University of Michigan Medical and Nursing School - Aequanimitas Yearbook (Ann Arbor, MI)

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Horeign gellowship 5 ll ' ' Q P l. 2 4. , ' 4 W 57 ii 'N' A X 3- I 3 . I I ' N ' ,N ' . i Eg Above: Thoracic clinic at Karolinska Sjukhuset in Stock , T H holm. ' . Left: Research laboratory for studying left heart bypass Q 1 . V and aortic prostheses. Q .4 . QU. E L I ' .u u 'Ts V I 'fd Y x T ' A flood of sunshine illuminated first the craggy peaks of Norway, then the water- carved lowlands of Sweden as our SAS jet began its decent to Arlanda airport, just north of Stockholm, The same sun warmed the bus trip to the Swedish capitol: and, on the northern edge of the city, the light bounced dizzily from the many red-bricked buildings which comprise the Karolinska Institute and the Karolinska Hospital, Final- ly, we halted at the Wenner-Gren Center with its subtly tapered, rhomboid, twenty- three story Pylon building and the semicircular Helicon building below-which houses 130 researchers and their families from thirty different countries. The Center, di- rected by Nobel prizewinning biochemist Hugo Theorell, was founded to ameliorate the communicative dissonance among present day highly specialized workers. As the Swedish winter crowded in to cover the fall sun, the next three months were spent observing surgery and radiology at Karolinska's pediatric clinic, thoracic clin- ic, and general surgery division. Of particular interest was the use of image inten- sifiers with T.V. monitoring in the operating theater, facilitating different procedure, and the removal of a nephroblastoma, There was opportunity to view half-a-dozen coronary arteriograms by Nordenstrom's layering technique utilizing increased intra- thoracic pressure, Several cardiac catheterizations were performed by percutaneous catheterization, a technique devised by Karolinska's S,I. Seldinger. Within a brief two week period, I observed the repair of six atrial septal defects of the secundum type, performed under hypothermia. Most valuable of all was meeting and sharing experiences with the Swedish medi- cal students. The majority were happy and facile trying their wings with the Eng- lish language. Some five to seven years of their secondary education are spent learn- ing our language, and approximately 509? of their medical texts are in English. Broad- ly speaking, Swedish medical education is much the same as at Michigang though med- ical school' lasts nearly seven years. The granting of final degree after, rather than before, the internship explains part of this difference. The greater part of the military obligation is generally complete by the time of graduation, Medical centers in Uppsala, Lund, and Gothenberg were also briefly visited. Par- ticular thanks is due the Galens Honorary Medical Society whose foreign fellowship made this trip possible. One can only hope that a Swedish medical student will join us in Ann Arbor to partake of similar rich experiences. Kirk D. Wuepper, '63 123

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Scientific Hreeplay Purpose and Upinion ln the past four years increasing emphasis has been placed on investigative work as an important aspect of our medical education. The freshmen are afforded the op- portunity to do their own creative studies in the summer vacation time. As a common ground for people with an investigative bent, a Special Studies Program was intro- duced, Many upperclassmen carry on individual projects as a part time activity. Many more choose to do this type of work during their six month Selective Studies period in their senior year and during which time they are able to devote their full attention to the various studies. Others use the six month period in their senior year as a time to explore a clinical field at Michigan or abroad. Everyone involved in these varied activities has his or her opinion about the de- gree of emphasis that should be placed in these areas as to time and effort. Certain- ly the faculty, as well as the students, are divided on their ideas of which is best edu- cationally in this regard. The following pages represent principally student opinions of their work in various areas. These contributions do not answer the question of value just posed. The program is a young one and we are young in the field of medi- cine, probably educationally, not far enough along the road to know what is best for us. The following pages then present the spectrum of work being done and the student evaluation of what it has meant in broadening his or her horizons of medicine. Special Stuciies Program The current senior class, graduating in June 1963, already had successfully hur dled the hazards of the first year of medical school when the Special Studies Program was launched. Participation in the Program by members of this class, therefore has not been as extensive as that of subsequent classes. The Special Studies Program is designed to assist that limited number of students who desire to explore opportunities for learning which are in addition to the regular Medical School curriculum Oppor tunities to participate in research at The University of Michigan Medical School are of course, not limited to students in the Program andthe members of the Faculty responsible for operating the Program assist all students who desire to do research Students in the Special Studies Program are expected to Select a field of interest and to work on their chosen project during the four years of Medical School. ln addition to working on a research project, they attend during the first two years of Medical School biweekly seminars in which approaches and techniques used in research as well as analyses and interpretation of findings, are discussed. In spite of the empha sis on research, the Program is not designed to breed researchers , but instead ex ists for the purpose of broadening the student's experience and outlook regardless of his future career. The ability to observe and evaluate critically is a necessary attri bute for all who deal with problems of health and disease. The Special Studies Pro gram is designed to supply additional experiences which will further the development of this ability. John M. Weller, M.D., Coordinator 122

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A-- , , , . During the first half of the senior year I had the pleas- ant experience of spending nearly six months at the Rad- cliffe Infirmary in Oxford, England. The Radcliffe is the teaching hospital of Oxford University Medical School, and as such is in many ways quite similar to the U. of M. Hospital. Patients have entered the front door every day for the past two hundred years, and yet there is a modern surgical wing complete with closed circuit television direct from the operating room. My stay at the Radcliffe consisted of a clinical and re- search clerkship with half the time spent in Thoracic Surgery with Professor P.R. Allison, and the other half spent in Neurosurgery under Mr. Joe Pennybacker. The days were spent much as they are on Surgery at the U. Hospital, with the addition of two small research projects of my own. Perhaps the high point in the operating theatre was performing as first assistant at a mitral valvotomy. The English physicians and surgeons were very skillful, courteous, and quite willing to answer any questions I had. My exposure to the National Health Service was limited. The English people did not complain much about their care or about the system, although I found fault with some aspects. Life in Oxford was very interesting. The town and the surrounding countryside are extremely beautiful, and like the English people, rather quiet and abit cool. The cost of living is slightly less than in the U.S. Iwould certainly recommend the experience to anyone fortunate enough to have a similar opportunity. Maurice Landers '63 124 Lynn Dykman arrived in Aberdeen, Scotland on August 22, 1962. She spent one month at the Aberdeen Royal In- firmary in association with the medical school where Dr. Elizabeth Crosby taught recently. Professor Robert Lock- hart, Dean of the Medical Faculty, was her sponsor and through him she saw Scotland as the Scots see it with drives through the heather on the moors, the theater, dinners in private homes. Lynn was officially attached to Ward I, with Professor Fullerton, but also attended conferences, lectures, out- patient clinics, and during a two week refresher course for General Practitioners at the University of Aberdeen, was able to obtain a good understanding of general medical practice in Scotland. Almost everyone with whom she talked was heavily in favor of socialized medicine. The next month Lynn spent at the National Hospital at Queen Square, London, considered a Mecca for the study of neurology. Here she was appointed a clinical clerk on the ward of Dr. Denis Williams, Dr. Denis Brinton, and Dr. C.J. Earl. The program consisted of daily outpatient clinics, lectures, and ward rounds, all conducted by Brit- ain's leading neurologists. The following two months, Lynn traveled central and southern Europe, visiting I5 countries. While in Germany, she spent a short time in East Berlin, and in Rome threw a coin in Trevi Fountain, assuring her return some day. Lynn Dykman '63 Y ,M ii -fx 5,47 Yi -1-1 C144