27/4 Pediatric cardiology out patient clinic with Anna Karin Edstedt Bonamy: Interesting to see the communication between doctor and parents and patient. The Swedish ideas with clinical training with very much “hands on” was discussed and the problem with shortage of staff to do it was discussed. Student to student feed back was also mentioned. It was very different with situation in my country
Clinical Training Centre at Karolinska Hospital in Solna with Prof Gunilla Bolinder and Ass prof Italo Marciello: Exclusive training centre with advanced simulation possibilities. Following points were discussed: CTC facilities should be shared between university students and hospital clinical staff to decrease costs and increase student training motivation. Training of staff at regular intervals necessary. Localisation at hospital necessary for increasing availability to students and staff. Rooms should be permanent for training and video equipment increases feed back value after each session. Exclusive equipment and expensive video system is not important. The big value comes from the team training and that teachers trained in giving feed back are available.
28/4 Meeting at the Institution for Medical Teaching at Campus KI with prof Ester Mogensen, prof Lena Boman and prof Birger Winbladh: A review of the basis for the current medical training concepts at Karolinska Institutet was given by LB. KI gives a two years Master course in Medical teaching. We also try to deliver a two week course in medical teaching to all clinical teachers containing role plays, making of teaching material and other “hands on” activities.
2/5 Lecture for 30 colleagues at Sachs Children’s Hospital by Dr Viet Ha and Dr Hai Van: Emergence of resistant bacterial strain world wide and in Vietnam with Helicobacter Pylori as example (Viet Ha) and Kawasaki Disease, incidence and clinic in Vietnam (Hai Van). The lectures were very interesting and well presented according to what professor Birger and Ester heard from attendants later.
3/5 Pediatric cardiology out patient clinic with Dr Cecilia Pegelow (specialist and research student): further discussions on how to examine small children without sedation, see 27/4.
4/5 Clinical Training Centre (CTC) at Sodersjukhuset with prof Mogensen, Winbladh, and staff from the CTC: Presentation of the CTC which is less exclusive but has a longer experience of co training staff of several categories and students. Presentation of the concept of a Clinical Training Ward (CTW) run mainly by the students. A training session with junior staff (paediatricians, one anaesthesiologist and nurses) in a simulated emergency situation including the feed back session was followed. Very realistic and participants were rather stressed during the role play. We have not had this method in Vietnam
5/5 General Pediatric Ward 74 with Lotta Nordenhall (Junior paediatric clinical teacher, PhD): Clinical round with 4 students and teacher. Demonstration of our model for clinical training and discussion with the students and nurses. There were differences in clinical perspective between Hanoi and Stockholm. Follow up with senior responsible doctor.
5 and 6/5 Clinical training ward at Sodersjukhuset: We followed the student lead work at the ward together with the responsible students for one afternoon and night and the following morning. Special interviews were made with a senior nurse responsible for the training, a nurse student and a medical student. The following categories of students were working in the ward during the visit: nurse, medical, physiotherapy, occupational therapy. The good cooperation between the different student categories and the teaching of the nurse students by the responsible doctor was of special interest.
10/5 General Pediatric Ward 74 with Lotta Nordenhall (Junior paediatric clinical teacher, PhD): Clinical round with 5 students and teacher. Further demonstration of our model for clinical training and discussion with the students and nurses. Discussion about differences in clinical perspective between Hanoi and Stockholm. Follow up with senior responsible doctor.
11/5 Pediatric ward and CTC at paediatric clinic at Karolinska hospital Huddinge with ass. Prof Kalle Lidefelt: before lunch clinical round on general paediatric ward. Discussions about differences in clinical setting between the Huddinge clinic and NHP. Treatment of RSV-infections in small children and work up of anaemia. Afternoon at CTC with training of residents from all Sweden taking part in course in acute paediatrics. Role play with rotation between 6 different stations presenting 5 different clinical emergency situations and one station with anaesthesiologist training for open airway and intubation. The need for recurring training of acute situations and teamwork was stressed by the participants.
12/5 Meeting at the KI Campus with other Linnaeus Palme exchange teachers and students: Discussions of different types of exchange. Presentation of the new advisor for the dean responsible for all foreign exchange (research, research training and undergraduate teaching) prof Marie Johannesson, a specialist in paediatrics. Discussion about the need for further student exchange between our two universities KI and HMU.
13/5 Out patient gastroenterological clinic at Sachs Childrens Hospital with ass prof Yigael Finkel and Dr Lars Browaldh. Demonstration of our gastroscopy unit and discussion about care, treatment, dietist contacts, and follow up of IBD.
14/5 Follow up discussion with Prof Mogensen and Winbladh of the visiting program. Good and less interesting parts analysed resulting in this paper.