Ryan Lopez, University of Florida

During my six-week international APPE rotation in Japan, I trained at Keio, Juntendo, and Kyoto University Hospitals, several community pharmacies, and a biochemistry research lab. This diverse experience gave me a broad perspective on pharmacy practice, traditional medicine, and scientific research in Japan.

In hospitals, I observed organized, safety-focused pharmacy operations. Pharmacists were central to medication verification, sterile compounding, chemotherapy preparation, and therapeutic monitoring. Automation and barcode systems enhanced efficiency, and I was struck by the strong interprofessional collaboration and trust in pharmacists to ensure patient safety.

At community pharmacies, I saw pharmacists deliver respectful, patient-centered counseling; often with handwritten instructions and visual aids. They were highly accessible and served as trusted healthcare providers, with a clear emphasis on privacy and professionalism. A highlight was learning about Kampo, Japan's traditional herbal medicine. I observed pharmacists preparing and counseling on Kampo formulations, deepening my appreciation for culturally integrated, holistic care.

In the biochemistry lab, I worked on a gut immunity project involving M cells and Peyer's patches, using cell markers and gating to quantify immune cells. I also engaged with students who shared their research, which strengthened my understanding of collaborative lab science.

Beyond academics, I adapted to Japan's culture and lifestyle, built meaningful relationships, and fully immersed myself through daily life and shared living experiences. This rotation reinforced my commitment to patient-centered care and broadened my view of pharmacy's global impact. I'm grateful for the opportunity to learn from such a thoughtful and innovative healthcare system.