Intern Abroad

• Medicine
• France, Montpellier
• Université de Montpellier
• 09/2023 – 12/2023

1. Application/Finding an internship

Having grown up in France, I had known for a long time I wanted to experience the French healthcare system first-hand. I wanted to find a hospital with a pediatric surgery department, since this was a speciality I was interested in finding out more about and which is not available in Aachen. Since the RWTH medical faculty recommends we spend half of the four-month surgical rotation in general surgery, I applied for two months in ‘chirurgie digestive’ at St Éloi hospital and two months in ‘chirurgie pédiatrique orthopédique et plastique’ at Lapeyronie hospital, which are both part of the CHU de Montpellier (Montpellier University Hospital). I chose Montpellier because of its good reviews on PJ Ranking and because I thought it would be nice to spend the winter in a warmer part of Europe.

© Olivia Constanze Peel

To apply for a placement (‘stage’) in at the University of Montpellier, you first must contact the head of the relevant department (‘chef de service’) directly sending your CV and cover letter. I did this about a year and a half beforehand, although I know others applied at a much later date. Since there is a considerable amount of paperwork to sort out, I recommend applying far enough in advance. If your application is accepted, you then send the ‘chef de service’ the so-called ‘formulaire unique’ which can be found on the university’s website. Once signed, you send the document to the person responsible for international relations at the University of Montpellier. He then informs you of the next steps to take.

2. Accomodation & Living expenses

I found my accommodation privately after going through all the websites (e.g., https://www.leboncoin.fr, https://www.seloger.com, https://www.lacartedescolocs.fr, https://www.appartager.com, etc.) the person responsible for international relations

sent me by email. University accommodation (‘résidence universitaire’ or ‘logement CROUS’) should be available if you express interest early enough. This is much cheaper than private accommodation, which is difficult to find for under 500 euros per month.

© Olivia Constanze Peel 

ESN (Erasmus Student Network) has helpful housing advice and information on their Instagram page on how to plan ahead and avoid scams.

Living expenses are similar to those in Germany, although I would say food shopping was more expensive. I chose to buy a second-hand bike to be more flexible, and because it was a cheaper option than to use public transport. I travelled between Aachen and Montpellier in September and December by train, which only takes between 6.5 and 7.5 hours depending on the connection in Paris.

3. Everyday life/ the internship

I spent September and October at St Éloi hospital in general surgery, and November and December at Lapeyronie hospital in pediatric surgery. The day started at 8:00 and 7:45 in general and pediatric surgery respectively and ended on average between 4 and 5pm. In general surgery there was a ‘staff’ (handover meeting) every Monday at 8am. In pediatric surgery there was a daily meeting at 7:45 with the pediatric orthopedic surgeons and every Monday at 16:30 with the pediatric plastic surgeons (speech therapists, a psychologist and members of the dental and maxillofacial departments were also present to discuss patients as a team) and the meeting often included teaching for students. I sometimes worked longer hours depending on the operating plan.

In both rotations students (‘externes’) could assist in the operating theatre, follow the junior doctors (‘internes’) on ward rounds or take part in consultations. Students were asked to organise a rotation plan each week to ensure there was a least one student per operating theatre. If you showed enough interest, you were often able to do the sutures at the end of an operation,and even carry out small procedures under supervision.

There was also the opportunity to follow the on-call doctor as part of their 24-hour shift. This involved seeing patients in A&E (‘aux urgences’), assisting in emergency operations, and in pediatric orthopedic surgery learning how to do plaster casts. I particularly enjoyed my second placement working with children and the variety of cases and surgeries I saw. These included various fractures, craniosynostoses, haemangiomas, cleft palates, dermal naevi, syndactyly, hexadactyly, clubfeet, hip dysplasia etc. Like the French ‘externes’ we were able to have lunch for free at the ‘internat’ (a separate building where some junior doctors lived, most doctors had lunch and lots of coffee was consumed when there was time to rush over between two operations). I really enjoyed the variety of the work and was lucky to work with great teams in both hospitals, which was a massive bonus.

4. Free time/tips

There is so much to do in Montpellier, and the Erasmus community is huge. Since I spent most of my free time training with a local triathlon club I cannot say much from experience, but I know from the daily (at times hundreds of) messages in the Erasmus WhatsApp group (they had to create a second one because there were so many international students!) that there was a wide variety of events organised for students including pub nights, sports events, volunteering opportunities, cookery classes etc. On their Instagram page they publish a calendar every month with events pretty much every day, some of which are free. If you buy an ESN card, you can get some of the events at a discount. The card also gives

© Olivia Constanze Peel

you discounts for sport, food, bars and travel (e.g., Ryanair and Flixbus).

As of 21^st December 2023, public transport was made free for residents in Montpellier (you have to apply for a card with TaM https://www.tam-voyages.com/index.asp and justify residency). However, I would recommend buying a second-hand bike either through the ESN Facebook or WhatsApp group, or on https://www.leboncoin.fr and selling it when you leave. Investing in two locks is a good idea since there is a lot of bike theft in Montpellier (it is quite common to see bikes around town missing various parts). I never used the tram, but they always seemed very full even before public transport was made free.

© Olivia Constanze Peel

Most of my free time was spent training with a triathlon club I had contacted before arriving. I went swimming most mornings before work, took part in running training a couple of times a week in the evenings and at the weekend there were always club rides organised. I personally really enjoyed cycling with the group and discovering the countryside and villages north and east of Montpellier. I would recommend visiting the Pic St Loup – if you can’t cycle there then I think the ESN group organised a day trip there for a hike. The views are amazing! Another ride I really enjoyed was to the Col des Lavagnes and the Pont du Diable.

At the beginning of September there was an event called ‘Antigone des Associations’ in the Antigone neighbourhood where all sorts of different clubs and societies were on site representing their organisation and to answer questions. These included sports, culture, philosophy and religion, health, education, dancing, animal welfare, the environment and much more. I went with a friend I met on my placement, and we both thought there was basically a club/society for almost everything you could think of doing in your spare time!

5. Conclusion

I would absolutely recommend Montpellier University Hospital for an Erasmus internship. As well as gaining practical skills in surgery, I learnt a lot hearing from doctors’ experiences in different medical specialties and countries, which made me reflect on which path I wish to pursue and consider certain aspects of my future career differently. Being confident and a having a good level in French is an advantage to manage the fast-paced day in surgery, to fit in with the team and to take away as much as possible from the experience.

• Medicine
• France, Paris
• Sorbonne Université
• 07/2023 – 09/2023

Application/Finding an internship.

For quite a long time I dreamed of going to Paris for working and living there. That`s why I decided to spend 2 months in this beautiful city during the practical year in my medical studies. Once my intention was clear I started looking for contact persons being responsible for international affairs at my preferred university, the Sorbonne. After several email exchanges with the head of the international office at the medical faculty, I received a list with free spots left for my preferred period. Fortunately, I sent my application early enough (nearly one year in advance), so a few free places were still available; I hereby confirm applying as soon as possible because even one year in advance, places were limited and already reserved for French students. In the following, I had to upload my application with all the necessary documents (including CV, proof of language, Health insurance, Letter of motivation, Erasmus-Learning Agreement) on a Sorbonne interne platform to complete my application. I also applied at the medical service directly (even when the head of the international office will manage this for you) to get sure of having tried my best for realising my dream.

Accommodation & Living expenses.

Living in Paris is quite expensive. As all the big cities in the world, cheap apartments near to the city centre are rare and the housing market is hardly disputed. Personally, I was quite lucky because I knew another Erasmus-student who was looking for the next tenant. What I can really recommend for finding an accommodation is to participate in a preparing course of “Campus France Deutschland”. There you will get plenty of tips on which platforms you can find a room for your stay for example “La carte des collocs”, “leboncoin” or “A partager”. For the monthly rent the average price in Paris should be estimated with 700-1000 Euro. If you are lucky enough to get a place in a student housing, like “The Crous”, the rent will be lower, but places are hard to get, and you have to apply early in advance.

Paris is divided into different districts. I have lived in a multicultural area near to the train station “Gare du Nord” not far away from famous Montmartre, known for its artistic history and the well-known church Sacré-Coeur. Even when this area is renowned for many conflicts in the past due to poverty issues and immigration conflicts, I really appreciated living in this area during my stay because it gave me the possibility to get an authentic insight how it feels to live in Paris not as a tourist but as an inhabitant. Besides, there are many charming restaurants in the streets around the hill of Montmartre and street life is always vibrant. Compared to Germany, food prices are much higher in the supermarkets. For vegetables and fruit, the cheapest way is to go to the local market which takes place on Wednesdays and Saturdays just near to the metro station Barbes-Rochechouart.

Everyday life/ the internship

During my internship I worked at the university hospital Saint Antoine in the 12^th arrondissement, near to “Place de la Nation”. To get there I took the metro, the Parisian subway, which is quite the easiest way to move around the city. Sometimes I went by bike which was also a wonderful experience. I really enjoyed cycling the big boulevards and nearly everywhere you can find spots to rent a bike, I truly recommend discovering Paris by this. In the hospital, medical students so called “externs”, work under the supervision of “interns”, who have already finished their studies. Thanks to the system that every student is guided by a certain medical staff member, there is always an experienced person which you can ask for help. My daily tasks included the anamnesis and physical examination of patients, including the medical documentation of each patient concerning their progress of disease and therapy. Two times per week there were assemblies where the disease history of every patient was discussed with all doctors of the service. Normally medical teachings for students were planned for Friday mornings but not during summer. In general, my working day started at 9 in the morning and ended in the afternoon. All in all, I got the impression that patients were treated in detail and that the medical staff invested a lot of time for personal contact.

Free time/tips

Paris as a city has so much to offer: Whether museums, parks, bars and restaurants – there is something for everyone. Since I had already been to this wonderful city several times before my Erasmus stay, I was able to focus on a Paris off the beaten path during these 2 months.   4 days after my arrival, one of the biggest events of the summer was on the agenda: “La fête nationale”, the French National Day. In addition to the morning parade over the Champs-Elysées, where President Emmanuel Macron was received like a pop star, the Eiffel Tower shone in full colour on the “Champs de Mars” in the evening. With such an impressive firework, which is unparalleled, one can get an idea of the pride with which the French revere their country. And they are right! When thinking of France, everyone immediately conjures up images of fragrant croissants, picturesque cafés and a good glass of wine – if a country had invented pleasure, the French would be right at the forefront. Paris itself has so many boulangeries and delicacies to offer- probably a whole year would not be enough to test all of them. Since I lived in Montmartre district, I went on a culinary discovery tour especially there, what I can recommend to everyone. In the small streets not far away from the church “Sacré Coeur”, your own taste buds are sent on a world tour: Whether it’s a typical local flan, oriental couscous from Morocco or Argentinian empanadas – the 18th arrondissement lives cultural diversity on all levels. In case you feel homesick, you should order a portion of potato salad with Wiener Schnitzel including wheat beer fresh from the tap at the beer garden of the “Kiez Kanal, a lovely place near to the “Bassin de la Vilette” . In addition to culinary variety, Paris also offers an immense wealth of mental nourishment: from classics such as the Louvre, the Eiffel Tower or the Champs-Elysees to lesser-known leisure activities such as a walk along the disused railroad line “Petite Ceinture” or a visit to the impro theatre “Theatre de la Gaite” at Montparnasse district – boredom is a foreign word in Paris! On the other hand, if you feel more like nature and relaxation after the hustle and bustle of the crowds, you will find plenty of green spaces in numerous parks, such as the “Buttes Chaumont” or “Bois de Vincennes”, to unwind.

Conclusion

Describing Paris in a few words remains impossible. This city simply has so much to offer that even the Parisians admit discovering new facets each day again and again. For me, it has always been a dream to live in Paris one day and to be able to immerse myself in everyday life. After these 2 months I am incredibly grateful to have made this experience. I’m taking with me a suitcase full of magical memories back to Germany; impressions of a city whose charming atmosphere is always worth a trip. I was able to learn a lot, both professionally and personally, and I am firmly convinced that I can make use of the skills I learned here in the future. To anyone who has good command of the French language (or is willing to learn it), without exception, I would immediately recommend doing an internship abroad in this wonderful city, it is a once-in-a-lifetime opportunity that may not return anytime soon! Or as Audrey Hepburn put it: Paris is always a good idea!

• Medicine
• France, St. Pierre
• Centre hospitalier universitaire la Reunion
• 03/2023 – 07/2023

Application:
I applied about a year in advance through the e-mail address etudiants-medecine@chu-reunion.fr. The application required a CV, a letter of motivation and the certificate of matriculation. Compared to Martinique and Guadeloupe, you get a pretty reliable answer when applying for la Réunion. At first, I only received a confirmation that the application had arrived, and even with more inquiries, I did not receive the final acceptance until the beginning of December. Therefore, perseverance and patience are required. However, the lady in charge, answered all my questions very quickly and reliably. After the acceptance, I still had to send some documents such as a copy of my passport, liability insurance and vaccination certificates. Overall, I found the application process somewhat lengthy but uncomplicated.

© Jana Mattes

Accommodation and living costs
I started looking about 1-2 months in advance. The French and also the Reunionese are still very active on Facebook, which is why I joined various Facebook groups (just enter Colocation Saint-Pierre/ Coloc Réunion or similar on Facebook). Furthermore I searched on Airbnb and leboncoin. Leboncoin is more or less the French Ebay. In the end, I found a small one-bedroom apartment near the central bus station on leboncoin. I also bought a bicycle through leboncoin, which I also highly recommend for the way to the hospital, as traffic is really annoying on the island. The apartment was quite expensive (800 euros/month) and since I got to know two other German students over time, I moved in with both of them after two months. Here it is worth asking around in the hospital if there are doctors who travel for a while and unrent their house. We were lucky and lived the last two months in a large house with a pool 5 minutes walk from the hospital (400 euros/person).
Also, if you want to do something on the weekends, it is worth renting a car. Five of us shared a car for 450 euros a month. There are buses, but these often do not go to the starting points of the hikes and you are much more flexible with the car.
Otherwise, I have found the cost of living is not much more expensive than in Europe. You can get fresh fruit and vegetables very cheaply at the weekly market and free lunch at the hospital.

The internship
My workday began at 8 a.m. in the visceral surgery department. At first, no one really felt responsible for me. A nurse got me work clothes and then I went along on rounds. The rounds were generally kept very short and there was no teaching. After that, I was always sent to the operating room. Since there was only one resident at the time I was there, I was often the first resident in the operating room. Here, questions were always answered nicely and the atmosphere in surgery was very relaxed and less hierarchical compared to Germany. Once or twice I was also allowed to help with suturing, but in Reunion, unlike in Germany, this is often done by the senior physicians themselves.
At noon, I almost always had lunch with the other erasmus-students and since the doctors work relatively long every day (until 18/19h) and do not send you home, I went home at some point usually around 3 or 4 pm.
After 6 weeks in the visceral surgery I changed the department, because I also wanted to see other departments. This was possible without any problems. I then spent 2 weeks in the emergency room. Here I was able to work very independently, examining patients, suturing and writing reports.

© Jana Mattes

The last weeks I was in the orthopedics department together with 3 other erasmus students. Here I often switched between the outpatient clinic and the operating room, the doctors here were really nice and the medical standard was quite high.
Overall, you have to have a high level of personal commitment and show a lot of initiative to learn something, but if they notice that you are interested, it is quite possible to learn a lot. You can also arrange the working hours as you like. The doctors are overall very relaxed and nice, but they don’t really know what to do with foreign students. In addition, they don’t pay much attention to possible language barriers, which is why I only recommend an internship there if you speak a sufficiently high level of french.

Free time
Reunion is an really beautiful island in terms of leisure! For anyone who loves hiking, climbing, nature and outdoor activities, the island will be a paradise. We spent most weekends backpacking and camping in the mountains. Must-dos are of course the volcano, Piton de Neige and Mafate. During the week, we often went to the beach bar on the small beach of Terre Sainte in the evenings. On Sunday evenings there are always free live concerts in Saint Leu, which are worth a visit.

© Jana Mattes

There are always many new people on the island who only stay for 1-2 years, so it is quite easy to meet new people. Also in the hospital we were a group of one Spanish, three Germans and three Swiss. French students were few, because in la Réunion you have to continue studying on the mainland after the 6th semester.
Overall, of course, it was very hot and humid in the first months (March, April), then it cools down considerably in the winter.

Summary
Overall, I can recommend a stay on la Réunion to anyone who likes nature and mountains. The landscape there is simply insanely diverse and beautiful. In the hospital you have to be very proactive and stay quite long in the evening if you want to learn something. Otherwise, you can be very flexible with your working time and also take a day off if you want.