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Interprofessional Clerkship 1

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Introduction to Patient Care

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Academic year 2021/2022

Course ID
SCB0232
Teaching staff
Prof.ssa Elisabetta Versino
Prof. Giovanni Battista Ferrero (Lecturer)
Year
1st year
Teaching period
To be defined
Type
Basic
Credits/Recognition
1
Course disciplinary sector (SSD)
NN/00 - nessun settore scientifico
Delivery
Formal authority
Language
English
Attendance
Mandatory
Type of examination
Practice test
Prerequisites
BACKGROUND
Interprofessional education (IPE) in medicine is a process of field education. IPE develops students’ abilities to interact with individuals or groups that have
different perspectives on the patient.
This strengthens cooperation skills, as well as a holistic approach to health care problems.
This approach is consistent with the guidelines of the Orbassano Medicine & Surgery course, which require student-centered learning and early exposure to clinical practice.
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Sommario del corso

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Course objectives

INTENDED STUDENTS
1st year MD students in tandem with 3rd year nursing students.
At the teaching location, students will be supported by 3rd year nursing students, who will act as peer coaches, under the supervision of a clinical tutor.

GENERAL COURSE OBJECTIVES
Identifying key aspects of caretaking.
Identifying and experimenting with tools and the practice of caretaking.

SPECIFIC COURSE OBJECTIVES
At the end of the course, students will have had an introduction to:

  • Understanding the centrality of the person;
  • Training on some basic skills like moving patients confined to bed, checking arterial pressure and vital signs;
  • Identifying basic rules and dynamics in the relationship and communication with the patient;
  • Making a reflection on their future role, nurse role and the value of inter-professional synergy.
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Course delivery

ATTENDANCE

Tabella attendance

WARDS
Eleven wards are involved in this clerkship. They include all the key wards for inpatient care at S. Luigi Gonzaga University Hospital (see map).
This is the full list of wards with the names of the medical director, the nurse coordinator and the nursing student tutor.

 

 

Director

Nurse Coordinator

Nursing students Tutor

1 Cardiologia

Dr. Montagna

Bertolo Pierangela

Formentin Enrica

Losco Maurizio

2

Chirurgia Generale

Prof. Degiuli

Ruscitti Paola

Guerrieri Luigi

3

Chirurgia Toracica

Prof. Ardissone

Torre Luciana

Torre Luciana

4

Medicina interna

Prof. Terzolo

Cappello Serena

Foletto Claudia

5

Medicina Interna ad indirizzo Ematologico

Prof. Guerrasio

Caspanello Salvatore

Giori Manuela

6

Neurologia

Dr. Bertolotto

Bazzo Rossella

Stefania Pellegrino

7

Oncologia Medica

Prof. Scagliotti

Roma Cinzia

Andruetto Umberto

8

Ortopedia Traumatologia

Prof. Castoldi

Torre luciana

Torre Luciana

9

Pneumologia

Dr. Perboni

Penso Roberto

Mazzilli Sonia

10

Medicina Fisica Neuroriabilitativa 

Dr. Gamna

Parodi Angela

Ciriaco Denni

11

Urologia

Prof. Porpiglia

Vettori Silvia

D’Ascoli Cristina

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Learning assessment methods

ENROLLMENT CRITERIA AND CALENDAR
Criteria to be included in the IP Clerkship are:

  1. “Medico competente” pass received;
  2. Language category received;
  3. Agreement with pair/ward/date randomization.

The Course will fix the 100 students in 50 pairs, on the basis of skill in the two languages (ideally 1 student with proficient Italian + 1 student with proficient English) and set the calendar (see below the update at March 28).
Each pair will be randomly assigned to a single ward, where the students will spend a week (at least 3 afternoons, from 14:00 to 18:00 and Saturday from 8:00 to 16:00), with time for activities at the patient’s bed and time for discussion, review and logbook compiling.

ASSESSMENT
This clerkship does not require a formal assessment with an exam.
Evaluation will be linked, in particular, to how the logbook is used.
LOGBOOK:

  • A tool to reflect during/after the clerkship;
  • A room for analysis and ideas, useful for:
    • Teachers, in order to keep courses increasingly consistent with the needs of learners;
    • Learners, to train in analysis and self-analysis for an increasingly full awareness of their professional role.


To pass the clerkship the student must:

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Program

TRAINING REQUIREMENTS AND OUTLINE FOR THE LOGBOOK

Therapeutic environment and professional roles (max 200 words)

Objective: to document the main elements of the structure and organization of a medical ward, taking into consideration the type of patients and the roles and activities of the staff
Methods: with the help of the nursing student (and nursing tutor), students must collect and report information, in summary, regarding:

  • Ward structure and main medical equipment;
  • Type of patients (main illnesses and needs for care);
  • Main care activities.

Your experience as body contact with the patient (max 300 words)
Objective: To describe and analyze your experience in physical contact with patients
You will see some patients. Their clinical condition and treatment needs will be introduced with the help of the student nurse, or ward nurse, or both.
You will participate in activities that involve body contact with the patient (example: mobility, physical preparation for surgical intervention, arterial pressure assessment, etc.).
After these experiences, please write down:

  • Brief description of the patients (age, reason for admission, independence level in basic life skills);
  • Treatment activities you took part in; your role;
  • Your thoughts and feelings; any difficulty in the physical interaction with a sick person;
  • Follow-up observations comparing yourself with the nurse or student who participated with you.

Your communication with patient/family (max 300 words)
Objective: to describe and analyze your first direct experience of communication with patients
You will participate in activities that foster a meaningful relationship (examples: treatment at admission or dismissal, medical examination, information on procedures or treatments, informed consent, preparation for surgical procedures, etc.).
Write down a description of any significant emotional aspect of your communication (content and feelings) with the patient. 
Also describe behaviours/attitudes of the nurse/doctor or student, that you felt more effective (or not).

Blood pressure (BP) (max 300 words)
Objective: acquire the skill of assessing BP and start using it in the early steps of clinical reasoning.
Before starting IP clerkship:

  • Go to campusnet and look at a video (in Italian) on basics in measuring BP (https://www.youtube.com/watch?v=AEO7g4GQV08);
  • Read basic parts of reference guidelines on BP (Whelton PK et al., 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol. 2017 Nov 7.  PubMed PMID: 29146535) (http://www.medinto.unito.it/do/didattica.pl/Show?_id=0dv6) (Sections 3 & 4, pages 21-38);
  • During the clerkship, with the help of the student nurse or ward nurse or both, train yourself to measure BP;
  • In any case of elevated BP/hypertension, ask for help or read reference guidelines for an orientation on diagnosis and clinical reasoning (Section 5, pages 39-54) and general measures (Section 6, pages 55-61);
  • Write down what you learned most about this topic.

Italian / English medical languages (at least 20 terms)
Objective: critical comparison on Italian/English medical languages.
Commitment: collect and describe the most interesting medical terms (or sentences/wording/conditions/diseases) you met during your IP clerkship.
Warnings:
Prioritize terms coming directly from the patients you met during the clerkship.
Prioritize terms where Italian and English do not fit well (i.e., same word/different meaning; double meaning; ambiguity; uncertainty) and work to disambiguate.
The terms may be in common with your peer (mention the name) during the clerkship and should be at least 20.


See the example below:

  • Italian term (Slang): Gonfiore.
  • Italian term (medical): Tumefazione, rigonfiamento, tumor (lat.).
  • English term (slang): Swelling; bloating, bulge, puffiness.
  • English term (medical): Tumor (US), tumour (UK), tumefaction.
  • Meaning: «an abnormal bodily protuberance or localized enlargement» 
    (source: https://www.merriam-webster.com/dictionary/swelling)
  • Your learning on the term/condition
    • In Italian popular parlance the term tumore always means cancer;
    • In Medicine (both Italian and English) the term tumor keeps both meaning, the original of “swelling”, and the oncological one.

Express your opinion about this clerkship and any improvement you suggest. They will be taken into account to improve it in the future YOUR ASSESSMENT (max 300 words)

Suggested readings and bibliography

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