Medicine and Surgery "B" - Roma Azienda Policlinico Umberto I

Activity type

C_02. Fisiopatologia, metodologia clinica, propedeutica clinica e sistematica medico-chirurgica

SSD

MED/09

Year

2nd year

Semester

1st semester

CFU

1

Hours distribution

12.5 classroom hours

Lecturers

LAURA D'ERASMO

Activity type

C_16. Medicina e sanità pubblica e degli ambienti di lavoro e scienze medico legali

SSD

MED/01

Year

2nd year

Semester

1st semester

CFU

2

Hours distribution

25 classroom hours

Lecturers

PATRIZIO PASQUALETTI

Activity type

C_20. Scienze umane, politiche della salute e management sanitario e lingua inglese

SSD

MED/02

Year

2nd year

Semester

1st semester

CFU

2

Hours distribution

25 classroom hours

Lecturers

ELISABETTA SIRGIOVANNI

Activity type

C_02. Fisiopatologia, metodologia clinica, propedeutica clinica e sistematica medico-chirurgica

SSD

M-PSI/08

Year

2nd year

Semester

1st semester

CFU

1

Hours distribution

12.5 classroom hours

Lecturers

CATERINA GRANO

Activity type

Attività formative affini o integrative

SSD

L-LIN/12

Year

2nd year

Semester

1st semester

CFU

2

Hours distribution

25 classroom hours

Lecturers

RENZO MOCINI

Activity type

C_06. Clinica delle specialità medico-chirurgiche

SSD

MED/41

Year

2nd year

Semester

2nd semester

CFU

1

Hours distribution

12.5 classroom hours

Lecturers

SILVIA FIORELLI

Activity type

C_09. Clinica generale medica e chirurgica, Attività formative affini o integrative

SSD

MED/09, MED/09

Year

2nd year

Semester

2nd semester

CFU

2

Hours distribution

25.5 classroom hours

Lecturers

MAURIZIO MUSCARITOLI

Activity type

C_08. Clinica medico- chirurgica dell'apparato locomotore

SSD

MED/33

Year

2nd year

Semester

2nd semester

CFU

1

Hours distribution

12.5 classroom hours

Lecturers

GIUSEPPE GIANNICOLA

Activity type

C_02. Fisiopatologia, metodologia clinica, propedeutica clinica e sistematica medico-chirurgica

SSD

MED/18

Year

2nd year

Semester

2nd semester

CFU

1

Hours distribution

12.5 classroom hours

Lecturers

CHIARA EBERSPACHER

Activity type

Attività formative affini o integrative

SSD

L-LIN/12

Year

2nd year

Semester

2nd semester

CFU

2

Hours distribution

25 classroom hours

Lecturers

RENZO MOCINI

Activity type

C_21. Tecnologie di informazione e comunicazione e discipline tecnico- scientifiche di supporto alla medicina

SSD

INF/01

Year

2nd year

Semester

1st semester

CFU

1

Hours distribution

12.5 classroom hours

Lecturers

PATRIZIO PASQUALETTI

At the end of the course, the student will have acquired theoretical skills regarding the approach to the patient in the course of emergency/urgency and first aid scenarios in the internist, surgical, intensive care and orthopedic fields

At the end of the course, the student will have acquired theoretical skills regarding the approach to the patient in the course of emergency/urgency and first aid scenarios in the internist, surgical, intensive care and orthopedic fields

Elements of basic medical-scientific methodology

Module: PRE-CLINICAL MEDICO-SCIENTIFIC METHOD I - Internal Medicine I
N/D
Module: PRE-CLINICAL MEDICO-SCIENTIFIC METHOD I - Statistics I
Objectives
Objectives
Students will be expected to understand the fundamental principles of descriptive and inferential statistics and the statistical methodology of experimental and observational clinical studies.

• Clinical Trial Design
o Comparing Treatments
o Random Allocation
o Stratification
o Allocation Methods Without the Use of Random Numbers
o Volunteer Bias
o Intention-to-Treat
o Cross-Sectional Designs
o Subject Selection for Clinical Trials
o Response Bias and Placebo Effect
o Rating Bias and Double-Blind Studies
• Observational Studies
o Censuses
o Sampling
o Random Sampling
o Sampling in Clinical and Epidemiological Studies
o Cross-Sectional Studies
o Cohort Studies
o Case-Control Studies
• Descriptive Statistics
o Data Types
o Frequency Distributions
o Histograms and Other Frequency Plots
o Medians and Quantiles
o Means
o Variance, Range, and Interquartile Range
o Standard Deviation

• Data Representation
o Rates and Proportions
o Significant Figures
o Tables
o Pie Charts
o Bar Charts
o Plots Scatterplot
o Line and Time Series Plots
o Misleading Plots
o Log Scales

• Probability
o Fundamental Properties
o Probability Distributions and Random Variables
o The Binomial Distribution
o Mean and Variance
o Properties of Mean and Variance
o Conditional Probability

• Normal Distribution
o Probability for Continuous Variables
o The Normal Distribution
o Properties of the Normal Distribution
o Random Variables with a Normal Distribution
o The Normal Probability Plot

• Estimation and Hypothesis Testing
o Sampling Distributions
o Standard Error of the Sample Mean
o Confidence Intervals
o Standard Error and Confidence Intervals for Proportions
o Testing a Hypothesis
o The Sign Test
o Principles of Significance Tests
o Significance Levels and Types of Error
o One-Sided and Two-Sided Significance Tests
o Significant, Real, and Important
o Power of a Test
o Significance Tests and Confidence Intervals
o Comparing Two Means
o Comparing Two Proportions
o The t-Distribution
o The One-Sample t-Method
o Comparing Means of Two Independent and Dependent Samples
o Comparing Different Means Using Analysis of Variance

• Regression and Correlation
o Scatterplots
o Regression
o The Least Squares Method
o The Standard Error of the Regression Coefficient
o Residual Analysis
o Violating Assumptions in Regression
o Correlation
o Significance Tests and Confidence Intervals for r
o Using the Correlation Coefficient
• Rank-Based Methods (Overview)
• Contingency Table Analysis
o The Chi-Square Association Test
o The Small-Sample Chi-Square Test
o Fisher's Exact Test
o Odds and Odds Ratio
• Advanced Methods
o Multiple Regression (concept only)
o Polynomial Regression (concept only)
o Logistic Regression
o Time-to-Event Data to the event
o Kaplan-Meier survival curves





Module: PRE-CLINICAL MEDICO-SCIENTIFIC METHOD I - HISTORY OF MEDICINE
N/D
Module: PRE-CLINICAL MEDICO-SCIENTIFIC METHOD I - CLINICAL PSYCHOLOGY
N/D
Module: PRE-CLINICAL MEDICO-SCIENTIFIC METHOD I - ENGLISH
The course consists of two modules. The first module (12 hours) introduces strategies that students can apply to improve their pronunciation and, consequently, their oral comprehension. The second module (12 hours) aims to help students acquire a basic medical lexicon. Topics include medical and paramedical personnel, parts of the body, diseases, symptoms and signs, treatment, prevention, physical examination, and diagnostic tests.



Module: PRE-CLINICAL MEDICO-SCIENTIFIC METHOD I - INFORMATICS
Anesthesiology
The concepts of emergency and urgency
Assessment of vital signs
Pathophysiology of hypoxic-ischemic brain injury
Cardiopulmonary resuscitation (BLS – Basic Life Support)
First aid in road traffic accidents
Hemorrhage control
Airway assessment and management
Foreign body airway obstruction: the Heimlich maneuver
Drowning
Temperature-related disorders (hypothermia and hyperthermia)
Electrical injuries
Cardiac chest pain
Seizures
General and specific management of the most common poisonings
Routes of administration of drugs and intravenous fluids


Module: PRE-CLINICAL MEDICO-SCIENTIFIC METHOD II - Internal Medicine II
Vital Signs

* Body temperature
* Heart rate
* Respiratory rate
* Oxygen saturation
* Blood pressure
* Level of consciousness

Blood Pressure Measurement

* Physiology of blood pressure
* Blood pressure measurement devices
* Manual and automated measurement techniques
* Common measurement errors
* Interpretation of blood pressure values

Pulse Wave

* Definition
* Characteristics
* Amplitude
* Rate
* Rhythm
* Clinical significance

Peripheral Pulses

* Major pulse assessment sites
* Palpation technique
* Symmetrical and asymmetrical pulses
* Pathological alterations

Cardiovascular and Respiratory Emergencies

Chest Pain

* Cardiac causes
* Respiratory causes
* Musculoskeletal causes
* Patient assessment

Pneumothorax

* Definition
* Causes
* Spontaneous pneumothorax
* Traumatic pneumothorax
* Clinical signs
* Initial management

Acute Asthma Exacerbation

* Pathophysiology
* Triggering factors
* Signs and symptoms
* Severity assessment


Module: PRE-CLINICAL MEDICO-SCIENTIFIC METHOD II - Orthopedics
Programma in inglese: General information and diagnostic classification of fractures. General information on the biology of bone tissue and fracture healing methods. Clinical objectivity of fractures. Emergency treatment and damage control in fractures. Conservative treatment of fractures. Surgical treatment of fractures. General information on orthopedic synthesis devices and joint prostheses. General and local complications of fractures: immedaite, early and late complications. Dislocations: general information and diagnostic framework. Clinical objectivity of dislocations. Shoulder dislocations: classification, diagnosis and treatment. Elbow dislocations: classification, diagnosis and treatment. Acromioclavicular dislocations: classification, diagnosis and treatment. Knee dislocations: classification, diagnosis and treatment. Hip dislocations: classification, diagnosis and treatment. Dislocations of the phalanges: classification, diagnosis and treatment. Complications of dislocations. Subcutaneous tendon ruptures: general information, diagnostic framework and treatment.



Module: PRE-CLINICAL MEDICO-SCIENTIFIC METHOD II - General Surgery II
N/D
Module: METODOLOGIA MEDICO-SCIENTIFICA PRE-CLINICA II - English
The 24-hour course is divided into a number of teaching units, each based on targeted readings of a medical texts. Topics: the heart and circulation, infections, mental illness, the nervous system, oncology, pregnancy and childbirth, the respiratory system, the skin, the urinary system, laboratory tests, invasive and non-invasive diagnostic investigations.



Module: METODOLOGIA MEDICO-SCIENTIFICA PRE-CLINICA II - Anesthesiology
Objectives
Students will be expected to understand the basics of clinical database setup, data management and quality control, and statistical data analysis software. They will also be expected to be proficient in the use of specific software (e.g., Excel, SPSS, R).

Programme
The computer science program is intended to be parallel to the medical statistics program. All medical statistics topics will be covered using the appropriate IT tools.

Module: PRE-CLINICAL MEDICO-SCIENTIFIC METHOD I - Internal Medicine I
N/D
Module: PRE-CLINICAL MEDICO-SCIENTIFIC METHOD I - Statistics I
Martin Bland: Medical Statistics, APOGEO
Scientific Publications: CONSORT, STARD, STROBE


Module: PRE-CLINICAL MEDICO-SCIENTIFIC METHOD I - HISTORY OF MEDICINE
N/D
Module: PRE-CLINICAL MEDICO-SCIENTIFIC METHOD I - CLINICAL PSYCHOLOGY
N/D
Module: PRE-CLINICAL MEDICO-SCIENTIFIC METHOD I - ENGLISH
Prescribed textbook: Professional English in Use – Medicine, by Eric H. Glendinning and Ron Howard. Cambridge University Press, 2007.


Module: PRE-CLINICAL MEDICO-SCIENTIFIC METHOD I - INFORMATICS

Primo Soccorso: dall’Emergenza all’Urgenza con le Sole Mani (Piccin Publishing)



Module: PRE-CLINICAL MEDICO-SCIENTIFIC METHOD II - Internal Medicine II
Harrison 2021 - Principi di Medicina Interna.oseph Loscalzo, Anthony Fauci, Dennis Kasper, Stephen Hauser, Dan Longo, J. Larry Jameson,


Module: PRE-CLINICAL MEDICO-SCIENTIFIC METHOD II - Orthopedics
Suggested textbook: Postacchini, Ippolito, Ferretti – Ortopedia e Traumatologia, 4ª ed


Module: PRE-CLINICAL MEDICO-SCIENTIFIC METHOD II - General Surgery II
N/D
Module: METODOLOGIA MEDICO-SCIENTIFICA PRE-CLINICA II - English
Testi adottati in inglese
Prescribed text: Professional English in Use – Medicine by Eric H. Glendinning and Ron Howard, Cambridge University Press, 2007. The teacher will upload the material required for the lectures on the e-learning “Moodle” platform.


Module: METODOLOGIA MEDICO-SCIENTIFICA PRE-CLINICA II - Anesthesiology
Learning materials provided by the instructor: CSV and txt data files; Excel files; SPSS files (data, scripts, and output), R packages and codes.

Module: PRE-CLINICAL MEDICO-SCIENTIFIC METHOD I - Internal Medicine I
N/D
Module: PRE-CLINICAL MEDICO-SCIENTIFIC METHOD I - Statistics I
N/D
Module: PRE-CLINICAL MEDICO-SCIENTIFIC METHOD I - HISTORY OF MEDICINE
N/D
Module: PRE-CLINICAL MEDICO-SCIENTIFIC METHOD I - CLINICAL PSYCHOLOGY
N/D
Module: PRE-CLINICAL MEDICO-SCIENTIFIC METHOD I - ENGLISH
N/D
Module: PRE-CLINICAL MEDICO-SCIENTIFIC METHOD I - INFORMATICS
Teaching Materials
Course materials provided during lectures


Module: PRE-CLINICAL MEDICO-SCIENTIFIC METHOD II - Internal Medicine II
Harrison


Module: PRE-CLINICAL MEDICO-SCIENTIFIC METHOD II - Orthopedics
N/D
Module: PRE-CLINICAL MEDICO-SCIENTIFIC METHOD II - General Surgery II
N/D
Module: METODOLOGIA MEDICO-SCIENTIFICA PRE-CLINICA II - English
N/D
Module: METODOLOGIA MEDICO-SCIENTIFICA PRE-CLINICA II - Anesthesiology
N/D

Lectures in class with projection and illustration of powerpoint slides. The lessons are based on maximum interactivity, stimulating the student's curiosity and participation
Practical professional activity dedicated to the detection of arterial pulses and peer measurement of blood pressure

Attendance is mandatory. Attendance is detected by signing a special dated form, specific for the lesson of the day

The student's ability to proactively orient himself in the presence of emergency/urgency and first aid scenarios in the internist, surgical, intensive care and orthopedic fields will be assessed, taking into due consideration that these are students enrolled in the second year of the course

What to do in case of pneumothorax?
What is a dislocation and how to deal with a patient with suspected dislocation?
Why do we measure blood pressure?
What is the difference between sunstroke and heatstroke?
How do you recognize chest pain of ischemic cardiac origin?

Module: PRE-CLINICAL MEDICO-SCIENTIFIC METHOD I - Internal Medicine I

• Introduction to the course
  • Books: Teaching materials provided during lessons. Manuela di semeiotica medica.  Il metodo clinico passo dopo passo (G. Sesti). Semeiotico medica e metodologica clinica (A. Amoroso). Semeiotica medica nell'adulto e nell'anziano (G. Fradà) o testi affini


• The medical record: a medical, legal and scientific tool
  • Books: Teaching materials provided during lessons. Manuela di semeiotica medica.  Il metodo clinico passo dopo passo (G. Sesti). Semeiotico medica e metodologica clinica (A. Amoroso). Semeiotica medica nell'adulto e nell'anziano (G. Fradà) o testi affini


• Anamnesis: listening, observing and interpreting
  • Books: Teaching materials provided during lessons. Manuela di semeiotica medica.  Il metodo clinico passo dopo passo (G. Sesti). Semeiotico medica e metodologica clinica (A. Amoroso). Semeiotica medica nell'adulto e nell'anziano (G. Fradà) o testi affini


• Physical examination: listening, observing and interpreting
  • Books: Teaching materials provided during lessons. Manuela di semeiotica medica.  Il metodo clinico passo dopo passo (G. Sesti). Semeiotico medica e metodologica clinica (A. Amoroso). Semeiotica medica nell'adulto e nell'anziano (G. Fradà) o testi affini


• Physical examination: listening, observing and interpreting
  • Books: Teaching materials provided during lessons. Manuela di semeiotica medica.  Il metodo clinico passo dopo passo (G. Sesti). Semeiotico medica e metodologica clinica (A. Amoroso). Semeiotica medica nell'adulto e nell'anziano (G. Fradà) o testi affini


• Medical literature search
  • Books: Teaching materials provided during lessons. 

• Descriptive statistics
  • Books: Martin Bland: Medical Statistics, APOGEOScientific Publications: CONSORT, STARD, STROBE


• Statistical methodology for clinical studies


• Inferential statistics and statistical models

• Stress
  • Books: materials available on the moodle page: https://elearning.uniroma1.it/course/view.php?id=12558


• Burn-out
  • Books: materials available on the moodle page: https://elearning.uniroma1.it/course/view.php?id=12558


• Mood disorders
  • Books: materials available on the moodle page: https://elearning.uniroma1.it/course/view.php?id=12558


• Anxiety disorders
  • Books: materials available on the moodle page: https://elearning.uniroma1.it/course/view.php?id=12558


• Motivational Interview
  • Books: materials available on the moodle page: https://elearning.uniroma1.it/course/view.php?id=12558

• Course introduction. Strategies for improving pronunciation: stress, rhythm, and intonation in medical English.
  • Books: Slides


• Pronunciation strategies: vowels, consonants, and the most common phonetic difficulties. Listening and oral comprehension practice.
  • Books: Slides


• Pronunciation of medical terminology. Strategies for improving oral comprehension in professional contexts.
  • Books: Slides


• Consolidation activities: pronunciation and listening practice using medical vocabulary.
  • Books: Coursebook: Professional English in Use - Medicine


• Medical and paramedical personnel. Parts of the body.
  • Books: Coursebook: Professional English in Use - Medicine


• Diseases, symptoms, and signs.
  • Books: Coursebook: Professional English in Use - Medicine


• Treatment and prevention.
  • Books: Coursebook: Professional English in Use - Medicine


• Physical examination and diagnostic tests. Review of basic medical vocabulary.
  • Books: Coursebook: Professional English in Use - Medicine

• Concept of emergency and importance of early intervention; assessment of vital signs


• Pathophysiology of anoxic brain injury


• Basic cardiopulmonary resuscitation (BLS)


• First aid in case of road accidents


• Control of hemorrhage


• Airway obstruction by foreign body: Heimlich maneuver


• Drowning and Temperature-related disorders


• Electrical injuries


• Cardiac pain


• Seizures


• General and specific management of the most common poisonings


• Routes of drug and fluid administration

• Vital signs
  • Books: Harrison


• the sphygmic wave
  • Books: Harrison


• peripheral pulses
  • Books: Harrison


• chest pain 
  • Books: Harrison


• pneumothorax
  • Books: Harrison


• hypoglycemic episode
  • Books: Harrison


• asthma attack
  • Books: Harrison


• renal colic
  • Books: Harrison


• biliary colic
  • Books: Harrison


• blood pressure measurement 
  • Books: Harrison

• topic 1: general overview of fractures and their healing process
  • Books: Manuale di Ortopedia e Traumatologia di Tranquilli Leali, Di Martino, Spinelli e SIOT. ed. 2025


• topic 2: imaging diagnostics in traumatology
  • Books: Manuale di Ortopedia e Traumatologia di Tranquilli Leali, Di Martino, Spinelli e SIOT. ed. 2025


• topic 3: emergency treatment of fractures
  • Books: Manuale di Ortopedia e Traumatologia di Tranquilli Leali, Di Martino, Spinelli e SIOT. ed. 2025


• topic 4: conservative treatment of fractures
  • Books: Manuale di Ortopedia e Traumatologia di Tranquilli Leali, Di Martino, Spinelli e SIOT. ed. 2025


• topic 5: surgical treatment of fractures and different fixation devices and arthroplasties
  • Books: Manuale di Ortopedia e Traumatologia di Tranquilli Leali, Di Martino, Spinelli e SIOT. ed. 2025


• topic 6: sprains
  • Books: Manuale di Ortopedia e Traumatologia di Tranquilli Leali, Di Martino, Spinelli e SIOT. ed. 2025


• topic 7: dislocations
  • Books: Manuale di Ortopedia e Traumatologia di Tranquilli Leali, Di Martino, Spinelli e SIOT. ed. 2025


• topic 8: subcoutaneous tendon ruptures
  • Books: Manuale di Ortopedia e Traumatologia di Tranquilli Leali, Di Martino, Spinelli e SIOT. ed. 2025

• The Lexical Approach - Introduction.
  • Books: Slides


• The Lexical Approach - Practical applications.
  • Books: Slides


• Specific lexis.
  • Books: Slides


• Video: listening, comprehension, and reuse of lexis. 
  • Books: Video on medical topics provided by the teacher.


• Specific lexis.
  • Books: Slides


• Video: listening, comprehension, and reuse of lexis
  • Books: Video on medical topics provided by the teacher.


• Specific lexis.
  • Books: Slides


• Video: listening, comprehension, and reuse of lexis.
  • Books: Video on medical topics provided by the teacher.


• Specialized lexis: Oncology - Pregnancy and childbirth.
  • Books: Slides


• Video: listening, comprehension, and reuse of lexis.  
  • Books: Video on medical topics provided by the teacher.


• Specific lexis.
  • Books: Slides


• Video: listening, comprehension, and reuse of lexis. 
  • Books: Video on medical topics provided by the teacher.

• Descriptive Statistics (10 hours)
  • Books: Martin Bland: Medical Statistics, APOGEOScientific Publications: CONSORT, STARD, STROBE 


• Statistical Methodology of Clinical Trials (10 hours)
  • Books: Martin Bland: Medical Statistics, APOGEOScientific Publications: CONSORT, STARD, STROBE 


• Inferential Statistics and Statistical Models (16 hours)
  • Books: Martin Bland: Medical Statistics, APOGEOScientific Publications: CONSORT, STARD, STROBE