OCCUPATIONAL MEDICINE
Second semester
Frequency Mandatory
- 4 CFU
- 48 hours
- Italian
- Trieste
- Obbligatoria
- Oral Exam
- SSD MED/43
- Advanced concepts and skills
Is part of:
Knowledge and understanding. At the end of the course the student must have acquired the basic knowledge of forensic medicine. The student must be able to know, understand and discuss the main issues of forensic medicine, from the legal qualification covered by the health professional in the exercise of his functions to the profiles of responsibility that derive from his own conduct, passing through the precepts of deontology up to the acquisitions on the founding notions of the large chapter of forensic pathology. The student must be able to fluently process all the obligations of healthcare professionals in clinical practice, with particular reference to the issues of certification, compilation of the medical record, respect for the patient's rights in the face of choices at the beginning and end of life, conscious refusal of treatment and choices to suspend vital treatments.
At the end of the course the student must have acquired the basic knowledge of bioethics and its applications in the medical sciences. The student must be able to know and demonstrate a critical ability on the main issues of bioethics, biolaw and their impact on the practice of the healthcare professional. The student must be able to fluently develop approaches suitable for the explanation of deontology and ethical reasoning applied to the elements of law.
Applied knowledge and understanding. At the end of the course the student must be able to apply the acquired knowledge to evaluate the profiles of responsibility of the healthcare professional in the various areas of law, to apply the precepts in the provision of care, in the protection of the right to health, also through the knowledge of error prevention strategies in healthcare.
At the end of the course the student must be able to apply the knowledge acquired in the development of a critical capacity towards the main themes of clinical ethics, propose his own reasoned vision on bioethics issues according to current legislation. Furthermore, the student must be able to evaluate the limits of medical science marked by constitutional rights
Judgment autonomy. The student must be able to conduct a critical evaluation of the knowledge acquired, of his own limits and understand the essential nature of continuous updating.
Communication skills. The student must be able to intervene in a discussion on issues of forensic medicine and bioethics by fluently exposing the concepts acquired.
The student must be able to contribute his/her knowledge to the discussion and resolution of practical problems in the field of forensic medicine and bioethics and deontology.
Ability to learn. The student must be able to translate the concepts learned in the classroom into daily clinical practice through the application of elements of law in taking charge of patients and in the management of health problems, safety of care, protection of patients' rights
Knowledge of anatomy, physiology, general pathology, radiology, pulmonology, audiology, internal medicine, but they are not essential as the basics relating to the topic being treated are provided during the course
Historical-operative framework and purpose of forensic medicine
2. Legal conditions for the practice of the medical profession
3. Elements of deontology
4. Information and consent to healthcare services
5. Professional secrecy
6. Elements of bioethics
7. Elements of criminal law
8. Physician information activity
9. Medical certificate and medical record
10. The responsibility of health professionals
11. Legal capacity and ability to act
12. Elements of forensic thanatology
13. Elements of necropsy medicine
14. The judicial inspection and the external cadaveric examination
15. Elements of forensic pathology
16. Criminology and forensic psychopathology
17. Elements of forensic toxicology
18. Social insurance
19. Private insurance
Power point slides
Scientific papers
C. Puccini. Elementi di Medicina Legale.
C. Buccelli, GA Norelli, V. Fineschi. Medicina Legale e delle Assicurazioni.
M. Zagra, A. Argo, B. Madea, P. Procaccianti, Medicina legale orientata per problemi, Elsevier ed., 2011.
L. Macchiarelli, P. Arbarello, G. Cave Bondi, T. Feola, Compendio di medicina legale, Edizioni Minerva Medica, Torino 1998
C. Gerin, F. Antoniotti, S. Merli, Medicina legale e delle assicurazioni, Società Editrice Universo, Roma 1997
1. Historical-operative framework and purpose of forensic medicine
2. Legal conditions for the practice of the medical profession: the abusive practice of the medical profession
3. Elements of ethics: the doctor's code of ethics, professional associations, the doctor-patient relationship, the relationship with colleagues, the relationship with the healthcare facility. Citizens' rights and the charter of health services
4. Information and consent to healthcare provision: informed consent in the constitutional provision, law 219/2017, consent and minors, consent and incapable subjects, advance treatment directives, shared treatment planning, refusal of treatment, mandatory health treatments
5. Professional secrecy: deontological and legal duty, the just causes for disclosure of professional secrecy, the transmission of professional secrecy
6. Elements of bioethics: the bioethics of principles, the Oviedo convention, clinical trials, law 194/1978, law 40/2004, bioethics of the beginning and end of life
7. Elements of criminal law: crimes and contraventions, the psychological element of the crime, the crime of beatings, crimes against individual safety, crimes against personal freedom, crimes against family assistance, crimes against sexual freedom
8. Information activities of the doctor: the legal qualifications of the doctor, health complaints, complaints to the judicial authority (report and report)
9. Medical certificate and medical record: the medical certificate (formal and substantive requirements), the medical record (compilation, storage and liability profiles), the medical record requirements, false public deed
10. The liability of healthcare professionals: criminal liability, civil liability, law 189/2012, law 24/2017, guidelines and best practices, the causal link (almost certainty and more probable than not)
11. Legal capacity and ability to act: emancipation, interdiction and disqualification, the support administrator, imputability
12. Elements of forensic thanatology: consecutive cadaveric phenomena, transformative cadaveric phenomena, special transformative phenomena
13. Elements of necropsy medicine: the regulation of the Mortuary Police, the death certificate, the verification of the reality of death, the necropsy certificate, the denunciation of the causes of death, the cremation, the diagnostic confirmation
14. The judicial inspection and the external cadaveric examination
15. Elements of forensic pathology: blunt force injuries, stab wounds, firearm injuries, major trauma, violent mechanical asphyxiation, heat injuries, electric energy injuries
16. Criminology and forensic psychopathology
17. Elements of forensic toxicology: historical-operational framework of forensic toxicology, aims, methodology, laboratory, discipline of drug use, drug addiction, the main substances of abuse (mechanism of action and lethal effects), new psychoactive substances, doping
18. Social insurance: social security institutions, accidents at work and occupational diseases, INPS and economic benefits
19. Private insurance
The teaching methods consist of frontal lessons with presentation via power point files. The lessons are structured to actively involve students in the topics covered. The teacher will encourage students to ask questions on the topics covered before, after but also during the lesson. For students interested in the topics of health documentation and health professional responsibility, it is possible to attend and carry out practical activities at the S.C. U.C.O. of Legal Medicine.
Power point presentations related to the teaching units can be found on the Microsoft Teams platform.
Learning will be verified through a written test consisting of 33 closed-answer questions (true/false).
The student will have thirty minutes to complete the test.
For each correct question 1 point will be assigned, for each unanswered question a score of 0 will be assigned, for each incorrect question a score of -1 will be assigned.
Students who achieve a score higher than 30 will be evaluated with a score of 30 cum laude.
In the event that the student has achieved a score of less than 18, the test will be considered failed.
This teaching explores topics closely related to one or more objectives of the 2030 Agenda for Sustainable Development of the United Nations