Medicine and Surgery

Contents: Competence in General and Abdominal Wall Surgery Classification of abdominal hernias Incisional hernia Anterior and posterior component separation Meshes and abdominal wall surgery Inguinal and crural hernias Umbilical hernia Gastrointestinal (G.I.) bleeding

the student must have passed all the exams required up to the fourth year of the course

Libri di testo (consigliati) SCHWARTZ'S Principles of Surgery (2 volumes) 11th edition https://accessmedicine.mhmedical.com

oral

mandatory

Evaluation methods: oral exam

Front lectures in attendance

Aim The internship aims to provide future physicians with an integrated and practical understanding of pediatric surgery through direct observation and involvement in clinical and surgical activities. Particular emphasis will be placed on diagnostic assessment, therapeutic decision-making, and the multidisciplinary management of pediatric surgical patients. Students will be paired with medical tutors during clinical and surgical activities and will participate in the discussion of real clinical cases. Specific Objectives Deepen knowledge of the diagnostic and therapeutic pathways of the main pediatric surgical conditions Understand the principles of pre-, intra-, and post-operative clinical management Develop the ability to recognize pediatric surgical emergencies and contribute to their diagnostic assessment Directly observe surgical activities and become familiar with the pediatric operating room environment Internship Content 1. Pediatric Urology Diagnosis and treatment of common urological conditions (e.g., phimosis, inguinal hernia, undescended testicle) Surgical indications and operative techniques Postoperative follow-up and management of complications 2. Neonatal Congenital Malformations Early diagnostic evaluation and multidisciplinary approach Conditions covered: esophageal atresia, gastroschisis, omphalocele, hypertrophic pyloric stenosis, anorectal malformations Principles of surgical newborn stabilization Timing of surgery and care pathway 3. Pediatric Surgical Emergencies Recognition of major surgical emergencies (appendicitis, intestinal intussusception, acute scrotum, intestinal obstructions) Differential diagnosis and surgical planning 4. Observership in the Operating Room Observation of major pediatric surgical procedures Understanding of the organization and workflow of the operating room Learning protocols of sterility and surgical safety

A solid understanding of Human Anatomy (mandatory requirement) A solid understanding of Pathophysiology (mandatory requirement) Basic knowledge of Pediatrics (recommended)

Attendance will be recorded at the beginning of each class. The attendance requirement will be considered fulfilled if at least 75% of the scheduled class hours are attended.

The evaluation will be based on the understanding and practical application of the main topics covered during the activities carried out in the ward and operating room.

Ward activities, outpatient clinic, and observership in the operating room.

There is no predetermined program. The pathologies and diagnostic-therapeutic processes of the patients observed by the student during the internship will be explored in depth.

Having passed the exams required by their study program that are prerequisites for this activity. Having completed previous clinical internships to be able to conduct oneself appropriately in the various hospital settings they will need to attend.

No suggested texts are provided. Students will refer to the texts used during general surgery exams. Current scientific literature articles on the pathologies they will observe during their internship will be provided to the student.

Attendance will be agreed upon with the instructor on a weekly basis.

The candidate's initial abilities, final competencies, and overall improvement during the internship will be evaluated.

The student will need to shadow the clinical activities of the instructor. Timings and arrangements will be decided on a case-by-case basis according to clinical needs.

Pathology of the inguinal canal. Hypertrophic pyloric stenosis. Malformations of the gastrointestinal tract. Intussusception. Acute appendicitis

The requirements, understood as the knowledge necessary to undertake the study of integrated course in Paediatrics, are those set out in the preparatory provisions in force in the Course of Study.

Titolo: Manuale di Pediatria Generale e Specialistica Autori: Bonamico Editore: Esculapio ISBN: 9788893850445

Attendance of more than 80% of the lesson hours required by the pediatric surgery module is mandatory to pass the oral exam.

The verification of the student's actual achievement of the expected results will be conducted through the oral exam of the integrated coursein pediatrics. For the purposes of evaluation, the student's attendance at the pediatric surgery module lesson cycle will be taken into account.

The pediatric surgery lectures will be included in the calendar foreseen by the integrated pediatrics course.

Anatomy and physiology of the female reproductive system. Common and rare gynecological diseases, including infectious diseases, tumors, congenital anomalies, and pelvic floor disorders.

Understanding of the anatomy and physiology of the female reproductive system. Knowledge of common and rare gynecological diseases, including infectious diseases, tumors, congenital anomalies, and pelvic floor disorders. Knowledge of the stages of pregnancy, childbirth, and the puerperium, including both physiological and pathological changes.

Course materials collected during the course and provided by the lecturer

In-person attendance

The student will be assessed based on participation in teaching activities, outpatient clinics, ward activities, and operating room sessions. Research and reading of scientific articles will also be evaluated

Physiological Pregnancy Labor and Postpartum Obstetric Emergencies Twin Pregnancy and Monochorionic Complications Preterm Labor Hypertensive Disorders in Pregnancy Gestational Diabetes Fetal growth restriction

Cultural: Knowledge of the ethical and deontological principles of medicine, particularly regarding the management of high-risk pregnancies and communication with patients. Ability to work effectively in multidisciplinary teams, addressing complex issues collaboratively and respecting cultural and social differences. Curricular: Basic knowledge of human anatomy, physiology, and pathology, with particular focus on the systems and organs involved in pregnancy (e.g., cardiovascular, endocrine, renal systems). Fundamentals of medical sciences, such as microbiology, immunology, and pharmacology, to address infectious and metabolic complications during pregnancy. Competence in diagnostic imaging techniques (ultrasound, Doppler, advanced imaging) and fetal monitoring. Basic knowledge of genetics and fetal pathologies, including congenital malformations and genetic disorders.

Berghella. Evidence Based Obstetric Guidelines. IV edizione (2022) Berghella. Evidence Based Maternal Fetal Guidelines. IV edizione (2022)

attendance required

oral test

lessons in presence

TPVES: The student must participate in the outpatient activity of the departments and operating room and in the discussion of clinical cases in person or simulated and in the analysis of scientific literature and guidelines for the main urological diseases

Knowledge of the physiopathological mechanisms underlying the main pathologies of surgical interest and the main urological pathologies

Scientific articles and national and international guidelines

Attendance for qualification purposes is mandatory

The student must demonstrate that he/she has acquired clinical skills, that he/she knows how to diagnose and understand the therapeutic options of urological cases, and that he/she is able to communicate appropriately with patients. He/she must also know how to perform minor urological surgery.

Attendance at the outpatient clinics, departments and operating rooms of the Urology Clinic, the MISU Department and the operating rooms of the Umberto I° Hospital