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Academic year
Didactic period
Secondo Semestre

Training objectives

From the art. 3 of Ministerial Decree (May 9, 2018 n. 58) the practical-evaluation training:
- The practical training is aimed at ascertaining the student's abilities related to knowing “how to do” and “how to be” a doctor. This consists in applying biomedical and clinical knowledge to medical practice, in resolving ethical issues, in demonstrating aptitude to solve clinical problems related to the areas of medicine and surgery and related specialties, laboratory and instrumental diagnostics and public health, and to apply the principles of good and clear communication;
- The practical training consists of one month of activity in the area of general medicine, during the sixth year of the course, at the office of a general practitioner, it is based on 5 CFU (for each CFU must correspond at least 20 hours of professionalizing teaching activity and no more than 5 hours of individual study).
The practical training certification of attendance and evaluation is under the direct responsibility of the university professor or medical director, responsible of the structure attended by the trainee, and the general practitioner, who issue a formal certificate of attendance and express, after having evaluated the results relating to the skills demonstrated, in the positive case, a judgment of suitability, on this diary-booklet, which is divided into a descriptive part of the activities performed and an evaluation part of the competences demonstrated.
The practical training certificate is obtained only in the case of achievement of a positive evaluation for each of the three periods.
Students about to graduate must possess and apply in their clinical activity the relevant theoretical, scientific and professional knowledge, taking into account existing differences due to sex and gender. They must do so bearing in mind the human side of therapies, including rehabilitative and palliative care and pain-management, considering all the various phases of a disease.


The practical training will be done not before the sixth year of the course and after all the fundamental exams of first four years.
The month in the specific area of General Medicine is to be held no earlier than the sixth year of the course, in the clinic of a General Practitioner.

Course programme

Principles of the patient-doctor relationship: medical interview, contact, information, clarity, acquisition of consent.
Medical history collection and physical examination of the patient in an outpatient and home setting
Participation in the decision-making process to identify the reasons for the request for help and the nature and priority of the problem
Evaluation of emergencies and the need for hospitalization
Formulation of diagnostic hypotheses with the identification of further first level investigations in order to define the nature of the case
Interpret the laboratory exams.
Iinterpret the medical reports of the diagnostic imaging examinations
Participation in the decision-making process of prescribing a correct treatment and on requesting specialist advice
Participation in the control activity on the patient's adherence to therapy and monitoring and follow-up planning
Knowledge of the problems of the patient with chronic conditions, comorbidities in polytherapy
Knowledge and awareness of the National Healthcare System and Local Healthcare System, on the main bureaucratic and prescriptive rules, and compilation and/or updating the patients' medical record
Suggestion of prevention, health promotion and correct lifestyles actions
Knowledge and awareness of the orgnization of a medical study and of the different roles and team members

Didactic methods

- The internship takes place through frequency in the general practitioners' clinics, including home visits and discussion of clinical cases.
- The practical training internship is performed also during the months in which teaching activities are not normally carried out, to reach the 100 hours certifiable for the purposes of the Ministerial Decree.

Learning assessment procedures

The internship is considered passed if the student obtains an assessment of suitability from the internship tutor and the area coordinator.

Reference texts

The course does not refer to particular texts.
Constant attention is paid during the teaching activities to provide references for the consultation of the update literature available online.
In general terms, the student is constantly invited to integrate the clinical topics covered in the course and the so-called pre-clinical ones which are necessary.