Teaching code

4S007932

Credits

6

Coordinator

Salvatore Paiella

Language

Italian

Location

VERONA

Scientific Disciplinary Sector (SSD)

NN - -

Courses Single

Not Authorized

Moodle Seminars 0

The teaching is organized as follows:

Learning objectives

At the end of the Surgical Area practical training the students should achieve the following objectives:
• master and implement the best practices of the doctor-patient relationship;
• be able to collect the medical history and perform an objective examination;
• apply clinical reasoning, be able to identify priority or urgent and secondary problems, to generate diagnostic hypotheses and to identify diagnostic tests of greater sensitivity and specificity in order to confirm or refute such hypotheses;
• be able to interpret laboratory results;
• be able to interpret diagnostic imaging reports;
• comprehend decision-making processes related to surgical treatment;
• be able to fill admission reports and discharge letters;
• be able to assess the appropriateness of the indication for hospitalization
• be able to focus on the reason for hospitalization notwithstanding complex medical conditions, which might include chronicity and other critical issues;
• be able to indicate prevention and health education actions;
• be aware of the importance of observing strict punctuality in the shifts;
• comply with hygiene behaviour and rules of surgical wards;
• know how to positively interact with the medical, nursing and technical staff of the department;
• know the different roles and responsibilities of each team member.

Prerequisites and basic notions

Have passed all the exams of the first four years.

Program

The program covers all surgical pathologies that can be encountered in patients admitted to a general surgery department that deals with emergencies and elective activities. Performing venipuncture Clean and septic wound dressings Dressing of sores, ulcers, fistulas Drainage removal Stitches and agraphes removal Treatment of external suppurative processes (abscess, phlegmon, pyoderma) Being able to do surgical hand washing Preparation of sterile field for minor surgery Infiltration of a local anesthetic for minor superficial surgery. Suture of superficial wounds. Rectal exploration.

Bibliography

Didactic methods

Students will be entrusted to the sub-sections of each operating unit and/or to a referring doctor. They will deal with the deepening of clinical semiotics, the discussion of the diagnostic elements and the therapeutic pathways of hospitalized patients, belonging to the Emergency Department and/or candidates for elective surgery. General concepts of surgery and management of surgical patients will be taught, as well as specialized concepts relating to the specialist areas to which they will be entrusted. They will take care of evaluating the clinical and diagnostic elements of each patient, and will be involved in the decision of the therapeutic pathways to be implemented. The teaching method will be mixed, providing for independent personal involvement (through texts and/or material already in possession), and direct teaching will be carried out, also through dedicated meetings (of which students will sometimes be the main responsible). The basic concepts of surgical dressings and the principles of preparing a sterile field will be taught. Students will participate, tutored, also in advanced medications and/or interventional procedures possibly to be carried out in the patient's bed. In the operating room, the principles of normal and surgical anatomy will be explained.

Learning assessment procedures

There is no formal exam but the student will be judged by the tutor during the entire internship.

Evaluation criteria

The evaluation will explore the components reported on the last page of the evaluation booklet: Implements the best practices of the doctor-patient relationship (interview, relationship, information, clarity, acquisition of consent, respect for privacy) Has the ability to collect anamnesis and to perform a physical examination in an outpatient and/or hospital setting Knows and can apply clinical reasoning, the ability to identify priority or urgent problems and secondary problems. Has the ability to propose diagnostic hypotheses and to identify the diagnostic tests of greater sensitivity and specificity to confirm or not the hypotheses Is able to interpret the reports of laboratory tests and diagnostic imaging tests Orientates on decision-making processes relating to treatment surgical and non-surgical Is able to fill in the Hospitalization Acceptance/Discharge report and prepare a discharge letter Has achieved the managerial educational objectives listed on page 2 Respects the start and end times of the shift, dresses appropriately for the role, carries with itself everything you need. Respects hygiene rules, washes hands between patient visits Interacts correctly with the medical, nursing and technical staff of the ward. Demonstrates knowledge and awareness of the different roles and tasks of team members Demonstrates an active attitude ( asks questions, proposes to carry out activities)

Criteria for the composition of the final grade

For a POSITIVE EVALUATION of the components of the medical profession mentioned above, a synthetic score in letters will be used with values corresponding to: A: Excellent; B: Excellent; C: Good; D: satisfactory; It's enough. For a NEGATIVE assessment, letter F will be used: Insufficient Taking into account all these aspects, the student will be judged suitable or unsuitable.

Exam language

Italiano - Inglese