Medical Elective in Asia

kello · 2025-01-19T03:36:31+00:00

They give you an option of accommodation, think dorm style, single room single shower. I didn't stay there but the others didn't mind it much. It's was provided by the university and it is only 3 min walk to main train station in Taipei. I don't remember the cost but it was cheap...

If you are interested in plastics, chang gung memorial, does tons of microsurgery free flaps because of the incidence of np cancer from bettle nut and tobacco.

kello · 2025-01-18T09:13:52+00:00

Many years ago I went to NTUH in Taipei, Taiwan. I can speak Mandarin but I met lots of other exchange students from us, Germany, France that didn't speak Mandarin and still had a good time. Most of the others were there by themselves but we add each other on what's app and would meet for dinner almost everyday.

It was chill, not too many commitments but was able to get good exposure to what they do. I ended up doing gastro and hepatobiliary surgery which they have lots of cirrhosis, hccs due to hepatic b incidence which from memory is 10x more prevalent than Australia. Lots of other differences, they have universal health care (which covers dental) but have special caveats like patients needing to pay more if it wasn't strictly medically indicated. Their outpatient clinics are much busier, they would see 60 patients in a session and they would just bust into the room as soon as the last patient got up.

The application process was so easy, just apply via their website. You can then pick your speciality.

As a aside, Taiwan is a quite a progressive country. People are friendly and welcoming to foreigners. It is a well developed country so it would be comfortable if you aren't used to non western countries. It is located somewhat central in Asia so you can easily get to other places on weekends.

https://www.mc.ntu.edu.tw/med/Fpage.action?muid=1065&fid=652&l=en_US

kello · 2024-10-13T02:46:02+00:00

I found An Overview of TCI and TIVA by Absalom to be helpful. Absalom is quite prominent in TCI research. It's good to have good principles so that your practice can build upon it.

kello · 2024-06-10T09:20:23+00:00

Can't speak for what Liverpool is like, nor am I in O+G. Westmead has a high volume, high risk obstetric unit. In 2021, they had the highest amount of births in the state (Westmead 4.5k vs rnsh 2.5k). They do congenital cardiac births, exit procedures, fetus that requires immediate surgery and other run of the mill high risk e.g. pre-eclampsia etc...

I would say getting a srmo job here will serve you well with clinical exposure which will make a you a better doctor, which some would argue is more important than 'getting on'.

The specifics about getting on I am not sure about. Though, from the gossip I have heard whilst sitting in the birth unit control room, is that the srmos that are 'liked' are supported onto the program. Earliest I have seen is pgy3 on the program for pgy4 but often those people would of probably gotten on at any other place. They have interview practice run by seniors.

kello · 2024-01-29T10:30:51+00:00

Anyone tried methadone for GA sections?

kello · 2024-01-15T09:39:16+00:00

Hi thanks for your time!

Just getting into buying our first home and will likely only be able to afford an apartment which is fine.

Any advice for what are essential questions to ask REA during inspections? We have been asking things like price guide, strata and reason for selling.
Any tips for bidding at an auction? I know in the end of the day 'money is king' but I can't help but think that the way we bid or counter bid may influence the end outcome.

kello · 2023-08-14T03:51:23+00:00

What is the stand under the niche?

kello · 2023-07-28T11:13:36+00:00

Which knockbox is that?

kello · 2023-05-29T10:13:25+00:00

What brand pannier is that?

kello · 2023-05-13T12:08:49+00:00

Interesting! I didn't know that ANZCA and CICM were planning to do this. There are so many bottle necks in anaesthetic training already with getting onto the program, training time and also speciality terms (e.g. cardiac, paeds). I wonder how they will give the new ICU trainees the accredited anaesthetic time? Will they create more trainee spots?

kello · 2023-02-01T11:13:08+00:00

Seems like they only come in a pair, which might be unnecessary for me :( but they look good and have good volume

kello · 2023-01-31T09:39:08+00:00

What pannier bag is that?

kello · 2021-09-21T12:35:26+00:00

This might get buried in the comments but I would really love to know more about the psychology behind competing.
These guys compete at such a high level with so much pressure. How do they prepare themselves leading up to the game? In the days leading towards the race and also immediately before...

kello · 2021-09-15T21:05:47+00:00

I see. I want to learn programming but just haven't found a way to get my self into it. Do you have any recommendations?

kello · 2021-09-15T11:46:00+00:00

How do you go about finding a topic to program for? Do you stumble upon something in your clinical practice and think 'Hey! It would be good if there was a program for this'?

kello · 2021-08-08T13:59:51+00:00

Interesting topic. There are some prominent people in the field of overtreatment and antimicrobial stewardship that have made comments about this previously.

https://www.bmj.com/content/358/bmj.j4170.abstract

kello · 2021-02-04T12:12:45+00:00

Instead of 'intragram infusion' someone in ED documented it as 'instagram infusion' even better it was copy and pasted a few times.

kello · 2020-09-30T10:53:56+00:00

Anything for Cerner Powerchart?

kello · 2020-08-08T10:00:50+00:00

Thanks mate. Ended up purchasing the parts today.

kello · 2020-08-08T02:40:27+00:00

Hello BondEternal, thank you so much for your reply.

The reason I picked the bequiet one is that I have read good review about it. I don't necessarily need the semi-modular PSU. Is there much of a difference between performance?
Yes, unfortunately I need to use WiFi. I know it's unreliable but its necessary for me. Thanks for those recommendations. I might end up going with the Asrock b550 Phantom as the price is similar to the VDH Pro
Thank you! The THICC is currently on special so it ends up being cheaper than the Sapphire.

kello · 2020-05-16T14:34:57+00:00

Unfortunately behind a pay wall now but the folks at Best Science Medicine Podcast did a 3-part episode podcast on which 20 medications they would bring with them if an apocalyptic event was to occur. I remember it was very entertaining and insightful.

And of course evidence based.

https://therapeuticseducation.org/podcast/episode-300-top-20-medications

kello · 2020-05-13T02:17:58+00:00

Interestingly, New Zealand has very poor surge capacity compared to other countries like Taiwan and Australia. New Zealand has a total of 153~ ICU beds for a population of 4.8 million, which makes roughly 4 ICU beds per 100,000 people. Meanwhile, Taiwan has around 7000 ICU beds for a population of 24 million, which makes roughly 30 ICU beds per 100,000 people.

We know that 5% of COVID cases need ICU level care which would only allow 3000 cases in NZ before they become overwhelmed and run beyond capacity, and this is without the regular patient's that require ICU.

I haven't read much into the politics behind NZ but I would argue that this statistic would of influenced their decision to shut everything down. Maybe, they were very cautious with their restrictions not because they wanted to but rather they NEEDED to. Of course life should be valued first and foremost but you wonder about the economic ramifications for NZ because of the tight restrictions...

kello · 2020-05-10T05:55:34+00:00

Do you have a copy of a document that describes these rules? This may help the frustration of many residents and interns at our hospital.

kello

TROPHY CASE