How it came to me
I was one of the schools sending students.
I am Australian. I qualified at Curtin University in Perth in 1994 and then left — sports medicine in the United Kingdom, eventually a career in the United States I did not plan and would not have had if I had stayed, then teaching clinicians across Europe and in Africa. Almost everything I have professionally came from being somewhere I had no particular business being.
I met Mike while I was teaching in Italy and we became friends. At the time I was director of clinical education at Pacific University, which is how Pacific became the second programme to send students here — I was the one sending them. Then I kept teaching, and kept coming back, and got steadily more interested in what kept happening to the students who went.
In 2020, with COVID on top of everything else, Mike retired. Fourteen years of relationships in Italy and nobody to hold them; it could simply have stopped there. I did not want to watch it die, so I took it over.
Not out of duty. I love to travel, and I do not think there is much you can do for a young clinician that beats putting them somewhere unfamiliar early — in front of people who do this work differently, inside a health system arranged on another principle, at the age when it still changes how you think rather than only what you know. They come home with a bigger sense of how things work and how they could work, and they spend the rest of their careers using it in their own country.
So what I am trying not to break is the part that was never mine. There are 904 completed placements behind this. My job is to give it the systems and the standards it never had, and to leave intact the thing that actually makes it work — that somewhere in Tuscany, a clinician who has met every one of us decides your student is worth the trouble.