PROFESSIONAL TRAINING THIRD YEAR
Academic year and teacher
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- Versione italiana
- Academic year
- 2022/2023
- Teacher
- ELENA SMORGAN
- Credits
- 24
- Didactic period
- Secondo Semestre
- SSD
- MED/48
Training objectives
- The internship will be carried out in the context of the following competences:
- CARE AND REHABILITATION, welcoming and evaluating (using valid and reliable tools and through observation), people in developmental age, adults and the elderly with major neurological and / or orthopedic problems and / or with visceral co-morbidities. Contribute to the formulation of the person's rehabilitation project. Design, propose, implement and evaluate the outcome of an effective, efficient, safe, evidence-based and shared physiotherapy program. Use problem setting, problem solving and decision making strategies in the clinical reasoning process, integrating them into the WHO ICF model.
- PREVENTION, carry out primary or secondary prevention of musculoskeletal problems and identify the risk of secondary complications for oneself and for other people. Respect and promote safety and hygiene rules in the workplace.
- THERAPEUTIC EDUCATION, formulate projects and therapeutic education interventions aimed at people with neurological problems or with musculoskeletal or visceral problems.
- COMMUNICATION/RELATIONSHIP, create a listening and relational response that is respectful and empathetic towards the person and the caregivers. Adapt verbal and non-verbal communication strategies to the specific person and context. Interact and collaborate with professionals and other people, welcoming the opinions of others without prejudice and supporting their own in a detailed and polite way. Analyze your emotions, felt during or following the relationship or interaction.
- PROFESSIONAL RESPONSIBILITY, adhere to the principles of ethics and compliance with the rules / laws in the health sector (including code of ethics and protection of confidentiality). Identify your limits of competence and responsibility. Take responsibility for the actions performed and agree to mediate their needs in relation to those of others and organizations. Treat the documentation of the person and that relating to their training course according to the rules and procedures.
- MANAGEMENT, plan the internship activities with the year-long tutor, considering the regulatory and organizational constraints of the training center and the internship venues. Identify and respect the professions, roles and responsibilities in the organization. Manage organizational processes and unforeseen events with flexibility and proactivity.
- TRAINING/SELF-TRAINING, define with the tutor the year and the internship guides and the training objectives and activities to achieve them. Ask for and accept feedback, reflect and self-evaluate. Verify and integrate their theoretical knowledge as needed. Progressively self-direct their training path.
- EVIDENCE BASED PRACTICE (EBP), in choosing a treatment or in the face of a clinical problem, seeking and considering the best available evidence, other to the person's values and experience.
NOTE: internships of the first and second semester are reported together as they are functionally united. Prerequisites
- Having achieved the educational objectives of competence provided for in the course "Vocational training activities" of the second year of the course.
Course programme
- INTERNSHIP SETTING, DURATION AND ACTIVITIES:
-Rehabilitation in developmental age at regional or extra-regional rehabilitation services in developmental age
-Rehabilitation in the neurological area at regional or extra-regional neurological rehabilitation facilities
- Musculoskeletal rehabilitation at outpatient services of the NHS or accredited private services or freelance studies, or regional or extra-regional specialist services
-Rehabilitation in a specific area chosen by the student for the in-depth study of contents for the preparation of the degree thesis.
- Vocational training activities: tutorial activities, in groups and with individual students, (throughout the academic year) for the definition of training objectives, re-elaboration of experiences, improvement of clinical reasoning and technical-gestural skills.
-Acute physiotherapy in acute care wards at NHS hospitals
- Course attendance at clinics of various specializations in the S. Anna University Hospital of Ferrara
- Attendance of an information course at the Ausilioteca di Bologna
- Optional / optional internship at Centers and Services for in-depth study of topics of particular interest.
PROFESSIONAL TRAINING ACTIVITIES:
-interactive lessons with experts from the INAIL Prosthesis Center in Vigorso di Budrio.
- interactive lessons with an expert in burn physiotherapy.
- Tutorial activities, in groups and with individual students for the definition of training objectives, re-elaboration of experiences, improvement of clinical reasoning and technical-gestural skills.
- clinical reasoning and exercise of practical skills in a small group and with the presence of experts (e.g. methodologist, speech therapist, physiotherapist), neurological (stroke, TCE and myeloleso), musculoskeletal (ankle sprain), respiratory, some microcases of developmental age.
- e-learning activities on clinical cases and physiotherapy skills.
- re-elaboration of the emotional experience in internship (communication / relationship with patients and healthcare personnel) with the assistance of the psychologist.
- activities for EBP: discussion on the evidence of a clinical question linked to the cases of professional training activities.
- simulation of core physiotherapy interventions, based on specially prepared microcases (stroke, TCE, myeloleso, multiple sclerosis, surgical or conservative problems hip-knee-shoulder-neck-back).
- exercise and discussion activities with experts and preparation for the final internship exam. Didactic methods
- Internship, with the gradual acquisition of autonomy by the student, in various Services with the assistance of an internship tutor / guide (generally in a 1: 1 ratio)
Use of learning contracts and internship self-evaluation, and performance indicators for the evaluation / self-evaluation of internship skills.
Use of specific learning tools by area of expertise (physiotherapy record with section for clinical reflection and reasoning; Briefing / debriefing (pre-internship, in itinere, at the end of the internship).
E-learning (clinical cases in Moodle or specific topics on dedicated websites)
Work on clinical cases. Personal and group feedback sessions. Learning assessment procedures
- 1- Collection of structured training feedback from internship tutors / guides (through the appropriate items of learning contracts), cumulated for all internships. The outcome is first represented by frequency distribution and then converted into a thirty second rubric known to students.
2- Structured internship exam at the end of the curricular path, which includes:
- the evaluation of clinical reasoning through the formulation of a physiotherapy project (data collection, diagnosis and prognosis of functioning according to the ICF model, definition of objectives and physiotherapeutic intervention) based on the direct examination of a real patient (drawn by lot among people that have given availability) in a real clinical context.
- the assessment of technical / gestural and communicative / relational skills, through the proposal by the student of a physiotherapy activity with the patient himself.
- the evaluation of applied knowledge, through a written test generally with 10 short open questions, based on micro-cases or contextualized situations.
Each test has a special corrector / evaluation rubric known to the students. The tests generate an overall grade of thirty.
The final grade of the teaching is the mathematical average of the marks generated by tests 1 and 2. Reference texts
- The core competence of the internship:
http://aifi.net/wp-content/uploads/2012/09/linee-guida-formazione.pdf
In-depth scientific articles provided by teachers or found by students and shared with the group. ICF core sets The internship manual http://www.unife.it/medicina/fisioterapia/tirocini-e-stage/sede-di-ferrara-1
