Learning objectives

The third year is dedicated to the deepening of pediatric extracorporeal circulation techniques and circulatory assistance, assistance during implantation of VAD devices and cardiac transplantation. Aimed at acquiring knowledge and methodologies relating to professional practice, the ability to work in teams and in complex organizational contexts. The internship experience allows you to experiment, with supervision, your gradual assumption of autonomy and responsibility, as well as the acquisition of scientific research skills and methodologies to support the elaboration of dissertations The internship experience allows you to experiment, with supervision, your gradual assumption of autonomy and responsibility, as well as the acquisition of scientific research skills and methodologies to support the elaboration of dissertations Aimed at acquiring knowledge and methodologies relating to professional practice, the ability to work in teams and in complex organizational contexts. The internship experience allows you to experiment, with supervision, your gradual assumption of autonomy and responsibility, as well as the acquisition of scientific research skills and methodologies to support the elaboration of dissertations. The third year is dedicated to the deepening of pediatric extracorporeal circulation techniques and circulatory assistance, assistance during implantation of VAD devices and cardiac transplantation. The third year is dedicated to the deepening of pediatric extracorporeal circulation techniques and circulatory assistance, assistance during implantation of VAD devices and cardiac transplantation. Aimed at acquiring knowledge and methodologies relating to professional practice, the ability to work in teams and in complex organizational contexts. The internship experience allows you to experiment, with supervision, your gradual assumption of autonomy and responsibility, as well as the acquisition of scientific research skills and methodologies to support the elaboration of dissertations. Aimed at acquiring knowledge and methodologies relating to professional practice, the ability to work in teams and in complex organizational contexts. The internship experience allows you to experiment, with supervision, your gradual assumption of autonomy and responsibility, as well as the acquisition of scientific research skills and methodologies to support the elaboration of dissertations.

Prerequisites and basic notions

Achievement of second-year goals

Program

Technical Skills:
- All skills acquired in YEAR 1 and YEAR 2.
The following objectives are added to (c).
- Autonomous management, with only Tutor supervision, of all phases of standard elective cardiac surgery from the entrance to the exit of the room of the pc
- autonomous management of all ECC with Tutor supervision in standard elective interventions
- tandem management of the ECC in neonatal/pediatric cardiac surgeries
- tandem management of the ECC in emergency/emergency cardiac surgeries with the use of more complex perfusion techniques (circulatory arrest, cerebral perfusion, cerebro-myocardial perfusion, cerebro-splanar perfusion, etc...)
- to know incident management in cardiac surgery procedures

Extra cardiac surgery objectives:
- know the equipment for implantation cardiovascular assists (IABP, IMPELLA, ECMO, VAD)
- autonomously assemble and fill ECMO/VAD circuit
- know Hyperthermia machine operating principle, assembly and filling independently
Non-Technical Skills:
All NTS listed in the 1stand 2nd year objectives with the following additions:
- communication with the team during all phases of the intervention regarding the specific activities of the Perfusion Technician independently with Tutor supervision

Elettrophysiology:
Technical Skills:
- Know the indications for implantation of cardiac resynchronization devices (CRT)
- Know the types of CRTs
- Know the main algorithms
- Know how to perform a CRT check independently
- Know how cardiac contractility modulation (CCM) works and its indications
- Know the main protocols of SEFI (electrophysiological studies)
- Know the mapping system
- Know and be able to orient with the polygraph to make the main measurements (AH ,HV)
- Know the ablation systems

Non-Technical Skills:
- patient reception and patient empowerment for the purpose of the procedure
- Clear, comprehensive and effective communication before, during and after the procedure

Echocardiography:
Technical Skills:
in addition to previous year objectives
- Know how to perform in complete autonomy echocardiographic acquisitions according to European protocol in tandem with Tutor
- Know how to perform in complete autonomy the main echocardiographic measurements in tandem with Tutor.
- Know the basic principles of new echocardiographic technologies (strain, 3d etc).

Non-Technical Skills:
- patient reception and patient empowerment for the purpose of the procedure
- Clear, comprehensive and effective communication before, during and after the procedure

Bibliography

Didactic methods

Stage and workshops

Learning assessment procedures

Evaluation of stage period with final theoretical-practical examination

Evaluation criteria

1) Insufficient: the student does not attend internship at all or attends little by not reaching the minimum amount of hours stipulated in the educational regulations not showing interest in internship activities;
the student attends internship reaching the minimum amount of hours not showing interest in the activities without reaching the minimum objectives set.
2) Sufficient: the student attends internship with low interest in the discipline reaching the minimum amount of hours established by the didactic regulations. Performs technical activities only on the Tutor's instructions.
3) Fair: the student regularly attends internship with interest in the discipline: performs technical activities in known situations in a discontinuous but autonomous manner; in unknown situations performs the activities on the Tutor's indication without delving into the specifics.
4) Good: the student attends regularly and with interest: performs technical activities in known and unknown situations in an autonomous and continuous way with interest in deepening with the Tutor.
5) Excellent: the student attends regularly and exceeds the prescribed amount of internship hours; performs technical activities completely independently in both known and unknown situations. Deepens areas of disciplinary interest both with Tutor and in self-study with use of available resources (books, literature, case reports, comparison with other Tutors, Physicians, health care personnel, etc...)

Criteria for the composition of the final grade

The average of the scores from stage period corresponds to a starting score with which the student is presented, which will be integrated with the score of the theoretical practical

Exam language

Italiana