Medicine and Surgery

Mandatory

Integrated methodology II joins the lessons of gastroenterology and endocrinology and metabolism with the specific purpose of introducing students to diagnostic methodology and clinical reasoning. During the course, paradigmatic clinical cases will be addressed and discussed as examples to introduce the methodology of clinical reasoning and diagnostics in general. The lectures will be accompanied by professionalizing activities for small groups carried out both in the ward and in the outpatient clinic during which students will be able to come into contact with patients suffering from pathologies in the study. In particular, the different types of insulin analogues and their methods of insulin administration will be illustrated. Moreover, technology applied to diabetes therapy (insulin pumps) will be shown in addition to monitoring of blood sugar levels trend (blood glucose sensors). Some professionalizing activities of Methodology (regarding) diagnostic methods and on evidence-based medicine and clinical studies will be carried out in the classroom.

Content of the clinical methodology courses I and II

1. Harrison text book of medicine 2. Manuale di Endocrinologa-Lombardo, Lenzi (2017) 3. Guida pratica di Endocrinologia di Armanini - Boscaro - Scaroni - Petrelli (2018) 4. Standard italiani per la cura del diabete mellito SID-AMD (2020)

Lectures and discussion of clinical cases

Obligation of the student to be present at the lessons and exercises with the student's signature.

Clinical cases discussion by open and MC questions. PICO Question formulation. To Pass the test student must obtain a note of 18/30 for each subject of the integrated teach. Student must possess a sufficient knowledge of the program. To obtain a note of 30/30 with distinction student must possess an excellent knowledge of the whole program using a correct terminology to expose the topics.

The course teaching materials are available on the University's e-learning platform at the following address. https://elearning.uniroma1.it/course/view.php?id=3023

Lectures and discussion of clinical cases

Mandatory

The Integrated Methodology II joins the lessons of gastroenterology and endocrinology and metabolism with the specific aim of introducing students to diagnostic methodology and clinical reasoning. In the course, paradigmatic clinical cases will be addressed and discussed as examples to introduce the methodology of clinical reasoning and diagnostics in general. The lectures will be accompanied by professional activities in small groups carried out both in the ward and in the clinic during which students will have the opportunity to come into contact with patients affected by the pathologies under study or simulated clinical cases. In particular, the different types of insulin and the methods of administration will be illustrated. Furthermore, the technology applied to diabetes therapy (pump pumps) and to the monitoring of blood sugar trends (glucose sensors) will be shown. Some professionalizing activities on diagnostic methods, evidence-based medicine and clinical studies will be carried out in the classroom.

Laboratory management of the main pathologies of the endocrine axes: - pituitary-thyroid axis: management and evaluation of functional and immunological tests - pituitary-adrenal axis: management and evaluation of functional and immunological tests - pituitary-gonadal axis: management and evaluation of functional and immunological tests Calcium metabolism and major metabolic bone diseases: markers of the osteoid matrix, remodeling and bone mineral density. Metabolic diseases: management and evaluation of glycemic, lipid and purine metabolism parameters. Laboratory diagnostics of the main hypothalamic-hypophyseal pathologies. Dynamic tests in endocrinology.

Mandatory

Solution of clinical cases with open questions and multiple choice questions. Formulation of PICO questions. To pass the exam it is necessary to achieve a grade of not less than 18/30 in each module. The student must demonstrate that he has acquired sufficient knowledge of the topics covered during the course. To achieve a score of 30/30 cum laude, the student must instead demonstrate that he has acquired an excellent knowledge of all the topics covered during the course, arguing a linear reasoning with the use of technical terms and making use of correct linguistic expressions.