Preparing for your medical elective abroad
Your medical elective abroad is certainly something to look forward to at the end of several years hard study. Some students look for an adventure and others are more focused on learning about health care in a different country. Whatever your motivation, try to prepare well in advance.
Once you know what you are looking to gain from the experience, it will be easier to whittle down the options of where to go.
Where will your medical elective take place?
The world is your oyster with elective opportunities everywhere. All have their advantages and disadvantages. One factor to consider is cost of living. Others include weather, safety, opportunity to travel and social life. Of course, not to forget what will your clinical experience be like.
Have a Social life abroad
The importance of your social life should not be underestimated. Once you begin your elective, you will have plenty of time outside the hospital. How will you spend this time? It is no fun feeling lonely, especially in another country. One benefit of using an elective organization is that you will have others around you, to spend your time with, travel and have fun. Depending on the provider, social activities may be included in the program.
Arranging your clinical rotation
Many hospitals and elective programs fill up quickly. Therefore, it is important to begin the application process early. The Elective Network is a fantastic resource to learn about individual hospitals and organized elective providers. Contacting hospitals directly can be a frustrating process, so, just like medical schools, it is worth contacting several, rather that setting your heart on just one place.
Once you get approval from the hospital or elective programme, you will need to get the elective signed off by your own medical school. Each school has its own policies and requirements. Typically, they will want details of where you are staying, who will be your preceptor, and they may want details of health and safety provision at your destination. Your host hospital or elective provider should be able to supply you with the information you need.
Visas and Vaccines
You finally have the rotation agreed by your school and destination hospital. It is now time to organize your travel. Before going ahead and booking your flights it is important to check if there are any visa requirements for your destination. Again, each country is different. An internet search should provide all the details you need.
Again, vaccination requirements will vary country to country. A good place to start is the US site, Centers for Disease Control and Prevention, which has detailed information about every country in the world. As well as general vaccination requirements, you should also check with your destination medical facility whether they have additional vaccine requirements.
You MUST have travel insurance in place when travelling abroad. It is very unlikely that you will need to use this insurance, but it is possible. The expensive is relatively small but its value is potentially hundreds of thousands of dollars. If you are involved in a serious accident the costs may include getting you out of the country as well as expensive medical treatment. If you do not show the local health care provider evidence of your travel insurance it is unlikely that you will receive the treatment you need without first handing over a credit card.
Are you required to purchase indemnity insurance as well as travel insurance? Again, you need to check this with your elective provider or destination hospital. If not, it is important that you are always working under the supervision of a responsible health care professional.
Wherever you go in the world it is very unlikely that you will be the victim of crime or be involved in an emergency. Nevertheless, try to learn what you can about your host country.
Your home country probably has a government website providing up to date safety advice for its citizens travelling abroad.
- US citizens https://www.state.gov/travel/
- Australian citizens http://smartraveller.gov.au/Pages/default.aspx
- British citizens https://www.gov.uk/foreign-travel-advice
When you arrive at your elective destination you should also find out locally regarding Do’s and Don’ts. This may include advice regarding areas not to visit or local dress codes.
Where will you stay?
Your accommodation is going to play a big role in determining how successful your elective is. The priority is your safety and then comfort. Are you staying in a safe area? Are you near to the hospital? If not, how will you get there? Are you staying with other students? Will you have your own room?
An elective organization should ensure that you have a satisfactory response to the above questions. Nevertheless, do check. If you are travelling independently it is especially important to ensure you are happy with your accommodation details before leaving your home country.
Packing, money, phone and documents
As well as packing clothes for the weather, you should also consider how developed is your destination. Should you bring your own hand sanitizer or surgical gloves? Are you taking a laptop or a phone? What plug sockets work in your destination country? After your elective, are you travelling to the mountains or jungle?
Remember a lot of things can be usually bought at your destination. So, do not over do it. You may want some extra luggage space to bring back a few gifts or souvenirs at the end of your trip.
Most people use debit/credit cards when travelling abroad. Unless, your elective ai at a very isolated location cards should be accepted at many shops and you will find ATMs. to withdraw cash. It is worth bringing at least 2 cards and keeping them separate, in case you lose one. Also, inform your bank that you are travelling abroad before leaving home. Hopefully, this will avoid them freeze your account when they see transactions abroad.
You will find wifi somewhere in most destinations. You are unlikely to find this in a hospital, but you will in cafes, and hopefully at your accommodation.
Make a digital copy of any important documents such as travel insurance and your passport.
Travelling to a country on the other side of the world is an exciting prospect. However, it does also mean that you are on the other side of the world. It is essential that you have local support. This could be a local doctor or your elective provider. The support you need may be just local travel advice but it could also be to manage a serious incident. You should send details of your new address and the details of your host country contact to your family back in your home country.
Experience of a lifetime
Your medical elective abroad will hopefully be one of the best experiences of your life. We often speak with past students, now health care professionals, who tell us of the fond memories they have of their elective years ealier in Peru.
Wherever you go, and however you do it, spend a little time planning in advance to ensure yours is also a wonderful experience, and without hiccups.