Training (third year)

A.Y. 2023/2024
22
Max ECTS
550
Overall hours
SSD
MED/50
Language
Italian
Learning objectives
Consolidate skills related to the contents of the 1st and 2nd yeas internship program.
Develops skills in evaluation of the patient's radiotherapy record, execution and management of treatment, particularly focusing on simulation, set-up and use of positioning and immobilization devices adapting them to the patient's comfort and condition.
Develops skills in evaluation of external beam treatments, with emphasis on recognition of target and at-risk organs.
Learns safe handling of equipment, verification of treatment response, and knows about adverse events to radiation treatments.
Development of skills in evaluating and identifying the correct Nuclear Medicine examination protocol based on clinical information, as well as the proper management of the patient in the moments before and after radiopharmaceutical administration, in a safe and efficient manner following international and company protocols.
Developing skills in the proper handling of Nuclear Medicine equipment, quality control and verify its correspondence with the manufacturer's technical specifications by learning to manipulate images appropriately and independently in relation to the pathology to be demonstrated.
Learning the safe use of radiation protection methods, the application of standards and guidelines, the effective manipulation of parameters to optimize dose and image quality, and the proper application of radiation protection principles extends to settings as varied as radiation therapy, brachytherapy, and unsealed sources.
Cultivate interpersonal and communication skills, complying with internship regulations, interacting with mentors and assistants, and learning to live in multidisciplinary settings and environments.
Expected learning outcomes
Upon completion of the course, the student should acquire skills in the areas of.
Radiation therapy:
- Define treatment cycles in terms of time, taking into account patient priorities and skills of the processes involved in the calculation and distribution of radiant dosage and cycles of therapy;
- Knowing and becoming familiar with radiotherapy equipment: linear accelerator (LinAC), electron therapy, brachytherapy, stereotactic radiotherapy, R/T, IMRT, IGRT, gated RT, Tomo-Therapy, proton therapy, unsealed source therapy;
- Conducting a treatment plan from patient intake to completion;
- Adopt all the procedures provided in case of emergency-emergency in radiotherapy;
- Analyzing physiologic radiologic anatomy and differentiating it from pathologic anatomy and consolidating knowledge of Beam's Eye View (BEV), Gross Target Volume (GTV), Clinical Target Volume (CTV), Planning Target Volume (PTV), Organs at Risk (OAR), Dose Volume Histogram (DVH) and TNM oncology classification;
Nuclear Medicine:
- Work in nuclear medicine diagnostics knowing and paying attention to radioactive decay processes and management of radionuclides and radiopharmaceuticals;
- Apply critical thinking and evaluate images in terms of quality, diagnostic acceptability and adherence to criteria of correctness and patient conditions;
- Independently conduct a nuclear medicine examination and make decisions on the completion of the examination according to current protocols and required indications in addition to knowing how to perform periodic quality control tests on CT, SPECT-CT, and PET-CT equipment;
- Adopt all required procedures in case of emergency-emergency and in case of radiopharmaceutical leakage;
- Analysis of physiological medical-nuclear anatomy and differentiate it from pathological anatomy;
Relational and communicative personal development:
- Conscious time management and responsibility in the use of internship spaces;
- Activate appropriate professional attitudes, feedback with mentors and internship assistants, and effective communication within a multidisciplinary team;
- Communicate effectively with appropriate professional terminology with patients and be able to provide information about procedures, treatments, aids, and care pathways;
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
The teaching program includes presentation and discussion of the following topics:
- Presentation of internship objectives;
- Presentation of the rules and regulations to be followed in the internship setting;
- Presentation of the locations and professional mentors;
- Presentation of the evaluation items;
- Feedback moment midway through the internship;
- Simulation of the examination test and activation of teaching moments to fill any training gaps;
Prerequisites for admission
Full knowledge of the courses of "Morphological and functional basis of life", "Radiobiology and radioprotection", "Conventional radiology: Imaging and techniques", "Computed Tomography: Techniques", "Contrast radiology: techniques", "Magnetic Resonance: Techniques" and "Neuroradiology and Interventional Radiology: Techniques", "Radiotherapy" and "Nuclear Medicine".
Teaching methods
Experiential teaching:
The internship transforms theoretical knowledge into practical skills, linking classroom learning to practical experience. The student, guided by a Professional Tutor and coordinated by the Director of Professional Activities, develops professional, gestural and interpersonal skills.
Teaching Resources
MAZZUCATO, GIOVAGNONI: Manuale di tecnica, metodologia e anatomia radiografica tradizionali - Piccin
COCHARD, HARMATH, MAJOR, MUKUNDAN: Netter's, Introduzione all' imaging - Piccin
GUGLIELMI, MAGRINI: Elementi di Radiobiologia e radioprotezione - Piccin
VOLTERRANI, ERBA, MARRIANI: Fondamenti di medicina nucleare. Tecniche e applicazioni - FELTRINELLI
FANTI, LOPCI, MONETTI: Compendio di diagnostica medico nucleare ed. 2022 - ESCULAPIO
BALDUCCI, CELLINI, CORNACCHIONE: Elementi di radioterapia oncologica - Società editrice UNIVERSO
OLIVETTI: Professione TSRM: Norme e conoscenze essenziali- Springer
PIO NATALE: Guida completa alla preparazione di test preselettivi e prove pratiche per TSRM II edizione - Edises
PIO NATALE: Concorsi per tecnico di radiologia: test e procedure per le prove scritte e pratiche V edizione - Edises
Assessment methods and Criteria
Mode of test: Oral;
Test type: Image commentary/radiological procedure;
Assessment Parameters: Items based on EFRS Benchmarking, EQF level 6, found in the Internship document;
Type of evaluation used: Grade expressed in 30ths;
Formalization of grade: By the Director of professionalizing activities, in collaboration with professionalizing tutors;
Number and types of tests contributing to the final evaluation: Single test, divided into stations;
Method of registration: Mandatory reservation on the UNIMIA portal, by the dates established for each call;
MED/50 - APPLIED MEDICAL TECHNOLOGY AND METHODOLOGY - University credits: 22
Practicals - Exercises: 550 hours