Exchange program in University of Indonesia
RSCM (Rumah Sakit Dr.Cipto Mangunkusumo)
2015 3rd April – 2nd May

Mamoru Shibata ( student doctor )Kobe university

●Introduction of the hospital
Name of the hospital in which I experienced student exchange program is “RSCM”. RSCM is shortfor Rumah Sakit Dr.Cipto Mangunkusumo. Rumah Sakit means hospital in Indonesian language
and Dr.Cipto Mangunkusumo is one of leaders of independence war. It is first national hospital inJakarta and is main teaching hospital of Jakarta university. RSCM is located in Central Jakarta.
White building in the cover page picture is front building of faculty of medicine which was build in
Dutch colonial period about 200 years ago. Coordinator-International Relations Office is in thisbuilding.

↑Picture with staff of Coordinator-International Relations Office

Almost every clinical departments have their own building and they are connected with passage wayoutside.

Most outstanding is pediatrics building, which have been completed in 2014. RSCM is in partnershipwith Disney and it’s interior is decorated with Disney characters.

Many patients are waiting for consultation outside building early in morning before hospital open.

●Anesthesiology（2 weeks）
Anesthesiology department in RSCM take on four main important roles, which are ①anesthesia in
operation room, ②management of ICU, ③dealing with code blue in ward and ④emergency rescue.
The former two are almost the same as in Japan. But the latter two are specific. Anesthetists areexperts on general care and stabilizing vital signs. So they are expected to deal with inpatients who
had sudden condition change (code blue) and also to take the first contact with outpatients inemergency case in resuscitation room. One more different thing from Japan is that co-assistants(student doctors) have duty in shift work and are trained for several essential procedures like
intubation, taking IV line, urinary catheter and so on. Co-assistants are expected to work likeinternship doctors in Japan (kenshu-i).
Schedule for Example
7:00

morning report

8:30↓

case presentation for patients in OR, ICU and resuscitation room・7 burn injury patients by gas explosion in a plant

resuscitation room

15:00

・AMI・diabetic ketoacidosis
・complex fracture by car accident (from Papua !)・air way obstruction by foreign body → CPA →CPR

11:30

code blue→CPR in inpatient wardLeft) Co-assistants are consulting their supervisor about their cases in resuscitation room.
Middle) Residents on call for code blue stay in anesthesiology office in their shift time.
Right) Dr. Alta gave us lecture on BLS, ALS and each case we had in resuscitation room.

etc.

●plastic surgery（2weeks）
Plastic surgery department in RSCM have its own operation center, in which are 2 operation rooms.
Plastic surgery in RSCM consists of 4 groups which are craniofacial group, burn injury group,genitalian external group and micro and hand meeting group. One of main theme of plastic surgery
is care of pressure ulcer as is the same in Japan. Also diabetic foot is big problem. Number of DM
patient in Indonesia is the third in Asian countries following China and Japan, and it is still growing.
As is often the case in high population density city, there are many fire incidents in Jakarta. So burninjury is another important theme. Beside operation center specialized for plastic surgery, they also
have center for burn injury.
Schedule for Example
7:30

meeting in craniofacial group

8:00

round

9:00

operation room↓hypospadias, sacral defect caused by pressure ulcer, burn injury contracture

ect15:00

Left) releasing joint contracture by Z-plastyMiddle) drawing line for SGAP flap (superior gluteus arterial perforator flap ) to cover sacral defectRight) Birthday party in plastic surgery office. Plastic surgery department have very at home
atmosphere●outside hospital✓Puri Salemba (dormitory)

Left) with Ms Elvy the chief manager of Puri Salemba. middle) 2nd floor. Right) kitchen
Every staffs were very kind. Most helpful part of this dormitory is that staffs have my clothes
washed in laundry twice a week.
✓traffic in Jakarta

Jakarta is famous for its heavy traffic. Because other public transportations like train network are
not developed sufficiently, you have to use car to move somewhere. And then, you have to take timeof traffic jam into account.
✓shopping mall

If you stay longer than 1 week in Jakarta, You can never pass Grand Indonesia, the most
fashionable shopping mall in Jakarta. There are more than 100 shopping malls in Jakarta, andmany young people spend their free time in any one of them.
✓Street foods in Jakarta

There are so many Warung (street food restaurant) in Jakarta. Taste is very good. Don’t hesitate totry it! You should just be careful of water. You had better avoid ice in drinks and raw vegetables.

✓sweetsLeft) Typical Indonesian sweets “ Martabak”. Indonesian sweets are extremely sweet compared toJapanese sweets. You have to be careful also when you order any kinds of tea. If you just order tea, itcontains plenty amount of sugar. So you have to say “ Jangan pake gula(= with out sugar please)”.
When you go around Jakarta and try some café, you will surely understand why there are so many
DM patients in Indonesia.
Middle and right) There are many kinds of health foods that are said to have effect on DM.
✓DepokLeft) Other faculties of University of Indonesia locate in Depok campus. This time, I visited here toattend student congress (INAMSC : Indonesia International (bio)Medical Students' Congress).
Middle) poster presentation session. There were many unique research for example about effect ofextracts from tropical fruits on alleviating lifestyle disease.
Right) The biggest library in Southeast Asia
✓religion
Majority is Muslim. They have 5 times prayer a day and each prayer
have its own meaning. There are prayer room everywhere because
they have to pray in closed space. Typically, there is prayer room near
restroom. Male Muslim have special prayer on every Friday and they
pray in a moscue. Picture on left is Istiqlal Moscue, the fifth biggest
moscue all over the world. I feel that Indonesian students are moremature than Japanese students. Maybe 5 times prayer every day have something to do with theirmaturity.

✓Jogjakarta✓Bali

It takes only 50 minutes to Jogjakarta and 100 minutes to Bali from Jakarta by domestic airline. If
you are to come Indonesia as exchange student, you can’t miss them!