Bed Side Approach and Clinical Methodology (clerkship)
A.Y. 2023/2024
Learning objectives
Practical activities will be used, through simulation or in the ward, to consolidate technical and soft knowledge and skills developed during frontal lectures.
Expected learning outcomes
Students are expected to: - take the history of the patient - perform a clinical examination of the thorax: inspection, palpation, percussion, auscultation - perform a clinical examination of the precordial region: palpation, auscultation - examine the arterial pulses - measure blood pressure - perform a clinical examination of the abdomen: inspection, auscultation, percussion, palpation (liver, spleen).
Lesson period: First semester
Assessment methods: Giudizio di approvazione
Assessment result: superato/non superato
Single course
This course cannot be attended as a single course. Please check our list of single courses to find the ones available for enrolment.
Course syllabus and organization
Single session
Responsible
Prerequisites for admission
To take the Bed Side Approach and Clinical Methodology exam, students must have already passed all the exams of the first year (Fundamentals of Basic Sciences, Cells Molecules and Genes 1 and 2, Human Body) and the exam of Functions.
Assessment methods and Criteria
Students' assessment is based on an oral examination. The final mark is the average of the marks obtained in the three disciplines, internal medicine, general surgery and general psychology, weighted for the number of credits in each discipline.
The exam is deemed to be passed successfully if the final grade is equal to or higher than 18/30. In the event of a full grade (30/30) honors (lode) may be granted with the consent of all the professors. Attendance is required to be allowed to take the exam. Unexcused absence is tolerated up to 34% of the course activities. University policy regarding excused illness is followed.
Registration to the exam through SIFA is mandatory.
The exam is deemed to be passed successfully if the final grade is equal to or higher than 18/30. In the event of a full grade (30/30) honors (lode) may be granted with the consent of all the professors. Attendance is required to be allowed to take the exam. Unexcused absence is tolerated up to 34% of the course activities. University policy regarding excused illness is followed.
Registration to the exam through SIFA is mandatory.
Internal medicine
Course syllabus
History taking: a comprehensive health history, the techniques of skilled interviewing, the sequence and context of the interviewing, cultural and cognitive contest, exploring patients' perspective
Signs and symptoms. Beginning the physical examination: general survey, vital signs and pain.
Overview of general examination
The thorax, lung and cardiovascular system: techniques of examinations
The abdomen examination related to medical approach (liver, spleen and pancreas problems)
Surgeon's behaviour in the Operating room, basic principles of asepsis and patient's preparation to surgery
Physical examination and clinical signs of the abdomen, chest, breast (surgery related), and genito-urinary apparatus, vascular system, lump, masses and ulcer
Doctor-patient relationship: clinical cases
Behaviour and mental status: cognitive processes and function
The process of clinical reasoning. Identifying problems and making diagnosis, generating the problem list
Communication fallacies
Signs and symptoms. Beginning the physical examination: general survey, vital signs and pain.
Overview of general examination
The thorax, lung and cardiovascular system: techniques of examinations
The abdomen examination related to medical approach (liver, spleen and pancreas problems)
Surgeon's behaviour in the Operating room, basic principles of asepsis and patient's preparation to surgery
Physical examination and clinical signs of the abdomen, chest, breast (surgery related), and genito-urinary apparatus, vascular system, lump, masses and ulcer
Doctor-patient relationship: clinical cases
Behaviour and mental status: cognitive processes and function
The process of clinical reasoning. Identifying problems and making diagnosis, generating the problem list
Communication fallacies
Teaching methods
Clerkship attendance and sufficient exposure to practice (i.e. simulation lab, formal patients examination at bedside, training of basic medical-surgical techniques etc.) will be registered, as clinical teaching will be based also on direct participation of the students to different aspects of the hospital life.
Teaching Resources
INTERNAL MEDICINE
· Lynn Bickley. Bates' Physical examination and history taking. Lippincott. 12th Edition. 2017 Woulter Kluwers
· Harrison's Principles of Internal Medicine, 20th Edition, McGraw Hill, 2018 (also available as ebook in the digital library of the University of Milano http://www.sba.unimi.it/)
· Lynn Bickley. Bates' Physical examination and history taking. Lippincott. 12th Edition. 2017 Woulter Kluwers
· Harrison's Principles of Internal Medicine, 20th Edition, McGraw Hill, 2018 (also available as ebook in the digital library of the University of Milano http://www.sba.unimi.it/)
General surgery
Course syllabus
History taking: a comprehensive health history, the techniques of skilled interviewing, the sequence and context of the interviewing, cultural and cognitive contest, exploring patients' perspective
Signs and symptoms. Beginning the physical examination: general survey, vital signs and pain.
Overview of general examination
The thorax, lung and cardiovascular system: techniques of examinations
The abdomen examination related to medical approach (liver, spleen and pancreas problems)
Surgeon's behaviour in the Operating room, basic principles of asepsis and patient's preparation to surgery
Physical examination and clinical signs of the abdomen, chest, breast (surgery related), and genito-urinary apparatus, vascular system, lump, masses and ulcer
Doctor-patient relationship: clinical cases
Behaviour and mental status: cognitive processes and function
The process of clinical reasoning. Identifying problems and making diagnosis, generating the problem list
Communication fallacies
Signs and symptoms. Beginning the physical examination: general survey, vital signs and pain.
Overview of general examination
The thorax, lung and cardiovascular system: techniques of examinations
The abdomen examination related to medical approach (liver, spleen and pancreas problems)
Surgeon's behaviour in the Operating room, basic principles of asepsis and patient's preparation to surgery
Physical examination and clinical signs of the abdomen, chest, breast (surgery related), and genito-urinary apparatus, vascular system, lump, masses and ulcer
Doctor-patient relationship: clinical cases
Behaviour and mental status: cognitive processes and function
The process of clinical reasoning. Identifying problems and making diagnosis, generating the problem list
Communication fallacies
Teaching methods
Clerkship attendance and sufficient exposure to practice (i.e. simulation lab, formal patients examination at bedside, training of basic medical-surgical techniques etc.) will be registered, as clinical teaching will be based also on direct participation of the students to different aspects of the hospital life.
Teaching Resources
GENERAL SURGERY
· Hamilton Bailey's Physical signs: Demonstrations of physical signs in clinical surgery. 19th Edition. CRC Press, 2016
· Hamilton Bailey's Physical signs: Demonstrations of physical signs in clinical surgery. 19th Edition. CRC Press, 2016
General surgery
MED/18 - GENERAL SURGERY - University credits: 1
Clerkship (professional training): 25 hours
Professors:
Cassinotti Elisa, Domanin Maurizio
Internal medicine
MED/09 - INTERNAL MEDICINE - University credits: 1
Clerkship (professional training): 25 hours
Professors:
Fracanzani Anna Ludovica, Tobaldini Eleonora
Shifts:
Group 1
Professor:
Fracanzani Anna LudovicaGroup 2
Professor:
Tobaldini EleonoraEducational website(s)