MEDICINE BASED ON EVIDENCE TESTS 6A 2S
6° Year of course - Second semester
Frequency Mandatory
- 7 CFU
- 70 hours
- Italian
- Trieste
- Obbligatoria
- Oral Exam
- SSD MED/26, MED/42
- Advanced concepts and skills
The course consists of the presentation of clinical cases concerning territorial management of the common pathologies relevant to internal medicine, specialists, surgery and general medicine of internal medicine interest in order to acquire the ability to design differential diagnosis paths and to set up appropriate pharmacological and non-pharmacological therapies taking into account the gender differences in the various pathologies.
KNOWLEDGE AND UNDERSTANDING. At the end of the course, students will have to demonstrate knowledge and ability to understand the fundamental concepts of territorial management of the common pathologies relevant to internal medicine, specialists, surgery and general medicine.
ABILITY TO APPLY KNOWLEDGE AND UNDERSTANDING. At the end of the course the student must be able to apply the knowledge acquired in the previous point in order to apply the appropriate methodologies for the practical management of the patient's clinical problem. You must also know how to prescribe and appropriately interpret laboratory tests (chemical, microbiological and genetic) and instrumental tests (diagnostic imaging and pathophysiological tests) aimed at differential diagnosis. You must know how to plan the appropriate therapy by evaluating the risk-benefit ratio of drugs and non-pharmacological therapies. At the end of the course, students should be able to manage patients' clinical internal problems.
MAKING JUDGEMENTS. At the end of the course, students will have to demonstrate that they have not only acquired knowledge and concepts, but also that they are able to provide appropriate judgments in relation to the setting of the diagnostic-therapeutic process, patient safety and management of the clinical risk.
COMMUNICATION SKILLS. At the end of the course, students must be able to express themselves and argue appropriately through the specific terminology acquired through the lessons provided, the teaching material and/or the reference text. Students must also be able to communicate with patients and family members in a clear and empathetic way using simple terminology and avoiding technical terms.
LEARNING ABILITY. At the end of the course, students will have to demonstrate that they are able to apply the minimum knowledge, skills and competences described in this Syllabus.
Prerequisiti PREREQ 3800 Sì Fisiopatologia medica e chirurgica, semeiotica fisica, strumentale e di laboratorio. Farmacologia dei comuni farmaci territoriali. Pathophysiology and methods of clinical examination. Pharmacology of renal and cardiovascular therapies.
Presentation of seminars aimed at acquiring theoretical and practical skills regarding the territorial management of common pathologies relevant to internal medicine, specialists, surgery and general medicine. The main management aspects, diagnostic tools, pathologies and therapeutic interventions of Territorial Medicine will be illustrated and explored in depth: Emergency Medical Services. Prescription of drugs. Exemptions. Accidents. Main certifications. Sickness certificates for work purposes. Definition of the clinical prognosis of the disease. Outpatient use of instrumental diagnostic supports (ultrasound, ECG, spirometry, etc.).
Oxford Manuale di Medicina Clinica Decima Edizione. Current Medical Diagnosis & Treatment 2024. McGraw Hill LANGE. SIMI HANDBOOK Terapia Medica. Seconda edizione 2022. EDRA Ed.
Programma esteso PROGR_EST 3800 Sì Presentazione di seminari finalizzati all’acquisizione di competenze teoriche e pratiche riguardanti la gestione territoriale delle comuni patologie di pertinenza internistica, specialistica, chirurgica e di medicina generale. Verranno illustrati ed approfonditi i principali aspetti gestionali, strumenti diagnostici, patologie ed interventi terapeutici della Medicina Territoriale: Guardia Medica. Prescrizione di farmaci. Esenzioni. Infortunistica. Principali certificazioni. Certificazioni di malattia per fini lavorativi. Definizione della prognosi clinica della malattia. Uso ambulatoriale di supporti diagnostici strumentali (ecografia, ECG, spirometria, ecc.). Gestione ambulatoriale delle comuni patologie nefrologiche. Gestione ambulatoriale delle comuni patologie reumatologiche. Gestione ambulatoriale delle comuni patologie pneumologiche. Gestione ambulatoriale delle comuni patologie cardiologiche. Gestione ambulatoriale delle comuni patologie metaboliche. Gestione ambulatoriale delle comuni patologie chirurgiche. Gestione ambulatoriale delle comuni patologie infettive. Gestione ambulatoriale delle comuni patologie ORL. Gestione ambulatoriale delle comuni patologie infettive. Gestione ambulatoriale delle comuni patologie oculistiche. Gestione ambulatoriale delle comuni patologie urologiche. Terapia domiciliare del dolore. Terapia domiciliare del diabete mellito. Terapia domiciliare della polmonite comunitaria. Terapia domiciliare delle infezioni delle vie urinarie. Terapia domiciliare dell’otite media ed esterna. Terapia domiciliare delle infezioni delle vie aeree superiori. Terapia domiciliare dei comuni problemi gastroenterologici. Terapia domiciliare dell’ipercolesterolemia. Prevenzione primaria e secondaria della cardiopatia ischemica. Prescrizione di interventi nutrizionali. Prescrizione di esercizio fisico e attività motoria. Presentation of seminars aimed at acquiring theoretical and practical skills regarding the territorial management of common pathologies relevant to internal medicine, specialists, surgery and general medicine. The main management aspects, diagnostic tools, pathologies and therapeutic interventions of Territorial Medicine will be illustrated and explored in depth: Emergency Medical Services. Prescription of drugs. Exemptions. Accidents. Main certifications. Sickness certificates for work purposes. Definition of the clinical prognosis of the disease. Outpatient use of instrumental diagnostic supports (ultrasound, ECG, spirometry, etc.). Outpatient management of common nephrological pathologies. Outpatient management of common rheumatological pathologies. Outpatient management of common pneumological pathologies. Outpatient management of common cardiac pathologies. Outpatient management of common metabolic pathologies. Outpatient management of common surgical pathologies. Outpatient management of common infectious diseases. Outpatient management of common ENT pathologies. Outpatient management of common infectious diseases. Outpatient management of common eye diseases. Outpatient management of common urological pathologies. Home pain therapy. Home treatment of diabetes mellitus. Home treatment of community pneumonia. Home treatment of urinary tract infections. Home therapy for otitis media and externa. Home treatment of upper respiratory tract infections. Home treatment of common gastroenterological problems. Home treatment of hypercholesterolemia. Primary and secondary prevention of ischemic heart disease. Prescription of nutritional interventions. Prescription of physical exercise and motor activity.
Lectures and clinical case studies on real or simulated patient. The teaching material is made available to students via the Moodle and MS-Teams platforms.
Any changes to the methods described here will be communicated on the Department, Course of Study and teaching website.
Evaluation of clinical skills through a written exam based on multiple choice questions which includes clinical cases and topics included in the program.
This course explores topics closely related to one or more goals of the United Nations 2030 Agenda for Sustainable Development (SDGs)