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SCUOLE DI SPECIALIZZAZIONE Postgraduate Schools

Explore postgraduate medical schools for aspiring specialists in internal medicine, surgery, and more. Discover the structured educational programs, costs, national standards, and clinical activities. Prepare for a rewarding medical career.

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SCUOLE DI SPECIALIZZAZIONE Postgraduate Schools

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  1. SCUOLE DISPECIALIZZAZIONEPostgraduateSchools 24 giugno 2014

  2. abilities • attitudes • knowledge • professionalism • targets • commitment • values • responsability • motivation • teamworking • multitask competencies • etc……

  3. Postgraduate medical schools • Programmed access through national selection • Graduation in medicine • 3 areas • Medical: internal medicine, geriatrics, oncology, emergency, anestesiosology, neurology,…… medical specialties • Surgical: general surgery, gynecology and obstetrics, ……. and surgical sepcialities • Services: radiology, lab, pathology, legal medicine, ……. • Primary care medicine: Regional schools for General Medicine Practitioners

  4. Residents, costs, work and resources • Number of postgraduate residents/year: 5000 (MIUR) • Residents charged on Regional Administrations (about 500) • Number of regional general medicine practitioner: about 600 • Total number/year: 6000-6500 • Duration of the school: 5 years (3years for practitioners) • Cost • 26.000 Euro/year 130.000 Euro for the 5-year residency • Cost for the 5000 residents a year by the MIUR • 130.000.000 Euro for each coort of residents • 600.000.000 – 800.000.000 Euro every year for all the residents •  180.000.000 for practitioners • Scheduled Working time: • 36 hours/week for 46 weeks a year

  5. Formazione specialistica medica: punti cardine • un profilo specialistico (professionale) • un profilo formativo attraverso • la definizione della tipologia della scuola • gli obbiettivi formativi • le attività professionalizzanti (tipologia e quantità) • gli ordinamenti e piani didattici di ateneo • gli standard • Di struttura • Di attività • Di docenza • Di organizzazione • struttura di sede e rete formativa • La figura del “medico in formazione”

  6. Piano didattico (es: Scuola di Gastroenterologia) CFU= credito formativo (= 25 ore/specializzando) Totale 300 CFU (= 7500 ore)(36 ore/settimana) Attività formali: 61 CFU Attività Pratiche: 219 CFU

  7. Postgraduate schools- national standards - • Teachers • Structures and units • Care activities and volumes • Network • Organization • Processes

  8. Postgraduate school: national standards - • Teaching • Teachers of the specific specialties • Teachers of the “essential” and basic disciplines • For the Common tract • Professors of each discipline included in this tract

  9. Postgraduate school: national standards - • Teaching • Professors of the discipline of the speciality • Professor and assistants of the other essential disciplines (e.g. internal medicine, surgery, radiology, pathology, surgery, etc.) • Professors of some basic disciplines included in the curriculum of each specialty (e.g. pathophysiology, physiology, microbiology, farmacology, anatomy, etc) • (Professors of the other essential disciplines for the type of spaciality (e.g. internal medicine, surgery, radiology, pathology, etc) • 70% of the teacher team must belomge to the university • Tutoring: • in each unit and in the number of at least one for no more than two residents each

  10. Structural standards for postgraduate schools (medicine and surgery) • Site and network hospitals with • 2° level emergency department • Radiology • pathology • Clinical lab • Other services according to the specific standard of different schools

  11. Strutture Struttura di sede (a direzione universitaria) Strutture collegate Strutture complementari

  12. Postgraduate schools: the educational network Struttura complementare Struttura complementare

  13. Structural standards for postgraduate schools: the network(e.g. Gastroenterology) Each network unit must have the structural and the care standards as those of the site unit

  14. Hospital and unit network Rotation of residents according to: Educational needs progression of competencies qualification of the structures and units -mixing of experiences

  15. 1000 50

  16. Università degli Studi di Verona Scuola di Specializzazione in Gastroenterologia Attività pratiche professionalizzanti

  17. Practical activity of residents Activities of residents are integrated into the activity of each unit and of the network However, the amount of the activity of residents should not cover more than the 30% of the global activity of the units (and network)

  18. Tutor, supervisori, responsabili di sede

  19. Structural standards for postgraduate schools (medicine) • e.g. Gastroenterology • Inpatient ward • Outpatient clinic • DH • Day service • Ambulatory • Digestive endoscopy (diagnostic and operative) • Transabdominal ultrasound • Digestive pathophysiology • Clinical nutrition • Clinical chemistry (Laboratory) • Diagnostic and interventional radiology • Pathology

  20. Tipologia di attività dello specializzando • un profilo delle attività formative teorico-pratiche • specifici livelli di complessità assistenziale • Sulla base di tali livelli può essere successivamente specificata la tipologia di approccio dello specializzando: • TUTORATA, con presenza del tutor che esegue la prestazione e ne affida parte o interamente l’esecuzione all’allievo; • TUTELATA, la prestazione, su indicazione del tutor, è eseguibile dallo specializzando con presenza del tutorstesso nella struttura, anche se non fisicamente presente accanto allo specializzando; • PROTETTA, lo specializzando esegue la prestazione, anche con autonomia decisionale sul percorso assistenziale, e in caso di necessità deve chiamare prontamente il tutor, in grado di fornire rapida consulenza e/o tempestivo intervento.

  21. Scuola di Gastroenterologia Esempio di progressione della autonomia

  22. Postgraduate schools(e.g. medical schools) * • internal medicine and general surgery units are needed as • structural standards for all the medical and surgical speciltiers

  23. Postgraduate schoolsstandard of clinical activity(e.g. Gastroenterology) The type and the size of activities (such as endoscopy) must be detailed According to qualitative and quantitative standarads

  24. Postgraduate schools: care standards and activity of the network, calculating the maximum number of residents e.g. Gastroenterology

  25. Postgraduate schools: structural standards

  26. Postgraduate schools: structural standardsand technical skills

  27. University of Verona • Postgraduale schools • 40 schools • Medicine • Surgery • Services • About 200 residents admitted /year • About 800-900 residents attending at the schools • Network including • other 5 Universities • more than 20 hospitals and services

  28. Planning of the practical activities for a 2nd year resident in gastroenterology (1 page of 3)

  29. Organization of the work of a resident in Gastroenterology (October 212) Ciascun specializzando è inserito nell’attività clinica della struttura di sede con compiti specifici attribuiti ogni semestre.

  30. Osservatorio Nazionale della Formazione Medica Specialistica (266/2005) Presidente: Prof. Andrea Stella • sovrintendere la formazione medico specialistica • determinare gli standard per l'accreditamento delle strutture universitarie e ospedaliere per le singole specialità • determinare e verificare i requisiti di idoneità della rete formativa e delle singole strutture che le compongono • effettuare il monitoraggio dei risultati della formazione • definire i criteri e le modalità per assicurare la qualità della formazione, in conformità alle indicazioni dell'Unione europea • proporre ai Ministri della Sanità e dell'Università e Ricerca le sanzioni da applicare alle scuole di specializzazione in caso di inottemperanza.

  31. Accreditamento delle strutture • Ciò che deve essere accreditato non è la Scuola di specializzazione di per sé, ma la struttura o le strutture che la compongono. • Per strutture si intendono le strutture fisiche (Dipartimenti, Unità Operative, Servizi, Sezioni, Centri, Laboratori, Poliambulatori, etc) inserite nella rete formativa ove si effettuano le attività e le prestazioni necessarie per la formazione specialistica.

  32. Postgraduate medical schools • Each resident provides 36.5 hr/weewk • The cost is charged on the Italian Ministry of Education and Research (MIUR) • Academic hospitals and the network hospitals do not have any charge for the salary of residents • Postgraduate schools and residents are a real resources, taking into account the progressive autonomy of residents in the clinical setting

  33. Postgraduate medical schools • Structural standards • Clinical activity standards • Organization and personnel Are vital for postgraduate schools • The governance of an academic postgraduate containing schools hospital is tsrategic, and must guarantee that the the site unit of each specialty is and will remain able to meet all the structure and clinical activity standards • All under streightening in the above mentioned standards will be a lifethreatening condition for the postgraduate school

  34. Towards an European Union system for postgraduate medical schools

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