THE NATIONAL HEALTHCARE SYSTEM
cod. 1002604

Academic year 2024/25
3° year of course - Second semester
Professor
Marcello Giuseppe MAGGIO
Academic discipline
Medicina interna (MED/09)
Field
Medicina di comunità
Type of training activity
Characterising
20 hours
of face-to-face activities
2 credits
hub: -
course unit
in ITALIAN

Integrated course unit module: HYGIENE, PUBLIC HEALTH AND HEALTH POLICIES

Learning objectives

This course of study aims to teach the student to deal with clinical
problems of patients suffering from the most common diseases of
General Medicine.
The student must be:
- able to make a clinical investigation plan for diagnosis,
- able to evaluate clinical and instrumental data in differential diagnosis,
make a therapeutic, pharmacological and non-pharmacological plan for
the acute disease and chronic phase, know to apply preventive
measures.
It also aims to introduce the student the reality of the territory that
includes all the services provided by USL, including the role of the
general practitioner.

Prerequisites

Knowledge of semeiotics and clinical methodology, pathophysiology and
pharmacology.

Course unit content

ole of the family physician in the NHS.
The organization of Territorial Medicine: Group Medicine and Health Homes.
of Health.
The clinical role of the General Practitioner.
The development of General Medicine in Italy: '
From the 'mutualistic body to the SSN.
New technologies in General Medicine.
The development of integration and collaboration on the territory and with the hospital.
The competencies of the General Practitioner: prevention with
health promotion and screening, taking charge from the development of the
symptoms with differential diagnosis, framing in the diagnostic
treatment (PDTA) of the single pathology or non
complex.
Outpatient and home care coordination for diseases
single or multiple conditions (TISE/CASE MANAGEMENT).
The coordination of outpatient and home care of frail patients
with multiple morbidities.
Coordination of home-based end-of-life care of terminally ill patients.
The development of integration with the territory through ADIs (Assisted
Integrated Home Care), intermediate care, community hospitals.
The development of integration with the hospital through UMMs.
The services of the territory in health houses.

Full programme

The Eco-assisted visit: eco-topographic anatomy and advantages of
ultrasound semeiotics
Basic medicine as told to medical students Part 1
The Eco-assisted visit: execution of the examination, indications and its
objectives in thoraco-abdominal pathology.
The basic medicine told to the students of Medicine Part 2
Family medicine at the time of the Coronavirus and the role of the family
doctor in the SSN.
Territorial medicine, PDTA and ADI. Group Medicine and Health Homes.
Primary Care: the GP between past, present and future 1
Primary Care: the GP between past, present and future 2
Screening of the movie "Next Generation MMG" by SIMG (Italian Society
of General Medicine and Primary Care) + The Parma model: Hospital-
Territory Integration (UMM, SPOC on call specialist, anti-Covid Operations
Center)
Home care, intermediate care and community hospital.

Bibliography

1) Harrison's Principles of Internal Medicine, XVIII ed. Mc. Graw Hill ed.
2) Goldman-Cecil Medicina Interna, XXV ed. Edra SPA editor

Teaching methods

Face-to-face lesson using a power point presentation.
Discussion and questions.
Screening of the film "NEXT GENERATION".
(possible visit at the “Casa della Salute”)

Assessment methods and criteria

The module is an integral part of the course "Hygiene, public health and health policies"
The course includes a single final written exam.
The final evaluation will take place through a multiple-choice quiz conducted on ELLY platform. The test will last 45 minutes and will consist of 31 multiple-choice questions. The test will cover all the topics covered in all modules of the course.
One point is assigned to each correct answer, and the minimum score to pass the test is 18. The test is evaluated on a scale of 0-31. A student who achieves the maximum score (31) will receive honors.
Students with learning disabilities (DSA/BSE) are asked to contact first the " Centro di Accoglienza e Inclusione dell'Ateneo" (cai@unipr.it).

Other information

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