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Dr. Steven Tu, 5th Resident to Participate in the Exchange Program with the Second Affiliated Hospital of Zhejiang University School of Medicine.

March 9th, 2016

Dr. Steven Tu, 5th Resident to Participate in the Exchange Program with the Second Affiliated Hospital of Zhejiang University School of Medicine.
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Dr. Tu collaborating with colleagues in Zhejiang.

I had the pleasure of being the fifth resident to participate in the exchange rotation between UCLA and the Second Affiliated Hospital of Zhejiang University School of Medicine (SAHZU). It was an amazing experience to learn how Anesthesiology is practiced in China and to immerse myself in another culture for 4 weeks. You can read about many of the rotation's details from my predecessors (Theresa Lo, Ben Carroll, and Albert Tran) on our website's news feed.

I have an interest in medical education and prior to my departure, I formed a plan for my rotation with Dr. Victor Xia in conjunction with the SAHZU faculty. I was able to produce an instructional video on induction and intubation in English, learn how Chinese residents obtain and update their knowledge, have English speaking medical students shadow me, and present a lecture on perioperative cardiovascular risk assessment and management to the department which was also broadcast to several other Chinese hospitals.

 
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In searching how Chinese residents learn, I was introduced to the "New Youth Anesthesia Forum (NYAF)" developed by one of SAHZU's faculty, Dr. Zhou Xiangyong. NYAF exists as a website or smart phone app and includes a robust message board with multiple clinical scenarios including subspecialty discussions, live and archived video streaming of lectures, every risk calculator/scoring system you can think of, a social messaging system, literature search, job board, drug search, and many other additional features. Access to educational material and collegial discussion can be difficult in China, especially in rural regions with few resources. NYAF started as Dr. Zhou's personal project but is now supported by a group of dedicated volunteers including professors from major departments around China and other countries. Anyone who is interested in this can visit the website at http://www.xqnmz.com or download the iphone or Android app (both in Chinese) at no cost.

There were also several unique clinical practices at SAHZU that are worth mentioning. Vascular access including arterial lines and central venous catheters, as well as peripheral nerve blocks in the upper and lower extremity were performed in the induction room. In addition, patients were routinely extubated in the PACU in order to shorten the turn-around time. Anesthesiologists at SAHZU run their own TEG machine, neurological monitors (EEG, SSEP, and MEP) and cell savers.

I also had plenty of time after work and on the weekends to enjoy life in Hangzhou. West Lake is a UNESCO World Heritage site and does not disappoint. The residents and attendings were genuinely interested in introducing me to their city. I had many delicious meals with them and even enjoyed a weekend hike to the Longjing tea plantations for lunch. Getting around the city can be tricky, but learning the bus system early and getting mobile access (to use UBER) helped a lot. The resident exchange rotation with SAHZU has been a unique and rich experience, one that has shown me new ways to do things and has expanded my own practice in Anesthesiology as a result.

 
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Dr. Steven Tu

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