Report of Sidney Kimmel Medical College at Thomas Jefferson University

Clinical Training report

 

Country / Regions

United State of America

School

Sidney Kimmel Medical College at Thomas Jefferson University (USA)

Elective period

17th August to 21st August 2026

Program

International Exchange Program

 

The observership program at Thomas Jefferson University Hospital (TJUH) was a meaningful and unforgettable experience. When I arrived at Jefferson Station, I was amazed at how large TJUH is, resembling a town, with medical staff walking around in scrubs. However, I experienced many more surprises and discoveries during the program.

One aspect I truly value about medical practice in the United States is the highly supportive environment where everyone actively encourages and motivates each other. I overheard many positive phrases like "Good job, dude!", "I like your plan!", or "Beautiful team!" during medical procedures and rounds. After surgeries, attending surgeons often took a moment to thank nurses and other staff members, acknowledging their crucial contributions. These kinds of comments help ensure the practice runs smoothly and boost team morale.

Furthermore, I was captivated by the level of technological advancement in the United States. Most patients carry smartphones, and many check their medical records online, reflecting how digital health tools are integrated into daily life. AI technology plays a vital role in assisting doctors, such as recording and summarizing conversations during outpatient visits. Additionally, chat functions in medical record software enable physicians to communicate clearly and efficiently with colleagues, replacing traditional phone calls. While the use of AI and other advanced technologies may raise concerns about potential personal information leaks, Japanese medicine could greatly benefit from adopting more sophisticated technology, as American medical staff do with great care by using multiple authentication systems.

Additionally, I was impressed by the quality of medical students in the United States, who work as part of the medical team. For example, they confidently answer questions from patients and their families, helping to put them at ease. This is also true for junior medical students. When volunteering at a Chinatown Clinic or JeffHOPE’s men’s shelter, they perform triage quickly, always make eye contact with each patient, and even explain treatment plans. In the school library, I saw many students studying late into the night. These hardworking medical students motivated me to study even more diligently.

Throughout my week in the program, I also gained valuable insights into Japanese medical practices. I noticed that awareness of hygiene is much higher among both medical staff and patients in Japan. Every procedure or surgery is performed thoroughly and carefully. While respecting the high standards of Japanese medicine, I aim to practice care that combines American flexibility with a deep respect for patients and colleagues. Striving to learn from both systems, I hope to contribute to advancing medical care in Japan.