Psychology, Healt and Medicine

A.Y. 2019/2020
4
Max ECTS
52
Overall hours
SSD
M-PSI/08 MED/02 MED/18
Language
Italian
Learning objectives
The course aims to provide students with the necessary tools to consciously manage communicative-relational aspects in their future medical profession. For this purpose, the teaching is divided into two parts: in the first part, through frontal lessons and non-formal teaching, will be provided the fundamentals of psychology essential for an understanding of the mechanisms and processes underlying individual and social behavior; in the second part, through frontal lessons and professionalizing activities, knowledge, skills and competences essential for the relationship and communication between doctor and patient will be provided.
Expected learning outcomes
Undefined
Course syllabus and organization

Linea: Policlinico

Prerequisites for admission
No preliminary knowledge is required
Assessment methods and Criteria
Written with multiple choice questions and oral
Psicologia clinica
Course syllabus
Concept of health and illness
Health models in illness prevention and management
Perception of vulnerability and exposure to risk factors
Social and individual resources in illness management
Decision styles of patients and physicians
Patients' social and family contexts
Patients' values and culture
Chronic diseases and mental/physical disabilities
SPIKES protocol for breaking bad news
Case studies discussion and role-playing simulations of patient-physician communication in relation to: preventive medicine; acute and chronic diseases; disabling diseases; oncology
Teaching methods
The module consists of frontal teaching classes, seminars and small-group activities. The slides of the lectures and additional learning materials are available to the students on the Ariel platform.
Teaching Resources
Delle Fave, A., Bassi, M. (2013). Psicologia e salute. Esperienze e risorse dei protagonisti della cura [Psychology and health. Experiences and resources of the protagonists in the care process] (2nd Ed.). Torino: UTET Università.
Chirurgia generale
Course syllabus
Different models in the doctor/patient relationship.
Empathy as a relational model
Patient and doctor's emotions as a resource in communication
Errors in medicine
The conflict of interest
Euthanasia, assisted suicide and end-of-life decision
From freedom of care to guidelines: The choice of doctor and the communication of the diagnostic and therapeutic process
Doctor/patient relationship and informed consent
Teaching methods
The module includes lectures, analysis and discussion of clinical cases and presentation of videos.
Teaching Resources
Delle Fave, A., Bassi, M. (2013). Psicologia e salute. Esperienze e risorse dei protagonisti della cura (2a ed.). Torino: UTET Università.
Arend H. (1964) La banalità del male Feltrinelli ed.
Boella L. (2006) Sentire l'altro. Conoscere e praticare l'empatia. Raffaello Cortina ed.
Storia della medicina
Course syllabus
Seminar 1: the history of the doctor- patient relationship; the idea of palliative care, according to Cicely Saunders' vision, which gave rise to the palliative care movement.
Seminar 2: The relationship with the advanced cancer patient, home care and hospice.
Teaching methods
The Module is carried out in the form of 2 seminars, conducted by several lecturers.
Teaching Resources
Kaba R., Sooriakumaran P. , The evolution of the doctor-patient relationship. Int J Surg.2007 Feb;5(1):57-65. Epub 2006 Mar 3.
Saunders C. M., The care of the terminal stages of cancer. Ann. R. Coll. Surg. Engl. 1967 Summer; 41 (suppl.): 162-169.
Saunders C., The evolution of palliative care. Patient Educ Couns. 2000 Aug; 41 (1):7-13.
Chirurgia generale
MED/18 - GENERAL SURGERY - University credits: 1
Lessons: 12 hours
Professor: Annoni Federico
Psicologia clinica
M-PSI/08 - CLINICAL PSYCHOLOGY - University credits: 2
Informal teaching: 16 hours
Lessons: 12 hours
Shifts:
Gruppo 1
Professor: Delle Fave Antonella
Storia della medicina
MED/02 - MEDICAL HISTORY - University credits: 1
Lessons: 12 hours

Linea: San Donato

Responsible
Prerequisites for admission
Not applicable.
Assessment methods and Criteria
Written exam, with multiple choices and free response questions and critical analysis of a clinical case and oral.
Psicologia clinica
Course syllabus
- Basic concepts of Communication
- Verbal and non-verbal Communication
- Obstacles and affordance in Communication
- Health promotion and communication
- Risk perception and health communication
- Patient and doctor relationship: from paternalistic model to patient centered model
- Shared decision-making
- Promoting psychological and physical wellbeing
- Hospitalized patients
- Disease in life cycle: from childhood to elderly years
- Personality, coping strategies and defensive mechanisms
- The communication of the bad news: strategies and tools in clinical practice
- Pain management
- Stress and burnout
Teaching methods
Lectures, presentation of multimedia materials, and discussion of case study.
Teaching Resources
Nicolino Rossi «Psicologia clinica per le professioni sanitarie» Il Mulino, Bologna, 2005. (Capitoli 4°- 5°- 6°- 7°- 8°).
Lorella Lotto, Rino Rumiati «Introduzione alla psicologia della comunicazione», Il Mulino, Bologna, 2007 (Capitoli 1°- 4°- 6°-13°-14°).
Chirurgia generale
Course syllabus
Different models in the doctor/patient relationship.
Empathy as a relational model
Patient and doctor's emotions as a resource in communication
Errors in medicine
The conflict of interest
Euthanasia, assisted suicide and end-of-life decision
From freedom of care to guidelines: The choice of doctor and the communication of the diagnostic and therapeutic process
Doctor/patient relationship and informed consent
Teaching methods
The module includes lectures, analysis and discussion of clinical cases and presentation of videos.
Teaching Resources
Clerici CA, Veneroni L. La psicologia clinica in ospedale. Consulenza e modelli d'intervento. Il Mulino, Bologna 2014.
Storia della medicina
Course syllabus
- The doctor-patient relationship: a bit of history

- To cure sometimes, to relieve often, to comfort always: the idea of palliative care by Cicely Saunders (1918-2005)
Teaching methods
Frontal lesson supported by PPT presentation
Teaching Resources
Kaba R., Sooriakumaran P. , The evolution of the doctor-patient relationship. Int J Surg.2007 Feb;5(1):57-65. Epub 2006 Mar 3.

- Saunders C. M., The care of the terminal stages of cancer. Ann. R. Coll. Surg. Engl. 1967 Summer; 41 (suppl.): 162-169.

- Saunders C., The evolution of palliative care. Patient Educ Couns. 2000 Aug; 41 (1):7-13.
Chirurgia generale
MED/18 - GENERAL SURGERY - University credits: 1
Lessons: 12 hours
Professor: Bonavina Luigi
Psicologia clinica
M-PSI/08 - CLINICAL PSYCHOLOGY - University credits: 2
Informal teaching: 16 hours
Lessons: 12 hours
Storia della medicina
MED/02 - MEDICAL HISTORY - University credits: 1
Lessons: 12 hours

Linea: San Giuseppe

Responsible
Prerequisites for admission
No preliminary knowledge is required
Assessment methods and Criteria
The exam consists of a written test and an oral evaluation.
The written test, concerning the General Psychology module, comprises 31 multiple-choice questions with 5 possible answers, of which only one is correct. Correct answers are attributed a score of 1; wrong answers are attributed a score of 0. The total score to the written test is the sum of the scores to the right answers and it is calculated right at the end of the test.

Students can inspect their test and decide whether to accept the mark. Those who pass the written test (score equal to or higher than 18/30) may have access to the oral evaluation which takes place at the end of the written test.

The oral exam will assess students' knowledge about the learning programs of the Clinical Psychology and Internal Medicine modules, with regard to their achievement of the expected learning outcomes.

Both the written test and the oral evaluation will take place during the same exam session. The final mark will be the arithmetic mean of the score obtained at the written test and the score obtained at the oral evaluation. There are no intermediate or early exam sessions.
Psicologia clinica
Course syllabus
Concept of health and illness
Health models in illness prevention and management
Perception of vulnerability and exposure to risk factors
Social and individual resources in illness management
Decision styles of patients and physicians
Patients' social and family contexts
Patients' values and culture
Chronic diseases and mental/physical disabilities
SPIKES protocol for breaking bad news
Case studies discussion and role-playing simulations of patient-physician communication in relation to: preventive medicine; acute and chronic diseases; disabling diseases; oncology
Teaching methods
The module consists of frontal teaching classes, seminars and small-group activities. The slides of the lectures and additional learning materials are available to the students on the Ariel platform.
Teaching Resources
Clerici CA, Veneroni L. La psicologia clinica in ospedale. Consulenza e modelli d'intervento. Il Mulino, Bologna 2014.
Chirurgia generale
Course syllabus
Different models in the doctor/patient relationship.

Empathy as a relational model

Patient and doctor's emotions as a resource in communication

Errors in medicine

The conflict of interest

Euthanasia, assisted suicide and end-of-life decision

From freedom of care to guidelines: The choice of doctor and the communication of the diagnostic and therapeutic process

Doctor/patient relationship and informed consent
Teaching methods
The module includes lectures, analysis and discussion of clinical cases and presentation of videos.
Teaching Resources
Clerici CA, Veneroni L. La psicologia clinica in ospedale. Consulenza e modelli d'intervento. Il Mulino, Bologna 2014.
Storia della medicina
Course syllabus
Seminar 1: the history of the doctor- patient relationship; the idea of palliative care, according to Cicely Saunders' vision, which gave rise to the palliative care movement.

Seminar 2: The relationship with the advanced cancer patient, home care and hospice.
Teaching methods
The Module is carried out in the form of 2 seminars, conducted by several lecturers.
Teaching Resources
Kaba R., Sooriakumaran P. , The evolution of the doctor-patient relationship. Int J Surg.2007 Feb;5(1):57-65. Epub 2006 Mar 3.

Saunders C. M., The care of the terminal stages of cancer. Ann. R. Coll. Surg. Engl. 1967 Summer; 41 (suppl.): 162-169.

Saunders C., The evolution of palliative care. Patient Educ Couns. 2000 Aug; 41 (1):7-13.
Chirurgia generale
MED/18 - GENERAL SURGERY - University credits: 1
Lessons: 12 hours
Professor: Annoni Federico
Psicologia clinica
M-PSI/08 - CLINICAL PSYCHOLOGY - University credits: 2
Informal teaching: 16 hours
Lessons: 12 hours
Storia della medicina
MED/02 - MEDICAL HISTORY - University credits: 1
Lessons: 12 hours
Professor(s)
Reception:
To be arranged by e-mail
Pad. Granelli, CTMO, Fondazione Ospedale Maggiore Policlinico, Milan