As an American medical student doing an elective in Thailand, I was initially troubled when I saw how Thai patients were treated. I’m not speaking of the way Thai physicians apply medical science, mind you — they rely on UpToDate and sundry U.S. guidelines just as we do — but that was mostly where the similarities ended.
Morning rounds with the team of residents (sans attending, but apparently there was one somewhere they could call if they needed help) took place in two alcoves of a long hallway — the male inpatient ward. Each alcove had a desk for the nurses, a computer, and six beds. There were curtains against the wall beside each bed that could be drawn as needed, although they infrequently were. A shared bathroom was down the hall, but bedpans were readily available.
We grabbed the first patient’s chart and stood at the foot of his bed while we briefly discussed his plan for the day. One of the residents had pre-rounded, which I guess meant that no more needed to be said to the patient because we wrote our orders and moved on to the next patient with no more than a smile of acknowledgment.
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