PROFESSIONAL TRAINING THIRD YEAR
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- Versione italiana
- Academic year
- 2022/2023
- Teacher
- CARLA NALETTO
- Credits
- 24
- Didactic period
- Secondo Semestre
- SSD
- MED/48
Training objectives
- NOTE: Internship of the first and second semesters are reported together as they are functionally related.
The aims of the course are divided into the following topics
REHABILITATION THERAPY SETTING
- evaluation, through valid and reliable tools and observation, adolescents, adults and elderly subjects with important neurological and/or orthopaedic disorders and/or with visceral co-morbidity
-formulation of tailor-made rehabilitation planning
-planning and implementation and evaluation of outcome of evidence based efficacious, efficient and safe physiotherapy programme.
-use of strategies of problem setting and solving and decision making in clinical reasoning process and their integration in the ICF model.
PREVENTION
-primary or secondary prevention in musculoskeletal disorders
-identification of risks of complications for the individual and others.
-respect and promotion of safety and hygiene regulations in the workplace.
THERAPEUTIC EDUCATION
-formulation of projects and intervention in therapeutic education addressed to patients with neurological lesions or musculoskeletal and/or visceral disorders.
COMMUNICATION/RELATIONSHIPS
-establishment of active listening and empathy towards the patient and care giver.
-adaptation of verbal and non verbal communication strategies in various contexts, unbiased acceptance of others’ opinions while respectfully maintaining one’s own opinions
ACCOUNTABILITY
- ethical compliance and respect of regulations/laws in the healthcare setting (including code of conduct and protection and privacy)
-recognition of one’s limitations in competence and responsibility.
-accountability for one’s actions and mediation of one’s own needs in relation to those of others and the organisation.
-accordance with regulations and procedures in the documentation of the patient and the professional’s formation.
MANAGEMENT /ORGANISATION
-planning training with the tutor within the legal confines of the organisation of the formation course.
-respect for the profession, roles and responsibilities of the organisation.
-hands-on management of processes and unforeseen events in the organisation
FORMATION/ SELF-FORMATION
- definition, together with the tutor, of formative goals and actions required to achieve them.
-Asking for and accepting feedback, reflection and self-appraisal
-assessment (and integration as required) of one’s own theoretical knowledge.
-Self management of one’s own formation
Evidence Based practice efficacy in the choice of therapy or in the case of a clinical problem.
-search for and choice of the best possible evidence available in relation to individual personal values and experience Prerequisites
- Students must have successfully completed the second year training
Course programme
- Setting, duration and work environment:
•Rehabilitation in developmental age: 4/5 weeks in a regional or extra-regional rehabilitation facility or in foreign countries
•Rehabilitation of neurological disorders: 4/5 weeks in a regional or extra-regional rehabilitation ward/facility or in foreign countries
•Rehabilitation of musculoskeletal disorders: 4/5 weeks. NHS Outpatient surgeries, accredited private facilities, regional or extra-regional specialized centres or facilities in foreign countries
•Rehabilitation in a specific field of the student's choice (4/5 weeks) to deepen the contents for the elaboration of the thesis
•Professional formation: tutorials in group or individual (throughout the academic year) for the definition of formation goals, re-elaboration of experiences, improvement of clinical reasoning and technical-gestural techniques
• Rehabilitation of lymphedema (2 weeks)
• Emodynamic applied to the muscle-skeletal system
•clinical reasoning practice of skills with an expert, based on typical neurological and development age cases
• Attendance at the neonatal intensive care unit for the assessment of premature baby.
• simulation exercises and discussion in preparation of final exam Didactic methods
- Practical training with progressive acquisition of autonomy on the part of the student in the various healthcare services under tutor guidance (general 1: 1 ratio)
Use of learning contracts (and self-appraisal) in practical training and performance indices for the assessment/self appraisal of skills.
Use of tools for specific learning of skills (physiotherapy file with sections for reflection and clinical reasoning)
Briefing/debriefing (before, during and at the end of training)
Work on clinical cases
Sessions of personal and group feedbackPractical training with progressive acquisition of autonomy on the part of the student in the various healthcare services under tutor guidance (general 1: 1 ratio)
Use of learning contracts (and self-appraisal) in practical training and performance indices for the assessment/self appraisal of skills.
Use of tools for specific learning of skills (physiotherapy file with sections for reflection and clinical reasoning)
Briefing/debriefing (before, during and at the end of training)
Work on clinical cases
Sessions of personal and group feedback Learning assessment procedures
- INTERNSHIP: The assessment consists of:
-a training evaluation by the internship tutor, via the compilation of the learning contract for one of the required training placements (in the field of musculoskeletal, neurological or geriatric); the training evaluation will be changed into a certificated assessment-
- a certificated evaluation of two reports of clinical cases (in musculoskeletal, neurological or pediatric area), evaluated by a committee formed by the Director of Education, by the Coordinator of the year and two expert tutors in the specific field.
To the internships and report is assigned a score of thirty/30.
The partial internship grade results from the weighted average of the individual evaluations.
INTERNSHIP EXAMINATION: the examination for the evaluation of competences foreseen for the third year, is organized in three different times:
- a written exam in which students are asked to evaluate the performance of an adult neurological patient through observation of a video
- a written exam in which students are asked to evaluate the performance of a pediatric patient through observation of a video
-a practical exam, usually performed on the simulated patient (another student) or real patient with musculoskeletal problems.
Each test will be evaluated by a committee formed by the Director of Education, by the Coordinator of the year and two expert physiotherapists in the respective fields. The rating for each performance results from the sum of the scores assigned to each criterion of the evaluation provided by a special evaluation grid.
The final grade emerges from the weighted average of partial scores of the four internships and the score in the internship examination. Reference texts
- Core competences of the practical training
http://aifi.net/wp-content/uploads/2012/09/linee-guida-formazione.pdf
scientific articles for further reading
ICF core sets
