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  • Affiliated International Institutions | IMER | Medical Education | University of Minnesota
    these flights are typically cheaper than flying directly to Chiang Mai There are a variety of cheap local airlines Air Asia Nok Air Bangkok Airways Thai Air which have regular flights between Bangkok and Chiang Mai 30 70 1 hour or else buses are plentiful and a cheaper alternative 20 30 10 12 hours Visa Requirements There are no visa requirements for US citizens arriving into Thailand Visitors obtain a 30 day entry permit on arrival and may cross the border into Burma Laos or Cambodia and return to Thailand in order to renew the permit For up to date information please consult the US State Department website United States Consulate Chiang Mai It is advisable to register with the embassy prior to your rotation through the Smart Traveller Enrollment Program STEP Thailand has been subject to political turmoil in recent years and while this has had a limited effect on Chiang Mai notices through the consulate provide up to date travel information on protests and violence The consulate is located east of the Old City in Chiang Mai Consulate Website Immunizations Routine vaccinations as well as Hepatitis A Hepatitis B Typhoid and Japanese Encephalitis are among those recommended depending on your area of travel in Thailand There is no malaria in major cities including Chiang Mai however dengue fever is a significant concern and it is advisable to bring use bug spray Please consult the CDC travel website for further information Medical Care Emergency medical care can be received at the public hospital Maharaj hospital also known as Chiang Mai University Hospital or Suan Dok in Thai or the private hospital Chiang Mai Ram Please consult individual insurance plans and MedEx emergency evacuation guidelines recommendations Guesthouses Apartments Housing is available close the Maharaj hospital in the Nimmanheimen area as well as around Chiang Mai University Guesthouses typically cost in the range of 300 600 baht 10 20 night Long range stays can be arranged at certain guesthouses or else apartments are available for rent on a month to month basis for approximately 5000 baht month a popular apartment complex on Nimmanheimen catering to ex pats is Baan Thai Furnished apartments can be found simply by walking by and asking to see a manager although it may be difficult to communicate in English at times Getting Around Chiang Mai is a fairly walk able and bike able city Local transit methods include local public taxis the red trucks or song teaw which typically cost 25 40 baht for locations within Chiang Mai or the Tuk Tuk an auto rickshaw which may cost anywhere from 60 120 baht Bicycles can be rented on a monthly basis as well as motorbikes Motorbikes can be rented by depositing your drivers license Please wear a helmet and use extreme caution if renting a bicycle or motorbike as traffic patterns are quite different in Thailand compared to the US Eating Drinking Food that is found at both local street vendors and restaurants is safe to

    Original URL path: http://www.meded.umn.edu/imer/affiliates/thailand_chiang_mai.php (2014-11-22)
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  • Affiliated International Institutions | IMER | Medical Education | University of Minnesota
    with musculoskeletal skin and eye injuries I d typically interview and examine the patients present them to the attending registrar or consultant then order the appropriate labs and imaging As often as possible I d drawn blood samples from my patients In fact there is only one phlebotomist for the department thus all interns and residents drawn there own bloods while this is great practice it adds to the inefficiency of the A E system I d then review the results and imaging with the attending provide my treatment plan and write a brief note I attended noon A E lectures with the UGH medical students These lectures included excellent discussions ranging from head trauma to acute chest pain to burns I was continually fielding questions on how is this done in the U S from medical students and staff so I decided to give a morning lecture to the department on Physician Training in the United States This was well received and appreciated by all I d return to the A E for the afternoon before heading off to an evening lecture with the UGH 5th year medical students Medical school in Ireland is 5 years the last 3 years being primarily clinical A few months prior to graduation all students have to pass the Clinical Exam This daylong exam focuses on observed histories and examinations of multiple ward patients by senior physicians and accounts for over half of one s overall grade for the year I was lucky to be at UGH just prior to the Clinical Exam when the 5th year students were in full study mode I read their Physical Exam and Clinical Diagnosis textbook then spent a few afternoons roaming the wards with them in search of interesting and potentially testable cases We d take turns conducting physical exams as physical exams should be conducted sometime examining one patient s lungs for up to 30 minutes As the U S medical system relies more on labs and imaging the art of the physical exam I feel is gradually being lost The emphasis placed on the physical exam at the University of Minnesota and other U S medical schools is pitiful compared how it remains honored in the British medical training system I am grateful for the re established respect and appreciation I have for the physical examination after my time at NUG A unique aspect of the UGH A E is it s Minors Follow Up Clinic A E physicians see patients with sprains chronic wounds eye injuries lacerations etc 5 10 days after initial presentation This provides an interesting setting for continuity of care not common to U S emergency departments It was rewarding to see some patients three and four times over the course of my rotation The unfortunate side to Minors Follow Up Clinic may already appear obvious it adds more patients to an already taxed UGH A E system The underlying need for this Clinic I learned is twofold Most patents

    Original URL path: http://www.meded.umn.edu/imer/affiliates/ireland_galway.php (2014-11-22)
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  • Affiliated International Institutions | IMER | Medical Education | University of Minnesota
    a nursing allowance paid to the parent to care for the child The age limit for ill childcare allowance is age 18 but there is no age limit for the care allowance if the child is mentally handicapped 2 There is also free health care for all citizens The upper maximum one would have to pay for a chronic illness would be about 1800 Norwegian Krone about 300 US this includes the cost for medicine During my stay in the Department of Pediatrics the social systems in place for families and the Norwegian culture became more intimately apparent My time in pediatrics both hospital and outpatient clinics occurred at Haukeland sykehus Walk in the front entrance and you will likely find a few tealite candles lit at the information desk or walk into a doctor and nurse work room and you will again find candles lit for morning meeting or during a quick lunch break Bikes and scooters may be used in the basement tunnel system that connects the main hospital to the pediatric hospital building or obstetric hospital building Doctors wear white scrubs with long white coats and open toe hospital sandals with thick stockings A pediatrician is trained as first a general pediatrician and then may go onto sub specialize similar to our system What is different is that a pediatric subspecialist may still practice general pediatrics so it is very common to find one of the pediatric subspecialists working a late night shift in the after hours urgent care Every morning there is a meeting at 8 00AM which general pediatricians pediatric infectious disease pediatric cardiologists neurologists neonatologists and junior doctors in pediatric training all attend to discuss new patients or patients with ongoing findings of concern There is much discussion between all of the doctors from various subspecialties about findings pending tests or results from tests All discussion is very collegial polite soft spoken At 9 00AM there are radiology rounds where all attending the above report to a larger radiology conference room with radiologists and there is more fruitful discussion regarding new imaging Following radiology rounds the doctors move to their various wards to round on patients A majority of the patients current status is communicated through the nurse and what changes will be made are also communicated with the nurse A short daily note is entered into their EMR much different from our models There is less need for a long daily note as many daily notes fit onto one computer screen There is less concern for law suits as governmental system does not allow for this so there is less extra paper documentation and more time for patient care By 3 30 4 00 there is a patient sign out and smaller discussion with an evening team of doctors For doctors with small children at home it is known and assumed that they have to leave to pick up their children from school by 4 00 Within the Department of Pediatrics I worked

    Original URL path: http://www.meded.umn.edu/imer/affiliates/norway_bergen.php (2014-11-22)
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  • Affiliated International Institutions | IMER | Medical Education | University of Minnesota
    about the medical education process in respective countries which proved to be quite interesting The next week we traveled to Kaunas Lithuania where the class focused on primary health care issues in Lithuania which were very different from Sweden For instance Lithuania actually has the highest rate of suicide in the world We also had a chance to tour the anatomy museum and get a historical lesson about the development of medicine since the fall of the USSR During the third week we also went to Brussels where the European Union housed us and gave us a two day informational session about what the EU does for European healthcare I learned a ton of information about how the governments and nations must work closer together to provide universal care no matter where citizenship in Europe lies Photo Nighttime viewing of Florence a class favorite after classes while in Italy The final week of the class took place in Florence Italy There we participated in similar class activities with a special focus on Italian aspects of care It was surprising to learn how much healthcare quality varies in the different regions of Italy Additionally patients in the hospital are asked to take their own temperatures every morning The class ended with a group presentation after experiencing healthcare in all three countries Each group had a different disease in which we were required to do further research and analyze statistics from European databases Then based on what we had experienced discuss how each country is combating that particular disease Class Format In each country we were able to shadow physicians primarily in the hospital and see the patients first hand Of course language was a barrier especially in Lithuania and Italy but the doctors always offered English explanations These shadowing experiences were part of the class curriculum and allowed us to get a first hand experience with health care in each country Additionally each country gave sufficient time to take in the culture This included group trips to museums and city areas as well as a restaurant dinner taken care of fully by the course In total the class was provided 7 8 meals throughout the four weeks Perhaps most importantly though I was surprised to learn that the medicine practiced in each country is practically identical to that of the United States The practice guidelines the imaging offered to patients and laboratory measurements were exactly the same as those in the United States As much as I expected there to be great differences between European medicine and the medicine within the three countries I was surprised to see how similar the actual medicine of it all was Meeting medical students from other countries was the highlight of the class I learned a lot more about medicine in my casual discussions with classmates than I did during any of the lectures Which is not to say anything against the lectures but getting to meet and discuss first hand experiences was the most

    Original URL path: http://www.meded.umn.edu/imer/affiliates/sweden_karolinska.php (2014-11-22)
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  • Affiliated International Institutions | IMER | Medical Education | University of Minnesota
    about the silly Nicaraguans similar to blonde or Iowa jokes here I gazed out at a cruise ship I thought to myself how different my experience was than the people sitting on that ship I consider myself lucky to have gotten an inside view of Costa Rican culture During the weekends I found a variety of things to do There are numerous national parks cloud forests rain forests mountains volcanoes beaches and a variety of wildlife There is also a large tourist economy there which does its best to entertain foreign guests with canopy tours mountain biking sailing fishing surf lessons and more San José itself offers fairly good shopping museums tours to a well known coffee plantation Café Britt and the Teatro Nacional I have to admit that most tourists head out of town because of the seemingly chaotic traffic and throngs of people on sidewalks However I adjusted and found that I enjoyed my daily walk to the hospital down the main thoroughfare Avenida Central discussed more later Most weekends I tried to travel around to see the different areas of Costa Rica My favorite place that I visited was Manuel Antonio National Park For the first time in my life I saw monkeys in the jungle swinging from tree to tree This park also has hiking trails and a beautiful beach but everyone had to watch our belongings carefully so that the monkeys would not steal them This park was probably the highlight of my weekend activities I truly had a wonderful time and would recommend the Costa Rican international elective to other medical students There is much to experience there in terms of medicine health care system culture language and natural beauty In my mind it was the perfect conclusion to my medical school education To close I would like to include a blog entry that I wrote during my fourth week of the rotation about my everyday life there First I wake up every day around 6 and get all dressed in business casual dress for going to the hospital The students dress a bit more casual but the doctors are formal with many of them wearing suits every day Before heading out the door I eat a fabulous breakfast consisting of fruits like papaya mango banana cantaloupe or watermelon and as well as some cereal Then I head out the door to catch the nearest bus to downtown which costs 145 colones about 30 cents Some days I ride in a Mercedes Benz bus other days I ride old school buses On the bus I see all the school children in their uniforms get on the bus and then all file off at the same stop Then I reach my bus stop From my bus stop I have to walk about 10 blocks down Avenida Central the main road in San Jose Part of it is closed to motor vehicles and is exclusively for pedestrians This is an interesting walk every day I pass

    Original URL path: http://www.meded.umn.edu/imer/affiliates/costa_rica_ucimed.php (2014-11-22)
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    Original URL path: /students/opportunities/international_list.php (2014-11-22)


  • Community | Medical Student Well-Being | Medical Education | University of Minnesota
    Cultural Student Organizations A list of available ethnic and cultural student organizations and their calendar of events Interfaith Calendar Dates of sacred days for world religions Minority Health NIH resource on African American Asian American Hispanic American Native American health Arts Culture UMTC Arts and Culture U of MN campus art galleries museums theater productions dance programs concerts lectures and films U of M Health Sciences Orchestra Upcoming concerts and how to join the orchestra Minneapolis Art Museums Links to the many museums located in Minneapolis Minneapolis Landmarks Tours Links to the many fun things to see and do in Minneapolis Minneapolis Music Theater Links to Minneapolis night life St Paul Historic Sites Museums Links to the museums located in St Paul St Paul Festival Museum Public Art and Performance Venue Information All the fun things to do in St Paul Environment Minnesota Landscape Arboretum U of MN arboretum located in Chaska Information on tours programs and special events UMTC Raptor Center U of MN facility located on the St Paul campus Specializes in the medical care rehabilitation and conservation of eagles hawks owls and falcons Audubon Society National organization that works to protect birds other wildlife and their habitats Interesting articles facts photos videos Minnesota State Parks Listing of all MN state parks maps programs services etc Minnesota State Trails Listing and maps for all MN State trails for hiking biking horseback riding in line skating snowmobiling skiing E The Environmental Magazine On line articles and directory of environmental products and services Family Child Care On campus and off campus childcare services and nursing mothers facilities in the AHC Family Education Network Online educational content and resources for parents teachers and kids Service Opportunities U of MN Community Partners Agencies that are community partners with the University of Minnesota

    Original URL path: https://www.meded.umn.edu/wellbeing/community.php (2014-11-22)
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  • Emotional | Medical Student Well-Being | Medical Education | University of Minnesota
    Mental Health Clinic These are by appointment and the first appointment needs to be made in person A staff of psychiatrists licensed psychologists and licensed clinical social workers provide a variety of counseling options Services available include individual and couple counseling medication assessment management urgent consultation phone or in person a variety of group therapies social work assistance If you have paid the Student Services Fees and have hospitalization insurance your first visit to the mental health clinic has no copay Additional visits will require a 10 copayment for individual psychotherapy couples counseling and medication management If you carry the Student Health Benefit Plan you will have a 20 co payment If you carry the Graduate Assistant Plan your co payment will be 10 for all visits including the initial visit and group therapy visit If you carry your own insurance you will be responsible for the remainder of your balance after your insurance has been billed It is your responsibility to contract you insurance company to understand what your benefits are If you wish to purchase Boynton Health Service s Extended Coverage plan your co payments will continue at the current rate of 10 per individual visits and 5 for group therapy visits Urgent Mental Health Consultation You do not need to have an appointment to speak with a mental health counselor on an urgent basis Call the Urgent Mental Health Consultation line at 612 625 8475 and a clinical social worker will talk with you directly about what might be best to do about your concerns If indicated you can be seen in person often on the same day In an emergency situation the social worker will help you obtain emergency care at the appropriate place If you would like further therapy after the urgent situation has eased you may be referred to another therapist in the mental health clinic or to another resource in the community If medication is indicated the social worker will help make arrangements for you to have a medical assessment University Counseling Consulting Services 109 Eddy Hall 612 624 3323 www ucs umn edu No cost services from trained professionals Confidential no medical records of service Average time to first appt is 1 week but crisis walk in counseling is available Open weekdays 8 00am 4 30pm Personal Concerns Counseling UCCS offers short term counseling designed to address your real life concerns i e relationship concerns financial issues stress depression anxiety test anxiety If you and your counselor feel that you would benefit from longer term therapy your counselor can help you find resources offering such services Crisis Counseling Emergency walk in counseling between the hours of 8 00 a m and 4 00 p m daily Any student feeling an urgent need to talk to a counselor can call UCCS 612 624 3323 or go to 109 Eddy Hall and speak to a receptionist to see about the availability of a counselor Disability Services 180 McNamara Alumni Center 612 626 1333 http

    Original URL path: https://www.meded.umn.edu/wellbeing/emotional.php (2014-11-22)
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