Evaluation Internship - Surgical Sciences

A.Y. 2023/2024
5
Max ECTS
100
Overall hours
Language
English
Learning objectives
The evaluaiton traininig:
- 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 surgery and related specialties, laboratory and instrumental diagnostics and public health, and to apply the principles of good and clear communication.
- is based on 5 CFU for each month and is divided into the following periods, even non-consecutive: one month in the surgical area, one month in the medical area, one month in the area of general medicine, during the sixth year of the course, at the office of a general practitioner.
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, and the general practitioner, who issue a formal certificate of attendance and express, after having evaluated the results relating to the skills demonstrated, in the positive case, a judgment of suitability, on this diary-booklet, which is divided into a descriptive part of the activities performed and an evaluation part of the competences demonstrated.
The practical training certificate is obtained only in the case of achievement of a positive evaluation for each of the three periods.
Expected learning outcomes
At the end of the Surgical Science evaluation Internship the student:
- is able to put into practice the principles of the patient-doctor relationship: medical interview, contact, information, clarity, acquisition of consent.
- is capable to obtain medical history and perform a physical examination in the outpatient context
- has knowledge and capacity to apply the clinical reasoning: to distinguish between primary urgent complaints and secondary problems; to suggest a diagnostic hypothesis and to individualise the diagnostic methods of greater specificity and sensitivity to confirm or reject the hypothesis
- is skilled to interpret the laboratory exams
- is skilled to interpret the medical reports of the diagnostic imaging examinations
- is oriented in decision-making regarding the pharmacological treatment
- is able to compile the report of hospital admission/discharge and to write a discharge letter
- is able to judge the appropriateness of the hospital discharge and to suggest the rehabilitation solutions or recovery in other facilities
- is capable to frame the reason of ospitalization taking into account possible chronic illnesses, further critical conditions and patient's frailty
- is able to demonstrate the skills of prevention and sanitary education
- demonstrates the knowledge and awareness of the National Healthcare System and Local Healthcare System
- respects the shift schedule, wears appropriate clothes and is well-equipped
- shows knowledge and awareness of the ward and/or ambulatory
- interacts in an appropriate manner with the medical personnel, nurses and the department technicians
- demonstrates the awareness and knowledge of the different roles of the medical team members
- demonstrates active attitude: makes questions, candidates to perform activities
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

Responsible
Course syllabus
In Surgical area the following trainee's skills will be evaluated:
- anamnestic collection and objective examination of the patient with surgical pathology
- differential diagnosis between the main pathologies related to the clinical case
- definition of diagnostic hypotheses with the identification of further first-level investigations in order to define the pathophysiology and the etiology of the patients' heath issue;
- decision-making process to identify the nature and priority of the patient's health issue and specifically in the prescription of a surgical treatment taking into account any chronicity, other criticalities and frailty of patients
- drafting an admission reports (including description of aspects related to the surgical indication of the pathology requiring admission)
- interpretation of laboratory examinations
- interpretation of diagnostic imaging examination reports
- performance of the basics of sterility needed for a surgical intervention,
- understanding of the main basics of the surgical procedures
- acquired skills in local anaesthetic procedures
- management of the clinical diary and therapies/procedures of the post-operative course during hospitalization
- performance of simple wound dressings
- drafting discharge reports (including writing the discharge letter)
- management of post-operative surgical patients during outpatient follow up.
Prerequisites for admission
The student must have passed all the examinations of the integrated courses of the first four years of the Medicine and Surgery curriculum, in accordance with the rules and regulations.
Teaching methods
The internship takes place through attendance in inpatient wards, outpatient clinics, day hospital, operating theatre, emergency room activities, discussion of clinical cases.
Teaching Resources
The course does not refer to any particular texts. Constant attention is paid during the teaching activities to providing references for consulting up-to-date literature available online,

F.C. Brunicardi: Schwartz's Principles of Surgery, XI Ed., McGraw-Hill, 2019
J.L. Cameron, A.M. Cameron: Current Surgical Therapy, XII Ed., Elsevier, 2017
C.M. Townsend: Sabiston Textbook of Surgery, XX Ed., Elsevier, 2016
M.W. Mulholland: Greenfield's Surgery, VI Ed., Wolters Kluwert, 2016
Assessment methods and Criteria
Certification of attendance and assessment of the traineeship periods shall be carried out under the direct responsibility and by the Faculty Coordinator of each Area or the tutor of the Health Facility attended by the trainee (for Surgical area is in charge a appointed experienced surgeon), who shall issue a formal certificate of attendance and, after assessing the results of the skills demonstrated, in the event of a positive outcome, shall issue a suitability assessment (PASS GRADE), on the trainee's logbook, consisting in the detailed report of the skilled performed and evaluated.
The placement is deemed to have been passed if the student receives a Pass grade from the Internship tutor and the Faculty coordinator of the Area.
- University credits: 5
Clerkship (professional training): 100 hours