Periscope OM 2017 by CIMSA Indonesia

7TH EDITION | VOL. 01 | OCT’17 - JAN’18

The Power of Professional Exchange For Indonesian Medical Students in The Future of Artiﬁcial Intelligence SCOPE MC TEAM 2017/2018

-es to doctors such as unemployment. This also has been stated in a report by the consultancy firm PwC (UK) that 30% jobs in Britain were po- tentially under threat from breakthroughs in artificial intelligence (AI), including jobs in healthcare. The worries cannot be underestimated as Prof Stephen Hawking, one of Britain’s pre-eminent scientists, stated, ”The development of full artificial intelligence could spell the end of human race.”

However, the truth is, AI technology is already Indonesia, even though still in the position as here. We cannot deny our dependence on our developing countries, has used AI as the basics mobile phones. Doctors cannot deny how much of life. However, its development and its usage they need MRI and CT scans to diagnose most balance has been concerning the Ministry of Re- cases related to injury and tumors and ECG as a search, Technology and Higher Education. He tool to diagnose Myocardial Infarcts. AI technol-

expressed his concerns in an opening event

ogy has been here with us. The real questions “The Indonesian 4th Laboratory Scientific, Ana- are, how much will AI technology develop in lytical Equipments, and Services Exhibition and are, the future? And what should we do about it?

Conference” that even 90% of Indonesian drugs raw material are imported. Most of healthcare

AI technology has started to give more hopes to machines are imported. Most of Indonesian healthcare, as the tools to eradicate the high medical records aren’t stored well, not all hospi- prevalences of deadly diseases in every aspect, tals use digitalized medical records. With its high from medical records to treatment tools. prevalences of some NCDs, Indonesia basically Google lauched its Google Deepmind Health demands high AI development not only by im- Project that is used to mine medical records in ports but also by local products. Otherwise, the order to provide a faster health service. It’s able thriving AI development phenomenon can be a to process big amount of medical informations serious problem in Indonesia. to within minutes. Philadelphia-based start-up has invented Oncora Medical, a data-analytics plat-

The ones below the poverty line that can’t

form that can help doctors design sound radia-

access the high technological health manage-

tion treatment plans for patients with cancers. ments will go further below. Health accessbility Another has helped laboratories and research-

and affordability will become harder for the

ers with 3Scans, robotic microscopes and

low-socioeconomic segment of society. In addi-

chine vision that can generate better view about tion, Indonesian consumption of healthcare ma- tissues. The 3Scan’s machine has been reported chines will highly depend on imports thus con so efficient that it can undertake a tissue sample tributing to the national economic problem. analysis in only 1 day while pathologists take 1 healthcare machines will highly depend on im- year using conventional methods. Chinese-

ports thus contributing to the national economic

based start-up has created a digital platform problem. containing biological samples such as saliva, proteins and DNA entitled “Digital You” with Therefore, we as medical students, have to be the intention of recommending tailored wellness aware of the AI development and take actions

programs, food choices and possibly prescrip-

towards it. Despite what Prof Stephen Hawking

tion medicines.

said, some experts said that AI can be our tools

in making the world a better place. As Ginni Rom- for the more thriving development of AI by etty, a CEO of IBM said, “Some people call this making ourselves capable of creating it, using it artificial intelligence, but the reality is this tech- and developing it, and professional exchange is nology will enhance us. So Instead of artificial in- one of the ways to help us to do it. telligence, I think we’ll augment our intelligence.” We can see that AI can be our best friend in our jobs as medical doctors. Professional exchange, a program that facilitates medical students studying in other countries, can empower medical students to study more about the technology that aren’t commonly used in In- donesia. It can inspire them, giving them ideas of what should be created in Indonesia. It gives them insights of how the artificial intelligence works in other countries. Those insights and works knowledges will make us ready when the AI starts to develop fast in our countries. They will also be our tools to develop the new technologies that are more suitable to our country’s condition, for example the new diagnostic tool that is more ac- curate, simple, and cheap. Moreover, professional exchange offers an opportunity for networking amongst medical students and doctors. The opportunity that gives medical students a chance to collaborate with other students and doctors in the future to develop AI in healthcare. Thus, instead of being scared of the AI development itself. We should take the opportunities AI development offers in order to improve nation’s health. We should prepare ourselves to be ready

The Role of Exchange in Combating Climate Change SCOPE MC TEAM 2017/2018

There is no doubt that Indonesia is one of the fastest developing countries in Southeast Asia, with its economic growth moving at high speed and its citizen’s educational level getting higher. However, we can’t possibly ignore the persistent issue, which is still present and bugging us: our underdeveloped public transportation system. According to Badan Pengelola Transportasi Ja- According bodetabek, from a total of 47.5 million trips made in Jabodetabek in 2015, only approximately 24% are made using public transportation. This number becomes homework for our government, for that the government has set a 40% goal by 2019. Public transportation, or usually known as public transport, is a service managed by the government for its citizen to use as a

easily count on their public transport systems. A overseas to learn about things that are not com- government survey in Singapore, our neigh-

monly done in Indonesia. They can experience

bouring country, estimates that 6 out of 10 trips how things work in other countries (especially made in Singapore are made using public trans-

developed ones), giving them insights and un-

port. Even in certain areas, like Toa Payoh, reach derstanding of things that should be applied up to 65.5%. Not only in Singapore, a study in when they go back to Indonesia—in this case, London claims that 11% of Londoners get the high usage of public transport, how the gov around on foot, while 46% use public transit. ernment should thrive to establish better public This may be a lower number compared to transport system, and how citizens are expected Singapore’s, but is still higher than Indonesia’s.

to behave to support it.

Whereas, using public transport grants us an abundance of benefits, for instance, lighter traf- fic due to smaller number of cars on the roads, thicker wallet, and better health considering that we have to walk to reach the bus stops and train stations. And for the first and foremost, less energy consumption, which results in a more eco-friendly environment, not to mention the eco-friendly smaller amount of pollution created. This par- ticular point is related to SDGs number 13, where we have to take urgent action to combat climate change. Accordingly, we as medical students of Indone-

Hence, knowing the importance of our roles in

sia, have to be aware of this issue and take developing our public transport, we should take action towards it. We can start with ourselves, the lead in taking what public transport offers like how we behave concerning public transport us. Not only that it will benefit us, but we will usage. We can’t lie about one fact, though, that also do our earth a favour by being more eco- because we Indonesians haven’t experienced friendly, and in some ways, contributing to what a decent public transport system feels like, achieve the SDGs, and professional exchange is we don’t feel the urgency to use it. This is where clearly one of the few ways to accomplish all of we professional exchange comes into the spotlight. them. Professional exchange is a program in which medical students are accommodated to go

August Meeting 2017

Karibu! That’s how people of Tanzania greet each other. Last August was my first visit to this wild yet adorable country, doing so on behalf of CIMSA-ISMKI in conjunction with the recent 66th August Meeting General Assembly of the International Federation Medical Student’s Association (IFMSA). Located in Arusha, a city at the foot of Mount Kilimanjaro, the greatest Mountain in Africa, The IFMSA General Assembly, which welcomed over 800 students from more than 100 countries, was held from 1st - 7th August 2017. This year’s theme is “Crisis in Human Resources for Health: Innovative Health Financing Under the SDG3 FrameHea work”, which made it very fascinating to be there as one of the delegates of IFMSA largest meeting. The other thing that makes AM was special is the election of SCO Director. And the elected SCOPE Director is our SCOPE General Assistant which is Tomasso Pomerani from SISM-Italy.

August Meeting consisted of many sessions, one of the most anticipated being the SCOPE session. This was the chance to meet all the NEOs and SCOPEople from worldwide; a truly amazing experience. There were Small Working Groups for discussions on obstacles that various NMOs face regarding the exchange program, such as improving our program to become more professional, most in-demand exchange program for medical students. I gained knowledge, experience, as well as perspectives from other which I hope I can implement towards the growth and betterment SCOPE CIMSA. The rest of the days were filled with trainings about many topics, fundraising for exchange programs, SCOPE Strategic Plan and many more. One of the most exciting things on agenda was voting for SCOPE Regulations. The pressure grew especially tense whenever a motion was submitted, with each NEO having a different opinion on each one of them. It was quite challenging, but in the end I believe we arrived at the best solutions and

decided on the most appropriate regulations. Next came the most awaited event - the Poster and Contract Fair, where I had the opportunity to introduce and promote Indonesia as the destination for the SCOPE exchange program. I also got to familiarise myself with exchange programs from other NMOs, all while exchanging souvenirs, trying out various traditional food, having a look at profile books of the NMOs and most importantly, obtaining agreements from other NEOs for next seasonâ&#x20AC;&#x2122;s contracts. The last session was the most emotional one, since it was the last day and I had to be separated from the other NEOs. But I made a great memories and took a picture together while holding each of our own national flag. It was a really enchanting, life-changing moment for me. Thank you SCOPE CIMSA for giving me this opportunity. Africa, Tanzania, and of course opportunit SCOPE, will always have a place in my heart. I greatly look forward to attending another GA!

Asia Paciﬁc Regional Meeting 2017

The Asia Pacific Regional Meeting 2017 had come to Tokyo, Japan. From the 17th till the 21st of September 2017, the largest representative body of medical students across AsiaPacific convened in the Land of the Rising Sun, to discuss the main topic of “Healthcare in Conflicts and Emergencies: Medical Workers Towards Building Peace”, and also to commemorate The International Day of Peace in the last day of APRM itself, September 21st. Workshops, trainings, talks and a whole slew of activities, packed into just a few short days in this great event, and the whole committee on behalf of IFMSA-Japan was totally ready and able to make sure it all went off smoothly. While waiting for all delegates to come and finish their registration process, the organizing committee had prepared a beautiful yet simple opening social program, a Traditional Japanese Tea Ceremony. The ceremony itself was organized by a professional tea maker who wore a kimono and offered us plates full of Japanese sweets.

The event officially started with an elegant opening ceremony by the traditional performance of Kabuki, where finally approximately 170 delegates from 12 NMOs across AsiaPacific Region met each other for the first time in this opening gala dinner. The official opening speeches were delivered by the rep resentative of IFMSA (Regional Director for Asia-Pacific Region), IFMSA-Japan (OC Chairperson), and also by the President of Tokyo Medical Association, dr. Haruo Ozaki. Every morning session started with parallel session which consisted of President Session and Standing Committee Session. We are going to talk more about SCOPE or Exchange Session together with SCORE members in this article. The session was facilitated by Mauro Henrique Chamacho as IFMSA SCORE Director. On our first day, we discussed about introduction to Exchange program, facilitated by SCOPE and SCORE IFMSA, and also shared about social program in each NMOs. The session ended and

continued with activities fair after lunch. CIMSA itself successfully sent three of our activities out of all 10 activities in the activities fair, which were Bronkus by CIMSA UNS, ACTION by CIMSA UNAIR and SCORP, and Attentive by MSCIA UB who got third place based on the scoring by the TO of IFMSA. Before the day ended, all of the NMOs preBefo sented their cultural performances along with their traditional costumes in cultural night. On the second day, as usual we started with the exchange session with the topic of Perfect Exchange Officer, Academic Quality and Recognition, and also PRET and TNET. In these sessions, the NEOs and NOREs who came mostly shared about their works, experiences and also how they felt as the ex change officer itself. Finally, the delegates had our awaited theme event which was delivered by Mr.Nobuyasu Abe (Former UN Under-Secretary-General for Disarmament Affairs), Ms.Shukuko Koyama (Chief Coordinator CAMPUS Asia, Waseda University), Dr. Yasushi Miyazaki (MD Professor, Department of Hematology, Atomic Bomb Disease and Hibakusha Medicine Unit, Atomic Bomb Disease Institute, Nagasaki University), and Ms. Naomi Kawahara (Senior External Relations Officer at UNHCR Representation, Japan). The delegates were really interested and came up with many questions and discussed many things in the Panel Discussion afterhand. The day ended with a fun National Food and Drinking Party where each country

promoted their signature food in mini stands by the delegates. September 20th was our third day when we started the exchange session a little bit late but it turned out well because of the new kind of material delivered in terms of exchange program. We discussed about Global Health within Exchanges which is now becoming SCOPE and SCORE focus and then PDT, as well as UAT. However, the most exciting part we is about the Exchange Promotion, when we talked more about marketing and advocacy within exchange program. We then had a fun discussion through Small Working Group, and took our finishing blue-family group photo afterwards. By the end of the day, the Regional Team prepared us a serious session, which was the Plenary Session to declare and authenticate IOGs and rules, as well as official announcement within our beloved region, Asia-Pacific. In the middle of the session, CIMSA presented our appointed activities which are Bronkus by CIMSA UNS, and ACTION by CIMSA UNAIR and SCORP CIMSA to be presented to all the distinguished delegates in the plenary. In addition, another voting to decide the next host of APRM 2018 between AMSA-Australia and KMSA-Korea were conducted and KMSA-Korea was selected for the host of APRM next year. This event officially finished before the last day on 21st itself, and all the delegates had their farewell by taking photos to remember all the 3 days well spent with their new family across Asia-Pacific.

Our Â Selected

#ExchangeStories

Baskent University Ankara Hospital | Turkey General Surgery and Transplantation Surgery

I still remember in 2016 I really wanted to chal- lenge myself more and get out of my comfort zone. So I decided to apply for SCOPE Profes- sional Exchange. And to think about it now, I am really grateful I made that decision because the experience was priceless! I learned many things, met new friends from all over the world, and I also got to do the thing I love the most that is traveling. I chose to go to Turkey for the exchange because I was curious about the country and I heard positive feedback from a friend of mine who was in Ankara for an exchange before. She told me about the country and the amazing social program there. While waiting for the exchange date, I was nervous because I have never traveled alone, let alone to a non- English speaking country. But I was also really excited and looking forward to it! I just couldn’t wait for the exchange. I was placed in Ankara, the capital city of Turkey. It is the second largest city after Istan- bul and it has many parks and open spaces. In my opinion, Ankara is a little similar to Jakarta because it also has a lot of shopping malls. Baskent University Ankara Hospital, the hospital where I was placed in, located near the city center, while the university is a little far. Throughout the exchange, I stayed in a dorm inside the university area with Julia, a Turkish student as my roommate. Every morning I had to go to the hospital from the dorm. Fortu- nately, they provided shuttle for the students to go from the university to the hospital and vice versa. For my exchange, I attended the Department of General Surgery and Transplantation Sur- gery. I was really lucky to study about transplan

-tation at Baskent University Ankara Hospital, because it has the best transplantation surgery in the whole country. Prof. Dr. Mehmet Haber- al, the founder of the university and also the head of transplantation surgery team. He is currently the head of world transplant society. I feel honored to be able to learn from him and his team during my exchange. At 7.30 everyday, I attended morning ward round with transplantation surgery team. The round started at transplantation surgery patients ward in the 7th floor, then going down to the VIP ward, and ICU. Sometimes, the doctors also went to the radiology department and pa- thology anatomy laboratorium to check the patients’ examination result. After the round finished at approximately 9.00, I went to the operating theatre. There are 2 operating the- atres for general surgery and tranplantation surgery. At first, I thought I was only allowed to observe the surgery, but turned out all the doctors let me assist everyday. Not only the doc tors, but also the nurses.

One of the most memorable moments for me was when I attended a liver transplantation surgery from cadaver donor that began at 4 AM. There was no shuttle bus that can take me to the hospital that early, but the doctors kindly arranged a car to pick me up. I was really touched and I didn’t expect them to do that for me. I felt like they really them wanted to teach me and make me feel that I become part of the team. The surgery lasted for 8 hours, and I was able to assist the organ dissection and observe the surgery. Overall, my medical experience here was beyond amazing. The local students also took a great care of the exchange students and organized ev- erything very well. Almost every afternoon or evening after our clerkship, we went to tourist spot or nice cafes, did something exciting like playing pool or just chilling by the lake.

In addition, every weekend we went to visit different town in Turkey for the social program like Cappadocia and Olympos. Cappadocia was magical and surreal. I think no word can describe the beauty of Cappadocia. And I ab- solutely love Olympos where we got to swim as long and as much as we want because we had a boat trip. I surely got tanned a lot from had all of the traveling I did during this summer. No regrets though, tan line will fade anyway but the memories will stay! Finally, I can say that a month I spent in Turkey during this exchange was unforgettable. I get to know Turkey and experience the culture, taste delicious Turkish foods (I love them!), make new friends, learn a lot of new things, and I also feel like I grow through this experience. This exchange adds more value to my personal qualities and skills, not to mention it personal is also essential for networking with medical students and doctors all over the world.

Akademiska Sjukhushet | Sweden Obstetrics and Gynecology

Hej hej CIMSA! It is a pure bliss to share my exchange story to you guys. My professional exchange supposed to start on 3rd of July, but because some misunderstanding on my visa application and turned out my supervisor had her nightshift until 4th of July, I started my exchange on 5th of July. It was a rough start, but my exchange time was probably the most but life changing experience I ever got. I was the only Indonesian in my exchange group, to be honest that gave me a lot to think, like “what if I could not fit in?” and to make things worse that was also my first time traveling alone. I arrived a little late than the others, so my friends already knew each other and I had to pop up and fit in. Being a worrier, I worried a lot about this, but my friends were I really outgoing and welcoming. I guess kind- ness is a language used all over the world. Oh, and before I forgot to tell you, Swedish people are very swell and most of them speak fluent English, so I never encountered any communication dispute. They’re also very friendly and informal in a good way so it’s never a dull time have a conversation with anyone about anything. My exchange group is so diverse, dope, and just the best squad ever. We even get a com- pliment from IFMSA-Sweden NEO, that Up- psala exchange group was the best exchange group she has ever seen for the past 4 years. I totally love every single person that made the group, I guess if you try to open up, be kind, and outgoing as possible you could really make friends, like friend-friend, not just some people you met on an exchange program and you barely know them. It’s really a great opportunity to explore other cultures and discuss about world issues with people who may have different perspectives than you. It

broaden and opened you up to a whole new different world. The clerkship which is the main event was a game changer, I totally recommend this exchange program as a getaway to all of you who feel kind of lost in medical school. It gave you a clear new per- spective on your future, at least on me. I was a pre- clinical student, I didn’t expect to do much. I was quite sure that I would be satisfied by observing how the doctors treat the patients. But, turned out my supervisors was trustful towards me, so they let me do a lot of stuff for the first time. I did my first vaginal examination, Pap smear, ultrasound, leop- old examination, and a lot of minor stuffs. But the best thing that happened is when they not only let me scrubbed in but also let me assisted a C section and they wrote my name in the medical record. And if you are lucky and made a good im- pression, you may ask to your supervisor for a rec- ommendation letter whenever you feel like you need it. Sweden is a very great country choice for an exchange program. I’ve never been to many countries but I could see and learn just by how Swedish people live their daily life. Because I believe that a perfect system wouldn’t be perfect if the people are not as developed as the system. So it wouldn’t be enough to just prepare for a better health system without preparing the people who would receive direct impact from the system.

In my opinion, I think that’s our job as a medical students to try to educate people near us and try to make them understand the importance of their understandings and actions to make Indonesian health system better. Like I said before, Sweden is a very informal country. People here talked in a much laid back way, it’s not necessarily a bad thing. It made the working environment very enjoyable and warm for everyone. There’s no such thing as hierar- chy and everyone respects their colleagues without seeing their position or anything. Even the relationship between students and profes- the sor is much unrestrained. Students could ask their professor without any walls between them, and I guess it’s a good thing to respect any human being just because they’re human, not because some kind of position or pressure they received. And I think the thing that leaves mark in my heart is how kind and friendly Swedish people are, they greet everyone in the hospital even when they don’t know them. As an outsider I could really feel the joy working in a stress-free environment. I totally learned a lot from this experience and ready to share some tiny bits contribution to change this country to a better direction. Tack SCOPE CIMSA for this priceless opportunity. All the best for this country!

CIMSA FK UNPAD

‘Teaching and Learning English with SCOPE’, shorten as TELESCOPE, is a social project done by SCOPE CIMSA FK Unpad. This year marks the second year of the partnership of TELESCOPE by SCOPE CIMSA FK Unpad and The British Institute (TBI) which has successfully gained a wonderful feedback last year. This year, TELESCOPE is being held every Sunday yea twice a month with the total of 6 interventions, in Bani Salam orphanage Buah Batu Bandung. It is involving 30 children of various age, ranging from the second to sixth year of elementary school. The aim of TELESCOPE itself is to reintroduce English to children in the most fun way. SCOPE CIMSA FK Unpad teaches English language to

the children in Bani Salam orphanage through songs, games, and dances. And of course as medical students, improving nation’s health is also a priority. In TELESCOPE, there are also some basic healthcare lessons delivered in English, such as washing hands in 7 steps and encouraging the children to have a healthy lifestyle. There will also be a fieldtrip held for the children to visit Universitas Padjadjaran to end this whole TELESCOPE projects and introducing them to a higher level of education. There’s also something new this year! SCOPE CIMSA FK Unpad invites all SCOPE incomings of September to help teaching

and vice versa!

CULTURAL Â DAY

PREDEPARTURE TRAINING PDT of CIMSA UI was held for two days due to the inability of all outgoings to come on the same day. There were two sessions, training session and sharing session. Alumni were invited to share their experience during sharing session. The training session was done by dividing the outgoings into small groups. The event was ended by exchange contracts signing by the outgoings.

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