Learning outcomes

MED/48 3rd year internship

Learning objectives

At the end of the 3rd year, with reference to the core activities, the student will acquire the following skills in several areas:

CARE AND REHABILITATION
The internship of the third year is aimed at specialist studying in depth but also at the acquisition of knowledge and methodologies pertinent to the professional practice, the ability to work in a team and in
complex organizational contexts. It increases the importance assigned to the training experiences. The student can experience a gradual assumption of autonomy and responsibility with expert supervision (in the various specialist areas as neurology, cardiovascular, critical care, oncology, infectious diseases, pulmonology, maternal and infant area t and research.), Methodological skills of scientific research also in support of the thesis preparation, as well as elements of management useful to the professional development in work contexts.
This curriculum logic is also reflected in the choice of credits assigned to internship experiences which increase gradually from the 1st to the 3rd year.

Assessment methods
Formative evaluation of the clinical tutors.
Tutorial evaluation feedback during the internship (through portfolio, structured assessment sheets and clinical reports on the professional practice).
Reference texts
In-depth articles. Material of the tutorial activities . Bibliography of the introductory lessons in accordance with the teaching plan.

PREVENTION
Carry out the primary prevention of problems encountered on the risk of secondary complications for themselves and for the assisted people. Comply with the safety and hygiene standards in the workplace for preventing infections during the required tasks on the patients in the attended training facility.

THERAPEUTIC EDUCATION
Get to know, observe, describe pedagogical strategies for an effective teaching to patients with orthopedic and neurological pathology (to the caregiver and to the family), based on the concept of motor learning and on methods to motivate the patient to follow your exercise program with the physiotherapist’s supervision.

COMMUNICATION AND INTERACTION
Take an active listening attitude in the moments when the Supervisor Physiotherapist communicates with the patient, the caregiver and with the team. Use all the communication strategies in relation to the patient and his family in respect to the patient’s experience and expectations. Respect different ideas, opinions and cultures

PROFESSIONAL RESPONSIBILITY
Adhere to the ethical and confidentiality principles (code of ethics and privacy legislation) in the language and the actions performed
Identify own limits of competence and responsibility. Take responsibility of the actions carried out and to conciliate your needs with those of others in accordance with the rules of the different organizations.
Gain awareness for the responsible management of the patient’s documentation and own educational training (structures and instrumentation in both the training center and the internship)

MANAGEMENT
Identify with the tutor/guide, the training activities in line with regulatory and organizational constraints and choose the information tools useful for the definition of the physiotherapy project using the physiotherapy medical records to frame the observed patient.
Fill in the documentation related to the training activity and delivery it in time, in accordance with the instructions agreed with the study institution.

TRAINING AND SELF-TRAINING
Contribute actively, guided by the tutors, to the definition of learning outcomes (both in the university and the internship) drawing a personal self-study plan. Define with the tutor and the trainee guides the best internship opportunities to achieve the objectives and scope of the year.
Develop competent and independent problem-solving skills demonstrating the ability to continuously seek opportunities for self-learning.
Take responsibility for their own professional development and to respond to the continuous changes of knowledge and health and social needs. Use the self-assessment of their level of training to keep their knowledge at the highest level required for professional practice. Acquire self-criticism
Ask and accept feedback, reflect on their performance and self-evaluate. Verify and supplement their theoretical knowledge as needed.

PRACTICE BASED ON EFFICACY TESTING (EPB)
Increase knowledge with updated bibliographical references in choosing a treatment or when dealing with a clinical problem, seek and consider the best available evidences in the literature and/or used in the internship place.
Using the International Classification of Functioning (ICF) for the definition of a rehabilitation project.

Prerequisites
First and second year internships; 3rd year workshops and exercises; Basic knowledge of computer science, English and statistics; vocational preparatory teachings MED/48 in accordance with the teaching plan.

Program

PROGRAM

The 3rd year is aimed at specialist studying in depth specialist but also at the acquisition of knowledge and
methodologies pertinent to the professional practice, the ability to work in a team and in complex organizational settings. It increases the importance assigned to the training experiences. The student can experience a gradual assumption of autonomy and responsibility with the supervision of experts (in the various specialist areas as neurology, orthopedics, cardiovascular, critical care, oncology, infectious diseases, pulmonology, maternal and infant area and Research), methodological skills of scientific research also in support of the thesis preparation, as well as elements of management useful to the professional development in work contexts.
This curriculum logic is also reflected in the choice of credits assigned to internship experiences which increase gradually from the 1st to 3rd year.
TRAINING FOR THE CORE COMPETENCES OF THE THIRD YEAR

- Guided five-week-internship in the geriatric rehabilitation services with adults and seniors with acute or post-acute (conservatively or post-surgical treatment) or chronic problems taking into account the co-morbidity.
- Guided five-week-internship in community services for the rehabilitation of children.
(Cerebral palsy, etc.).
- Guided five-week-internship in critical-visceral area with acute or post-acute illness (conservatively or post-surgical treatment).
- Guided five-week-internship in the neurological rehabilitation services to adults and seniors with neurological problems.
- Internship chosen by the student choice in regard to the personal self-study plan.
- Three months experience in a European partner university for the winners of the ERASMUS project scholarship.

GUIDED INTERNSHIP
Briefing activities and reflection and revision/debriefing at the end of each experience.
Areas of expertise:
communication/interaction; care and rehabilitation; training/self-training; administration and management; professional liability; prevention.
User type:
adult or elderly patients with musculoskeletal and neurological and neuromotor system problems in both inpatient and outpatient.
Post-surgical patients in hospital or outpatient hospitalization; patients with chronic diseases during phases of relapse with failure of the respiratory system.
Children with abnormalities in the age of development.

Teaching methods
Support by the clinical tutor/trainee guide; integration of theoretical and practical skills exercises, briefing and debriefing, compilation of educational physiotherapy medical records and internship report.
- Guided tutorial activities by the coordinator and tutor of the course, in group and individual student, for the definition of the training objectives, re-elaboration of the training experience, theoretical insights workshops/tutorials, case reports "on paper" and skill-lab activities with professionals experts.

Examination Methods

Learning assessment methods
TRAINING FOR THE CORE COMPETENCES OF THE THIRD YEAR
- TRAINING FOR THE CORE COMPETENCES OF THE SECOND YEAR
- Elaboration of the learning contract by the educational tutor, formative evaluation of internship by the tutor/trainee guide by filling out evaluation sheets of middle and end experience.
The mandatory participation in seminars/workshops/tutorials is required.

Requirements for the admission to the exam
- The student must:
- Have participated in the internship’s introductory workshops
- Have successfully passed the introductory workshops
- Have attended the clinical training throughout the total amount of hours scheduled
- Have reported positive results in the formative evaluation of the clinical training
- Have submitted the internship papers: internship report and thesis project.

- THE CHOICE OF THE TOPIC OF THE INTERNSHIP REPORT IS AT THE DISCRETION OF THE STUDENT AND SUBJECT TO TUTORIAL EVALUATION IN ORDER TO LEAD THE STUDENT TO THE BEST POSSIBLE DEFINITION OF THE THESIS PROJECT.
- GUIDED DEFINITION OF THE SELF-TEACHING PLAN FOR THE THESIS PROJECT, INCLUDING A BIBLIOGRAPHIC RESEARCH TARGETED TO THE SUPPORT OF THE PROJECT.

Assessment methods and criteria
INTERNSHIP EXAMINATION: CLINICAL CASE "ON PAPER" THEORETICAL-PRACTICAL TEST and summative evaluation of internships - FINAL GRADE.