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Subject: INTERNSHIP 2ND YEAR (A.A. 2024/2025)

degree course in PHYSIOTHERAPY

Course year 2
CFU 16
Teaching units Unit Tirocinio ed elaborati in area respiratoria
Different internship for specific profile (internships (internal))
  • TAF: Compulsory subjects, characteristic of the class SSD: MED/48 CFU: 2
Teachers: Francesca MAGNANINI
Unit Tirocinio ed elaborati in ortopedia
Different internship for specific profile (internships (internal))
  • TAF: Compulsory subjects, characteristic of the class SSD: MED/48 CFU: 7
Teachers: Francesca MAGNANINI
Unit Tirocinio ed elaborati in NPI
Different internship for specific profile (internships (internal))
  • TAF: Compulsory subjects, characteristic of the class SSD: MED/48 CFU: 2
Teachers: Francesca MAGNANINI
Unit Esercitazioni tutorato e competenze trasversali in area NPI
Different internship for specific profile (internships (internal))
  • TAF: Compulsory subjects, characteristic of the class SSD: MED/48 CFU: 1
Teachers: Rita NEVIANI
Unit Esercitazioni e tutorato in preparazione al tirocinio in area ortopedica
Different internship for specific profile (internships (internal))
  • TAF: Compulsory subjects, characteristic of the class SSD: MED/48 CFU: 1
Teachers: Gabriele RONDELLI, Francesco REGNANI
Unit Esercitazioni e tutorato in preparazione al tirocinio in area neurologica
Different internship for specific profile (internships (internal))
  • TAF: Compulsory subjects, characteristic of the class SSD: MED/48 CFU: 3
Teachers: Katiuscia RULLO, Sonia ABRIANI, Chiara MORA
Exam type oral
Evaluation final vote
Teaching language Italiano
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Teachers

Sonia ABRIANI
Gabriele RONDELLI
Francesca MAGNANINI
Katiuscia RULLO
Chiara MORA
Rita NEVIANI
Francesco REGNANI

Overview

The teaching aims to accompany the student in the practical experimentation of the knowledge learned during the theoretical lessons with the main objective of learning to evaluate and recognize the signs of the pathologies presented in lessons, thanks to the constant guidance of the clinical and teaching tutor who facilitates the learning through experience and guide the student to consolidate skills.
Specifically, the student must be able to:
Knowing how to collect the significant data of greatest rehabilitation interest regarding the patient, recognizing the main neurological and neuropsychological deficits in the adult patient, knowing how to collect the significant data
Knowing how to observe and evaluate the signs of pathology in subjects with orthopedic and respiratory problems, identifying the main problems;
Identify the signs that characterize the different clinical forms in childhood and organize the context for observation - evaluation.
Knowing how to apply and choose the appropriate patient assessment methods for the type of patient encountered in relation to the theoretical knowledge acquired during the lessons.
Knowing how to formulate coherent short, medium and long-term rehabilitation objectives in relation to the assessment carried out, using and explaining clinical reasoning
Knowing how to formulate treatment hypotheses and, with the guidance of the tutor, carry out proposals for therapeutic activities/exercises identified through clinical reasoning.
Knowing how to use appropriate language depending on the context and adapting communication based on the interlocutor.
Know how to use forms, folders or evaluation scales, choosing from the most suitable ones and comparing those in use in the training districts.
Know the main orthoses used in the treatment of the lower limb in neurological pathologies of adults and childhood, the peculiar characteristics and indications for use.
Know how to detect responses and changes during and at the end of treatment
Knowing how to communicate, with the help of the guide, information regarding the patient and the description of signs of the pathology, objectives identified in verbal and written form in a clear, concise and professional, technically accurate way, adapting communication according to the context and in respect for differences.

Admission requirements

Compulsory attendance of the lessons of the two semesters.
Understand and communicate in Italian, the language in which the course is held

Course contents

The course consists of 16 credits, for a total of 400 hours of internship, divided into the following contents:
Practical internship in the orthopaedic, neurological, cardio-respiratory and child neuropsychiatry areas. The internship is carried out in structures affiliated for the purpose, in the public and private sectors.
Clinical tutoring and briefings in preparation for/during the internship in the various areas.
Internship in the laboratory (with teaching tutor) alternated and coordinated with internship in the clinic (with clinical tutor) aimed at developing skills in the observation and evaluation of the signs of pathology in the neurological patient, with the guidance of the teaching tutor.

Teaching methods

For each internship period, a training project is prepared with an attached internship learning contract, which contains the learning objectives attributable to one or more Dublin descriptors, based on the type of experience, the year of the course and the learning needs. of the student. In the internship training course of the 2nd year of the course, all students will have to demonstrate skills attributable to all the Dublin descriptors. For each internship the student is supported by an internship guide who supports and guides the learning of skills in relation to the objectives described in the internship contract. The clinical tutor works in connection with the teaching tutor. A formative evaluation takes place through a qualitative evaluation reported by the internship guide, accompanied by the initial self-evaluation and ongoing self-evaluation of the student for each objective included in the learning contract. The student is asked to ask for feedback from their clinical tutor regarding the intermediate self-assessment carried out.

Assessment methods

The formative evaluation of each internship period takes place in the clinic, through observation of the student's work: each objective is evaluated according to a 4-point Likert scale. The global formative evaluation of each internship period is expressed in qualitative terms and is given by the transposition of the values ​​extracted from the Likert scale into thirtieths. Furthermore, some written papers which attest to the learning that have taken place contribute to the evaluation. At the end of the orthopedic and children's training, papers on the clinical cases followed are required. The works must be produced with care and attention. The results of a multiple choice test out of 30 on the recognition of the signs of neurological pathology carried out at the end of the tutoring contribute to the final evaluation. There is also an annual internship exam which is divided into a practical part within the internship site on a real patient and a theoretical part through an oral interview. This certification exam is preparatory to moving on to the following year. In this exam students must demonstrate: a) knowledge and understanding of the theoretical principles underlying professional knowledge; b) ability to apply knowledge and understanding to a simulated clinical situation; c) communication skills d) learning ability e) independent judgment. The final grade of the 2nd year internship course takes into account all the evaluations received during the course.

Learning outcomes

Know the neurological, orthopedic, rheumatological, cardio-respiratory pathologies typical of adult patients and patients of developmental age.
Collect, analyze and interpret significant data of interest to the patient's rehabilitation.
Understanding the mechanisms of action of pathologies and the damage for orthopedic and rheumatological pathologies.
Know the mechanisms of action of neurological damage with the resulting motor or cognitive deficits and related neuropsychological deficits and the implications on the patient's abilities/functions.
Recognize the typical signs of pathologies and be able to evaluate the deficits or signs of the pathology using and choosing the appropriate tools to conduct observation and physiotherapeutic evaluation procedures.
Know the principles of rehabilitation treatments that can be used to reduce or compensate for the damage and deficits connected to the pathologies studied.
Identify the signs that characterize the different clinical forms in childhood and organize the context for observation - evaluation.
Identify the patient's main problems, formulate treatment hypotheses and carry out a treatment under the guidance of an expert professional.
Know and understand the mechanism of action of the main orthoses used in the treatment of the lower limb and the postural structure in neurological pathologies of adults and childhood, know their peculiar characteristics and indications for use.

Readings

Kisner &Colby,2002,"L'esercizio Terapeutico" ed PICCIN
A.Ferrari, G.Cioni,2010,"The spastic form of cerebral palsy, ed. Springer
ICF
Classificazione Internazionale del Funzionamento, della Disabilità e della Salute
OMS Organizzazione Mondiale della Sanità