Interdisciplinary vocational course 1

A.Y. 2020/2021
12
Max ECTS
104
Overall hours
SSD
M-EDF/01 MED/05 MED/09 MED/13 MED/34 MED/36 MED/37 MED/48 MED/50
Language
Italian
Learning objectives
The course is aimed at providing students with knowledge about:
- the aging process;
- the consequences of age-related diseases on healthcare services;
- the need for organizing social and healthcare services based on the concepts of functioning and homeostatic reserve;
- the biological functions and action mechanism of hormones, with particular attention to their effects on the musculoskeletal system and to the role of physical activity in hormonal secretion;
- the major endocrine and metabolic pathologies;
- the identification of the most appropriate rehabilitation process after an acute event;
- the organisational models of services and activities involving the speech and language therapist and related disabilities;
- the role of physical exercise and lifestyle improvement as tools for promoting well-being and for the prevention and therapy of the major cardio-metabolic and oncological pathologies;
- the clinical pathology techniques most frequently used for diagnostic purposes;
- the rationale as well as the biological and pathophysiological mechanisms that underlie the use of these procedures;
- the historical evolution of health profession education and training;
- the structure of health profession degrees and curricula, including their regulatory provisions;
- the definition of university and academic positions and the identification of their roles and functions;
- the quality system in universities;
- the competences characterizing the professional profiles included in the Rehabilitation Class, as well as their responsibilities
Expected learning outcomes
At the end of the course, the student will be able to:
- describe the technical, operational and management features of each rehabilitation profession
- use this knowledge for the organization and management of health services provided by rehabilitation health professionals.
Course syllabus and organization

Single session

Most lessons will take place synchronously through the Teams platforms. If possible, some lessons will be organized in presence, following the indications provided by the University as concerns safety and social distancing, with simultaneous activation of the remote mode via Teams. All lessons will be recorded and made available to students on the Ariel platform, together with additional learning materials.
The course program and materials will not change.
During the emergency phase exams will be performed orally through Teams. Whenever possible, written exams - as decribed in the assessment method section - will be organized in presence, following the indications concerning safety and social distancing. The possibility to perform the exam orally in remote mode will be anyway guaranteed for students living in other regions or countries, as well as for students with serious pathologies.
Prerequisites for admission
No prior knowledge required.
Assessment methods and Criteria
The assessment of learning outcomes is performed through a written test, taking place during specific exam sessions, as per the Rules. The test consists of multiple choice and open-ended questions.
All the modules included in the teaching contribute equally to determining the final mark, expressed on a scale of 30.
No intermediate or early exam sessions are planned.
Teaching materials or notes are not allowed for consultation during testing
The results are published on the ARIEL website.
Internal medicine
Course syllabus
- The aging process
- Frailty and clinical complexity in older persons
- The comprehensive geriatric assessment
- Integrated care models
- Age-related changes of body composition
- Sarcopenia
- Preventive and therapeutic interventions against frailty and sarcopenia
Teaching methods
The teaching consists of frontal classroom lessons, scheduled according to a timetable published on the ARIEL website of the master course.
Teaching Resources
Slides and learning materials provided by the teacher.
Physical and rehabilitation medicine
Course syllabus
- Analysis of hospital stay typologies: Stroke Unit, rehabilitation (post-acute vs extensive);
- Requirements for admission to each stay typology
- Typology of clinical and rehabilitation treatments provided to the patient.
- Analysis of care typologies in Subacute Treatment units, outpatient settings (ambulatory vs Macro Ambulatory Complex Activities) and local services (home care vs CreG) provided by the Lombardy region
Teaching methods
Teaching is provided through face-to-face lessons, scheduled according to a timetable published on the ARIEL website of the master degree.
Teaching Resources
Slides and documents provided by the teacher during classes
Raffaele Antonelli Incalzi (2019). Manuale di Geriatria. Edizioni EDRA
Diagnostic imaging and radiotherapy
Course syllabus
- Principles on radiation, atom and radioactive sources, on the use of radiation and other forms of energy (radio waves, magnetic fields) in Medicine
- Introduction to imaging techniques: nuclear medicine, radiology, fluoroscopy, ultrasound, MRI and major diagnostic examinations using nuclear medicine and radiology techniques
- Diagnostic equipment and radiation detection modes (planar and tomographic imaging, dynamic and static)
- Radiopharmaceuticals and contrast media
- Principles and purposes of radiotherapy treatments
- Target definition in radiotherapy, conformational 3D radiotherapy, modulated intensity radiotherapy, brachytherapy, intra-operative radiotherapy and adhestation
- Positioning of the patient undergoing radiotherapy
- Molecular mechanisms of radiotherapy damage and dose fractionation
- Radiotherapy in association with other antineoplastic therapies
- Role of radiotherapy in the treatment of major tumours
- Applications of MRI imaging, CT, and nuclear medicine techniques in neurological diseases and neuro-oncology
- Legislation on radioprotection and professional figures in the system of responsibility
Teaching methods
Teaching is provided through face-to-face classroom lessons, scheduled according to a timetable published on the ARIEL website of the master degree.
Teaching Resources
- Radioprotection in health activities: information manual for workers. Lombardy-Health
- Slide and other bibliography edited by the Lecturer and available on the ARIEL Teacher website
Neuroradiology
Course syllabus
- Overview of Neuroradiology
- Organizational needs in the context of diagnostic activities
- Organizational needs in Interventional Neuroradiology
- A practical example: the PDTA of ischemic stroke
Teaching methods
Teaching is provided through face-to-face classroom lessons, scheduled according to a timetable published on the ARIEL website of the master degree.
Teaching Resources
Carriero, Centonze and Scarabino (2010). Management in Radiologia. Available for free consultation on Google Books
Nursing sciences: general, clinical and paediatric
Course syllabus
History of the health professions training in Italy
History and evolution of health professions training, with particular reference to professions included in the Rehabilitation Class: biennial courses, Special Purpose Schools, Regional Schools, University Diplomas, Graduation, Master degrees.
- Title equivalence
- Tutorials
The organization of the University in Italy
- Mission
- Academic and university roles and responsibilities
Quality Assessment in the Italian University system
- Purpose, responsibilities, functions, tools and methods
The professional profile
- Overview of the professional profile
- Activities and competences characterizing each professional profile within the Rehabilitation Class and related responsibilities.
Teaching methods
Teaching is provided through mixed-mode lessons (face to face classroom lessons and remote lessons on Teams platform), according to a time table published on the ARIEL website of the master degree.
Teaching Resources
Slide and learning material provided by the Lecturer and available on the ARIEL Teacher website.
Applied medical techniques
Course syllabus
IPOVISION IN THE ADULT AND IN THE CHILD - Definition and classification, Epidemiological data
REHABILITATION AND ENABLEMENT IN IPOVISION
- THE REHABILITATION OF VISUAL IMPAIRMENT IN ADULTS: Legislation; low vision centers; functional assessment;
visual rehabilitation in adults; Postural, visual, electronic and tiflological aids
- ENBLEMENT AND REHABILITATION IN CHILDHOOD AND ADOLESCENCE
- Primary causes; functional evaluation and the role of the orthoptist; visual and neuropsychovisual re-enablement;
rehabilitation in preschool and school age; support tools
- RECOGNITION OF CIVIL INVALIDITY IN VISUAL IMPAIRMENT, AIDS AND REGULATIONS
Law 104/92; Law 284 /97; Ministerial Decree 27 August 1999, N.332; Law 138-2001
- AIDS, PROSTHESES AND ORTHESES
- Prescription, authorization, supply and testing; tariff nomenclator (aid traceability); rehabilitation program
(or therapeutic plan)
- Example of aid prescription: Aid Mod.03 and Therapeutic Plan (simulations)
- Diagnostic protocol and rehabilitation in Low vision
- Example of Electronic Record

COURSE SYLLABUS - SPEECH THERAPY:
- Role and competences of the speech therapist; regulations
- Foreign patients and health professional: implications
-CAA: definition, requirements and intervention approaches
-Afasia: a pragmatic approach
-Disfagia: patient management
-Specific Learning Disabilities: regulations and the family-school-society network.
Teaching methods
The two modules (Orthoptics and Speech Therapy) consist of classroom lessons, scheduled through a timetable published on the ARIEL website of the course.
Teaching Resources
Slides and international scientific papers, available on the Ariel website during the course.
Methods and teaching of motor activities
Course syllabus
MOTOR ACTIVITY AND WELL-BEING: A NEW FRONTIER
PHYSICAL ACTIVITY, EXERCISE, TRAINING: TERMINOLOGY AND DEFINITIONS
- Aerobic activity; Resistance; Flexibility and balance; Difference between physical activity and exercise; Physical training
PHYSICAL ACTIVITY: PATHOPHYSIOLOGICAL ASPECTS
- Physiology/physiopathology of cardiopulmonary, metabolic and motor control during exercise; physiological
mechanisms responsible for the beneficial effects of physical training; Cardiovascular and metabolic risk
PHYSICAL ACTIVITY AS THERAPY
- The benefits and risks of physical activity in chronic pathologies, with particular reference to cardiovascular disease
(coronary heart disease, high blood pressure, heart failure), metabolic pathologies (diabetes, metabolic syndrome),
cancer, ostheomuscular pathologies
- Aging
- Childhood and adolescence
PRESCRIPTION OF PHYSICAL ACTIVITY
- Role of different professionals in prescribing physical activity; typology (aerobic vs resistance exercise), intensity,
frequency, duration, progression
- Psycho-pedagogic aspects: importance of psychological and educational aspects in rehabilitation; the approach to the
patient with disabilities and/or chronic disease; the approach to the family of the patient with disabilities and/or
chronic illness
PSYCHOLOGICAL ASPECTS
- Focus on the rehabilition professional: difficulty in the relationship with the patient; Stress and burn out; Individual
resources and limits; Teamwork between professionals with different specializations
- Focus on the patient: meaning of trauma and/or chronic pathology; psychological evaluation of the patient; adaptation and coping; dactors determining positive and negative coping; behavior between emotional reaction and thoughtful response; denial or amplification of disability-disease status; psychological factors that potentially hamper the rehabilitation process; importance of family and social support; motivation for functional recovery and management of chronic pathology; psychotherapy and drug therapy; quality of life; physical activity and rehabilitation as tools to improve mood tone, anxiety and psychological issues in general
EDUCATIONAL ASPECTS
- Change: psychological steps and behavior; lifestyle change in the healthy person (primary prevention); lifestyle change
in the person with chronic pathology (secondary prevention); communication with patient and family; methodologies
for teaching behavior changes; how to motivate the patient; how to set therapeutic goals with the patient; strategies
to improve exercise adherence; strategies to encourage lifestyle changes; assessment of successes or failures;
rehabilitation based improvement as a motivational tool
- Physical activity and other lifestyle changes (eating, quitting smoking, managing stress.
Teaching methods
Teaching is provided through face-to-face classroom lessons, scheduled according to a timetable published on the ARIEL website of the master degree.
Teaching Resources
McArdle WD, Katch FI, Katch VI (2001). Exercise Physiology, 5th Edition Lippincott Williams &Williams Ed.
ACSM (2014). Guidelines for exercise testing and prescription. 9th Edition Lippincott Williams &Williams Ed.,
Braddom RL (2009). Physical medicine & rehabilitation. 3rd Edition. Saunders.
Endocrinology
Course syllabus
- Biological activity and action mechanisms of hormones, with particular attention to their effects on the musculoskeletal system
- Effects of physical activity on hormone secretion
- Endocrine and metabolic disorderes of the thyroid, parathyroids, pituitary and adrenal glands
- Diabetes mellitus
- Osteoporosis
Teaching methods
Teaching is provided through face-to-face classroom lessons, according to a timetable scheduled and published on the ARIEL website of the master course.
Teaching Resources
Slides e bibliografia a cura del Docente e disponibile sul sito ARIEL
Rugarli. Medicina Interna Sistematica. Settima Edizione, 2015. Edra Masson.
Clinical pathology
Course syllabus
Pre-analytics and analytics
Precision medicine
New organizational aspects of laboratory medicine departments
Predictive laboratory medicine: the new areas of diagnostics
The world of omics
Teaching methods
Teaching is provided through face-to-face classroom lessons, scheduled according to a timetable published on the ARIEL website of the master degree.
Teaching Resources
Slide provided by the teacher
Applied medical techniques
MED/50 - APPLIED MEDICAL TECHNOLOGY AND METHODOLOGY - University credits: 1001
Lessons: 16 hours
Clinical pathology
MED/05 - CLINICAL PATHOLOGY - University credits: 1
Lessons: 8 hours
Diagnostic imaging and radiotherapy
MED/36 - IMAGING AND RADIOTHERAPY - University credits: 1
Lessons: 16 hours
Endocrinology
MED/13 - ENDOCRINOLOGY AND METABOLISM - University credits: 1
Lessons: 8 hours
Professor: Vitale Giovanni
Internal medicine
MED/09 - INTERNAL MEDICINE - University credits: 1
Lessons: 8 hours
Professor: Cesari Matteo
Methods and teaching of motor activities
M-EDF/01 - PHYSICAL TRAINING SCIENCES AND METHODOLOGY - University credits: 2
Lessons: 16 hours
Professor: Lucini Daniela
Neuroradiology
MED/37 - NEURORADIOLOGY - University credits: 1
Lessons: 8 hours
Nursing sciences: general, clinical and paediatric
MED/48 - NURSING IN NEUROPSYCHIATRY AND REHABILITATION - University credits: 2
Lessons: 16 hours
Physical and rehabilitation medicine
MED/34 - PHYSICAL AND REHABILITATION MEDICINE - University credits: 1
Lessons: 8 hours
Professor: Perucca Laura
Professor(s)
Reception:
On appointment (send an email)
Sezione Medicina Esercizio Dipartimento Riabilitazione IRCCS IC Humanitas