CLINIC MEDICAL SURGERY III AND EMERGENCIES Single channel

Chair (Coordinator) and Rapporteur: MONICA ROCCO

Module 1: INTERNAL MEDICINE

Activity type
Clinica generale medica e chirurgica, Tirocini formativi e di orientamento
SSD
MED/09, MED/09
Year
6th year
Semester
2nd semester
CFU
2
Hours distribution
13 classroom hours, 25 training hours
Lecturers
GIORGIO SESTI
CARMINE SAVOIA
FLAVIA DEL PORTO
TERESA VANESSA FIORENTINO

Module 2: INTERNAL MEDICINE - EMERGENCIES

Activity type
Emergenze medico-chirurgiche, Tirocini formativi e di orientamento
SSD
MED/09, MED/09
Year
6th year
Semester
2nd semester
CFU
3
Hours distribution
26 classroom hours, 25 training hours
Lecturers
GIORGIO SESTI
CARMINE SAVOIA
TERESA VANESSA FIORENTINO

Module 3: GENERAL SURGERY

Activity type
Emergenze medico-chirurgiche, Tirocini formativi e di orientamento
SSD
MED/41, MED/41
Year
6th year
Semester
2nd semester
CFU
3
Hours distribution
26 classroom hours, 25 training hours
Lecturers
MONICA ROCCO
ALESSANDRA FEGIZ
DANIELA ALAMPI
MARCO MERCIERI
FLAMINIA COLUZZI
SILVIA FIORELLI

Module 4: GENERAL SURGERY - EMERGENCIES

Activity type
Emergenze medico-chirurgiche
SSD
MED/18
Year
6th year
Semester
2nd semester
CFU
1
Hours distribution
13 classroom hours
Lecturers
GIUSEPPE NIGRI
PAOLO AURELLO
FRANCESCO MARIA CARRANO

Module 5: PSYCHIATRY

Activity type
Formazione clinica interdisciplinare e medicina basata sulle evidenze
SSD
MED/25
Year
6th year
Semester
2nd semester
CFU
1
Hours distribution
13 classroom hours
Lecturers
MAURIZIO POMPILI

Module 6: ANESTHESIOLOGY - RESUSCITATION AND PAIN THERAPY

Activity type
Clinica generale medica e chirurgica, Tirocini formativi e di orientamento
SSD
MED/18, MED/18
Year
6th year
Semester
2nd semester
CFU
2
Hours distribution
13 classroom hours, 25 training hours
Lecturers
GIANFRANCO SILECCHIA
NICCOLO' PETRUCCIANI
PAOLO AURELLO

Objectives

General Objectives of the integrated course
Acquiring the ability to analyze and solve clinical problems and evaluating the relationship between benefits, risks and costs, in order to the principles of evidence based medicine;
Developing the appropriate clinical reasoning skills to analyze and solve the most common and important clinical problems of both medical and surgical interest and the capability to assess the epidemiological data and their proper use for health promotion and disease prevention in individuals and community;
Acquiring the ability to consider the general health status of a person in order to integrate his needs for general well-being into a global assessment of both younger and older patients considering their symptoms, signs, structural and functional alterations thus creating a preventive, diagnostic, therapeutic, rehabilitation strategies and gender related problems.
General Objectives of medical and surgical emergencies
Acquiring the ability to make fast and effective clinical decisions, taking into account international guidelines;Acquiring the ability to recognize and stabilize critically ill patients;Acquiring the ability to determine the most appropriate care pathwayAcquiring the ability to recognize the main presentation of symptoms in emergency department;
Acquiring the ability to identify different diagnostic and therapeutic strategies in relation to the acute conditions;
Acquiring the main manual skills used in emergency;
Acquiring the ability to use and interpret the main diagnostic tools and laboratory parameters used in acute patient.
Acquiring the main skill for a good relationship between physiscians and patients-relatives in Emergency setting.
Acquring integrated knowledge with Territorial aspect of Emergencies such as Ambulance system and territorial GPs, also with skills on Telemdecine use.

Specific objectives of the Integrated course
Knowledge and understanding: passing the exam implies the ability to analyze and solve clinical problems and evaluating the relationship between benefits, risks and costs, in order to the principles of evidence based medicine.
Applying knowledge and understanding: passing the exam implies the appropriate clinical reasoning skills to analyze and solve the most common and important clinical problems of both medical and surgical interest and the capability to assess the epidemiological data and their proper use for health promotion and disease prevention in individuals and community.
Making judgment: passing the exam implies the ability to consider the general health status of a person in order to integrate his needs for general well-being into a global assessment of both younger and older patients considering their symptoms, signs, structural and functional alterations thus creating a preventive, diagnostic, therapeutic, rehabilitation strategies and gender related problems.
Communication skills: passing the exam implies mastering the ability to expose clinical reasoning and decision-making from signs and symptoms collection to appropriate diagnosis and therapy; mastering the the main skill for a good relationship between physicians and patients.
Learning skills: passing the exam implies mastering the ability to learn the rational basis of differential diagnosis.

Specific objectives of medical and surgical emergencies
Knowledge and understanding: passing the exam implies the ability to recognize and stabilize critically ill patients; the ability to determine the most appropriate care pathway; the ability to recognize the main presentation of symptoms in emergency department.
Applying knowledge and understanding: passing the exam implies the ability to make fast and effective clinical decisions, taking into account international guidelines; the ability to use and interpret the main diagnostic tools and laboratory parameters used in acute patient; .
Making judgment: passing the exam implies the ability to identify different diagnostic and therapeutic strategies in relation to the acute conditions; the main manual skills used in emergency.
Communication skills: passing the exam implies mastering the the main skill for a good relationship between physicians, medical team and patients in Emergency setting.
Learning skills: passing the exam implies mastering the ability to learn the rational basis of differential diagnosis.

Learning outcomes

Module: INTERNAL MEDICINE

N/D
Module: INTERNAL MEDICINE - EMERGENCIES
N/D
Module: GENERAL SURGERY
N/D
Module: GENERAL SURGERY - EMERGENCIES
N/D
Module: PSYCHIATRY

N/D
Module: ANESTHESIOLOGY - RESUSCITATION AND PAIN THERAPY
N/D

Prerequisites

Module: INTERNAL MEDICINE

N/D
Module: INTERNAL MEDICINE - EMERGENCIES
N/D
Module: GENERAL SURGERY
N/D
Module: GENERAL SURGERY - EMERGENCIES
N/D
Module: PSYCHIATRY

N/D
Module: ANESTHESIOLOGY - RESUSCITATION AND PAIN THERAPY
N/D

Programme

Module: INTERNAL MEDICINE

N/D
Module: INTERNAL MEDICINE - EMERGENCIES
N/D
Module: GENERAL SURGERY
N/D
Module: GENERAL SURGERY - EMERGENCIES
N/D
Module: PSYCHIATRY

N/D
Module: ANESTHESIOLOGY - RESUSCITATION AND PAIN THERAPY
Surgeon's skills in treating patients with multiple trauma.
Diagnostic methods and treatment options for gastrointestinal bleeding in cases of:
a) Esophageal varices
b) Gastric and duodenal ulcers and hemorrhagic gastritis
c) Inflammatory diseases
d) Neoplasms
f) Diverticulitis
g) Hemorrhoidal disease

Clinical and diagnostic interpretation of acute abdominal pain.
Diagnostic methods and treatment of acute pancreatitis.
Guidance in the differential diagnosis and treatment of peritonitis:
a) from acute appendicitis
b) from perforated ulcer
c) from perforated diverticulitis
Guidance in the differential diagnosis and treatment of intestinal obstructions:
a) due to adhesions
b) due to inflammatory diseases
c) due to hernias and laparoceles
d) due to neoplasms
e) due to volvulus
f) due to intussusception
Guidance in the differential diagnosis and treatment of biliary emergencies:
a) Acute cholecystitis and empyema
b) Cholangitis and gallstone disease
Guidance in the differential diagnosis and treatment of open and closed abdominal trauma:
a) Liver trauma
b) Spleen trauma
Abdominal compartment syndrome

Books

Module: INTERNAL MEDICINE

N/D
Module: INTERNAL MEDICINE - EMERGENCIES
N/D
Module: GENERAL SURGERY
N/D
Module: GENERAL SURGERY - EMERGENCIES
N/D
Module: PSYCHIATRY

N/D
Module: ANESTHESIOLOGY - RESUSCITATION AND PAIN THERAPY
Mini-invasive Approach in Acute Care Surgery, Springer
Real life/real time pocket-guide of emergency surgery Ed Idelson Gnocchi
Chirurgia: Basi teoriche e chirurgia generale- Chirurgia specialistica vol. 1-2 ed. EDRA
Sabistaon Textbook of Surgery The biological basis of modern surgical practice 21th Edition, McGraw Hill Medical
Schwartz's Principles of Surgery 11th Edition, McGraw Hiil Medical

Bibliography

Module: INTERNAL MEDICINE

N/D
Module: INTERNAL MEDICINE - EMERGENCIES
N/D
Module: GENERAL SURGERY
N/D
Module: GENERAL SURGERY - EMERGENCIES
N/D
Module: PSYCHIATRY

N/D
Module: ANESTHESIOLOGY - RESUSCITATION AND PAIN THERAPY
N/D

Lessons mode

Module: INTERNAL MEDICINE

N/D
Module: INTERNAL MEDICINE - EMERGENCIES
N/D
Module: GENERAL SURGERY
N/D
Module: GENERAL SURGERY - EMERGENCIES
N/D
Module: PSYCHIATRY

N/D
Module: ANESTHESIOLOGY - RESUSCITATION AND PAIN THERAPY
N/D

Frequency

Module: INTERNAL MEDICINE

N/D
Module: INTERNAL MEDICINE - EMERGENCIES
N/D
Module: GENERAL SURGERY
N/D
Module: GENERAL SURGERY - EMERGENCIES
N/D
Module: PSYCHIATRY

N/D
Module: ANESTHESIOLOGY - RESUSCITATION AND PAIN THERAPY
N/D

Exam mode

Module: INTERNAL MEDICINE

N/D
Module: INTERNAL MEDICINE - EMERGENCIES
N/D
Module: GENERAL SURGERY
N/D
Module: GENERAL SURGERY - EMERGENCIES
N/D
Module: PSYCHIATRY

N/D
Module: ANESTHESIOLOGY - RESUSCITATION AND PAIN THERAPY
Multiple choice test.

Example exam questions

Module: INTERNAL MEDICINE

N/D
Module: INTERNAL MEDICINE - EMERGENCIES
N/D
Module: GENERAL SURGERY
N/D
Module: GENERAL SURGERY - EMERGENCIES
N/D
Module: PSYCHIATRY

N/D
Module: ANESTHESIOLOGY - RESUSCITATION AND PAIN THERAPY
N/D

Arguments

Module: INTERNAL MEDICINE

  • Theoretical activity
    • Books: See "testi" section



Module: INTERNAL MEDICINE - EMERGENCIES
  • Frontl lessons according to the prrogramme (CFU3)
    • Books: See "testi" section



Module: GENERAL SURGERY
N/D
Module: GENERAL SURGERY - EMERGENCIES
N/D
Module: PSYCHIATRY

N/D
Module: ANESTHESIOLOGY - RESUSCITATION AND PAIN THERAPY
N/D

  • Academic year2026/2027
  • Degree program to which the course belongsMedicine and Surgery - Roma Azienda Ospedaliera Sant'Andrea
  • Mandatory presenceNo
  • Languageita
  • CFU12 CFU, distributed among 6 integrated didactic modules
  • Total duration204 hours