2026 Student from Udayana University: Clinical training at Dept of Surgery (Cardiovascular)
Name: Leonard Nathaniel Saputra
Home Institution/ Country: Udayana University / Indonesia
Year of university: 3rd
Designated department at Shinshu University: Surgery (Cardiovascular)
Training Period: from July 6 to July 30, 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?
In my medical journey, I plan to seek as many opportunities and experiences as possible. When I heard there were exchange programs held in my faculty, I was interested in joining. In short, after passing the selection process, I had to choose the university I wanted to attend. Shinshu University caught my attention because of its popularity and advancement in the medical field. After researching this university, I became even more excited because they have a Cardiovascular Surgery Department, the field I am most interested in and one of the best in Japan. At that time, I thought it would be best for me to gain experience from Shinshu University.
I feel very welcomed at Shinshu University, everyone is kind to me and treats me like one of them. They even held a welcoming party for me and my friend. I had my own expectations, but the reality is far beyond them. I feel very grateful to experience this exchange program. The professors and doctors here don't hesitate to explain everything to me and they make sure that I understand all the procedures they do. Even though the English language presents its own unique challenges, they are always trying to explain, no matter how difficult the procedure is. For me as a 3rd-year student, seeing how every staff member works has taught me a lot about teamwork, communication skills, respect, professionalism, empathy, and friendship.
2. Please describe your training at host department/lab.
We have a conference in the morning where we discuss patients who will be operated on in the next few days, as well as those who have already been operated on. We also discuss updated procedures and knowledge based on evidence-based medicine. In this conference, they make sure that everyone is aware of the patients' conditions and the newest clinical evidence.
After the conference, we head to the operating room. We can watch the procedure clearly through a camera directed at the operating site. Every doctor encourages us to ask about anything that confuses us, and they are always happy to explain. The average operation duration is about six hours, and I am amazed by their dedication to endure hunger and fatigue just to save their patients. I had the opportunity to see a rare procedure, such as Tricuspid Regurgitation management with a spiral suspension approach. In addition, I have observed many other procedures, including Total Aortic Replacement, Frozen Elephant Trunk, valve repair, thrombectomy, bypass surgery, and Minimally Invasive Cardiac Surgery (MICS). Not only did I observe, but I also got a chance to do my first aorta-graft anastomoses on pig heart. This is an unforgettable experience that I will always cherish.
3. What have you gained from your training and stay in Matsumoto, Japan?
Shinshu University and Matsumoto have given me a lot of wonderful lessons that I couldn't get anywhere else. I gained a deep understanding of how clinical procedures are done and how patients are treated holistically. The doctors and medical students expanded my network, and through our cultural exchanges, I learned basic Japanese language and a great deal of Japanese history.
Beyond medical knowledge, I also learned how to truly appreciate life. I loved living in Matsumoto City, learning about its rich history and culture, and enjoying its natural surroundings with the majestic mountains. I now understand how the harmony between nature and history makes Matsumoto such a peaceful city, enriched by the unique qualities of its people. I already consider Matsumoto, The Fortified City of the Japanese Alps, my second hometown, and if I am ever given the opportunity to return, I would be more than happy to do so.
4. How do you think you can apply those experiences to your future career?
Everything I gained from this exchange program will have a lasting impact on my journey as a medical professional. The knowledge and skills I acquired in cardiovascular surgery have deepened my understanding of this field. I now better understand the clinical reasoning behind every decision made. This experience has also transformed the way I view medicine, it has especially boosted my motivation to keep learning so that the knowledge I gain can be used to serve others in the best possible way.
Living in Japan has taught me to become a more disciplined, resilient, adaptable, and responsible person who deeply respects others. I realized that real change starts with oneself and can ultimately positively impact many lives. Here, by stepping out of my comfort zone, I have gained invaluable lessons that will shape my future.
5. Advice to those who are interested in studying at Shinshu University
For anyone interested in joining Shinshu University, I strongly encourage you to apply. You will gain advanced knowledge in your field and learn from many inspirational people here. It might not be perfect, but I truly believe Shinshu is one of the best places to learn. Even if you don't feel confident in your Japanese, everyone here will be more than happy to help you.
One last thing from me: "Ask as many questions as possible, because knowledge arises from curiosity. Don't be afraid to try new things, step out of your comfort zone, and explore as widely as possible while you have the chance. Through this, you will learn that success isn't defined merely by achieving a specific outcome, but by the willingness to keep striving and to seize every opportunity that comes your way."
