First cycle
degree courses
Second cycle
degree courses
Single cycle
degree courses
School of Medicine
HEALTH PROFESSIONS OF REHABILITATION SCIENCES
Course unit
LEGAL MEDICINE AND BIOETHICS IN REHABILITATION
MEN1035143, A.A. 2017/18

Information concerning the students who enrolled in A.Y. 2017/18

Information on the course unit
Degree course Second cycle degree in
HEALTH PROFESSIONS OF REHABILITATION SCIENCES
ME1868, Degree course structure A.Y. 2011/12, A.Y. 2017/18
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Number of ECTS credits allocated 13.0
Type of assessment Mark
Course unit English denomination LEGAL MEDICINE AND BIOETHICS IN REHABILITATION
Website of the academic structure https://www.medicinamolecolare.unipd.it
Department of reference Department of Molecular Medicine
E-Learning website https://elearning.unipd.it/medicinamolecolare/course/view.php?idnumber=2017-ME1868-000ZZ-2017-MEN1035143-N0
Mandatory attendance
Language of instruction Italian, English
Branch PADOVA
Single Course unit The Course unit CANNOT be attended under the option Single Course unit attendance
Optional Course unit The Course unit is available ONLY for students enrolled in HEALTH PROFESSIONS OF REHABILITATION SCIENCES

Lecturers
Teacher in charge LUCIANA CAENAZZO MED/43
Other lecturers GIOVANNELLA BAGGIO
PIERO MAESTRELLI MED/44
DANIELE RODRIGUEZ MED/43

ECTS: details
Type Scientific-Disciplinary Sector Credits allocated
Educational activities in elective or integrative disciplines MED/43 Legal Medicine 3.0
Educational activities in elective or integrative disciplines MED/44 Occupational Medicine 2.0
Core courses MED/50 Applied Medical Sciences 2.0
Core courses MED/43 Legal Medicine 6.0

Mode of delivery (when and how)
Period Second semester
Year 1st Year
Teaching method frontal

Organisation of didactics
Type of hours Credits Hours of
teaching
Hours of
Individual study
Shifts
Lecture 13.0 130 195.0 No turn

Calendar
Start of activities 26/02/2018
End of activities 01/06/2018

Examination board
Board From To Members of the board
5 Commissione 2016/17 01/10/2016 30/04/2018 CAENAZZO LUCIANA (Presidente)
APRILE ANNA (Membro Effettivo)
BAGGIO GIOVANNELLA (Membro Effettivo)
DALLA ZORZA MICHELA (Membro Effettivo)
4 Commissione 2016/17 01/10/2016 30/04/2018 CAENAZZO LUCIANA (Presidente)
BAGGIO GIOVANNELLA (Membro Effettivo)
DALLA ZORZA MICHELA (Membro Effettivo)

Syllabus
Prerequisites: Knowledge: basic elements of physics, chemistry and biology; human anatomy and physiology. English level A2.
Target skills and knowledge: OCCUPATIONAL MEDICINE

The student will be familiar:
- with the major hazards, in particular those present in health care facilities;
- with the principles of evaluation of risks;
- with health effects of risks at work;
- with the law and regulation of health protection of workers.
Applying knowledge and understanding:
The student will be able to choose and apply appropriate intervention to prevent occupational diseases.

RISK MANAGEMENT

The student will be familiar:
- with the major theories on accidents;
- with the role of human factor in causing accidents;
- with medical errors;
- with strategies to prevent medical errors and to manage clinical risk;
- with ethical and safety issues in medical research.
Applying knowledge and understanding:
The student will be able to choose and apply appropriate intervention to prevent adverse events to the patients.

FORENSIC MEDICINE AND BIOETHICS IN REHABILITATION
The aim of the course is to provide the conceptual and methodological tools to address issues of collaboration between lawyers and physicians under the dual perspective of medical-legal and medical-forensic.

GENDER MEDICINE
The aim of the course is to develop the meaning of the geneder or gender-specific medicine.
Examination methods: The exam will be agreed with the teacher at the beginning of the respective course.
Could be:
Questionnaire with multiple-choice and open-ended questions.
Production of a written paper in which it is presented:
Organizational criticality and how it is identified;
Related organizational analysis;
The improvement factors considered;
A possible solution;
A hypothetical implementation program of the solution itself;
Outcomes and their measurement.
Presentation - through oral presentation with possible multimedia support - of the project's highlights, discussion and interaction with the teacher.
Assessment criteria: The student's ability to argue about the issues raised and analyzed during the lectures of the various teachers will be evaluated.
At least 70% of multiple correct answers and vote 6/10 in open answers
Course unit contents: OCCUPATIONAL MEDICINE

Occupational medicine:Definition, historical perspective, scope.
Organization of prevention in the work place:
Organizational and managerial tools.
Evaluation of occupational risks:
Definition of hazard and risk, principles of risk evaluation, quantification of hazards and methodology of risk evaluation; safety limits for health protection.
Risks and occupational diseases in health care work:
Chemical, physical, biological agents; sensitizing and carcinogenic agents; ergonomic and organizational risks.
Health of reproduction:
Methods of study reproductive health, basic physiology of pregnancy, regulatory issues.
Regulatory issues: General principles; reporting, recognition and compensation of occupational diseases.

RISK MANAGEMENT
Risk management:Definitions, historical perspective, scope
Models of accident causation
The human factor, latent and active failures, defences, the Swiss cheese model.
Clinical risk: Adverse events in patients, medical errors.
Clinical risk management:
Reporting system, surgical safety, inpatient fall prevention, infections prevention.
Ethical and safety principles for medical research
Declaration of Helsinki, Good Clinical Practice rules.

FORENSIC MEDICINE AND BIOETHICS IN REHABILITATION
General aspects of legal medicine, bioethics and clinical ethics.
Medico-legal aspect of damage.
Offenses against the person (with particular reference to medical-legal issues related to murder crimes, suicide murders, instigating suicide, infanticide, beatings, personal injury, sexual assault).
Causality in legal medicine. The appraisal of the cause of the case for commencement and omission of acts
The assessment of the behavior in terms of professional liability.
Regulatory references and exemplification of causes of medical and legal interest.
Criteria for reasoning for causality.
The regulations on support administration (L. 6/04).
The legislation on the social protection of maternity and voluntary interruption of pregnancy.
Issues related to organ transplantation.
The professional responsibility of health professionals.Information and informed consent to medical act.

GENDER MEDICINE
The Meaning of Gender or Gender-Specific Medicine.
Gender differences in all fields of medicine (in particular the consequences of cardiovascular disease, cognitive deficits, arthrosis and osteoporotic disease, depression, colorectal and colon cancer)
Gender Impact Differences on Risk Factor relative to the Cardiovascular System
Factors that affect different trajectories of men and women in determining longevity.
Clinical bioethics issues in an aging world (with discussion of clinical cases)
Cognitive and Rehabilitative Approach to Alcoholism
Planned learning activities and teaching methods: The meetings with the teacher include, in addition to the frontal lessons (with illustrations of case-studies by examples), the possibility of integrated lessons with other universities and foreign teachers.
Any exercises can be offered after the teacher's evaluation. In addition to the tutorship of the University, no other specific teaching support activities are envisaged.
There may be some distance learning activities.
Additional notes about suggested reading: Slides presented at lesson.
• Constitution of the Italian Republic (Arts 32 and 41);
• DLL April 9, 2008, No.81;
• Occupational Disease Table (No. 169 of July 21, 2008).
• Institute of Medicine - http://www.iom.edu
• Declaration of Helsinki, updated 2013.
• Directive 2001/20 / EC of the European Parliament - 4 April 2001
• Commission Directive 2005/28 / EC - 8 April 2005.
Textbooks (and optional supplementary readings)
  • NORELLI, BUCCELLI, FINESCHI, Medicina legale e delle assicurazioni, Piccin, 2009, --. --: --, --. Cerca nel catalogo
  • M. Crepet & B. Saia, Medicina del Lavoro. --: UTET, 1993. Cerca nel catalogo
  • P.A. Bertazzi. R., Medicina del lavoro. --: Cortina Ed. 2013, --. Cerca nel catalogo
  • L. Alessio & P. Apostoli., Manuale di Medicina del lavoro e igiene industriale.. --: --, --. Cerca nel catalogo
  • J. Reason., The contribution of latent human failures to the breakdown of complex systems.. --: --, --. Cerca nel catalogo
  • J. Reason, Managing the risks of organizational accidents.. --: Ashgate, 1997. Cerca nel catalogo
  • Roberto Vaccani, Riprogettare la sanità - Modelli di analisi e sviluppo. --: CAROCCIFABER, 2012. Cerca nel catalogo
  • Carlo Calamandrei, Carlo Orlandi,, La dirigenza infermieristica - Manuale per la formazione dell’infermiere con funzioni manageriali 3/ed. --: McGrawHill, 2008. Cerca nel catalogo
  • Antonello Zangrandi, Economia e Management per le professioni sanitarie. --: McGrawHill, 2010. Cerca nel catalogo