Being able to deal with complex clinical reasoning independently, being able to tailor a correct diagnostic work-up. being able to integrate all the medical knowledge acquired over the 6-year medicine course
Course Prerequisites
An accurate knowledge of the medical sub-specialties is required, as well as the basics of medical semiology. Previous experience in medical wards is certainly essential in improving understanding of the subject.
Teaching Methods
- Lectures, discussion of clinical cases
Assessment Methods
Oral exam with open questions in order to assess the skills of diagnostic and therapeutic approach to the internal medicine patient, with particular reference to the aspects of differential diagnosis. The exam questions will not concern individual diseases, dealt with in previous courses and exams, and will not be limited to just the topics dealt with in the student-teacher lessons. Examples of exam questions: approach to the patient with anemia, approach to the patient with dyspnea, approach to the patient with shock, approach to the patient with diarrhea, approach to the patient in a coma.
Internal Medicine A exam will be carried out together with Internal Medicine B and Internal Medicine C; it will be conducted by a single professor with questions on the contents of the three courses. The exam grade will contribute to the calculation of the global grade of the Integrated Course of Internal Medicine (weighted average).
Texts
Harrison, Cecil, Rugarli
Contents
The lessons will focus on the discussion of complex clinical pictures, with an internal medicine vision of the major diseases. As an non-comprehensive example of the topics that will be covered: - Frailty and aging - multimorbidity/comorbidity - Anemia in internal medicine - diarrhea and malabsorption in internal medicine - medicine based on different ages of life - discussion of complex clinical cases
