Bed side approach and clinical Methodology

A.Y. 2019/2020
6
Max ECTS
72
Overall hours
SSD
M-PSI/01 MED/09 MED/18
Language
English
Learning objectives
The course will provide the theoretical and practical basis for a comprehensive clinical bedside approach to patients by integrating the internal medicine and general surgery modules with a psychological one, focused on the acquisition of practical as well as methodological skills.
Expected learning outcomes
At the end of the practical activities, students should be able to:
Students will learn:
the processes of clinical reasoning,
to identify problems and making diagnostic hypothesis
theoretical basis of information processing and communication, with particular attention to cognitive models
basic notion on psychological and behavioural signs and symptoms.
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.
No other specific pre-requirements are needed.
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.
Internal medicine
Course syllabus
Lecture 1. Course presentation
Lecture 2. Behaviour and mental status: cognitive processes and function
Lecture 3. Information research, clinical reasoning, assessment and plan: the process of clinical reasoning. Identifying problems and making diagnosis, generating the problem list
Lecture 4. 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
Lecture 5. Communication fallacies
Lecture 6. Signs and symptoms. Beginning the physical examination: general survey, vital signs and pain- Overview of general examination
Lesson 7. The thorax, lung and cardiovascular system: techniques of examinations
Lecture 8. The abdomen examination related to medical approach (liver, spleen and pancreas problems)
Lecture 9. Surgeon's behaviour in the Operating room, basic principles of asepsis and patient's preparation to surgery
Lecture 10: Physical examination and clinical signs of the abdomen, chest, breast (surgery related), and genito-urinary apparatus part 1
Lecture11: Physical examination and clinical signs of the abdomen, chest, breast (surgery related), and genito-urinary apparatus part 2
Lecture 12. The vascular system
Lecture 13. Lump, masses and ulcer
Lecture 14. Doctor-patient relationship: clinical cases
Lecture 15. Doctor-patient relationship: clinical cases - the physician perspective
Lecture 16. PRACTICE LESSON. Internal Medicine and General Psychology: Case method and problem solving - clinical cases, a multidisciplinary approach
Lecture 17. PRACTICE LESSON. Internal Medicine: Clinical tools
Lecture 18. PRACTICE LESSON. General Surgery: Clinical cases
Teaching methods
Lectures and seminars
Teaching Resources
· 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
Lecture 1. Course presentation
Lecture 2. Behaviour and mental status: cognitive processes and function
Lecture 3. Information research, clinical reasoning, assessment and plan: the process of clinical reasoning. Identifying problems and making diagnosis, generating the problem list
Lecture 4. 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
Lecture 5. Communication fallacies
Lecture 6. Signs and symptoms. Beginning the physical examination: general survey, vital signs and pain- Overview of general examination
Lesson 7. The thorax, lung and cardiovascular system: techniques of examinations
Lecture 8. The abdomen examination related to medical approach (liver, spleen and pancreas problems)
Lecture 9. Surgeon's behaviour in the Operating room, basic principles of asepsis and patient's preparation to surgery
Lecture 10: Physical examination and clinical signs of the abdomen, chest, breast (surgery related), and genito-urinary apparatus part 1
Lecture11: Physical examination and clinical signs of the abdomen, chest, breast (surgery related), and genito-urinary apparatus part 2
Lecture 12. The vascular system
Lecture 13. Lump, masses and ulcer
Lecture 14. Doctor-patient relationship: clinical cases
Lecture 15. Doctor-patient relationship: clinical cases - the physician perspective
Lecture 16. PRACTICE LESSON. Internal Medicine and General Psychology: Case method and problem solving - clinical cases, a multidisciplinary approach
Lecture 17. PRACTICE LESSON. Internal Medicine: Clinical tools
Lecture 18. PRACTICE LESSON. General Surgery: Clinical cases
Teaching methods
Lectures, seminars, practical activities, case studies and role playing sessions. Practical activities will be used, through simulation or in the ward, to consolidate technical and soft knowledge and skills developed during frontal lectures.
Teaching Resources
· Hamilton Bailey's Physical signs: Demonstrations of physical signs in clinical surgery. 19th Edition. CRC Press, 2016
General psychology
Course syllabus
Lecture 1. Course presentation
Lecture 2. Behaviour and mental status: cognitive processes and function
Lecture 3. Information research, clinical reasoning, assessment and plan: the process of clinical reasoning. Identifying problems and making diagnosis, generating the problem list
Lecture 4. 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
Lecture 5. Communication fallacies
Lecture 6. Signs and symptoms. Beginning the physical examination: general survey, vital signs and pain- Overview of general examination
Lesson 7. The thorax, lung and cardiovascular system: techniques of examinations
Lecture 8. The abdomen examination related to medical approach (liver, spleen and pancreas problems)
Lecture 9. Surgeon's behaviour in the Operating room, basic principles of asepsis and patient's preparation to surgery
Lecture 10: Physical examination and clinical signs of the abdomen, chest, breast (surgery related), and genito-urinary apparatus part 1
Lecture11: Physical examination and clinical signs of the abdomen, chest, breast (surgery related), and genito-urinary apparatus part 2
Lecture 12. The vascular system
Lecture 13. Lump, masses and ulcer
Lecture 14. Doctor-patient relationship: clinical cases
Lecture 15. Doctor-patient relationship: clinical cases - the physician perspective
Lecture 16. PRACTICE LESSON. Internal Medicine and General Psychology: Case method and problem solving - clinical cases, a multidisciplinary approach
Lecture 17. PRACTICE LESSON. Internal Medicine: Clinical tools
Lecture 18. PRACTICE LESSON. General Surgery: Clinical cases
Teaching methods
Lectures, seminars, practical activities, case studies and role playing sessions. Practical activities will be used, through simulation or in the ward, to consolidate technical and soft knowledge and skills developed during frontal lectures.
Teaching Resources
Papers will be provided during lessons
General psychology
M-PSI/01 - GENERAL PSYCHOLOGY - University credits: 1
Lessons: 12 hours
Professor: Mazzocco Ketti
General surgery
MED/18 - GENERAL SURGERY - University credits: 2
Lessons: 24 hours
Internal medicine
MED/09 - INTERNAL MEDICINE - University credits: 2001
Lessons: 36 hours