INTERNAL MEDICINE (GERIATRICS)
Old patient has a different physiology and more complicated pathology in comparison to the adults, and he needs a targeted approach. The multi-dimensional and customized analysis of aged person has to be learned according to information derived from practical clinical experience, mainly in the ward. In an aging world, it is essential to have some experience in the geriatric area, whatever the field you will work after graduation.
The student must be able:
-to understand the European and Italian epidemiology, in particular the population demographic changes
-to recognize the changes that the older person shows and know how to approach him/her clinically, psychologically and with humanity
-to apply the international multidimensional evaluation methods (i.e. the “comprehensive geriatric assessment”)
- learn about the various degrees of fragility, complexity and the elderly person's severe impairment
- to know and be able to diagnose and treat the most common diseases of elderly (geriatric syndromes)
- Set an effective analgesic therapy after a precise evaluation of pain
- to implement the pathologic aging prevention, plan a healthy life, to know and apply a judicious and wise anti-aging therapy
- to address the ethical and deontological problems in the elderly population, the undue treatment and palliation
- to properly use the network of services for the elderly
AIMS AND LEARNING OUTCOMES
The student once acquired the core curriculum of geriatrics will be able to:
evaluate the impact of age-related changes on the physiology, comorbidity and drug selection and prescription
know the drugs that should be prescribed with caution or avoided
to have full knowledge of the possible adverse events, food, diseases and molecules interactions with the drugs used in the elderly
differentiate the clinical presentation of delirium, dementia and depression
formulate a differential diagnosis and observe the clinical relevance of a patient with cognitive impairment; set the specific drug therapy and non-pharmacological
assess the cognitive abilities of an elderly with memory problems
establish the functional capacity of an elderly, including sensory conditions; perform a physical examination focused on elderly
develop a plan to manage frailty and disability through environmental adaptation and social interventions; participate to a multidisciplinary team (UVG)
identify safety risks to the patient's home and recommend appropriate changes
analyze the falls, assess the gait and postural stability, interpret tests and set up a prevention and treatment plan
check the family, social, environmental situation and the organization of life of the elderly
assessing the life expectancy, the clinical condition, the patient's preferences, realistic goals for the a diagnostic screening and for a cure
to know the the possibility of atypical presentations, orphan symptoms, shared symptoms of different diseases
knowing how to assess pain even in the patient with dementia, how to set up a therapy and re-check it over time
learn about palliative care and hospice care as a positive option for the patient
know the risks of hospitalization, risk prevention and find a possible treatment
know what are the limits and the risks of physical and pharmacological restraints
set a discharge from a hospital or nursing home, with the review of medications, the follow-up, the signs of rehabilitation and the address correctly the patient and his family in the network of services
know how to prevent and deal effectively with the pressure sores
address the ethical and clinical problems in the last part of the patient's life
Plenary Lectures (10 hours and minimum 30 hours of clinical activities in the ward)
Keep in mind the demographic aspects of aging in Italy and in the EU, emphasizing the clinical implications for the area of internal medicine and for the primary care
Address the diagnostic, prognostic, therapeutic and rehabilitative peculiar features of oldest pathologic conditions and face the comorbidity, the "Geriatric syndromes", as well the "orphan" symptoms
How to use the informed consent and the support services for the elderly.
Hazzard's Geriatric Medicine and Gerontology, Mc Graw-Hill 2017
Ham – Primary care geriatrics – Saunders 2014
Oxford’s handbook of geriatric medicine – Oxford 2012
Ricevimento: every monday after lessons ( from 16.30-17.30) and on student's request by sending email ( email@example.com) for a scheduled appointment
ROBERTO PONTREMOLI (President)
SIMONE NEGRINI (President)
FABRIZIO MONTECUCCO (President)
FEDERICO CARBONE (President)
ALBERTO BALLESTRERO (President)
Plenary Lectures (10 hours and minimum 30 hours of clinical activities in the ward)
A written / computerized preliminary test is based on n. 30 multiple choice questions on topics of Medicine and n. 30 multiple choice questions on Geriatrics.
The test is done by a series of multiple-choice questions that are useful to check the effective acquisition by the student of essential information for the expected learning target about the integrated course.
A score not lower than 18/30 it allows the student to pass the preliminary test.
The second part of the exam is designed to assess the student's know-how in the area of the course and it contributes to the final score (max. 30):
The ability to review in a critical way and treat the required arguments also from the practical point of view is appreciated; the accuracy, the clarity, the synthesis and speech fluidity are quality also esteemed; the skills for the approach to the patient, the respect, humanity and ability to ask questions and get appropriate answers will be evaluated
Mastery of the knowledge and expertise in the personalization of medicine are considered priority, as the adoption of appropriate terminology, not overly technical, in the approach to the patient
The score of 30/30 cum laude, it will be granted when the knowledge / skills of the field are outstanding.
|09/07/2020||09:00||GENOVA||Scritto||ore 09.00 appello in Aula 3 Polo Alberti. L'esame si svolge in Aula di Infolinguistica, Polo Alberti|
|16/07/2020||08:30||GENOVA||Orale||L'esame di medicina 2 si svolgerà su Teams col seguente calendario: Orale di Geriatria 16/06 ore 10 Orale di Genetica Medica 17/06 ore 9 Orale di Medicina Interna: Canale X 18/06. prof Ballestrero ore 9.30; Prof Montecucco ore 10.30 Canale Y 19/06 ore 10.30 I voti parziali di maggio verranno considerati validi|
|16/07/2020||08:30||GENOVA||Orale||L'esame di medicina 2 si svolgerà su Teams col seguente calendario: Orale di Geriatria 16/06 ore 10 Orale di Genetica Medica 17/06 ore 9 Orale di Medicina Interna: Canale X 18/06 ore 10.30 Canale Y 19/06 ore 10.30 I voti parziali di maggio verranno considerati validi|
|01/09/2020||09:00||GENOVA||Scritto||ore 09.00 appello in Aula 3 Polo Alberti. L'esame si svolge in Aula di Infolinguistica, Polo Alberti|
|10/09/2020||08:30||GENOVA||Orale||L'esame di medicina 2 si svolgerà su Teams col seguente calendario: Orale di Geriatria 16/06 ore 10 Orale di Genetica Medica 17/06 ore 9 Orale di Medicina Interna: Canale X 18/06. prof Ballestrero ore 9.30; Prof Montecucco ore 10.30 Canale Y 19/06 ore 10.30 I voti parziali di maggio verranno considerati validi|
|10/09/2020||08:30||GENOVA||Orale||L'esame di medicina 2 si svolgerà su Teams col seguente calendario: Orale di Geriatria 16/06 ore 10 Orale di Genetica Medica 17/06 ore 9 Orale di Medicina Interna: Canale X 18/06 ore 10.30 Canale Y 19/06 ore 10.30 I voti parziali di maggio verranno considerati validi|
|16/09/2020||15:00||GENOVA||Orale||SU TEAMS - ORALE DI - MEDICINA INTERNA - CDLM in ODONTOIATRIA E PROTESI DENTARIA AVVISO: Il Prof. Durando ha stabilito che l'Esame di "MEDICINA DEL LAVORO" del Corso Integrato di Scienze Mediche I- cdlm IN Odontoiatria e Protesi Dentaria si svolgerà : martedì 30 giugno 2020 ore 11,00 - esame online scritto|
Three complementary teaching activities (ADE) are available for students:
The first concerns the approach to acute geriatric patient (at the Geriatric Clinic); the second is an experience in the outpatient clinic (memory clinic and oncogeriatrics); the third is the frequency in the intermediate care ward, spool between the acute care and the home or residential care.
The thesis can be obtained from one of the teachers of Geriatrics and the list of themes will be available at the DiMI Student’s Office .
The educational material will be available on the DiMI website.