Learning outcomes

Learning objectives MED/48 1 ST YEAR INTERNSHIP

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

CARE AND REHABILITATION
Use of observation and evaluation procedures to describe the posture and the spontaneous motor behavior of healthy and non-healthy individuals over different chronological ages.
Identify any alteration of the different functional systems in real situation (vital functions, manipulation, walking...)
Handle the patient by transferring him from one location to another, safely and in compliance with the principles of ergonomics.
Detect vital parameters and identify signs of alteration
Carry out a basic examination under the supervision and directions of the tutor: physical examination, functional activity (gestures), passive movements, active movements, sensitivity, muscle tone and muscle length.
Formulate hypotheses of functional alterations.
Identify physiotherapy problems and list them following order of priority with supervision
Apply the basic techniques for the maintenance of the ROM and the development of muscle strength, documenting in advance the presence of contraindications, proposing ways and times corresponding to the theoretical knowledge.

PREVENTION
Acquire and apply the hygiene and safety principles for the protection of health of the assisted persons and of professionals.
Comply with hygiene regulations to prevent infections during the tasks required on the patients in the attended training facility.

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

COMMUNICATION AND INTERACTION
Take an active attitude in the moments when the Supervisor Physiotherapist interacts with the patient, the caregiver and the team
Use communication techniques in active listening
Respect the patient's experience during the treatments

PROFESSIONAL RESPONSIBILITY
Take an approach consistent with the ethical and confidentiality principles (code of ethics and privacy legislation) in the language and the actions performed.
Act recognizing the limits of own knowledge and skills and respect the experience, expertise and roles of others.
Respect different ideas, opinions and cultures.
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
Describe, led by the tutor/trainee guide, the host structure, the professionals present, the type of services provided and the organization of the service.
Recognize the role models for their training.
Choose the information tools necessary to frame the observed patient with the supervision of the mentor.
Fill in the documentation related to the training activity and delivery it in time, in accordance with to the indications agreed.

TRAINING AND SELF-TRAINING
Contribute, led by the Tutors, to the description of the educational goals (both in the university and the internship).
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.

PRACTICE BASED ON EFFICACYTESTING (EPB)
Deepen knowledge with updated bibliographical references.
Use, if needed, computer and information systems present in the internship locations.
Use the International Classification of Functioning (ICF) for the definition of a rehabilitation project.
Prerequisites
Basic knowledge of computer science, English and statistics, workshops/tutorial exercitations, modules of vocational teachers MED/48.

Program

The 1st year is aimed at providing the biological, biomedical, kinesiologic/biomechanical, neurophysiological, cognitive, hygienic - basic preventive essential knowledge, such as foundations of the discipline and professional methodology, fundamental requirements to address the first training experience aimed at orientating the student to the professional fields of reference and at the acquisition of basic skills through tutorial exercises that precede the experience. For instance, working in groups, small groups and mentoring meetings (throughout the whole academic year) Skill labs, reflection activities and development of clinical reasoning through the use of the educational physiotherapy medical records inspired to ICF.
The student, active and participating, is confronted for the first time and intensively with:
Clinical setting, the patient, bearer of needs, sufferings, expectations, values.
The request to enter actively in the care relationship, and the reasons that led him to choose this profession and the overcoming of the imaginary physiotherapist often not conform with the profile.

GUIDED INTERNSHIP
- An initial four-week experience at clinical premises in rehabilitation field
- A second experience of six weeks in rehabilitation field premises.
Tutorial activities of reworking/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 problems in both inpatient and outpatient.

Teaching methods
Support by a clinical tutor/trainee guide; integration of theoretical and practical skills exercises, briefing and debriefing, compilation of educational physiotherapy medical records and internship report.

Examination Methods

TRAINING FOR THE CORE COMPETENCES OF THE FIRST YEAR
Elaboration of the learning contract by the educational tutor, formative evaluation of internship by the tutor/trainee guide through filling out the 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 traineeships’ preparatory 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 presented the internship report have passed the Human Physiology and Kinesiology preparatory exams

Assessment methods and criteria

Theoretical and practical certification examination:
INTERNSHIP EXAMINATION Objective Structured Clinical Examination (OSCE).
The exam is divided into a written and a practical test
Verification scope of the written test
The test consists of questions that explore the knowledge related to:
- Ergonomic principles;
- Significant data collection for the patient’s classification
- Physical examination of the locomotor apparatus
- Communicative-relational capacity

Scope of the Practical Test evaluation
The test consists into examining the student, in situations with simulated patients in order to verify the acquisition of practical skills, in reference to the following training objectives:
Soft tissue mobilization
communicative-relational capacity
postural changes and patient transfers
identification and palpation of bone and muscle structures on the surface
muscle examination
joint examination
limbs measuring
segmental mobilization of limbs