Elective Term – Hacettepe Hospital Ankara, Turkey
By Doruk Seyfi
Coming from a modern hospital like Nepean, I didn’t have much of an idea what to expect at Hacettepe Hospital in Turkey’s capital. Being that it is one of the academic giants in medicine, I thought it would have modern equipment and facilities. But my insight on the structure of medical teams and training for doctors was completely zero.
I arrived at the General Surgery Polyclinic (aka outpatients) on the Thursday before my rotation to meet the Associate Professor, who welcomed me and told me that final year medical students are in fact interns in their system. I was to start on Monday at 0900 in the Burns Unit on the third floor. It didn’t occur to me that general surgeons looked after patients with severe burns, as they are looked after by plastic and reconstructive surgeons in Australia. The hospital had been renovated just last year and to my surprise, the operating theatres were in fact brand new. It definitely set the standard of healthcare infrastructure in a developing country.
My Turkish was rusty and fortunately the majority of consultants spoke English fluently, so my lack of vocabulary didn’t obstruct my education as much as I had anticipated. By week 3 I was admitting patients and was rostered on for the notorious 36 hour shift every fourth day, which was a dramatic learning curve. I developed my procedural skills and actively participated in management plans. This, of course, was all under the supervision of the residents on the team I was allocated.
What was strikingly different about General Surgery in Turkey was just how broad it was. There were no subspecialty teams, so one could observe and participate in a broad spectrum of surgical procedures ranging from lateral neck dissection to biliary tree revision. I attribute this to the overwhelming demands of the population, closing the doors to fellowship opportunities. Obviously consultants do have regional bias, but all still perform a multitude of different procedures on multiple organ systems. We operated 4 days a week starting most days at 0700 and finishing sometimes at 0100 the following morning. On Wednesdays, we performed tangential excisions and skin graft insertions for the patients with significant burns. The plastics team participated in the surgeries if the face was involved; otherwise it was the general surgeons who performed the operations.
It was an invaluable experience for me, exposing me to the world of General Surgery and solidifying my goals, pursuing a career in surgery to deliver care and meet the demands of a large patient population. It also made it crystal clear how disadvantaged patients residing in rural and remote communities are and how important it is to deliver care to them. The exposure to the Burns unit and the management of patients who sustained life-altering, highly traumatic injuries was most unexpected, but definitely something I needed to see in order to prepare myself both mentally and academically for encounters with such patients in the future.
Elective Term – Hacettepe Hospital Ankara, TurkeyBy Doruk SeyfiComing from a modern hospital like Nepean, I didn't have much of an idea what to expect at Hacettepe Hospital in Turkey's capital. Being that it is one of the academic giants in medicine, I thought it would have modern equipment and facilities. But my insight on the structure of medical teams and training for doctors was completely zero.I arrived at the General Surgery Polyclinic (aka outpatients) on the Thursday before my rotation to meet the Associate Professor, who welcomed me and told me that final year medical students are in fact interns in their system. I was to start on Monday at 0900 in the Burns Unit on the third floor. It didn't occur to me that general surgeons looked after patients with severe burns, as they are looked after by plastic and reconstructive surgeons in Australia. The hospital had been renovated just last year and to my surprise, the operating theatres were in fact brand new. It definitely set the standard of healthcare infrastructure in a developing country.My Turkish was rusty and fortunately the majority of consultants spoke English fluently, so my lack of vocabulary didn't obstruct my education as much as I had anticipated. By week 3 I was admitting patients and was rostered on for the notorious 36 hour shift every fourth day, which was a dramatic learning curve. I developed my procedural skills and actively participated in management plans. This, of course, was all under the supervision of the residents on the team I was allocated.What was strikingly different about General Surgery in Turkey was just how broad it was. There were no subspecialty teams, so one could observe and participate in a broad spectrum of surgical procedures ranging from lateral neck dissection to biliary tree revision. I attribute this to the overwhelming demands of the population, closing the doors to fellowship opportunities. Obviously consultants do have regional bias, but all still perform a multitude of different procedures on multiple organ systems. We operated 4 days a week starting most days at 0700 and finishing sometimes at 0100 the following morning. On Wednesdays, we performed tangential excisions and skin graft insertions for the patients with significant burns. The plastics team participated in the surgeries if the face was involved; otherwise it was the general surgeons who performed the operations.It was an invaluable experience for me, exposing me to the world of General Surgery and solidifying my goals, pursuing a career in surgery to deliver care and meet the demands of a large patient population. It also made it crystal clear how disadvantaged patients residing in rural and remote communities are and how important it is to deliver care to them. The exposure to the Burns unit and the management of patients who sustained life-altering, highly traumatic injuries was most unexpected, but definitely something I needed to see in order to prepare myself both mentally and academically for encounters with such patients in the future.
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Term elective - Hacettepe Hospital Ankara, Turkey
Doruk By Seyfi
Coming from a Modern Hospital like Nepean, I did not have much of an Idea what to expect at Hacettepe Hospital in Turkey's Capital. Being that it is one of the academic giants in medicine, I thought it would have modern equipment and facilities. But My Insight on the structure of Medical Teams and Training for Doctors was completely Zero.
I arrived at the General Surgery Polyclinic (aka Outpatients) on the Thursday before My Rotation to Meet the Associate Professor, Who Welcomed Me and told Me that Final year Medical. students are in fact interns in their system. I was to start on Monday at 0900 in the Burns Unit on the third floor. It did not occur to me that general surgeons looked after patients with severe burns, as they are looked after by plastic and reconstructive surgeons in Australia. The hospital had been renovated just last year and to my surprise, the operating theatres were in fact brand new. It definitely SET the standard of Healthcare Infrastructure in a developing Country.
My Turkish was Rusty and spoke English fluently Fortunately the majority of Consultants, so Lack of My Vocabulary did not Obstruct as much as I had anticipated My Education. By week 3 I was admitting patients and was rostered on for the notorious 36 hour shift every fourth day, which was a dramatic learning curve. I developed my procedural skills and actively participated in management plans. This, of course, was all under the Supervision of the residents on the Team I was allocated.
What was strikingly different About General Surgery in Turkey was just Broad How it was. There were no subspecialty teams, so one could observe and participate in a broad spectrum of surgical procedures ranging from lateral neck dissection to biliary tree revision. I attribute this to the overwhelming demands of the population, closing the doors to fellowship opportunities. Obviously consultants do have regional bias, but all still perform a multitude of different procedures on multiple organ systems. We operated 4 days a week starting most days at 0700 and finishing sometimes at 0100 the following morning. On Wednesdays, we performed tangential excisions and skin graft insertions for the patients with significant burns. The plastics team participated in the surgeries if the face was involved; otherwise it was the general surgeons performed the Who Operations.
It was an Invaluable Experience for Me, exposing Me to the World of General Surgery and solidifying My goals, pursuing a Career in Care Surgery to deliver and Meet the demands of a Large Patient population. It also made it crystal clear how disadvantaged patients residing in rural and remote communities are and how important it is to deliver care to them. The exposure to the Burns unit and the management of patients who sustained life-altering, highly traumatic injuries was most unexpected, but definitely something I needed to see in order to prepare myself both mentally and academically for encounters with such patients in the future.
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Elective Term - Hacettepe, Hospital Ankara Turkey
By Doruk Seyfi
Coming from a modern hospital, like Nepean I didn t have. ' Much of an idea what to expect at Hacettepe Hospital in Turkey 's capital. Being that it is one of the academic giants in. Medicine I thought, it would have modern equipment and facilities.But my insight on the structure of medical teams and training for doctors was completely zero.
I arrived at the General. Surgery Polyclinic (aka outpatients) on the Thursday before my rotation to meet the, Associate Professor who welcomed me. And told me that final year medical students are in fact interns in their system. I was to start on Monday at 0900 in the. Burns Unit on the third floor.It didn 't occur to me that general surgeons looked after patients with, severe burns as they are looked after by plastic. And reconstructive surgeons in Australia. The hospital had been renovated just last year and to my surprise the operating,, Theatres were in fact brand new. It definitely set the standard of healthcare infrastructure in a developing country.
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