Gap Medics: Nurse / Midwife Student Programs

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Video and Photos

Tarangire Safari Weekend Trip
Midwifery Placement squad, Kibosho Distrcit Hospital, Tanzania
Observing a C-section with some of my Gap Medics friends
Comforting an underweight baby that was placed in the NICU until he gained enough strength
Baby from the first natural birth I was able to observe


Getting internship experience is the best way to get started in a nursing career. We’ll take you behind the scenes in a hospital and show you what it’s really like working in the front line of healthcare.

Through a combination of mentoring, observation and tutorials, our programs offer a real insight into the rewards and demands of nursing. You will develop an understanding of global healthcare, give more focus to your studies, and it will give you the edge for college applications.

Our pre-nursing programs run all year-round. Students typically choose to join us for a fortnight, but we can accommodate much longer placements. Unique rural and community health options are also available.

Delivered in the following destinations:

16 & 17 year old programs

18+ Programs
Dominican Republic

Questions & Answers

There are one week and two weeks options. You can add additional weeks as well.


based on 21 reviews
  • Growth 8.4
  • Support 8.9
  • Fun 8.1
  • Housing 8.6
  • Safety 8.7
Showing 1 - 15 of 21
Yes, I recommend this program

Internship in Poland VS Internship in Tanzania

My dedication to study medicine and become a doctor did not really start until I was In Year 11, sitting in my school hall, waiting for a Year 13 Prefect to tell us about her summer work experience. As she showed us pictures of her medical work experience with Gap Medics in Tanzania and pictures of her playing around with the kids in the orphanage, I was inspired. I told myself I had to go and do this this summer. I wanted to travel by myself and explore a different culture. Therefore, I went on Gap Medics and my two options were Tanzania or Poland since they were the only under 18 programs during 2015.

Since it was my first time to travel alone, I decided to go to Poland in 2015, as I have been to many European countries in the past, and promised to myself if I enjoyed my experience I would go to Tanzania. In Poland, I was shadowing doctors in the Children Memorial Hospital, and I was able to see open heart surgeries on infants and communicate with the patients around my age. Although I didn't speak Polish, I made a very close friend there in the hospital and I still speak with him till now. The beauty of visiting different countries is, before you know it, you start learning a few polish, eating their traditional food and knowing more about their history. This is what interested me in Tanzania too! Learning about a different lifestyle you are not adapted to, is the reason why I love traveling and meeting local people. The Gap Medics experience in Poland made me very interested in pediatrics. I was in the Cardiology Department where I had one of the most respectful mentor/surgeon. During every operation, he would give me a detailed explanation of each of the steps he has taken, so I could understand the procedure. My mentor was very enthusiastic and friendly that he wanted to show me the Heart Valve Bank the hospital had which was one of the coolest things I have ever seen.

My experience was truly unforgettable that I had to go to Tanzania the next summer. This allowed me to compare between the two experiences. In Tanzania, I had the chance to join the midwifery placement, learn more about the importance breastfeeding and how to stitch an episeotomy on a sponge. My two mentors prepared me for the theory version of a C-section before we had the opportunity to observer one, therefore, I could understand what was going on during the C-section. Midwifery is a field I never really thought I would be interested in, but I loved my time there. Additionally, In Tanzania, I managed to observe a gastrectomy, and the difference between the operating theatre in Poland and Tanzania was huge. Some of the differences were the shortage in the number of medical staff and the limited resources. This allows you to do some thinking on shouldn't every person around the world receive the same quality of healthcare. Why do some countries have a good health care and others don't? Why should the health of a person be seriously affected just because the hospital cannot offer the right treatment? These questions make you more of a global citizen; a person who will selflessly care for others when they become a doctor and who is ready to put their patient's life their number one priority. This enhances your confidence and allows you to have a bigger perspective of the world, turning you from a teenager to a young adult. Gap Medics helped me to know what I am getting myself into and made me more ready than ever for the journey ahead of me. Gap Medics has not only interested me in medicine but gave me the right skills and experience which will make me a better doctor in the future.

Thank you.

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Yes, I recommend this program

Midwifery Placement in Tanzania, 16-17 year olds. of

My time spent at the Gap Medics house in Morogoro, Tanzania was the best experience of my life. All aspects of the Gap Medics experience is well planned out and executed to an extremely high quality, this ranges from the staff, accommodation, food, free time and placement. The staff members are some of the most friendly and helpful people you will meet, and throughout the course of your stay you will build genuine friendships with them and will be sad to leave them. They are there to welcome you at the airport, accompany you to placement, show you around town and resolve any questions or problems you might have. The dedication of the staff results in a strong support system while you are at the house, and throughout your stay. As for the accommodation and food, both are very good. The house itself is beautiful and supplies you with all the facilities you may need throughout your trip, and the food is great! The kitchen staff are always happy to accommodate any dietary requirements you have, and there is always at least 2 options so that everyone finds something they enjoy. During placement you will learn so much and gain extremely valuable life experience, there is never a dull moment as long as you engage with your mentors and be sure to ask questions or ask what topic areas you would like to cover. Placement will not only give you a strong insight into your chosen career path but will also help you grow as a person, it will help you to be able to sympathise with people, make you mature and open your eyes to the things that are happening in the world. Finally free time is also important during the trip. There are many activities you can do in your free time from helping out at the orphanage, going hiking, visiting a wood shop where you can buy hand crafted gifts, going shopping in town or just chilling around the house! I personally would recommend going to the orphanage as often as possible, the children love it when people go there, even just to play with them! Although at times it may make you sad to see how the children live there its worth it because it makes them happy! Overall the experience is amazing and I would recommend it to anyone! Don't be put off by the thought of travelling on your own because everyone feels the same way and you will make life long friends in no time!

Yes, I recommend this program

Experience of a Lifetime

Not only was my experience with Gap Medics eye opening in the best way, it was fun, well-organized and seriously the trip of a lifetime. Every morning I was able to spend hours observing patients and learning from my amazing mentors. Then, the afternoon brought activities such as visiting nearby beaches, dune-buggying and helping to build a school. Every single person I met greeted me with open arms and treated me with upmost respect. I met lifelong friends and learned information far beyond what a classroom setting can offer. My favorite moment of the trip was experiencing my first natural birth. It was hectic and nerve-racking yet beautiful at the same time. I cried (happy tears!!!) when I watched the mother lay eyes on her baby for the first time and my heart swelled with joy. The following days I got to witness several other natural births and C-sections and they never failed to amaze me over and over again. This trip provided me with excitement and motivation for pursuing a medical career in the future and I highly recommend students at any level to consider studying with Gap Medics.

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Yes, I recommend this program

Nursing is My Passion

Going into this trip, I had a good idea that I wanted to be a nurse someday, but everything about my experience in Tanzania confirmed that nursing is my passion. One particular story that really showed me why nursing is the right career for me happened while I was working in Pediatrics. One of the mothers had her 3 month old baby in with tuberculosis (TB). This baby also had tested positive for HIV transmitted by the mother, which is why she was more susceptible to contracting TB. The first day the baby was there, my mentor nurse went to check-up on the baby who was crying hysterically and wouldn't stop. She checked the baby's temperature which turned out to be extremely high, which was assumed to be one of the reasons the baby was crying so much. They needed to get an IV in the baby to give her fluids and medication to bring the fever down, but it took 15+ attempts to get the IV in without the baby sweating it out. The mother was traumatized, the baby was going into shock and it was very sad to watch. The next day when I came in to do rounds on this same baby with the doctor, there was the doctor, the medical students, and the other people shadowing who didn't know anything about what had happened the previous day. This day the baby was calm, quiet, and her fever was down. The IV was staying in and the mother looked up at only me (there were 20+ people surrounding her) and gave me the biggest smile I had ever seen in my life because she knew I knew what she had wen through and how relieved and thankful she was today for her baby to be getting better. At that moment, I knew nurses play such an important role in the healing process. A nurse knows the patient as a person and not just a diagnosis. They're there for their patients through the good and bad and that is what I want to do! I am so thankful for this trip and experience and hope to someday be able to go again and give back to the amazing community of Iringa, Tanzania.

What would you improve about this program?
Getting a little more organized with some of the nursing mentors that we shadowed, but other than that it was amazing and I wouldn't change a thing!
No, I don't recommend this program


We arrived in Dar Es Salaam after 2 flights and a stop off in Dubai at 15.15pm. We then had to go through passport control which is nothing like how it is in the UK. We spent a good hour queuing to give our passports in then we were told it was going to be $250 for a visa.. This was purely because we were volunteering out here - rather expensive don't you think? Considering we have come out here to help the country. So after queuing and paying we then waited another 2 hours for our passports to be given back to us, with no logical reason or explanation as to why we were waiting this long.

Anyway, we had met a few people on the flight out here also travelling with Gap Medics so we waited for one another. We then walked over to the Gap Medics team who was waiting for us, this was one guy with about 18 students ranging between 16 and 30 years old. We then had to get into 2 cabs, so this was 9 students in a 6 seater cab with 9 bags of luggage… I must say the only positive thing about leaving the airport was the free bottle of water we were given!

We bundled into the cab because really what choice did we have? We wasn't going to argue with this, we had been travelling for 16 hours, all we wanted was a nice comfy bed and some good food. Again, we was wrong to think this would be the case. The cab weaved and bobbed in and out of cars, lorries and buses, over taking on turns and bends in the road, we feared for our lives, the suitcases were sitting behind us and if the driver was to brake suddenly then the suitcases would have fallen on me, so to say we were slightly worried would be an understatement.

We finally arrived at the Landmark Hotel in Dar Es Salaam where we would be spending one night before travelling to Iringa the next day. We were immediately ushered in, to stop people from staring at us, so just from that we knew it wasn't very safe to be there. We were given our keys - to sleep individually on our own in a room. Myself and Louise were thankfully on the same floor, we went into my room first, i looked around, see the dirt and the grubby walls and the ceiling and wall leaks from god knows what, i turned to my friend in a panic and told her i wasn't staying in here on my own, we then both looked down and saw a pair of dirty red flip flops, we both gasped because we assumed we had been given someone else’s key and this room was occupied. We left immediately and walked into Louise’s room. This was just as bad as mine, but we agreed we would stay in one room and sleep together because we felt a hell of a lot safer doing this. To our amusement we then see 2 more pairs of red flip flops - we then clocked on that these were supposedly ‘complimentary’ - we were in fits of giggles at this because of the state of them, it was disgusting. The room felt damp and cold, the windows wouldn't shut properly, the smell of poo kept wafting through the windows from outside and the lorries, buses and cars beeped each other throughout the night, it was never ending.

Dinner was at 7, so we made our way downstairs into the restaurant, everyone was already in here before we arrived. As we walked in the smell of the food hit me, hard, and the heat was overwhelming, as one of the Gap Medics team walked over to us, i grabbed Louise in a panic as i was going to faint, my body felt heavy and my eyes began to roll, i wanted to be sick from the smell, they sat me down and the Gap Medics guy didn't know what to do, Louise was shouting at him just to get me some water, a simple request. From then on, i didn't want to eat, the food was not appealing to us whatsoever. We were forced to try something because we hadn't eaten for hours and when we did, the food was cold.

After dinner we had a quick briefing to let us know what the plan was for tomorrow and times we were leaving for Iringa etc. During this briefing we informed the Gap Medics staff that we were not staying in separate rooms as they were disgusting and we felt unsafe, i wish i could say they were supportive of this decision, but in fact the response we got was ‘but we've paid for 2 rooms for you’ well for one, no we had to pay for the rooms, and 2 we felt as though our safety was at risk.
They accepted the decision eventually and asked us to bring the second key back down to them. After this we then attempted to have a shower in the cold water and i ended up getting out feeling more dirty than what i went in. We tried to make ourselves comfortable in bed for a good nights sleep as we knew we had a long day ahead of us the next day, but that wasn't possible because of the noise and the beeping of the cars outside our window all night long.

Sunday 17th June - todays the day of the dreaded 10 hour bus journey, and although we had dreaded this before even coming to Africa, we were even more petrified now because we have witnessed first hand how all drivers out here drive and how dangerous it is. We feared our lives as the bus pulled up. You might be thinking why am i complaining about a coach/bus, but reality is that this coach is nothing like one back home, and this coach was not just for Gap Medics students, it is for locals to use aswell. Before we came to Tanzania, Louise had researched and asked about Gap Medics to which she found out there had been 1 bus crash with Gap Medics students onboard, so this added to our worries.

We were told we had to dress modestly for this bus journey, even tho we were not stopping off anywhere apart from a toilet break twice during a 10 hour journey.. So there we all were, guys and girls in long trousers and long tops so no legs or shoulders were on show. Yet as we set off on this bus journey, the small telly at the front was playing music videos of scantily clad dressed women dancing and kissing, as well as showing a very violent film during this journey with heads being chopped off and people dying. Now I'm not complaining about this, but its very contradictory don't you think? We have been told to dress modestly yet they show videos and films like that..

For 10 hours myself and Louise sat several times thinking we were going to die and not even make it to the Gap Medics House. I had never seen a driver or be in a car whilst they drive so dangerously, we had several near misses where the driver thought it would be a good idea to over take on bends or over take as we were watching a lorry come towards us. It was like they were playing chicken, who was going to be the first to move?

So our first toilet stop was 5 hours into the journey, oh. my. god. This was horrendous. So we had found out the night before that there toilets were not like ours, they were in fact just a hole in the floor. Together we queued for the loo with flies and mosquitos flying around us and the smell of urine and poo filling our noses. It was not what i had been expecting, it was worse. Louise went in and i waited outside, i went in and could not bring myself to use it so walked straight back out, so for another 4 hours i held it and waited. By the time we got to the second stop after nearly dying several times, again. I decided to try the toilet situation for a second time, personally i thought these were better but theres no way in hell i could ever live like how these people do.

Half past 5 and we finally arrived at the Gap Medics house, we were greeted by all the staff who were very nice and welcoming! We were given our room key and were sharing with 3 other girls, in fact we did really like our room and the girls we were sharing with were lovely! After about half hour we had a briefing to explain how the house works and what to expect.

The briefing was a little bit of a shock and an eye opener. So bare in mind we are all adults, ranging from 18 to 30 years old, you'd expect to be treated like an adult then right? Well in our eyes this wasn't the case, we had to pay for wifi, thats fine, but when i pay for wifi i expect to be able use this whenever i want to, not to be told i cant use it during several parts of the day and that its going to be turned off. I also didn't really appreciate being told i had to go to 6 hours worth of lectures over the 2 weeks that i was out there, so 3 a week, and these being 8-9pm after a very long day of being at placement and being told we had to attend several different activities as well. None of this information was mentioned beforehand, we was only told this when we arrived at the house. What they really should have done is set this out before you even book, ya know, just saying ‘by the way guys if you're going to book this you have no free time to yourself, you work from 7.30 up until 9 every day, you have no wifi and when you do want it you have to pay and you have to attend lectures, you don't get a choice’ Maybe that would have changed peoples minds about booking. The one other thing that annoyed people was the alcohol situation. Again, we are adults, we should be able to choose when we want to drink. But oh no, not in the Gap medics house, you are allowed to drink from 7pm up until 10pm, on Global health lecture nights from 9pm up until 10pm. Now to us this was a bit silly, everyone wanting to go into medicine and health care are not stupid people, majority of us are smart and have uni places already, so we wouldn't have paid over £2,500 to be here just to get drunk and be silly, wee can do that at home or for a lot cheaper elsewhere, so why can't i have a glass of wine when i want one?

During the briefing, clothing to wear to placement was also discussed as was leaving times and finishing times. As well as day to day activities and itineraries. It was nearly dinner time so we made our way into the kitchen, the food was okay, nothing special but you can't really fault it, it is Africa after all! However, after dinner we then had a kitchen briefing. This took probably half hour to do, the worst thing about this was every single drawer and cupboard and piece of equipment had a label on to say what it was or where things were, for example, one drawer had a label knives and forks another cupboard had bowls and plates and so on. It wasn't rocket science, yet they felt the need to explain for half hour where everything was when it was clearly shown. We was all starting to get a little bit irritated because we had had a few very long days and we knew the week was just going to become more tiring. Eventually they finished the tour and we could relax. We could finally go to bed and get some rest.

Monday 18th June - our first day on placement at Iringa Regional Hospital in Obs and Gynae department. I was really looking forward to this, being a midwifery student back in the UK already i was expecting things to be very different. At 8.15am we started the half hour walk down the dirt track to the hospital. This wasn't as bad as what i thought it would be and with getting to know each other on the walk the half hour passed really quick! By 8.45am we had arrived and was shown to our departments by one of the Gap Medics guys who escorted us down there, MD. We were introduced to our mentors Sister Vicky and Sister Tesha and was shown where to change into our scrubs. By 9am the day was in full swing, it was caesarean section day!

My very first birth in Tanzania was twins, 1 boy and 1 girl, this was such an amazing experience. Although I’ve been in many c-sections before, to see it happen in Tanzania is an eye opener. The anaesthetist took well over 40 minutes to get the needle in the poor lady’s back as she couldn't get this in the right position. It was hard to watch because you could clearly see the lady was in so much pain but here in Iringa no screaming or making noises are allowed so it was very difficult to witness. Finally the needle was in and the c-section was underway. One baby was out, and then the second. They were cleaned and wrapped in cloths and left on top of the resuscitator. We found this very strange because in the UK the mums are shown their babies immediately, but nobody here seemed bothered about giving the babies to their mum, so myself and Louise took it upon ourselves to each take a twin over to mum, she cried as we brought them over to her, confirming that this is not a usual thing that happens in Iringa.

We were then told to take the babies out of theatre and to put them on the side under a heater. Again, this was very different to the UK where the baby stays with the parents unless they go to special care. But in this case the babies are wrapped and placed on a metal table with one heater which is supposed to heat the whole table, but this was pretty impossible.

After a long exciting morning we finished at 1pm and made our way back to the house as we had a tour round town later that afternoon. The tour started around 3, we were shown the best restaurants to eat in, the masai market, the supermarket, the ATM and money exchange places. By the time we got back home it was nearly time for dinner.

Tuesday 19th June - Up again at the crack of dawn, breakfast, leave for placement, finish placement, orphanage visiting, swahili lesson, dinner, global health lecture, then finally 9pm and we can now talk to other people about our day, or as its put on our whiteboard itinerary, we can ‘socialise’. Now you might understand why we started to call it Medical Boot Camp!!
The rest of the week was pretty much the same process, the only difference was on a Thursday night when Global health would be form 6 till 7 and we would have a BBQ out on the decking, we then had the option to go out for the evening to a local bar called Shooters, although we did have to be back by 12 *yawn*!

If I'm being honest on the first Thursday Louise and I were that tired we didn't even make it to placement. We were mentally and physically drained, exhaustion had taken over. But because we weren't going the doctor then visited us, in the end we turned round and said to everyone in our room, we were just tired and we weren't going in. So Thursday was a lovely relaxing day, we showered for as long as we wanted, cleaned ourselves up and refreshed by dozing on the decking in the burning sun, thats all we wanted.. One day off, we wasn't asking for much considering they were giving us a 14 hour day that we didn't sign up for!

Friday also came and went a lot more quickly because it was the weekend of Safari!! We were so excited to see all the animals. By 3.30pm we had left the house and everyone was in high spirits because we was away for the whole weekend, no silly rules, no lectures, wifi and can drink when we want, woo!! We arrived at Ruaha National Park around 5.30pm. The place was lovely and the view from our room and the lounge itself was just incredible, you could not fault it. The money i paid for the safari trip was definitely well worth it. Friday night we had dinner a few drinks and went off up to bed ready for the fun day we had ahead of us on Saturday.

Saturday morning the alarm went off and up we got to get ready, only there was not water and no electricity. Oh god! We then discovered the small solar panel sitting outside our room, this explained a lot! We laughed about this because really what can you expect when you're on a safari!! We made our way down to breakfast and left shortly afterwards to start our safari!

The safari was amazing, we see Impala Deers, Lions, Lionesses, Giraffes, Zebra, Elephants, Baby Elephants, Crocodiles, Buffalo and Warthogs! The animals that we did see were the ones that we wanted to see most and asked our driver to take us too, but in a wildlife safari you can’t expect to see everything so we was thrilled as we had passed several other drivers who hadn't seen any lions, safari is just pretty much luck i suppose! It had been a very long day and we arrived back home around 5.30, ready again for dinner and a few drinks round the fire admiring the view, this was the life, and what i had paid for!

Sunday morning we got a lay in, by lay in, we mean 8am!!! We couldn't contain our excitement for this time, honestly we could have cried when we were told we didn't have to be down for breakfast until 9! Although the same thing happened with the electricity and water again this morning we was prepared so had organised everything the night before! Today we were going to the Masai Village to see how they live! This was so surreal, they live completely differently to other Tanzania residents, it was amazing to see and so interesting to hear there stories. There houses/huts are made from cow poo and sticks and twigs and they rarely sleep, they have a solid hard ground with a cow skin to sleep on, this is because of the lions that may come to kill there goats and cows!

After watching the cows being milked and feed there young we walked in and around some of there little huts and then into there little ‘shop’. Some of the things they sell are incredible, everything is hand made and hand painted, they are such talented people! And then to top the end of our lovely morning off, the Masai Village women sung and danced to us!

It was time to make our way back to the house, which i can say nobody was to impressed about going back, ergh, another week of bootcamp.. But we had to leave, so we travelled back home another 2 hours where we awaited the newbies to arrive!!

By 5pm the new people had arrived, we greeted them with silly comments like ‘welcome to Auschwitz’ and ‘welcome to medical bootcamp’ we were laughing and joking so they probably didn't take us to seriously anyway. The introductions then started where everybody int he group said there name where they were from and what department they were in for that week. The new people then got to settle in there room whilst we stayed in the communal area hoping the wifi would be on!!
Week 2 was going to be very different for myself and louise as we was going to be in a health centre rather than a hospital. So instead of walking down with everyone in the mornings we would get a cab to the centre! The cab driver was fab though, he would play english music and one song in particular every morning, Try Me! It became a morning ritual to sing this every day then.

We were introduced to our mentors for the week, Sister Happy and Sister Mary. On our first day we were mainly located in the labour room. This was a 2 bed room with a moveable curtain stand in between. Anybody was free to walk in and out of this ward, which they did. Through the doors there was also the postnatal ward, with around 7 beds here.

During labour the women bring there own clothes with them to give birth on, these are laid out on the bed, they then have a large washing up bowl which is used for them to vomit, urinate and poo in. Once these women deliver, the clothes are then also thrown in to this bowl and the women then clean this up.

Labouring women and the midwives in Tanzania are very different from the UK. Women are not allowed to make any noise, they can not scream or shout, which is strange to us, because you will walk up a corridor in an english hospital and hear constant cries of ‘i want an epidural’ or ‘get this thing out of me’ but not here in Tanzania. Here, the women slap there own leg for them to be quiet, if they do make a noise the midwives will hit them.

On one occasion a labouring woman came through the door, she set up her own bed and took her underwear off and got on the bed, she left the underwear on the floor, the midwife looking after her picked the underwear up and flung it in this poor lady’s face, we were disgusted, but theres nothing we could say, as its cultural differences and we would be seen as undermining the midwives, but it was such a shock to see.

On a different occasion another lady needed stitches, bare in mind these women deliver with absolutely NO pain relief, the midwife had injected Lidocaine, but this wasn't enough and hadn't worked quick enough, the lady was wincing and crying out in pain, but still with the newborn on her chest, the midwife grabbed the woman’s legs and forcefully pulled her down the bed and pushed her legs open, things like this are difficult to watch because we want to help and thats not how we practice back home, but all we can take from seeing these experiences is realising how we want to practice, what will make us better midwives and what not to do back home.

Another incidence that occurred was a baby had just been delivered and was very mucusy and had nostril flaring, this indicates the baby having difficulty breathing, so back home baby would have likely gone into a neonatal unit and been checked over thoroughly. In Tanzania, the midwife took the suction vacuum in order to get rid of the mucus in the baby’s mouth and nose, she tried her best and we then put baby on his side. She said she could do nomore because the other lady was about to deliver and the suction vacuum needed to be sterilised again in order to be used for the next baby if there was a problem. Shocked was an understatement. We could all clearly see this baby struggling, but no midwife was willing to do anything about it.

The lack of equipment is unbelievable out here, not just in the health centre, but in the regional hospital aswell. Both centres have just one sphygmomanometer for blood pressure, one stethoscope, one pinnard, one doplar (or CTG as they called it) they lacked sterile gloves and normal gloves. They needed scrubs, face masks, hair nets. But most importantly what all these midwives need are education, yes they are good at there job and they are skilled and qualified, but they are not up to date with this, not one labouring women changed position during delivery or labour, every delivery was a woman on her back. Episiotomy’s are carried out much to frequently when they are not needed, therefore we see it as them lacking the education and knowledge on these things. If we had known this we could have took more out to them, more sphygs, stethoscopes, face masks, hair nets, gloves. We could have taken posters with different positions for labour that can be put round the different rooms so women can make the choice themselves and be encouraged to deliver squatting or on all fours instead of on their back. But without someone telling us these things we can only leave behind what we came with.

During our time at the Health centre we also weighed babies and toddlers up until 6 ears of age. This was pretty interesting and fun today. Each child has there own cloth tied round them and are then hung from scales on a wooden bar. The older ones cried a little because they didn't want to be hanging there and the taller ones could rest there feet on the wooden bar below, so the accuracy was not always great, and in a country like Tanzania, accuracy is very important because of malnutrition in such young children.

We also carried out a few injections on women as well as observed some circumcisions on young boys. I can not express how sad and frustrating these were to watch tho. The boys are not in separate rooms, they are in one holding room, then 3 boys are all getting circumcised at the same time with a small curtain around them. Everyone can hear the cries and the pleas to stop but these boys have no choice, circumcision in Tanzania is a must, this is because it reduces the risk of HIV and STI’s as well as keeps the penis cleaner and tidier.

We witnessed one young boy walk in crying hysterically because he didn't want it done, he was then allowed to come back in, and cried again as he laid down, he lifted his head to look what was happening and the nurse slapped his head back down on the bed, she then pinched him with the clamps all over his body. My heart broke for the little boy, he was only around 6 years old, in the room on his own with no-one to tell him everything was going to be okay. You cant begin to imagine what kind of lives these poor children lead.

Its hard to envision that all of that happened in one day, but it did. And that is just a standard day for those working and receiving treatment in Tanzania.

Before we knew it was Friday, and the last day of placement was over, it had been a very long emotional 2 weeks thats for sure! We made our way back to the house and over a weekend the chefs don't cook for us because of the amount of students tat go on safari, so we cater for ourselves, so this night whoever was in the house was going out for dinner at an italian restaurant, half hour drive away! Dinner was nice enough, nothing to special, but it was lovely to get out the house and eat something different.

Saturday morning came and some of our friends were taking the 10 hour bus journey back to Dar for there flight Sunday. Fortunately for myself and Louise, a few days prior to this we decided that actually we would take the internal Aeroplane back to Dar because of safety reasons i mentioned earlier, and the fact that for the 2 weeks we were out there there had been 2 bus crashes with 20 people dead, it just wasn't worth risking. Although the flight cost $180 it was well worth it as it was only an hour and a half flight! However, this decision seemed to come with a lot of arguments with the Gap Medics Staff back home in England.

We booked the flight a few days before travelling home and were told that in order for us to stay in the Gap Medics house on Saturday night it would be an extra £45. Nothing else was said to us regarding payment, just the cost, we asked no more questions, no-one told us this could only be paid by card and had to be done ASAP and no-one said this could not be paid via cash.

So Saturday came and we brought up staying in the house again, for some unknown reason, one of the British girls, Holly who works for Gap Medics started to get involved with my situation as i presume she thought she was being helpful, to which she was not, and if I'm honest she was just being nosey, she wasn't even working at the Rock House so i have no idea why she felt the need to busy herself in my situation, she acted unprofessionally, arguing and crying with staff and students on several occasions.

On the Thursday my Phone had broke, i had no way of contacting anybody, my shillings had nearly run out and i did not bring a bank card with me. In all information packs it does not state anywhere that i needed to bring a bank card with me.

I had informed the staff of my situation and they told us we needed to ring the emergency number because unless i paid i wasn't allowed to stay there. My parents and I are absolutely disgusted at this whole situation. I am a 20 year old girl, in a 3rd world country, with no phone, money or bank card, yet Gap Medics were telling me that “theres no way in hell” i can stay in their house unless i paid the £45, they would rather chuck me out on the streets, and if i stayed there and didn't pay they would get the police involved. Its incredibly shocking from such a well known company and also very disappointing that after paying £2,500 to Gap Medics they wouldn't trust me enough to pay a mere £45 when i returned home the very next day…

I also find it incredibly unprofessional of the company that people constantly said to me down the phone “why can’t Louise pay for you?” Why should she have to pay for me? Why should any other student have to pay for me? I would love an explanation as to why people said this to me, because yes i came with Louise, but if i hadn't and i came on my own and made no friends what position would i be in then? Because like Gap Medics told me, id have been chucked out. Id have been on my own on a street somewhere in a 3rd world country. And right now i wish that was the outcome, because i wish i could have taken the company down for doing that to a vulnerable student, because then where would they be?

Gap Medics are a money making company that does not seem to care about the safety of their students at all. But all that i can say is that they are as good as there next review, as soon as a bad review comes about and the word spreads the company will come crashing down.

Response from Global Pre-Meds

We always put the safety and care of our students first, but people travelling abroad need to be open minded to new experience and cultures.
People who gain the most from the experience of foreign travel recognize there will be major differences in services like catering, hotels, transport systems and wi-fi between a country like Tanzania and England.
This is why students are given a thorough information pack and briefing on what to expect before they go, and a comprehensive welcome briefing and familiarization tour on arrival.
We only use drivers and transport licensed for public use in Tanzania and have transported thousands of students safely over the past 5 years.
We are pleased Georgia enjoyed many aspects of her healthcare experience. We aim to put a lot into our programs for those students who want to learn about healthcare overseas. Global Health Tutorials are designed to give you a good understanding of the health systems and challenges in your host country.
We provide a full program with a good balance between studying healthcare and social time, but recognize people are up early to go to the hospital so we ask students who go into town to be back by midnight during the week. This is also for everyone’s safety and security so we can secure the house.
We think references to Auschwitz are extremely distasteful and highly inappropriate, as are some other references to Africa and the ‘3rd World’.
Our briefing pack does advise people to bring a bank card and we find it surprising that anyone would travel so far from home without one.
Georgia chose to stay an extra day and book a flight back to the capital, and we advised her there would be an extra cost for this. Our staff were helpful, professional and courteous at all times and would never leave a student alone and unsupported.

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No, I don't recommend this program

What you haven't heard about Gap Medics

Yes they have a stylish website, yes they look efficient, caring and that your going to have a once in a life time experience well here is the truth that did not happen. What they seem to cover up on there profit making company if that while I was there last summer my room within the supposed secure compound had an armed attack with two armed men in the middle of the of the night. Thankful no one was physically hurt however mentally is a different story as I have seen received large amounts of thepary to try feel normal again and have been diagnosed with post traumatic stress. None of us could stay on as we felt so scared, alone and not safe however the company did not refund the week we were not there, they have shown no compassion or care or anything.i feel this trip is over priced and dangerous. I would hate to see any other enthusiastic young medical student go through what I have gone through and that is speaking from my heart. Please think before ever making the risk to go with the Gap Medic company as you don't need this to get into med school there are plenty other more exciting safer and cheaper options, I would hate for anyone's savings like mine to be wasted on a trip and company like this!

Response from Global Pre-Meds

Gap Medics has safely sent more than 7,000 students overseas in the past six years, many of them to Tanzania. It is a very safe country with a popular tourist industry that welcomes thousands of visitors every year.

This incident last year was something extremely rare, that has never happened on one of our programs before, because security is a top priority for us. We have two security guards patrolling the area and our compound is surrounded by a seven-foot high stone wall. We also have a female night supervisor on duty at the house all night every night, and other support staff live on site.

Students have always been given a safety talk as part of the briefing on arrival. They are also advised to use the panic buttons in each of the houses, should they feel threatened.

Our on-site security team dealt with the incident, called for assistance, and no one was physically harmed in the incident. Our staff in Tanzania and at our Head Office in the UK spent a lot of time helping these students and contacting parents to explain what happened.

All affected students were offered the opportunity to leave the program and receive a refund for the time they missed, as well as assistance from our local team in getting home.

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Yes, I recommend this program

Tanzania: A second home

I have experienced Gap Medics three times over the past three years and I have to say what an amazing experience it gives you. It allows you to experience a country (Tanzania in my case) right down to its grassroots. It provides a stress and hassle free way of being able to visit a developing country whilst gaining medical experience, which is hard to find elsewhere. You get to get up close with all the procedures at the hospital and it provides an experience that is hard to find in your own country. I would recommend Gap Medics to anyone that would like to not only gain medical experience, but who also want learn about the cultures in a different country as well. The money is well worth it and you will not regret your decision what so ever. Both the staff at the house and the hospital are well trained and will literally feel like family during your stay. Everyone is so friendly and helpful, that you almost forgot that you are in a totally different environment. During my stay, I was able to witness many births on the labour ward as well as helping with ward rounds in paediatrics. The sights, sounds and certainly smells will overwhelm your senses when you first step into the labour ward. Childbirth is not a tidy event. However, you soon adjust and everyday brings new things to observe and learn. On the neonatal ward, many babies on fighting for survival in circumstances that seem impossible, yet, many survive. There are not many incubators so at busy times, the beds become full of tiny little babies not quite ready for the world. This really does make you realise how precious and fragile life is. However, through these good and bad times, the team is always there to support you.
In the end, no matter how long you stay, you will have wished that you were staying longer as it really does become to feel like home.

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Yes, I recommend this program

Gap Medics- Pula, Croatia

Honestly the best Two weeks. Enjoyed every part! Seeing as we were an over 18s house, we were not treated like babies, we were trusted and allowed our own free time to explore and relex! The people could not have been better as well as the staff! And the food cooked was amazing!! Placement wise I was unlucky that the first week there were two public holidays, therefore missing the Monday and Thursday but had the option of making my hours up! I got neurosurgery for the first week and paediatrics for the second. Neurosurgery was my favourite and the staff were more than helpful, definitely got the experience I needed there and more!

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Yes, I recommend this program

Words can't describe

Firstly, I'll begin with the staff. Every single member of staff I met in my two weeks of being in Tanzania were so lovely and welcoming. From the moment I met Hamise and Goodluck at the airport, I knew I was going to be in safe hands. Everybody treated you like family and always made sure that you were happy with everything. Jerry, the programme manager would come to the house everyday to make sure that we had a good day, and any complains we had he sorted there and then. Jessica, she was always smiling and always greeted you when you saw her. Flo, she's crazy which just cheers everybody up. She was always smiling and laughing, always wanting to talk, and was always there when you wanted to play games or just chat. There was a little argument within the group whilst I was there, and Flo made sure that we all sat down and sorted it. The security guard, she was so lovely, so friendly, and so bubbly. She put a smile on your face when you were leaving in the morning, and made sure you had a smile on your face when arriving back at lunch time. On our last day she was begging us all to stay, and came and chatted with us for hours. Goodluck, the driver is hilarious. He didn't talk for the first week and we all presumed he didn't speak English, but the second week we found out that he could speak, and he always made everybody laugh. Hamise, he was lovely from the minute he met us at the airport. He walked us to the hospital everyday, went to town with us, went to the orphanage with us, and always made sure we were all safe, and all happy. Benson, he cooked the loveliest food every single morning for breakfast, and every evening for dinner. He made sure that there was always food in at lunchtime, and would always cook what you ask. I am a fussy eater but still managed to find something to eat everyday.

Secondly, the house. I arrived in the evening and so it was dark when I was shown around the house, but in the morning when I had a look in the day, it was amazing. I was staying in the Kilimanjaro house, and it was everything you need. In my room I had a huge bathroom, mosquito nets over the beds, and plenty of wardrobe space. The social area was huge, with a TV projector and loads of English TV channels. The kitchen was amazing, with loads of food always ready to cook. The pool was lovely to swim in when you've had a long day. The grounds were all very well kept, and I couldn't fault anything. ps, in the other accommodation buildings you can see Mount Kilimanjaro which was amazing!

I can't comment a lot on the social side of my trip as there was only 5 of so it was easy for us all to socialise and get to know each other. There is plenty of space, and plenty of things to do if there was a big group of people, and I'm sure no matter how many people there are, there's always space and time to socialise. We all stayed up and played cards with Flo most nights which was fun. She taught us all new African card games which was a really good laugh.

Every Tuesday, Wednesday, Thursday, and Friday evening we had a Global Health Tutorial, which at first I wasn't looking forward to, but they were actually all very good. We learnt about, HIV/Aids, Malaria, Family Planning, Swahili lessons, and lots on Midwifery (my placement choice). We had a different doctor/nurse/midwife come in everyday, and each of them were lovely. They were easy to talk to and always happy to answer any questions you had, whether they were relevant to the talk or not.

Safari Weekend - before I left I was debating on going on the Safari due to the price, but wow I'm so glad I went. Seeing wild animals in their natural habitat was amazing. The lodge we stayed in was amazing, and the elephants came so close during the night that they broke all of the water pipes! We saw every animal you could think of, from waterhogs to lions. From deer to elephants! My favourites were the elephants and there were hundreds of them! All of the animals got so close to the car and it was incredible!! Also on the Sunday on the way back to the house, we stopped at a Masai Villiage which was an experience. They give you a welcome song, show you a few of their ways of life, such as how they make a fire, and show you around where they live.

Orphanage - I visited the orphanage 3 times in the two weeks I was there, and every single child there is amazing. They are so sweet, so polite, and can speak amazing English! I took them balloons and I've never seen a child's face light up more. They LOVED them and were entertained for hours. I fell in love with Daniella, Violet, and Happy! I would highly recommend visiting at least once, they all love visitors!

Thought I would leave the best until last.. The Placement. Words cannot explain how amazing my two weeks were. I spent my two weeks in the maternity ward. Every single day I learnt something new. Every nurse, doctor, and midwife was so welcoming and always willing to get you involved. I saw absolutely everything I could have ever imagined seeing. From how to put in an IV, to how to listen to a foetal heart rate. From an easy natural birth, to a birth which took over an hour of pushing. From a c-section and the baby not breathing, to surprise healthy twin boys. From new lives coming into the world, to seeing a lady having a D&C in theatre. From supporting women in labour, to cuddling minute old babies. Every single moment was life changing. Only being 17 and seeing all of that was an incredible experience, and I will take every day into my journey of becoming a Midwife.

If you are thinking of going, then don't think.. just go. Yes, the cost does add up, but I can promise you that every single penny is worth it. I am already planning another trip for next year! :)

What would you improve about this program?
I suppose the price could have been a little less. The actual price for the programme I think is reasonable, but it's all of the prices on top which add up. Injections, flights, medical equipment, scrubs, clothes, and all of the little things. The scrubs and medical equipment could maybe be added into the actual placement price.
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No, I don't recommend this program

Pre-nursing experience in Thailand

Shame on you gap medics!! Your company advertises well organised trips for young people to help them gain experience in a structured environment. Unfortunately after paying nearly £300 just to register and then £800 for flights and a further £1100 for the placement itself, and further costs for scrubs, goggles and face masks, I feel really let down.
The hospital was practically empty and I saw only a handful of patients all week. I spent most of the time sitting around doing nothing. There were other students who felt the same way. I could not complain to the programme manager as she was 'away in Malaysia' until later in the week. My father also rang headquarters on two occasions to voice our concerns about the poor experience / placement.
After discussing the situation with another member of staff who said I would be able to get a refund for the second week I decided to leave and spend the second week travelling. He even helped me to book internal flights to Bangkok.
On my return to England I contacted gap medics. They assured me they would look into my complaint and would ring me back. They failed to do this and I had to ring them many times to try and get a refund.
They now say they have fully investigated the matter and I am totally at fault as their staff were not informed I was unhappy with the placement and I've been called a liar for saying I was told I would get a refund.
I saved so hard to be able to go to Thailand with gap medics and despite not delivering what they promised, they refuse to give me a refund. So I repeat - shame on you gap medics for not having the decency to hold up your hands and admit you got it wrong

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Yes, I recommend this program

Best Two Weeks Of My Life

I recently have just returned from a two week placement in Morogoro, Tanzania. I can honestly say that it was truly the best two weeks of my life and I cannot put into words what I have experienced because of it. The programme is extremely well organised and all of the staff at the house are so lovely and friendly, they are always there to help. Not only has my trip provided me with invaluable experience in a hospital setting but I have also been lucky enough to make life long friends. I would recommend this experience to anyone who is even remotely considering a career in the medical world.

What would you improve about this program?
I genuinely wouldn't of changed anything about my two week placement apart from staying longer!!!
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Chelsea Shannon
Yes, I recommend this program

Pre-Midwifery Experience In Tanzania, Iringa

My Time In Iringa Was Truly Amazing, I Observed Pre-Midwifery Experience In The Local Hospital. The Midwife's/Nurses Were Amazing As They Really Got You Involved. The Staff At The House Were Lovely As Well As They Always Made You Feel Welcomed, This Really Helped Me As I Was Feeling Really Home Sick & Was Feeling Really Shy So They Got You Involved In The Activities And Made Sure You Were Never Alone. Also The Lucky Area Was So Beautiful. The Orphanage Home Was Great I Loved It, You Go To The Orphanage Homes On Thursday's After Placement And You Get To Play With The Kids, Put Be Warned They Do Try & Take Your Phone As They Love Taking Selfies Of Themselves. Also The Safari Weekend Was Magnificent You Get To See So Many Animals, And The Lodge You Stay At Is Amazing & The Masai Villagers Are Great To They Welcome You To Their Village So Nicely And They Also Sing And Dance For You.

What would you improve about this program?
The Only Think I Would Want To Be Improved Would Be Some Of The Midwife's At The Hospital Weren't Always There To Give You The Experience You Wanted. I Only Really Loved One Of The Midwife's, Which Was Sister Monga She Was So Friendly And Amazing.
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Yes, I recommend this program

Iringa Project - Tanzania

Gap medics was definitly a life changing experience for me. The Gap Medics team made everything perfect, made me feel safe, welcome and part of the team. Shadowing the Nurses on the Pediatrics ward and the Midwives definitly determined my future as a Pediatric nurse and I am now studying Pediatrics nursing at university. The experiance I got was so eye opening and being able to make a difference to Iringa Regional Hospital by donating hospital equipment made me feel so lucky and privileged. The amount of knowledge I have gained from doing a Gap Medics placement is unbelievable. I can honestly say I will be returning to Gap Medics in the future.

What would you improve about this program?
I think that the Gap Medics team should promote longer stays on the Gap Medics placement. I thought that two weeks would be enough but I was definitly not ready to go home. I was worried about being home sick but when I got there the staff are so amazing and there was always something to do. I didn't feel homesick at all.
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No, I don't recommend this program

Awful Company

I would advise others to stay well clear of Gap Medics. They are very good at having a slick image and have a good reputation but unfortunately not all is as it seems. I fell for the appearances and I had a terrible experience with Gap Medics. I feel the company is more interested in financial gain rather than actually creating a positive and beneficial experience for their customers. I went to Croatia, Pula for two weeks in June 2015 for the pre-midwifery course which I was really looking forward to. I am afraid my trip was not what I expected at all. I chose to leave on my fourth day and return home because it was so stressful and so not as described.

I was told I would be in the Hospital Monday to Friday but in actual fact I was only going to have 2 day shifts and 1 night shift each week. In the disorganised and noisy house it became immediately apparent it would have been impossible to sleep during the day to make up for the sleep missed during the night shift anyhow.

I understand that the trip is purely observational and that it is impossible to control the number of births in a hospital. The day I went to the hospital the mentor did not have anywhere near enough to show us and it consisted of hours and hours sitting on a bench waiting for something to observe. I tried to be proactive during the hospital placement but there was very little to see and thus we got sent home early. Gap Medics could not cope with the number of students arriving and could not provide the quality service we paid for. There were three of us students shadowing one mentor midwife in the hospital and so the mentor was overwhelmed and as students we could not get the amount of attention needed.
The website portrays that pastoral care is valued by Gap medics, however I found the staff team to be unapproachable, unsupportive and lacked the skills to work with young people. They were stressed and understaffed; there were only two staff members. One staff member took an aggressive and defensive attitude, seemingly because there were considerable problems in delivering what was meant to be given by the Gap Medics experience. I raised my issues with the trip when I was there but it was pretty much dismissed.

I found Gap Medics website to be misleading. There were also absolutely no 24 hour security guards as advertised. In fact at one point another girl and I were completely alone at the house. It needs to be more transparent and honest.

The whole trip is enormously overpriced and I am unable to see where the money I paid for this trip has gone. There are also extra hidden costs e.g. needing to purchase your own scrubs, googles, gloves, facemasks and hairnets which you are not informed of once you have signed up. Only once I had paid the registration fee of £290 did I also find out that many meals are not included in the price. Over the weekends Friday eve to Sunday lunch there are no meals provided. You are supposed to eat out or you can ask for the chef to supply the cupboards although I found them to be low stocked. There is an expectation to bring money for lunch. I could make and take my own packed lunched there was, however, very little choice for the lunches.

The actual accommodation was very poor and not the house that I was told we would be staying in when I booked. The accommodation felt crowded and hectic, it was definitely not “spacious” and did not “comfortably accommodate up to 40 students” as described on the website. There was no air-conditioning in our small bedroom, which contained two bunk beds for four; it was claustrophobic and this made sleeping difficult. It was also unfortunately placed in the middle of the social area and therefore very noisy. This was not a space to be able to relax or recoup in. The house was bare, uninviting and had no facilities which had been described on the website such as a swimming pool or even shower curtains. I am aware that Gap medics only moved into the new house 2 weeks prior to me staying. The beds were assembled the day before we moved in and we had no wardrobes to use. Unfortunately, the poor organisation during the transition period of moving to another student house has meant that I have suffered. We should not have be placed in the house until it was properly established. It actually took more like an hour to walk to the hospital in the heat rather than the advertised 20 minutes. I could have paid for a taxi but again this would have increased the cost of the trip. Some students even stayed in a hotel just to get some sleep!

I know that many of the other students were also disappointed with the service provided and expressed unhappiness which further supports my claim. This shows that my experience is not an isolated event. I made official complaints to Gap Medics. They took months to even reply and only responded when I had contacted The Times paper. I did not receive a refund let alone any compensation. I would just like to warn others that not everybody has a good experience with this company and if you complain they are not supportive. Had I known the truth I definitely would not have booked onto the course.

Response from Global Pre-Meds

Gap Medics has successfully sent more than 7,000 students abroad in the past five years to experience very valuable, high quality hospital work shadowing experience which helps them in their future careers.

We ask them all to complete a quality survey and the vast majority rate us extremely highly. Our location in Croatia is rated by them as scoring 4.6 out of five - so more than 92% rate it with top marks.

We promise students more than 23 hours of work shadowing with an experienced mentor, and this is what we delivered for this student but unfortunately she decided to leave after just one shift. Normally this is delivered across five days, but in this case it was three eight hour shifts to match the work pattern of her mentor, but this can be a typical work pattern for a midwife.

All accommodation, food and drink is covered as part of our booking, students get a cooked breakfast and evening meal five days a week and food is provided so they can take a packed lunch with them to the hospital. At weekends they can prepare their own meals as many students choose to go away on excursions. Some students choose to eat out during the day, but that is their choice.

This student was only with us two nights but she did not raise concerns such as the noisy bedroom with our staff while she was there so we could have addressed them. Our staff did attempt to get her to stay so she could experience the full programme, but she decided to leave for personal reasons.

As she joined us at a time when we were changing accommodation in Pula there may have been some small inconsistencies in the information she got in advance and we could have explained the shift working more fully, so apologise if these aspects did not meet our usual excellent standards on this occasion, and for the delay in getting back to her but I wanted to check out the situation thoroughly

If she had stayed with us and raised these issues so we could have corrected them I am sure she would have found, as thousands of other students do who travel with Gap Medics, that she would have had a rewarding experience that would have been very helpful in becoming a midwife.

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Yes, I recommend this program

Amazing experience!

I stayed at the gap medics house in Chiang Mai, Thailand for 4 weeks in August last year and I'm so glad I did! All the staff at the house from the cooks and gardeners to the placement team were really friendly and happy to help with whatever they could! I met lots of new people and we did lots together whether it was organising a group trip to the temple or the Chiang Mai bazar to just hanging out in the pool or playing table tennis! The only thing I wasn't crazy about at the house were the lizards and cockroaches that occasionally found themselves in my room, but obviously that can't be helped!
I got the opportunity to travel down to Phuket and the Phi Phi islands due to a long weekend we had because of a bank holiday and that was a fantastic opportunity to explore Thailand! I also went on the hill tribe weekend which i would definitely recommend.
I had a range of really good nursing placements - from Theatre to Outpatients and the labour ward and nursery! One week I requested my placements to be changed slightly as I had been to many of the departments the week before and my placement co-ordinator Mike sorted it out with no problem. I got to witness operations being performed (although I was only allowed into the OR for one of them), observed a baby clinic, helped care for babies straight after birth, and observe patients in ICU. Some of the staffs English isn't the best but Gap Medics do try and put you with those who have good English and so this didn't cause me too much of a problem.
I really enjoyed everything about this experience and I felt it gave me a really good insight into different treatments and cultures ahead of starting my university degree. I would recommend it to anyone!