MedInTO Medicine and Surgery

Hygiene, Public Health, Forensic and Occupational Medicine

Hygiene, Public Health, Forensic and Occupational Medicine

Academic year 2022/2023

Sommario del corso

• Course objectives
• Results of learning outcomes
• Program
• Course delivery
• Learning assessment methods
• Suggested readings and bibliography
• Notes
• Teaching tools
• Course card

Course objectives

Public Health

The aims of the module are the following

• to analyse epidemiological data on the health of the population suggesting possible causes of geographical variations and temporal trends in the distribution of diseases and risk factors
• to identify the mechanisms responsible for inequalities in health in order to tackle them with effective policies
• to measure how much health could be gained through appropriate primary and seondary prevention strategies
• to value advantages and critical points of different health systems and to know the organization of the Italian Health National System 

Statistics

The aims of the module are the following

• to provide the students with critical tools to set up the statistican analysis of a database according to the design of the study
• to become familiar with the use of a statistical software
• to carry out a standard statistical analysis
• to interpret and discuss the results obtained

Forensic Medicine

The aims of the module are the following

• to understand the legal framework of medical obligations towards patients, judiciary and the public
• to understand the legal framework of medical liabilty
• to critically evaluate forensic problems related to the ascertainment of death and its causes

Occupational Medicine:

The aims of the module are the following

• to provide the basic knowledge of occupational diseases (by physical, chemical and biological agents) through critical analysis of clinical cases
• to evaluate of the results of the occupational medical examination
• to manage the legal obligations in occupational medicine

Results of learning outcomes

1. At the end of the Public Health module, students will be able to:

• read and discuss epidemiological data
• discuss mechanisms of generation and contrast of health inequalities 
• discuss main interventions for primary and secondary prevention 
• suggest clinical pathways in NHS, particularly regarding frail groups
• discuss main mechanisms of NHS functioning
• discuss main models of health systems in the world
• discuss benefits and criticisms of various health systems
• discuss core concepts of health economics 

At the end of the Forensic Medicine module, students will be:

• conscious of the most relevant laws and regulations that govern the practice of medicine in Italy
• able to identify and describe injuries caused by the most common mechanisms of wounding
  
  

Program

Public Health

• health needs evaluation
• italian health status
• inequalities in health: epidemiology, mechanisms, interventions for reducing the amount
• prevention strategies: health promotion, vaccines, screening, care and diagnostic paths
• Evidence Based Prevention
• Health in all policies
• environmental risk factors
• frail populations
• health systems organization
• the National Health care system organization
• principles of economy applied to health systems

Statistics

• Descriptive analysis of the study sample
• How to choose the most appropriate statistical test
• Comparison of means / medians and how to perform a test on binary variables
• How to carry out a regression analysis

Arguments will be ilustrated through case studies analyzed with the R software 

Forensic Medicine

• Principles of penal law: Bodily harm - Murder - Rape - Failure to assist - Child or incompetent  abandonment – Family abuse
• Professional secrecy – Duty towards judicial authority
• Principles of private law
• Informed consent – Obligatory sanitary treatments
• Privacy principles - Legislation about organ transplantation - Voluntary pregnancy i-interruption - Assisted medical procreation
• Rudiments of professional responsibility
• Elements of forensic thanatology and pathology

Occupational Medicine

• Major occupational diseases from physical, chemical and biological agents
• Risk assessment in occupational scenarios: exposure evaluation
• Principles of Industrial Toxicology
• Biological Monitoring in the workplace
• Medical surveillance according to DL 81/2008

Course delivery

Formal lessons and exercises, simulations, problem based learing materials, audiovisual materials, suggested readings.

Learning assessment methods

Written test will be structured as follows:

• Public Health (4 CFU) : 5 open questions - 50 minutes
• Forensic Medicine (3 CFU) open and multiple choice questions - 30 minutes
• Occupational Medicine (2 CFU) multiple choice questions - 20 minutes

The expected degree is at least 18/30 for each module, the final result will consist of the weighted mean based on CFU.

Oral is optional and could produce an increase or decrease of the degree of each module of 2 points maximum.

Statistics: homework. If not delivered the weighted mean will be decreased.

Slides,videorecorded lessons and further materials published in moodle https://elearning.unito.it/medicina/course/index.php?categoryid=2604

For further deepenings

• Forensic Medicine:
  Slides, review articles, other text and e-resources provided by teacher
• Occupational medicine:
  Further materials suggested during lessons

Notes

• Teaching material
• Exams and finals
• Class schedule
• Go to Moodle
• Register for the course
• Enrolled students
• Invia email agli studenti registrati
• Export table