Medicine and Surgery

General Objectives of the Integrated Course The systematic knowledge of the diseases of the apparatus included in the core curriculum, under the nosographic, aetio-pathogenetic, physio-pathologic and clinical profile, in the context of a global vision of human pathology. The capacity of critically evaluating and correlating the different clinical symptoms, physical signs, relevant functional alterations with the anatomic-pathological pictures, cell, tissue, and organ lesions, by understanding the clinical meaning of the pathological processes of the apparatus included in the core curriculum. The capacity of rightly proposing the different cyto- and histo-pathological diagnostic procedures related to the apparatus included in the core curriculum, by evaluating risks, costs and benefits. The capacity of rightly interpreting the anatomic-pathological reports of the apparatus included in the core curriculum. The capacity of rightly proposing the different imaging analyses related to the apparatus included in the core curriculum, by evaluating risks, costs and benefits. The capacity of rightly interpreting the imaging reports related to the apparatus included in the core curriculum, as well as the knowledge of the indications and the diagnostic and therapeutic use of radiations and radioactive materials to study the apparatus included in the core curriculum. The knowledge of the different drug and toxic categories, of the molecular and cellular mechanisms related to their action and clinical-therapeutic use, also considering the response variability related to genetic and physio-pathological factors. The knowledge of the drug therapeutic use, the response variability related to genetic and physio-pathological factors, the pharmacological interactions as well as the definition criteria for therapeutic plans related to the apparatus included in the core curriculum. The knowledge of the principles and methods of clinical pharmacology, including drug surveillance and epidemiology, the adverse events and drug toxicity related to the apparatus included in the core curriculum. Specific Objectives of the Integrated Course Knowledge and understanding: knowing and understand the aetiopatogenesis and physiopatology of Immune mediated disorders; knowing and understand the methodologic approach and clinical profile of patients affected by Immune mediated disorders; knowing and understand the mechanism of action, toxicity, adverse events and clinical-therapeutic use of the different drugs adopted in the context of Immuned mediated disorders. Applying knowledge and understanding: the capacity of rightly performing physical examination of spine and peripheral joints; the capacity of rightly evaluate the results of a needle aspiration and examination of synovial fluid; the capacity of rightly evaluate the results of a joint ultrasonography; the capacity of interpreting the diagnostic value of serologic exams related to Immune mediated diseases. Making judgements: the capacity of critically evaluating and correlating systemic signs and symptoms of Immune mediated disorders in a multidisciplinary context; knowing how to propose a diagnosis by interpreting anamnestic, clinical, serological and imaging data in patients affected by Immune mediated disorders. Communication skills: effectively communicate data regarding immune mediated disorders also to evaluate and resolve clinical cases; knowing how to acquire a correct anamnesis of Immunologic and Rheumatologic patients by using an effective patient-doctor communication. Learning skills: knowing how to planning the correct diagnostic algorithm and therapeutic approach in patients affected by Immune Rheumatologic disorders.