KNOWLEDGE AND UNDERSTANDING At the end of the course the student will be able to demonstrate knowledge of the skills and tasks of General Medicine, disciplinary references and organizational models, the clinical method in all its articulations. ABILITY TO APPLY KNOWLEDGE AND UNDERSTANDING At the end of the course, the student must demonstrate that he / she is able to make a correct use of the decision-making processes applied to the problems of clinical practice AUTONOMY OF JUDGMENT The student at the end of the course must be able to face and manage the various clinical cases that are typical of general medicine using the decision-making tools learned COMMUNICATION SKILLS At the end of the course, the student must be able to welcome the patient who comes in for a visit, collect the patient's clinical history, collect ideas, concerns and expectations that the patient has regarding his/her health, agree on an action plan appropriate to the problem(s) that have emerged and the characteristics of the patient.LEARNING ABILITY At the end of the course the student must be able to apply the contents of the course also to the various other specialist branches of medicine

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PART ONE
1. General Medicine seen through the European Definition of general medicine / family medicine - The institutional and operational context. Professional references. Skills and tasks of the General Practitioner
2. The organization of clinical practice. - The GP's study (Meanings and Symbols). Outpatient and home activities. The CMOP. Write a prescription and write a medical certificate. The “If therapy” strategy in general medicine. The problem of therapeutic adherence
3. Illness, disease and sickness (perceived, objective and certified disease) (personal, health and social dimension of the disease). Waiting medicine (individual target) and initiative medicine (population target). Patient empowerment.
4. Consultation, communication, relationship, conflict and negotiation
5. Deciding in conditions of uncertainty (Decision during action. Time as a diagnostic and therapeutic factor. Diagnosis ex-juvantibus. Referral to the specialist and request for instrumental tests. Reassurance)

SECOND PART
1. The variability of treatments in general medicine, and the limits of medicine based on "science and conscience". The pyramid of scientific evidence. Evidence-based primary care (EBPC): differences between textbooks, clinical studies, reviews, systematic reviews, meta-analyses, guidelines, protocols and PDTAs (diagnostic-therapeutic-assistance paths)
2. Basic elements of the clinical method and of the decision-making process in general medicine. The Bayesian method in general medicine: the error in general medicine
3. Screening and early diagnosis, overdiagnosis, underuse and overuse of tests and treatments, disease mongering, the appropriate use of placebo in general medicine
4. Slow medicine, sustainability and choosing wisely recommendations in the practice of general medicine
5. Appropriateness in general medicine; how to manage the conflict between medical professional ethics and industry interests

THE EUROPEAN DEFINITION OF GENERAL PRACTICE / FAMILY MEDICINE; WONCA EUROPE 2011 (https://www.woncaeurope.org/file/520e8ed3-30b4-4a74-bc35-87286d3de5c7/Definition%203rd%20ed%202011%20with%20revised%20wonca%20tree.pdf
Medicina Generale, a cura di V. Caimi e M. Tombesi: UTET 2003 – ISBN: 88-02-06089-4
Strauss SE et al. Evidence-Based Medicine: How to Practice and Teach EBM, Elsevier 2018
Greenhalgh T. How to Implement Evidence-Based Healthcare. Wiley and Blackwell, 2017.
Esherick JP et al: Current Practice Guidelines in Primary Care 2020. McGraw Hill, 2020
Bert G, Gardini A, Quadrino S. Slow medicine. Sperling & Kupfer, 2013
Slow Medicine. Le parole della Medicina che cambia. Il Pensiero Scientifico editore, 2017.
Welch HG et al. Overdiagnosed: making people sick in the pursuit of health. Beacon Press, 2012
Choosing Wisely Italia: Raccomandazioni su esami diagnostici, trattamenti e procedure a rischio di inappropriatezza in Italia. https://choosingwiselyitaly.org/raccomandazioni/
Dobrilla G. Placebo e dintorni. Il Pensiero Scientifico Editore, 2004
Benedetti F. L’effetto placebo. Breve viaggio tra mente e corpo. Carrocci editore, 2018
Mc Winney I. R. A textbook of Family Medicine, Oxford University Press 1989 – ISBN: 0-19-505386-7

Lectures, discussion and solution of didactic cases

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Verification of learning will take place through multiple-choice assessment questionnaires