Neurobiology, human behaviour and clinical neuroscience (clerkship)

A.A. 2019/2020
2
Crediti massimi
50
Ore totali
SSD
MED/25 MED/26
Lingua
Italiano
Obiettivi formativi
Practical activities will be used to consolidate technical and soft knowledge and skills developed during frontal lectures in the field, with different types of doctor-patient relationship and with patients with different diagnoses at different stages of the disease.
Risultati apprendimento attesi
At the end of the activities the student must have achieved the following results:
- Approach a patient with neurological symptoms
- Relate the neurological symptoms to an impairment of a functional pathway
- Focus the neurological examination on the base on the reported symptoms
- Localize the symptoms reported by the patients and the observed abnormal signs to a neurological lesion
- Perform the differential diagnosis of the diseases the may cause the suspected lesions
- Investigate the possible causes of the lesions choosing the most appropriate diagnostic investigations
- Evaluate the possible therapeutic approach in the patient
- learn how to apply and translate the theoretical knowledge into technical and practical skills on the ward
- Manage the doctor-patient relationship in different clinical and territorial contexts;
- Know and implement the rehabilitation and pharmacological approach with patients at different stages of the disease and different clinical and territorial contexts.
Programma e organizzazione didattica

Edizione unica

Prerequisiti
To take the Neurobiology, Human Behaviour and Clinical Neuroscience 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).
Students must recall the anatomy and physiology of the central and peripheral nervous system.
Modalità di verifica dell’apprendimento e criteri di valutazione
Student assessment is based on a combination of written and oral examinations.
The written exam is a multiple choice test focused on the topics of all the modules but Neurology and Mental Health (5 questions for each module, each one with one correct answer). Only students who successfully pass the written test for all the discipline (3/5 correct questions) are allowed to take the oral examination of Neurology and Mental Health. Students may also access to the oral examination if they fail to pass one discipline as far as at least 40% of the response were correct in that discipline or if they pass at least 80% of all proposed tests. A passed written examination remains valid for the entire academic year. The oral of Neurology and Mental health can be taken separately but within the same academic year. The written test and oral examination will cover all the topics covered by the seminars.
The final mark is the average of the marks obtained through the oral examinations weighted by the number of credits of the two disciplines. The exam is deemed to be passed successfully if the final grade is equal to or higher than 18/30. 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.
Mental health
Programma
Neurology: The neurological examination of cranial nerves, motor and sensory, cortical functions
Clinical approach to: the patient with acute onset of neurological signs; confused patient; patient with pain in the head; patient with acute loss of consciousness; patient with fever and acute neurological impairment; patient with intracranial masses; patient with loss of memory, patient with motor and neuromuscular impairment and neuropathy; patient with brain impairment after an infectious disease or a tumor; patient with neurological respiratory insufficiency or dysphagia.
Basic and advanced neuroimaging.

Mental health in adults. Clinical approach to Disorders of Thought and Delusions, Anxiety Disorders, Personality Disorders, Schizophrenic and Psychotic patients, mood disorders, abuse substance
Metodi didattici
Lectures, Case presentation, Videos. Practical activities will be used, through simulation or in the ward, to consolidate technical and soft knowledge and skills developed during frontal lectures.
Materiale di riferimento
NEUROLOGY
· Adams & Victor's Principles of Neurology, 11th edition, McGraw Hill Education, 2019
· Merritt's Neurology, 13th edition, Pedley & Rowland, Wolters Kluwer, 2015
· Bradley, Neurology in Clinical Practice, 7th edition, Elsevier, 2015
REHABILITATION MEDICINE
· Shumway-Cook A., Woollacott M. Motor Control: Translating Research into Clinical Practice. 5th Edition, Wolters Kluwer, 2016
PSYCHOPATHOLOGY
· Sims' Symptoms in the Mind 4th Edition. An Introduction to Descriptive Psychopathology. Femi Oyebode. Elsevier
· Hallucinations in Psychoses and Affective Disorders. Editors: Brambilla P, Mauri MC, Altamura CA. Publisher: Springer.
· Brain Evolution, Language and Psychopathology in Schizophrenia. Editors: Brambilla P, Marini A. Publisher: Routledge, Taylor & Francis Group.
CLINICAL PSYCHIATRY
· Psychodynamic Psychiatry in Clinical Practice, Fifth Edition. Glen O. Gabbard. American Psychiatric Association Publishing
· DSM 5, Diagnostic and statistical manual of mental disorders, Fifth edition. Arlington: American Psychiatric Association, 2013.
· Clinical Cases in Psychiatry: Integrating Translational Neuroscience Approaches. Editors: Brambilla P, Altamura CA. Publisher: Springer.
· Bipolar Disorder Vulnerability. Editors: Soares JC, Brambilla P, Walss-Bass C. Publisher: Elsevier.
PSYCHOPHARMACOLOGY
· Stahl's Essential Psychopharmacology. Cambridge University Press, 2014.
Neurology
Programma
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 Mental health.
Metodi didattici
Lectures, Case presentation, Videos. Practical activities will be used, through simulation or in the ward, to consolidate technical and soft knowledge and skills developed during frontal lectures.
Materiale di riferimento
NEUROLOGY
· Adams & Victor's Principles of Neurology, 11th edition, McGraw Hill Education, 2019
· Merritt's Neurology, 13th edition, Pedley & Rowland, Wolters Kluwer, 2015
· Bradley, Neurology in Clinical Practice, 7th edition, Elsevier, 2015
REHABILITATION MEDICINE
· Shumway-Cook A., Woollacott M. Motor Control: Translating Research into Clinical Practice. 5th Edition, Wolters Kluwer, 2016
PSYCHOPATHOLOGY
· Sims' Symptoms in the Mind 4th Edition. An Introduction to Descriptive Psychopathology. Femi Oyebode. Elsevier
· Hallucinations in Psychoses and Affective Disorders. Editors: Brambilla P, Mauri MC, Altamura CA. Publisher: Springer.
· Brain Evolution, Language and Psychopathology in Schizophrenia. Editors: Brambilla P, Marini A. Publisher: Routledge, Taylor & Francis Group.
CLINICAL PSYCHIATRY
· Psychodynamic Psychiatry in Clinical Practice, Fifth Edition. Glen O. Gabbard. American Psychiatric Association Publishing
· DSM 5, Diagnostic and statistical manual of mental disorders, Fifth edition. Arlington: American Psychiatric Association, 2013.
· Clinical Cases in Psychiatry: Integrating Translational Neuroscience Approaches. Editors: Brambilla P, Altamura CA. Publisher: Springer.
· Bipolar Disorder Vulnerability. Editors: Soares JC, Brambilla P, Walss-Bass C. Publisher: Elsevier.
PSYCHOPHARMACOLOGY
· Stahl's Essential Psychopharmacology. Cambridge University Press, 2014.
Moduli o unità didattiche
Mental health
MED/25 - PSICHIATRIA - CFU: 1
Clerkship (att.prof.): 25 ore
Docente: Brambilla Paolo

Neurology
MED/26 - NEUROLOGIA - CFU: 1
Clerkship (att.prof.): 25 ore
Turni:
Group 1
Docente: Nobile-Orazio Eduardo
Group 2
Docente: Silani Vincenzo
Group 3
Docente: Sansone Valeria Ada Maria
Group 4
Docente: Martinelli Boneschi Filippo

Docente/i
Ricevimento:
Giovedi 14.00-16.00
Policlinico San Donato
Ricevimento:
previo appuntamento da concordare via e-mail
Ricevimento:
previo appuntamento da concordare via e-mail
Ricevimento:
11-12 Lunedì
Istituto Auxologio Italiano IRCCS - Piazzale Brescia no 20 - 20149 Milano