncology and rheumatology) and the
National Institutes of Health (cardiology). The former is a popular hospital in
the midwest, where I fell in love with oncology. Since we were supposed to
spend time with designated pa tients, I interacted with a few, which made me
realise cancer treatment is not just medicine but also physical and emotional
care of the patient and the family. In most medical colleges, exposure to
oncology is limited.Even if one gets it, there is no time to know the
patient.Indian hospitals make you a skilled healer owing to the number of patients,
but not a skilled doctor.
The contrast, in my view,
can help everyone to see both sides of the story. If you take the middle path,
you would be a great doctor. I realised that medicine here has its flaws; med
icine there has its flaws. A perfect combination of the two would make a su
perb doctor. When I practise, I will try to use the skills I acquired in both
the places and hope to fulfil the promises one makes under the Hippocratic
oath. I was born and raised in Hyderabad. I was always an enthusiastic learner
but an average scorer. I chose biology in high school (state board). It is
written in the `academic constitution' of India's middle class that your son or
daughter shall either become an engineer or a doctor. So, my family decided to
make me a doctor (my brother being an engineer).Since I could not crack any
medical entrance test, I had two options, China and Ukraine, for undergraduate
study. After in-depth research, I decided to head to the Middle Kingdom,
ignoring my father's advice about studying a Bachelor's degree in science in my
homeland.
I secured a place on the
MBBS programme at Liaoning Medical University, Jinzhou. China is a beautiful
place to live and study in. I am a third-year undergraduate, living in a town
with a small urban population. People here are friend ly and helpful. If you
are interested in studying in China, then be ready to learn the Mandarin
language, be cause few speak in English.I learnt Mandarin in six months and
passed the HSK level III, an exam you are required to clear to obtain your
Bachelor's degree.
The education system in
the country is studentfriendly and gives you more time to study by
yourself.Practical training is much better than classroom teaching. Starting
from the fourth year of internship, students interact with patients. They are
taught basic and medical Mandarin (simplified Chinese for general use and later
medical terms in the language) throughout the five-year course for this
purpose.
I think aspirants should
pursue a cost-effective education. The average cost of five plus one
(internship) years of study in China would be about Rs 15-16 lakh, including
tuition, hostel charges and books.The monthly cost of living is low in cities
like Jinzhou, as compared to Beijing or Tianjin -about Rs 5,000, covering food,
etc. Checklist Before signing up for a medical programme abroad, check its
recognition and reputation in the host country as well as in India Look at
whether the institution is in the World Directory of Medical Schools (http:www.wdoms.org)
but, more importantly, find out what facilities it offers and whether you will
have sufficient opportunity for interaction with patients, suggests career
counsellor Pervin Malhotra The National Board of Examinations conducts the
Foreign Medical Graduate Screening Test (FMGE) for Indian nationals with
foreign primary medical qualifications who wish to practise in India.
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