05118 - Medical Clinic and Medical Treatment (AK-E)

Learning outcomes

At the end of the course, the student will have acquired:

• the ability for clinical reasoning, adequate to analyze and resolve the most common and relevant clinical problems of medical interest;

• the ability to correctly apply methodologies aimed at detecting clinical, functional, and laboratory findings, and to critically interpret them also from a pathophysiological perspective, for the purposes of diagnosis and prognosis, as well as the ability to assess cost/benefit ratios in the choice of diagnostic procedures;

• the ability to analyze and solve medical clinical problems, evaluating the balance between benefits, risks, and costs in light of the principles of evidence-based medicine and diagnostic-therapeutic appropriateness;

• the ability to correctly set up a therapeutic program within the most common and relevant clinical conditions of medical interest, making choices in accordance with the principles of evidence-based medicine.

Course contents

Here is the English translation of your text:

The topics covered in class are listed below, but they are not exhaustive of the examination program, which encompasses the entire field of Internal Medicine / Clinical Medicine.

The approach is patient-oriented and inductive, with the goal of teaching how to proceed from the patient’s manifestations to the diagnosis and treatment of the disease in question, rather than following a systematic approach to the disease. The systematic knowledge of diseases is, therefore, not only recommended but indeed necessary. In fact, the course aims to develop clinical reasoning with respect to the main pathologies, which have already been addressed in all previous specialized courses (knowledge that must always be recalled and kept up to date, including that of pharmacology), and integrates them with the lectures of this course. Accordingly, several clinical cases will be presented, not only as examples but also as a basis for discussion of differential diagnoses.

The examination may begin with the manifestations of a clinical case, in order to illustrate the differential diagnosis, proceed inductively to the specific diagnosis, and then outline the treatment. Alternatively, it may start with the request to illustrate a disease, following the standard approach of definition, epidemiology, clinical manifestations, diagnostic pathway (clinical, laboratory, and instrumental), staging where relevant, and therapeutic strategy (with knowledge of the names of the main drugs).

Readings/Bibliography

The use of electronic resources such as DynaMed or UpToDate is recommended, as they are certainly more up to date and more consistent with the proposed learning approach.

AMBOSS is an electronic resource designed for students (currently under evaluation by the faculty).

Another electronic resource that places particular emphasis on leveraging visual memory through diagrams is osmosis.org.

Teaching methods

Interactive lectures, including presentation and in-class discussion of clinical cases. Plans are underway to provide the possibility of integrating personal learning through recommended reading materials and self-assessment tests.

Assessment methods

The assessment is conducted in the form of an oral exam in person (except for the few exceptions provided for by university regulations and to be agreed upon in advance).

The exam dates will be published once the availability of the classroom has been confirmed and will be scheduled within the examination periods established by the university.

Office hours

See the website of Alfonso Iorio