INTERNSHIP OF PALLIATIVE CARE
Course contents summary
The internship module is a fundamental part of the Integrated Course of Internal Medicine and Geriatrics. Its aim is to make students learn the practical approach to internal and general medicine patients, representing a mainstay for practicing the physician’s profession.
During internship, clinical cases will be discussed in medical and geriatric wards at the bedside, to give students practical epidemiologic, physio-pathologic, clinical and therapeutic knowledge on a wide range of medical pathologies of cardiologic, endocrine-metabolic, hematologic, rheumatologic, pneumologic, nephrologic, gastroenterologic interest. An integrated approach will be used. The peculiarity of the geriatric approach at both hospitalized and community-dwelling older patients will be particularly emphasized.
In this internship module, the healthcare problems of patients with advanced end-stage diseases, approaching and of life, will be particularly considered. These issues will be considered not only from the clinical-therapeutical point of view, but also from a diagnostic (how to recognize oncologic and non-oncologic patients needing palliative care), relational and ethical perspective. Concepts like quality of life, personalization of care, patient and caregiver information, family support, symptom control, terminal sedo-analgesia will be considered.
Bedside discussion of clinical cases about cardiovascular diseases, respiratory diseases, endocrine-metabolic diseases, neurological diseases, gastroenteric diseases, kidney diseases, rheumatic diseases. Particular emphasis will be given to patients with rare diseases, geriatric patients with multimorbidity and frailty and patients with advanced diseases requiring palliative support.
1) Harrison's Principles of Internal Medicine, XVIII° ed. Mc Graw Hill ed.
2) Rugarli, Medicina Interna sistematica VI° ed, elsevier ed.
Practical activity with discussion of clinical cases at the patient’s bedside in a hospital ward or in an online virtual classroom.
In case of restrictions due to the COVID-19 pandemic, the practical internship will be substituted with online live seminars, with active discussion of clinical cases between professors and small groups of students.
Assessment methods and criteria
An oral test will start from the description of a specific patient, and the student will discuss in a critical fashion the different diagnostic options in order to reach a specific diagnosis, that will be followed by the definition of a therapeutical approach.
This test will allow to evaluate the knowledge as well as the clinical skill of the student