Medicine and Surgery HT

Activity type

Clinica generale medica e chirurgica, Tirocini formativi e di orientamento

SSD

MED/09, MED/09

Year

6th year

Semester

1st semester

CFU

2

Hours distribution

13 classroom hours, 25 others hours

Lecturers

GIOVAMBATTISTA DESIDERI
Francesco Baratta
Federica Moscucci

Activity type

Funzioni biologiche integrate di organi, sistemi e apparati umani

SSD

ING-INF/06

Year

6th year

Semester

1st semester

CFU

2

Hours distribution

26 classroom hours

Lecturers

MANUELA PETTI

Activity type

Clinica delle specialità medico-chirurgiche, Tirocini formativi e di orientamento

SSD

MED/17, MED/17

Year

6th year

Semester

1st semester

CFU

2

Hours distribution

13 classroom hours, 25 others hours

Lecturers

GABRIELLA D'ETTORRE
GIANCARLO CECCARELLI

Activity type

Clinica generale medica e chirurgica, Tirocini formativi e di orientamento

SSD

MED/18, MED/18

Year

6th year

Semester

1st semester

CFU

2

Hours distribution

13 classroom hours, 25 others hours

Lecturers

DANIELE CROCETTI

At the end of the course, the student must:
Recognize the signs and symptoms of the main surgical emergencies and pathologies (appendicitis, gastrointestinal bleeding, intestinal obstruction, hernias, diverticulitis).
Understand the clinical management of the complex surgical patient and the criteria for therapeutic prioritization.
Understand the principles of complex networks and their application to biomedicine.
Analyze biological and clinical networks using measures of modularity and centrality.
Interpret network analysis results in the context of precision medicine and drug repurposing.
Understand the systemic approach to pathophysiology and the management of complex patients.
Use multidimensional assessment tools (comorbidity, frailty, iatrogenic risk).
Apply an integrated, patient-centered decision-making model.
Know the pathogenesis and management of major healthcare-associated infections, including those caused by multidrug-resistant microorganisms.
Apply principles of infection prevention and the rational use of antimicrobials.

Solid knowledge of anatomy, physiology, and general pathology of the main organ systems.
Basic understanding of microbiology, pharmacology, and clinical methodology.
Fundamental knowledge of molecular biology, biochemistry, and the principles of evidence-based medicine.
Introductory competence in biostatistics and biomedical informatics for the interpretation of network data.
Awareness of ethical, deontological, and safety principles in clinical practice.

Module: Internal medicine and the complex patient
1. Introduction to Network Medicine
Origins and principles of Network Medicine
From linear medicine to systems-based medicine

2. Internal Medicine as a “network discipline”
The role of the internist in the modern healthcare system
Interactions between organ systems and systemic pathophysiology
Organizational models for managing complex patients

3. The complex patient
Definition and criteria of clinical complexity
Comorbidities, polypharmacy, and iatrogenic risk
Frailty, disability, and social vulnerability
Tools for multidimensional assessment (CIRS, Frailty Index, Barthel, MMSE)

4. Integrated clinical and decision-making approach
Problem- and priority-based patient management
Shared decision-making and patient-centered care
The role of the multidisciplinary team and interprofessional communication



Module: General surgery and the complex patient
N/D
Module: Nosocomial infectious diseases
The program includes an in-depth study of all types of healthcare-associated infections.
Urinary tract infections
Lung infections
Surgical site infections
Systemic infections
Abdominal infections
Brain infections


Module: Network medicine
Semeiotics of the following surgical pathologies Acute appendicitis. Upper and lower digestive bleeding. Bowel obstructions. Inguinal hernia. Acute diverticulitis. Adrenal gland disease.

Module: Internal medicine and the complex patient
Harrison Principi di Medicina Interna


Module: General surgery and the complex patient
N/D
Module: Nosocomial infectious diseases
Linee guida IDSA



Module: Network medicine
Sabiston- Textbook of surgery

Module: Internal medicine and the complex patient
N/D
Module: General surgery and the complex patient
N/D
Module: Nosocomial infectious diseases
N/D
Module: Network medicine
N/D

Teaching will be delivered through in-person lectures, asynchronous remote learning, practical training in hospital wards, outpatient clinics, and day hospitals, as well as exercises, seminars, simulations, laboratory experiences, and clinical case analyses.

Attendance is mandatory for at least 70% of the scheduled teaching hours; this threshold is required to fulfill the attendance obligation.

The assessment will consist of written examinations with multiple-choice quizzes and oral examinations.

1.Discuss the clinical and decision-making approach to the complex patient, highlighting how multidimensional assessment and teamwork can improve therapeutic management.
2.Explain how the principles of Network Medicine can be applied to understanding comorbidities and to the personalization of treatments in internal medicine and surgery.
3.Analyze the role of healthcare-associated infections in complex patients, with particular attention to multidrug-resistant microorganisms and prevention strategies.
4.Describe the main clinical presentations of abdominal surgical emergencies and discuss how clinical complexity and comorbidities influence therapeutic decisions and care pathways.

Module: Internal medicine and the complex patient

• For the class schedule, please refer to the course calendar.

• For the class schedule, please refer to the course calendar.

• For the class schedule, please refer to the course calendar.

• For the class schedule, please refer to the course calendar.