As an english only speaking student I found thing quite difficult at first. Getting use to the layout of the hospital, getting to know who is who, as always when you go to a new place is somewhat challenging.
Overall I thought the Swedish study environment was lovely and relaxed. During my stay I was free to join any team I wanted and to see whatever caught my interest. All the surgeons from GastroCentrum were absolutely lovely and welcoming. I never felt unwelcome in their theatres.
The only thing I missed was a little more direction and guidence. Being able to plan your day as you please is really great! But it also means that quite often you will miss some interesting things that happen on the team.
Back in NZ most of our undergraduate studies is aimed at GP level and focused more on the medical aspect instead of surgery, therefore there was a lot to learn in a short space of time. Unfortunately as my medical school only had maybe one week of hands on practical surgical teaching, it made assisting in surgeries somewhat interesting, especially when asked questions.
Overall, I think both schools are very similar in terms of student expectations and participation.
I learn't a lot about the health system in Sweden and some of the technical aspects of some pretty major abdominal surgery which is awesome.
Improvements... I think maybe just a bit more guidence during the first week or so would have made it much easier for a foreign student and also to maybe have a crash course regarding surgical techniques etc.