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INTERNAL MEDICINE TRAINING - EXAM

Academic year and teacher
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Versione italiana
Academic year
2020/2021
Teacher
STEFANO VOLPATO
Credits
5
Didactic period
Secondo Semestre
SSD
MED/09

Training objectives

INTERNAL MEDICINE (GERIATRICS)
To understand and acquire principle and practice of comprehensive geriatric assessment.
To recognize and manage the main geriatrics syndromes
To evaluate in a clinical setting, under the supervision of a tutor, the theoretical knowledge acquired during the first semester on the role of the primary care physician in the primary care health system
PALLIATIVE CARE
KNOWLEDGE (SEMINAR ACTIVITIES)
Understand the definition and fundamental principles of palliative care (quality of life, early palliative care and end-of-life care)
Understand the different professional figures involved in palliative care
Understand the complex palliative care needs of patients with oncological and non-oncological diseases
Recognize the relational and communicative needs of the patient and the family
Recognize and treat pain and the most frequent, symptoms and conditions in patients with incurable illness
Recognize the bioethical implications related to palliative care
TO KNOW HOW TO DO (INTERNSHIPS)
Know the incurable patient's semiotics
Know the scales for the assessment of specific needs in palliative care
Recognize the psychological, social, existential and spiritual needs of the patient and the family, as well as the possible psychopathological frameworks
Recognize different attitudes and emotional responses to incurable illness, death, death, mourning
Identify the factors that promote empathic and personalized communication with the patient and / or his family

Prerequisites

Knowledge of preclinical disciplines. Passing the Internal Medicine II exam and medical therapy

Course programme

INTERNAL MEDICINE (GERIATRICS
Clinical practice with tutor supervision in the acute care geriatrics unit at he Azienda Ospedaliera Universitaria Hospital (Ferrara)
COMMUNITY MEDICINE
Clinical practice, with supervision, in the office of a primary care physician.
PALLIATIVE CARE
Seminars
Palliative care and responses to the needs of patients with oncological and non-oncological pathology
Communication and relationship in palliative care
Ethical issues with incurable patient and family
Practical activity
Visits at Ferrara hospice and/or acute geriatrics department. In particular: Guided tour of the facility and/ or single or group coaching
Presentation and discussion of complex clinical cases that address the following topics:
Pharmacological treatment of severe symptom
Use of the outcome evaluation scales
Refractory symptoms and palliative sedation
Difficult communications with patient and family
Psychological, existential and spiritual needs.
Death and mourning
Informed consent and advance planning of care

Didactic methods

Discussion of clinical cases. Attendance in the wards and services of the University-University and Territorial Hospital of Ferrara
Clinical practice in the primary care physician office
Attendance of the Palliative care seminars

Learning assessment procedures

Thirty multiple choices questions test, questions will be related also to short clinical pictures
An attendance logbook will be filled with the trainee's judgment to allow the formulation of the final assessment of suitability.
The final vote will be acquired at the end of the second semester and will be the result of the evaluation of the partial tests, of the judgment
of the Palliative care Seminar and of the training internship.

Reference texts

INTERNAL MEDICINE (GERIATRICS)
R. Antonelli Incalzi: Manuale di Geriatria, EDRA
G.Zuliani S. Volpato: Lezioni di Geriatria e Gerontologia. Universitas Studiorum
COMMUNITY MEDICINE
Material suggested by the teacher
PALLIATIVE CARE
A.Turriziani; G. Zaninetta. Il mondo delle cure palliative. Manuale per giovani medici