Unit CLINICAL NURSING SPECIALISTIC( SPECIALITÀ-SPECIALTY

HAEMATOLOGY

Code	50098301
CFU	1
Teacher	Filomena De Falco
Teachers	Filomena De Falco Lucia Olivieri (Codocenza)
Hours	5 ore - Filomena De Falco 10 ore (Codocenza) - Lucia Olivieri
Learning activities	Caratterizzante
Area	Interdisciplinari e cliniche
Academic discipline	MED/15
Type of study-unit	Obbligatorio (Required)

ONCOLOGY

Code	50097301
CFU	1
Teacher	Giulio Metro
Teachers	Giulio Metro
Hours	15 ore - Giulio Metro
Learning activities	Caratterizzante
Area	Interdisciplinari e cliniche
Academic discipline	MED/06
Type of study-unit	Obbligatorio (Required)

ORTHOPEDICS TRAUMATOLOGY AND ELEMENTS OF PHYSICAL REHABILITATION

Code	50502132
CFU	2
Teacher	Pierluigi Antinolfi
Teachers	Pierluigi Antinolfi
Hours	30 ore - Pierluigi Antinolfi
Learning activities	Affine/integrativa
Area	Attività formative affini o integrative
Academic discipline	MED/33
Type of study-unit	Obbligatorio (Required)

UROLOGY

Code	50144001
CFU	1
Teacher	Michele Del Zingaro
Teachers	Michele Del Zingaro
Hours	15 ore - Michele Del Zingaro
Learning activities	Caratterizzante
Area	Interdisciplinari e cliniche
Academic discipline	MED/24
Type of study-unit	Obbligatorio (Required)
Language of instruction	Italian
Contents	The main topics of the urological and andrological semeiotics will be discussed.The main diagnostic and therapeutic instruments used in urological and andrological diseases will also be presented.
Reference texts	"Testo di Chirurgia Specialistica" Capitoli di Urologia Editore: Zanichelli CEA www.zanichelli.it
Educational objectives	AIMS OF INTERACTIVE EDUCATION The interactive education will be carried out in order to transmit the students a methodological approach to the main uro-andrology diseases. Objective will be to develop the ability to recognize the signs and symptoms of various urological diseases, to identify etiopathogenesis and their clinical value in order to formulate the diagnostic hypothesis. We will provide the knowledge needed to identify more suitable diagnostic tests (laboratory and instrumental) to understand the results together with the specialist to improve the diagnostic and therapeutic strategy. A further objective of interactive education is to enable students to critically assess and correlate symptoms, physical signs, any functional alterations, instrumental examinations and hystological features of main andrological and urological diseases. Finally, the student will acquire the knowledge of the basic therapeutic treatments of uro-andrological diseases including also relevant behavior, prevention, rehabilitation and diet. ABILITIES (skills) Aims of gestural skills include: -the bimanual palpation of the kidney and pelvis-ureter points ; -specialist manovre such physical examination of male and female genital identifying their functional and morphological alterations; -digital rectal examination identifying the neurophysiological and morphological features of the pelvic. For this purpose, hand-on training will be organized for the management of urinary catheter and urostomy. RELATIONAL OBJECTIVES (interpersonal skills) Relational purpose include to transmit students the value of the relationship between physician and patient, highlighting the ethical and psychological aspects. Another aim will be to make the student able to evaluate the psychological, sociological and cultural aspects of the patient in order to adapt the language and improve the understanding of the interview. We will also provide the tools to be able to communicate to the patient the clinical diagnosis and prognosis in order to share the therapeutic strategy and to obtain informed consent. Expected outcomes At the end of the course students will have the theoretical and practical bases for suitable clinical management of main urological and andrological diseases, especially in terms of recognition of the pathological state and appropriate therapy.
Prerequisites	We consider as preliminary and acquired the following abilities: • to achieve accurately medical history and symptoms, • to know the most common laboratory tests, to identify biochemical profile’s major alterations and to understand of their clinical significance • to know the main maneuvers of general physical examination (inspection, palpation, percussion and auscultation of the chest and abdomen).
Teaching methods	Attendance at division, (from Monday to Friday, from 8,00 a.m. to 14,00) outpatient services (on Wednesday and Friday from 8.30 am to 14.00) and operating room (on Monday, Tuesday and Thursday from 8.00 am to 14.00) of the S.C. di Chirurgia Urologica, Andrologica e Tecniche Mini-invasive, Terni. These activities are facultative for all students to learn the medical and surgical management of the urologic patient. - Seminar on the management of urostomy and urinary catheterSupporting tutors in: - patient history collection -physical examination of the urinary system, male and female genital -presentation and discussion of clinical cases -presentation of instrumental tests in urologic outpatient services - Presentation of surgical interventions in the operating theater For the hands-on activities, the students are divided into groups including 5 people; each group will go into the operating room at least once from 8.00 to 14.00 only on Wednesday, Thursday and Friday, into the division and outpatient services from Monday to Friday from 8.00 to 14.00
Other information	Attendance:Mandatory. At least 60% of lessons
Learning verification modality	Oral test lasting approximately 15 minutes divided into two questions, one of which relating to Uro-Oncology and one to Functional Urology. The possible discussion of a clinical case on diagnostic material is expected during the exam. VERIFICATION OF THE SKILLS ACQUIRED DURING THE INTERNSHIP: description of the internship as follows: one day dedicated to morphological diagnostics, one day dedicated to endoscopy, one day dedicated to functional diagnostics, one day reserved for clinical activity in the ward and one day of access to the Surgery room. METHOD OF ALLOCATION OF THE FINAL MARK: arithmetic mean of the marks obtained in the individual disciplines.
Extended program	Semeiotics of Kidney and urinary tract -Semeiotics of the male genitalia -Vesical catheter: classifications, main types of urinary catheter, clinical indications, technique of positioning, complications. Urinary Tract Ultrasound: indications and methods - Scrotal Ultrasound: indications and methods -Transrectal ultrasound of prostate: indications and method -Multiparametric Prostate RM: indications and methods -Urethrocystoscopy: instrumentations, indications, methods and complications -Urinary cytology: indications, diagnostic accuracy and limits -Uroflowmetry: indications and method -Urodynamic examination: indications and method -Lithotripsy: indications and main techniques - Urologic Endoscopy: instrumentations and main surgical techniques -Urological laparoscopic surgery: instrumentations and main surgical techniques -Urological Robotic Surgery: instrumentations and main surgical techniques