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

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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

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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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David Fitzgerald '63 iq Mt During the six months of our selective period, lhad the opportunity to learn about my major field of interest, child psychiatry, in Europe. With the help of Dr. Pollard of the adolescent psychiatry unit,Iobta.inedan externship at the Crichton-Royal, the best known Scottish psychiatric hospital, in Dumfries, Scotland, a little town just north of the English border. But it was not without some trepidation thatlleft Ann Arbor, wondering just what I would find, As my plane stopped in Dublin and London, I spent a few days in each city, and then traveled by train through the Lake country which was as beautiful as its reputation. Reaching Dumfries, I was totally unprepared for my home for the next four months, a lovely old hospital on a thousand landscaped acres with its own golf course and swimming pool. The childrens' unit was in three old mansions, each converted into twenty bed units-one for psychotic children, another for the mentally retarded, and a third for personality disorders. It was a wonderful place for any child, with woods, fields, and gardens to play ing best yet, no fences or locked doors. Although carefully supervised, I was free to do as Ichoseg which was to get to know the children as people without any labels, Later when Iwas familiar with their symptoms, Iwas better able to tuiderstand why they had been classified as they had. The somewhat isolated location was more than offset by the interesting staffg there were students in medicine, clinical psychology, psychiatric-social work, occupational therapy, and special education, to say nothing of the student nurses. These young people were from all the Commonwealth countries-Canada, Australia, New Zealand, India, and Jamaca, as well as Israel, Belgium and the United States. On weekends there was ample time to visit places of interest, sail, at- tend the Ebinbourgh Festival and take a three week camping trip in Italy with some other members of the staff. On the way home my plane stopped in Nice, Madrid and Lisbon for sightseeing. 125