Course program
Management of the complex patient within the Internal Medicine area (5 CFU as organized and managed by the tutor)
Prerequisites
Successful completion of the propedeutic courses as per decree of the Faculty, i.e., all the exams of the IV year
Books
Harrison's Principles of Internal Medicine. McGraw Hill published
Fradà & Fradà. Semeiotica Medica. Piccin Editore
Amoroso & Rossi Fanelli. Medicina Interna, l'essenziale. Antonio Delfino Editore
Frequency
Attendance for 100 hrs during TPVES (mandatory)
Exam mode
Assessment that the following skills have been achieved:
The student is able to put into practice the principles of the patient-doctor relationship (medical interview, contact, information, clarity, acquisition of consent)
The student is capable to obtain medical history and perform a physical examination in the outpatient context
The student has knowledge and capacity to apply the clinical reasoning: to distinguish between primary urgent complaints and secondary problems; to suggest a diagnostic hypothesis and to individualise the diagnostic methods of greater specificity and sensitivity to confirm or reject the hypothesis
The student is skilled to interpret the laboratory exams
The student is skilled to interpret the medical reports of the diagnostic imaging examinations
The student is oriented in decision-making regarding the pharmacological treatment
The student is able to compile the report of hospital admission/discharge and to write a discharge letter
The student is able to judge the appropriateness of the hospital discharge and to suggest the rehabilitation solutions or recovery in other facilities
The student is capable to frame the reason of hospitalisation taking into account possible chronic illnesses, further critical conditions and patient’s frailty
The student is able to demonstrate the skills of prevention and sanitary education
The student demonstrates the knowledge and awareness of the National Healthcare System and Local Healthcare System
The student respects the shift schedule, wears appropriate clothes and is well-equipped
The student shows knowledge and awareness of the department (or clinic)
The student interacts in an appropriate manner with the medical personnel, nurses and the department technicians
The student demonstrates the awareness and knowledge of the different roles of the medical team members
The student demonstrates active attitude (makes questions, candidates to perform activities)
Lesson mode
Real clinical cases discussion allows for a continuous dialogue between the student and the tutor