Head and neck (clerkship)

A.Y. 2019/2020
3
Max ECTS
75
Overall hours
SSD
MED/28 MED/30 MED/31
Language
English
Learning objectives
Students attend practical/clinical sessions at the Dental Clinic, having the chance to visit patients requiring urgent dental treatments and patients referred referred to the oral medicine and special needs service. ENT clerkships provide the students with the tools to conduct basic anamnesis (implementing this with a simulated patient) and ENT physical examination to succeed in differential diagnosis. Practical demonstrations of examination techniques and "hands on" for the students. Studens attend practical/clinical sessions at the Ophtalmology Clinic, having the chance to visit patients requiring urgent treatments, patients attending the outpatient clinic and referred to the opthalmology service.
Expected learning outcomes
Students are expected to perform:
-Examination of the nose
-Examination of the mouth and oropharynx
-Examination of the larynx with indirect laryngoscopy
-Examination of the fundus oculi
-Examination of the ear (otoscopy)
-Examination of the neck
-Bed side examination of vestibular function
-Basics of clinical Examination and anthropometry of the face
-Assessment of visual acuity
-Slit lamp examination
- Recognize the most oral mucosal lesions, the potentially malignant oral lesions and conditions and the common dental treatment and prosthesis rehabilitation and related problems
Students are expected to describe the phases and the images during:
-Fiberscope examination of the rhino-pharynx and of the adenoids
-Fiberscope examination of the pharynx
-Fiberscope examination of the larynx
Students are expected to describe:
-results of audiometry and impedenzometry
Course syllabus and organization

Single session

Prerequisites for admission
To take the Head and Neck exam, students must have already passed all the exams of the first and second year (Fundamentals of Basic Sciences, Cells, Molecules and Genes 1 and 2, Human Body, Functions and Mechanisms of Diseases).
Assessment methods and Criteria
Student assessment is based on a combination of written and oral examinations.
A written exam is a multiple-choice test focused on the topics of the Anatomy and Physiology modules. The professors and/or the IMS office informs via email the students about the results of the written test. Only students who successfully pass the written test are allowed to take the oral examination, focused on the modules: ENT, Ophthalmology, Odontostomatology, Maxillo-facial surgery. The final mark is the weighted average of the marks obtained in the oral examination.
The exam is deemed to be passed successfully if the grade is equal to or higher than 18/30 in all the disciplines of the oral examination. In the event of a full grade (30/30) honors (lode) may be granted with the consent of all the professors.
Registration to the exam through SIFA is mandatory.
Otorhinolaryngological diseases
Course syllabus
Ear-Nose-Throat: Clinical approach to patient with nasal obstruction and/or nasal discharge, patient with headache, instability/vertigo, facial/cervical masses, patient that does not hear, patient with dysphonia, dysphagia and/or dyspnea, complications of oro-sinusal disease.

Dentistry: Inspection of oral health issues of interest for the physician. Clinical approach to the patient with oral potentially malignant disorders and with oral cancer, oral-facial chronic pain, hypo-salivation and hyper-salivation, oral mucosal diseases

Ophthalmology: Clinical approach to emergency. Surgical approaches for ocular diseases.
Clinical approach to orbital pathology, impaired vision, partial or complete blindness, diplopia and abnormal eye movements, red eye, painful eye, age-related conditions involving the eye, the visual system in the child

Maxillo-facial surgery: Clinical Examination and anthropometry of the face: facial and craniofacial malformation; facial and craniofacial trauma, facial/cervical masses, oral nerve lesions are an emerging pathology.
Teaching methods
Lectures, Clinical cases, Case studies and Laboratory skills. 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
· Probst, Grevers, Iro. Basic Otorhinolaryngology: a Step by Step Learning Guide (Thieme 2006)
Odontostomatological diseases
Course syllabus
The course is based on a strong integration of different disciplines, thus the program of the single disciplines cannot be extracted form the program of the whole course which is reported in module Otorhinolaryngological diseases.
Teaching methods
Lectures, Clinical cases, Case studies and Laboratory skills. 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
Peter Lockart Oral Medicine and Medically Complex Patients, 6th Ed, Wiley and Blackwell, 2013
Ophtalmological diseases
Course syllabus
The course is based on a strong integration of different disciplines, thus the program of the single disciplines cannot be extracted form the program of the whole course which is reported in module Otorhinolaryngological diseases.
Teaching methods
Lectures, Clinical cases, Case studies and Laboratory skills. 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
· Kanski's Clinical Ophthalmology, 8th Ed 2016 (Elsevier)
Odontostomatological diseases
MED/28 - ORAL DISEASES AND DENTISTRY - University credits: 1
Clerkship (professional training): 25 hours
Ophtalmological diseases
MED/30 - OPHTHALMOLOGY - University credits: 1
Clerkship (professional training): 25 hours
Otorhinolaryngological diseases
MED/31 - OTORHINOLARYNGOLOGY - University credits: 1
Clerkship (professional training): 25 hours