Degree course: 
Corso di Long single cycle degree (6 years) in Medicine and Surgery
Academic year when starting the degree: 
Academic year in which the course will be held: 
Course type: 
Various educational activities
Standard lectures hours: 
Detail of lecture’s hours: 
Apprenticeship (300 hours)

In order to participate in Training 2, the student must have already completed Training 1.

The tutor will report , on the dedicated form, which aims have been achieved by the student.

Giudizio Finale

Training 2 is a mandatory training program for the students during the 4th year (15 CFU).
It is performed, as Training 1, in Internal Medicine ward and General Surgery ward.
The students learn how to :
• Become self-sufficient in collecting the clinical history e doing the complete physical examination of the patients
• Develop clinical reasoning: starting from signs and symptoms and taking into account the informations from clinical history and physical examination, make diagnostic hypotheses and plan correct laboratory and instrumental tests in order to reach the diagnosis
• Improve ability to build an empathetic and positive relationship with patients and their relatives

During Training 2, the student will be required to:
• Autonomously gather the patient’s clinical history
• Autonomously visit the patient, carrying out a complete physical examination
• Make and discuss with his tutor diagnostic hypotheses, plan the right laboratory and instrumental tests to reach the right diagnosis

The reference textbooks are those recommended for the Clinical Methods course and for Internal Medicine and for Surgery courses.

Training 2 includes:
• Three weeks of attendance in an Internal Medicine ward
• Three weeks of attendance in a General Surgery ward.
Training shifts are pre-agreed and organized in order to alternate weeks of training with weeks of lessons, avoiding any overlap between these two activities.
Attendance is mandatory and includes presence in the ward from Monday to Saturday for 8 hours a day. Upon arrival in the ward, each student will be assigned to a tutor identified by the Director of the ward. The tutor will follow the student during the entire period of attendance. The wards involved in this training are parts of hospitals of University of Insubria.

At the end of each training period, the student must provide the administrative office with the documents confirming ward attendance, signed by the tutor, the aims form, signed by the tutor and the ward director , and the form where the student has to report, anonymously, his opinion about the training.