2025 Student from TU Dresden:Clinical training at the Dept of Surgery

Name: Paul Beck
Home Institution/ Country: TU Dresden, Germany
Year of university: 6th
Designated department at Shinshu University: Cardiovascular Surgery, Gastroenterological Surgery (Hepato-Biliary-Pancreatic Surgery)
Training Period: from 17 November 2025 to 8 March 2026
Training: Clinical training

1. What made you come train at Shinshu University School of Medicine and how did you find the School through your stay?
From early on in my medical training, I was motivated to gain clinical experience abroad, ideally in a country recognized for excellence in medical care and surgical standards. After hearing former students from TU Dresden speak highly of their time at Shinshu University, I felt encouraged to apply and experience the program myself. Japan's reputation for advanced medical technology and professional discipline further strengthened my interest in this exchange.
During my stay, the program proved to be exceptionally well organized, with clear structures and dedicated contact persons who ensured smooth integration into the clinical routine.
The surgical departments stood out in particular for their technical precision and coordinated teamwork. I also experienced a consistently welcoming atmosphere, as both doctors and students were approachable and supportive in clinical meetings as well as in the operating room.
Overall, I found Shinshu University School of Medicine to be a highly professional and well-structured institution that offers an excellent environment for clinical training while maintaining a supportive atmosphere for international students.

2. Please describe your training at host department/lab.
During my elective at Shinshu University Hospital, I rotated through the Departments of Cardiovascular Surgery and Gastroenterological Surgery, gaining exposure to two distinct surgical disciplines.
In the Department of Cardiovascular Surgery, I observed complex procedures such as heart valve operations and surgeries for aortic aneurysms. I was particularly impressed by the technical precision and the calm, well-coordinated atmosphere in the operating room. Close interdisciplinary collaboration between the surgeon, anesthesiology team, and perfusionist was essential, with clear communication ensuring patient safety and smooth procedural flow.
In the Department of Gastroenterological Surgery, I gained insight into a broad range of operative techniques, including open, minimally invasive, and robot-assisted approaches. Surgical strategies were carefully tailored to each patient's condition, reflecting a thoughtful integration of modern technology and established surgical principles.
Beyond the operating room, I regularly attended structured morning conferences and case discussions, which provided insight into surgical planning and postoperative management. Although most discussions were conducted in Japanese, the physicians kindly explained key aspects in English, allowing me to deepen my understanding of clinical decision-making and fully benefit from the academic environment.
The calm, focused teamwork and respectful communication I observed throughout my rotation left a lasting impression. The experience strengthened my understanding of surgical practice and deepened my appreciation for collaborative patient care.

3. Please list what you have gained from your experiences through the training at Shinshu University and the stay in Matsumoto, Japan.
During my stay at Shinshu University, I gained valuable insight into the distinctive characteristics of Japanese clinical practice. I was particularly impressed by the respectful, patient-centered approach, as well as the precision, discipline, and teamwork that shape daily routines in the hospital. The composed and considerate manner of professional interaction created an environment that supported both effective collaboration and continuous learning.
Beyond the hospital setting, I developed a deeper understanding of Japan's healthcare system and medical education structure. Experiencing a different medical environment broadened my perspective and encouraged me to reflect more critically on my own training and clinical habits.
Living and working in Matsumoto also offered a meaningful cultural experience. Experiencing the city during the winter months, exploring local traditions, and connecting with Japanese students and colleagues made my stay both professionally enriching and personally memorable.

4. How do you think you can apply those experiences to your future career?
My time at Shinshu University broadened my perspective on medical practice and encouraged me to approach clinical work with greater reflection and openness. Experiencing a different hospital environment and observing alternative workflows allowed me to view familiar processes from a new perspective and reassess aspects of my own training.
Working in a different cultural setting also heightened my awareness of the importance of respectful and thoughtful interaction in daily clinical practice. The calm atmosphere and structured collaboration I experienced demonstrated how professionalism and composure can positively influence both team dynamics and patient care.
As I continue my medical training, I hope to carry these impressions with me and integrate them into my own practice- striving for clinical precision while maintaining respectful and constructive collaboration with colleagues and patients.

5. Advice to those who are interested in studying at Shinshu University
If you are considering an exchange at Shinshu University, I would strongly recommend taking this opportunity. The experience offers valuable clinical exposure as well as meaningful personal and cultural insights that extend beyond medical training.
Throughout my stay, I felt consistently supported by the International Office, local medical students, and my supervising physicians, who were approachable and helpful at all times.
While some basic knowledge of Japanese can be beneficial, limited language skills should not discourage anyone from applying. The staff and students make genuine efforts to include international trainees and ensure a positive learning experience.
I would encourage future exchange students to actively engage with both the academic and social opportunities available. Building connections with Japanese students not only enriches daily life at the university but also allows you to experience Japan in a deeper and more personal way.