Evaluation Internship - Medical Sciences
A.Y. 2019/2020
Learning objectives
The practical training is aimed at ascertaining the student's abilities related to knowing "how to do" and "how to be" a doctor. This consists in applying biomedical and clinical knowledge to medical practice, in resolving ethical issues, in demonstrating aptitude to solve clinical problems related to the areas of medicine and related specialties and to apply the principles of good and clear communication.
Certification of attendance and evaluation is under the direct responsibility of the university professor or medical director, responsible of the structure attended by the trainee.
Certification of attendance and evaluation is under the direct responsibility of the university professor or medical director, responsible of the structure attended by the trainee.
Expected learning outcomes
The student can be able to:
- put into practice the principles of the patient-doctor relationship;
- obtain medical history and perform a physical examination in the outpatient context;
- frame the reason of hospitalization taking into account possible chronic illnesses, further critical conditions and patient's frailty;
- know and apply the clinical reasoning;
- interpret the laboratory exams and the medical reports of the diagnostic imaging examinations.
- put into practice the principles of the patient-doctor relationship;
- obtain medical history and perform a physical examination in the outpatient context;
- frame the reason of hospitalization taking into account possible chronic illnesses, further critical conditions and patient's frailty;
- know and apply the clinical reasoning;
- interpret the laboratory exams and the medical reports of the diagnostic imaging examinations.
Lesson period: year
Assessment methods: Giudizio di approvazione
Assessment result: superato/non superato
Single course
This course cannot be attended as a single course. Please check our list of single courses to find the ones available for enrolment.
Course syllabus and organization
Single session
Course syllabus
· Medical history collection and physical examination of the patient
· Differential diagnosis between the main pathologies related to the clinical case
· Formulation of diagnostic hypotheses with the identification of further investigations in order to define the etiological nature of the case
· Participation in the decision-making process relating to the prescription of hospitalization for the related treatment taking into account any chronicity, other critical issues and fragility of the patients
· Compilation of hospitalization acceptance reports (including a description of the aspects related to the pathology that required hospitalization)
· Interpretation of laboratory tests
· Interpretation of diagnostic imaging test reports
· Manage the clinical diary and therapies during hospitalization
· Fill out discharge reports (including writing the discharge letter)
· Manage discharged patients during outpatient follow-up
· Differential diagnosis between the main pathologies related to the clinical case
· Formulation of diagnostic hypotheses with the identification of further investigations in order to define the etiological nature of the case
· Participation in the decision-making process relating to the prescription of hospitalization for the related treatment taking into account any chronicity, other critical issues and fragility of the patients
· Compilation of hospitalization acceptance reports (including a description of the aspects related to the pathology that required hospitalization)
· Interpretation of laboratory tests
· Interpretation of diagnostic imaging test reports
· Manage the clinical diary and therapies during hospitalization
· Fill out discharge reports (including writing the discharge letter)
· Manage discharged patients during outpatient follow-up
Prerequisites for admission
The student must have passed all the exams of the integrated courses of the first four years of the CdS in Medicine and Surgery as per regulations.
Teaching methods
The internship takes place through frequency in the wards, outpatient clinics, day hospital, first aid activities, discussion of clinical cases
Teaching Resources
· 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/)
· UP To Date - Evidence Based Clinical Decision Support resource
· ACSM's Guidelines for Exercise Testing and Prescription. 2018, 10th ed
· Up to Date-Evidence based clinical decision support resources
· UP To Date - Evidence Based Clinical Decision Support resource
· ACSM's Guidelines for Exercise Testing and Prescription. 2018, 10th ed
· Up to Date-Evidence based clinical decision support resources
Assessment methods and Criteria
The internship is considered passed if the student obtains an assessment of suitability from the internship tutor and the area coordinator.
- University credits: 5
Clerkship (professional training): 100 hours