MC/0306 - OCCUPATIONAL MEDICINE AND FORENSIC MEDICINE
Academic Year 2021/2022
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ERNESTO D'ALOJA (Tit.)
- Teaching style
- Lingua Insegnamento
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• Knowledge and understanding: Being able to identify the risks (chemical, physical and associated with the organization of work) for health and safety in the most common work activities. To indicate the main methods and strategies of hygienic-environmental assessment and the exposure limit values and the biological indicators of dose and effect.
• Application skills: to learn the mechanisms of action of the main occupational risk factors and be able to identify the main occupational pathologies (bronchopneumopathies, cardiovascular diseases , neuropathies, hepatopathies, dermopathies, osteoarthropathies , organ pathologies) on the basis of professional history, clinical and laboratory procedures sense) etc ..
• Autonomy of judgment: Knowing how to evaluate the possible contributing role of work activity in the genesis of common diseases.
• Communication skills: the student will learn to expose relevant data on risks, health and safety in the workplace. He will acquire the ability to communicate with colleagues, consultants and workers and explain in a clear and prudent way the development and outcome of diagnostic procedures and therapeutic interventions.
• Learning skills: the student will learn to acquire the technical and organizational skills of the main preventive procedures to ensure safety in the workplace and the main provisions of the law on occupational medicine.
Legal Medicine and Bioethics
• Knowledge and understanding: Understanding and critical elaboration of the concepts of responsibility, negligent conduct, autonomy, role and competence of the doctor, with particular attention to the legal and juridical context in which he will work.
• Application skills: Specifically, the course aims to introduce students to the main elements of health-related laws and regulations.
• Autonomy of judgment: The course also aims to provide students with adequate and innovative tools for the organization of work and health planning in an operational health unit, in order to identify clinical risk and both strategies and tools to manage and reduce clinical error.
• Communication skills: the student will learn to expose relevant data on risks, health and safety in the healthcare environment. He will acquire the ability to communicate with colleagues, consultants and patients and explain in a clear and prudent way the development and outcome of diagnostic procedures and therapeutic interventions.
• Learning skills: the student will learn to acquire the technical and organizational skills of the main procedures concerning the criminal and civil codes, on professional liability, conduct and fault, report and reporting of crime, injury, damage and death
Compulsory prerequisite as per regulation.
Occupational Medicine and Preventive Medicine of workers
General classification of the risk from physical, chemical and biological agents and main pathologies. Principles of ergonomics Legislation in force in the field of Occupational Medicine, Prevention Toxicology, General concepts, absorption, distribution, biotransformation and mechanism of toxicants. Biological monitoring Industrial hygiene.
Environmental monitoring, intervention strategies Exposure limit values.
Legal Medicine and Bioethics
Basic information concerning criminal and civil codes, including some of the main procedural aspects. The imputability and the legal and civil capacity; professional responsibility and condemnable conduct under the various aspects of guilt; the main crimes and fines, both commissive and omissive, and malicious, negligent or involuntary conduct. Different legal qualifications assumed by health professionals in different contexts. Report and crime report. Personal injury and temporary and permanent biological damage. Sexual offenses. Accident at work and occupational diseases. TSO and ADO. Voluntary termination of pregnancy and criminal abortion. Thanatodiagnosis and related certification activities, euthanasia, certification and health documentation with relative conservation obligations. Informed consent and professional secrecy. The Code of Ethics.
Participated frontal lessons and exercises. During the lectures the teachers will encourage the dialogue aimed at understanding the processes explained in the classroom, for this purpose they will be able to use computer supports and video-projections. There will be exercises and work in small groups.
Verification of learning
The final exam of the course is based on the evaluation of an oral one.
The final grade is expressed out of thirty. The test is passed if at least the mark of 18/30 is achieved.
The assessment will focus on:
- the acquisition of notions and knowledge of processes
- the knowledge of the disciplinary language
- the ability to relate concepts and knowledge
- the expository ability
The final grade takes into account:
Quality of knowledge, skills, competences possessed and / or manifested:
a) appropriateness, correctness and congruence of knowledge
b) appropriateness, correctness and congruence of skills
c) appropriateness, correctness and congruence of skills
a) Expressive capacity;
b) Appropriate use of the specific language of the discipline;
c) Logical skills and consequentiality in the connection of contents;
e) Ability to connect different topics by finding common points and establishing a coherent general design, that is, taking care of the structure, organization and logical connections of the expository discourse;
f) Ability to synthesize.
The judgment can be:
a) Sufficient (from 18 to 20/30)
The candidate demonstrates few acquired notions, superficial level, many gaps, modest expressive skills, but sufficient to support a coherent dialogue; logical skills and consequentiality in connecting elementary level arguments; poor synthesis and graphic expression skills; poor interaction with the teacher during the interview.
b) Fair (21 to 23)
The candidate demonstrates a fair acquisition of notions, but little depth, few gaps; expressive skills more than sufficient to support a coherent dialogue; acceptable command of scientific language; logical skills and consequentiality in the connection of topics of moderate complexity; more than sufficient capacity for synthesis and graphic expression.
c) Good (from 24 to 26)
The candidate demonstrates a rather broad knowledge base, moderate in-depth study, with small gaps; satisfactory expressive skills and significant command of scientific language; dialogic ability and critical spirit well noticeable; good synthesis skills and more than acceptable graphic expression skills .
d) Excellent (from 27 to 29)
The candidate demonstrates a very extensive, well-studied knowledge base, with marginal gaps; remarkable expressive skills and high command of scientific language; remarkable dialogical ability, good competence and relevant aptitude for logical synthesis; high capacity for synthesis and graphic expression.
e) Excellent (30)
The candidate demonstrates a very extensive and in-depth knowledge base, possibly irrelevant gaps; high expressive skills and high command of scientific language; excellent dialogue skills, strong aptitude for making connections between different topics; excellent ability to synthesize.
Honors are attributed to candidates clearly above the average, and whose notional, expressive, conceptual or logical limits are, on the whole, completely irrelevant.
Casula D.: Medicina del lavoro (Monduzzi Ed. 2003)
Foa V., Ambrosi L.: Medicina del lavoro (Utet Ed. 2003)
Gobbato F.: Medicina del lavoro (Masson Ed. 2002)
Scansetti G., Piolatto P.G., Perrelli G.: Medicina del lavoro (Minerva Ed. 2000)
Medicina Legale e Bioetica
Bioetica e Medicina Legale
Clemente Puccini. Istituzioni di Medicina Legale, Casa Editrice Ambrosiana, 2007
Slides of the lessons