Nathan White

I was inspired to undertake an overseas placement for the chance to see a different healthcare system in action. I wanted to learn about a new culture and how it influenced their healthcare system. I also wanted to try learning a new language and see new ways of checking conditions.

My first impression of the hospital in Nepal was that it was incredibly busy. The A&E is an open-plan area, where the doctors act as the triage system. On the surface, it can appear chaotic, but the team works really well together to systematically treat patients.

During my placement, I had consistent opportunities to practice my essential examination skills, especially respiratory, cardiovascular and gastrointestinal. Observing crash calls and getting involved in CPR during cardiac arrest were also eye-opening experiences. I also interpreted a range of investigations, including blood tests, X-rays, CT scans, ultrasound, and MRI scans. 

There was a higher proportion of trauma cases compared to the UK, many of which were from motorbike accidents. I encountered many instances of tropical and infectious diseases, including tetanus, tuberculosis, dengue fever, and measles. In mental health, I observed acute exacerbations and suicide attempts. I also saw rare and advanced cases, such as Stevens-Johnson syndrome and late presentations of uncommon cancers.

The main differences between healthcare in Nepal and my home country were around access to resources, including medications. Family members often provided basic patient care, such as washing and feeding, and played a central role in decision-making. In some cases, patients were not informed of their diagnosis, with families taking responsibility for managing information. The largely private healthcare system in Nepal influenced these dynamics.

Outside of placement, evenings and weekends were filled with so much. At the Work the World house, we held weekly BBQ nights with karaoke and regularly explored Hue’s bars, restaurants, and nightlife. We took weekend trips to Phong Nha and Hoi An, and visited local highlights including the Imperial City, Thien Mu Pagoda, the royal tombs, and the Le Ba Dang Memory Space. We also enjoyed local events, such as live band performances in the city.

Undertaking my overseas placement helped enhance both my clinical and interpersonal skills. I developed my ability to communicate across language barriers and adapted to different treatment intentions and methodologies. I gained valuable insight into how culture shapes healthcare delivery while connecting with fellow healthcare students from around the world, including the USA, Dubai, and Australia.

To others considering undertaking a placement with Work the World, I’d say go for it! There’s great support from the team in a friendly, comfortable and safe house. It was always appreciated after busy shifts and night shifts. Going overseas with Work the World allows you to properly focus and immerse yourself in a new healthcare system.

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