Bed side approach and clinical methodology (clerkship)
A.A. 2023/2024
Obiettivi formativi
Practical activities will be used, through simulation or in the ward, to consolidate technical and soft knowledge and skills developed during frontal lectures.
Risultati apprendimento attesi
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).
Periodo: Primo semestre
Modalità di valutazione: Giudizio di approvazione
Giudizio di valutazione: superato/non superato
Corso singolo
Questo insegnamento non può essere seguito come corso singolo. Puoi trovare gli insegnamenti disponibili consultando il catalogo corsi singoli.
Programma e organizzazione didattica
Edizione unica
Responsabile
Prerequisiti
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.
Modalità di verifica dell’apprendimento e criteri di valutazione
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
Programma
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
Metodi didattici
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.
Materiale di riferimento
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
Programma
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
Metodi didattici
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.
Materiale di riferimento
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
Moduli o unità didattiche
General surgery
MED/18 - CHIRURGIA GENERALE - CFU: 1
Clerkship (att.prof.): 25 ore
Docenti:
Cassinotti Elisa, Domanin Maurizio
Internal medicine
MED/09 - MEDICINA INTERNA - CFU: 1
Clerkship (att.prof.): 25 ore
Docenti:
Fracanzani Anna Ludovica, Tobaldini Eleonora
Turni:
Group 1
Docente:
Fracanzani Anna LudovicaGroup 2
Docente:
Tobaldini EleonoraSiti didattici
Docente/i
Ricevimento:
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IRCCS Fondazione Cà Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, Pad. Ponti -1
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