研修医日記/医療法人社団 札幌皮膚病理診断科
Sapporo Dermatopathology Institute
Wang Lei(王 雷)/It's time to say goodbye!
Six months have past since I came to Sapporo and I will come back to Xian in two days. It’s time to have a brief summary about my study at Sapporo Institute of Dermatopathology.

 During this half year I have read more than 20, 000 slides under the direction of Dr. Kimura. This is the gold time for me to promote my diagnose skills of dermatopathology. I have seen thousands of difficult or rare cases during the training time. Through reading slides under microscope and discussion with Dr. Kimura, I have expanded my knowledge and promoted my diagnose skills prominently.

 I had chances to participate Hokkaido dermatology meeting in Asahikawa, Japanese dermatopathology meeting and A Bernard Ackerman Memory Ceremony in Tokyo, and dermatopathology seminar in Kobe. Through these meetings and seminars I not only enriched my knowledge of dermatology, but also appreciated the professional spirit from our Japanese colleagues.

 I also got chance to participate the CPC session in Department of Dermatology and Pathology of Hokkaido University every week and to communicate with Professor Shimuzu and Professor Matsuno. I am honored to have given a speech at Department of Dermatology of Hokkaido University. In October I met Professor Zhu Xuejun, one of the most respected Chinese professor of Dermatology in Sapporo.

 In the August my wife came to Sapporo and we spend one month together in Sapporo. During that time we visited Shiretoko, Otaru and Hakodate together and walked through streets, shops and parks in Sapporo. We enjoyed the beautiful sceneries of Hokkaido and the warm hospitality of Hokkaido people.

 In this half year I really harvested a lot in Sapporo Dermatopathology Institute and enjoyed my life in Sapporo. I would like to thank my teacher, Dr. Kimura, for supporting me to study at Sapporo and teaching me dermatopathology in the style of Bernie Ackerman. One of the famous Chinese old saying have said: the teach opens the door, you enter by yourself”. Dr. Kimura opened a door for me and taught me dermatopathology, now it’s time for me to work hard in the field of dermatopathology and to get achievements.

 I would like to thank the staff members of Sapporo Dermatopathology Institute for giving me a lot of helps and convenience during my staying in Sapporo. I would also like to thank friends from Japan Dermatopathology Promotion Organization for supporting me financially.

 I would like to thank Professor Shimuzu, Professor Matsuno and friends from both departments for giving me a lot of helps during my study and visit in their departments.

 Thank you!  I will miss all of you! 2011.11 王雷

Wang Lei(王 雷)/The Fifth Month at Sappro Dermatopathology Institute
This month I had participated the dermatopathology teaching course in Kobe. The teachers included Dr. Kimura, Dr. Fukumoto and Dr. Ansai. The course was well organized and the lectures were given both in width and depth and were attractive to the attendees and me. The most important is I learned a lot about how to organize a dermatopathology teaching course and will use the method in the near future. In the two days I had chance to communicate with Dr. Fukumoto and Dr. Ansai and made friends with them.

 I was also excited to have met Professor Zhu Xuejun from Peking University. He is a highly respected professor of dermatology and dermatopathology in China, and also an old friend of Dr. Kimura and Professor Shimuzu. We visited Otaru together but unfortunate it was rain in that day. However it’s a good opportunity to talk with him in the tea house.

 This month I was also highly effective. I completed two drafts about my research projects. In each project I tried to explore the pathogenesis of the disease through historical literature review. I drew conclusions different from others. Dr. Kimura supported me to do the research and helped me to collect samples.

 The life in Sapporo is just simple for me. I hope I will be greatly improved in this half year.
Wang Lei(王 雷)/The Fourth Month at Sappro Dermatopathology Institute
 There were several things to be recorded in the fourth month of my staying in Sapporo dermatopathology institute.

 The first thing is my first research paper has almost been finished. The research result was exciting to us and the conclusion was a brand new one. This work is my original idea and we hope it will be published in American Journal of Dermatopathology.

 The second thing is I have finished reading a lot of classic dermatopathology books in the institute, including Professor Ackerman’s classic books, dermatopathology journals of recent years and other English and Japanese books. I knew both theories and practice are important for my promotion. The books represented the theories and the daily work under the microscope represented the practice. So I need to get prove in both aspects.

The third thing is my wife has come to Sapporo with the kind help of Dr. Kimura. In the weekends we visited Shiretoko, Otaru, Shiretoko and Sapporo. This is the happiest time of us.
Wang Lei(王 雷)/The Third Month at Sapporo Dermatopathology Institute 
 Three months has past since I arrived at Sapporo. In this month I had the opportunity to participate the annual meeting of Japanese Society of Dermatopathology. Totally 34 cases were presented in the whole day and most of the cases were very difficult for me, it was estimated that I could only correctly diagnose about 60-70% of them. Through this meeting, I tested the diagnose ability of myself and realized I have a very large space for promotion. Another feeling of that meeting was that every speaker prepared delicate PPT for presentation; almost every case was accompanied by completely history, immunohistochemistry results and definite diagnosis. I am also impressed that all of the diagnosis from the speakers will be collected and put together for arriving the correct diagnose.

 I was also excited to have the opportunity to participate the memory ceremony of Professor Ackerman in Tokyo Ginza Hotel. All of the participators were trainees of Professor Ackerman or faithful fans of him. Professor Ackerman’s sister and nephew also attended the ceremony. In the ceremony everyone shared his memories with Professor Ackerman and I learned a lot of details of Professor Ackerman’s work and life. Even I did not meet him; I was greatly influenced by his articles, books and lectures. I am lucky and fortunate to be a student of Dr. Kimura, the best Japanese student of Ackerman.

 In this month I have almost finished an article about hemangioma. This work was finished base on an observation of more than 100 samples from Xijing hospital and Sapporo dermatopathology institute. Dr. Kimura told me to have original ideas and to prove it with strong evidences; I think this article may represent an original idea of me.

 One week ago my wife has arrived Sapporo. We are really happy to enjoy the life in Sapporo and we knew it was Dr. Kimura, who helped us to realize it.
Wang Lei(王 雷)/The Second Month at Sapporo Dermatopathology Institute
Time past very fast and I have been at Sapporo for two months.
There were many things needed for record in the past month.

 I really enjoy my training at Sapporo Dermatopathology Institute. Every working day I will read more than 100 cases and will encounter special cases which I have never seen in my experience or I only have read them from literature. I will make diagnosis to every case before Dr Kimura signing out; when I missed the diagnosis or when we have different opinions he will ask me for a short discussion. I really love this training method and feel I am improving in many aspects: I learned to read slides more carefully, even those common “cysts”, “nevus” and “dermatitis”; I accepted new opinions, just like “keratoacanthomas patten”. I get improved from my mistakes, such as misdiagnose trichodiscoma as fibrous papule, misdiagnose of melanoma as atypical fibroxanthoma, misdiagnose of poroid carcinoma as Bowen’s disease. I tried to record every mistake I have made and tried my best not to fall into the same trap.

 Dr. Kimura is not only a good teacher of dermatopathology, but also a good teacher of English. He modified my English pronunciation in many details. I really appreciate him for teaching me in many aspects. In the future I will have many opportunities to communicate with dermatopathologists in the world. I still have a long way to go, both in my diagnose skills and English speaking. I also want to thank him for send me books, rice, foods, T shirts and so on. It’s really lucky for me to have met such a good teacher in my life.

 In last month I attended the 386th Hokkaido Dermatology meeting together with Dr Kimura and Dr Anan at Asahikawa. The most impressive thing for me is the meeting was well organized and there were many participators, including both famous professors and young doctors. I am trying to compare it with the meeting in China in many aspects and feel we really need to learn a lot from our Japanese colleagues. On the meeting Dr. Kimura was very active and raised a lot of questions. In September it’s my turn to give a case presentation; I will try my best and prepare it well.

 Two weeks ago I was welcomed by all of the members of the institute. We enjoyed Japanese sushi at a very nice restaurant. I like the food and eat too much in that day. I would like to thank all of the members in the institute for your enthusiasm and warm helps.

 After the first month I became familiar with Sapporo and enjoy the simple life at here. In the weekend I will choose not to visit the city curiously, but to stay in the room to read a lot of books and articles. I know my time is limited and I have to get as much knowledge as I can.

 I am very excited because my wife will come to Sapporo in August. Dr. Kimura and Ms. Sato have given me many helps for applying the visa. In last year we hold the wedding ceremony in the same day that Dr Kimura visited Xi’an, but we don’t have time to enjoy our honeymoon because of my busy work. I hope we will have good memory at Sapporo.
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