PREREQUISITES Attendance at the Professional Laboratory, Exercises, Simulations and Tutorial Sessions in preparation for the experience. METHODOLOGY Support to an expert health-care professional (Internship Guide /Internship Supervisor) in specific health contexts with a ratio of 1/1 or 1/2, completion of teaching Tasks. SETTING Experiences in musculoskeletal, orthopedic and neurological fields. AREAS OF COMPETENCE At the end of the internship activities the Student acquires skills in the following areas. In the field of Professional Responsibility, he/she demonstrates the ability to apply knowledge and understanding as he acts according to the principles of ethics and professional ethics. Demonstrate attention and respect for different ideas, opinions and cultures and make no judgments. Respect confidentiality in the processing of the data of the assisted person. The Student demonstrates autonomy of judgment as he acts within the limits of his own competence and experience. The student demonstrates a collaborative and purposeful attitude recognizing the limits of his/her role. The student identifies new and complex situations for which it has no competence cooperating with colleagues before acting with the GT. As part of Management and Organization (Management), the student demonstrates ability to apply knowledge and understanding as he/she identifies the elements of the organization in which he/she operates. The student recognizes the roles of the various team members. He/she takes care of his/her own person and uniform and keeps the working environment in order. He/she works to deadlines and respects the assigned mandates and communicates his/her absences. In relation to the objectives to be achieved and in respect of the context in which he/she works, the student organizes his/her own training day with the GT supervision. In the area of training/self-training, he/she demonstrates learning skills as he/she identifies his/her own individual learning needs and shares them with the GT. He/she is able to self-assess himself/herself to identify the level of knowledge and skills acquired. The student acts autonomously keeping himself/herself informed. Search for learning opportunities consistent with the objectives of the internship. The student cooperates with the GT and, in relation to the feedback he/she receives, he/she is able to adapt his/her behaviour. As part of the Effectiveness Based Practice (EBP), the student demonstrates ability to apply knowledge and understanding as, starting from a specific clinical problem emerged in the internship, he/she is able to formulate a structured question and answer it. The student then researches and selects evidence through the consultation of appropriate databases and autonomy of judgment in using evidence for the assessment of the assisted person and to plan a physiotherapy treatment. In the area of Communication and Relationship, the student has communication skills in that he/she communicates in a professional manner with the patient or the caregivers/colleagues, using empathetic attitudes and active listening. The student uses a specific terminology in relation to the interlocutor, modulating the rhythm (turn-taking) and the timing of communication and he/she manages coherently verbal and non-verbal levels of communication. The student is able to facilitate the involvement of the assisted person in the Care and Rehabilitation activities by providing all necessary information clearly and comprehensively and verifying their understanding. The student communicates with the GT using scientific terminology when describing what is observed, answers a question or shares a topic with a multi-professional team. The student demonstrates relational and collaborative skills with GT and other professional figures in respect of roles. The Student charts his/her physiotherapy portfolio by completing the required course tasks. In the field of Care and Rehabilitation, the student has the ability to apply knowledge, understanding and autonomy of judgment as he/she collects and selects private data of the person assisted through the available documentation and using, with the supervision of the GT, interviews with the person assisted or caregiver. The student has the ability to apply knowledge and understanding in describing, after careful observation, the postural attitude and the patient’s activity limitations. He7She demonstrates independent judgment in choosing, basing his/her decision on the data collected and the initial hypotheses formulated, on validated instruments and measurements, according to the "biopsychosocial" model. After having ascertained the absence of contraindications and risks, he/she carries out, with GT supervision, the safe physiotherapy assessment using the chosen instruments. The Student analyzes the data collected, identifying the structural and functional impairments, limitations of the activities, restrictions on participation, relevant environmental and personal factors, and puts them in relation to each other. He /she elaborates and explains the GT the clinical-functional reasoning and identifies the most likely diagnostic hypotheses. The student identifies physiotherapy problems by placing them in priority order of intervention. The Student defines the general and specific therapeutic objectives of the assisted person in a specific, measurable, acceptable, realistic way, defined over time (SMART). He/she plans the physiotherapy treatment in relation to the objectives to be achieved and motivates the GT to show the reasons of his/her choices. The Student, with supervision of the GT, carries out the rehabilitation intervention: he prepares the setting autonomously, considers the necessary tools, positions the assisted person safeguarding their well-being and safety, respects privacy, hygiene principles and organizes activities in relation to the availability of time. He/she uses correctly gripping techniques for joint mobilization, respecting the principles of ergonomics and safety. He/she describes to the GT and then implements, with supervision, simple proposals for therapeutic exercises for the assisted person consistent with the identified objectives. The student applies, with the GT supervision, physical therapies and basic manual therapy techniques. The student identifies any orthoses and aids and educate patients on how to use them. The student checks the effectiveness of the physiotherapy intervention by comparing the data of the initial assessments with the final ones. In the field of Therapeutic Education, the Student shows judgment autonomy as she/he identifies the educational needs of the assisted person and of the caregivers, formulates educational interventions consistent with the needs identified and implements them, with GT supervision, using the modality suitable for the capacity of understanding / execution of the assisted person and the caregiver. As part of Prevention, he/she has the ability to apply knowledge and understanding as he/she is attentive to the condition of the assisted person and identifies, if they occur, signs of alteration of neurovegetative functions. The student is able to detect, if necessary, significant vital parameters. During the care and rehabilitation activities he/she is able to guarantee safety and comfort to the assisted person. He/she has independent judgment in recognizing situations at risk of transmitting infections and consequently implements the right procedures. He/she selects and implements, in accordance with the principles of ergonomics and personal safety and the assisted person, the basic techniques for positioning, moving and transferring in relation to the person being assisted using, if necessary, the most suitable aids. The student knows simple primary prevention programs in the field of musculoskeletal problems.
INTERNSHIP FOR SECOND YEAR CORE SKILLS
- Five-week guided internship in musculoskeletal rehabilitation services with adults and elderly people with mainly musculoskeletal, acute or post-acute (conservative or post-surgical treatment) or chronic problems.
- Six-week guided internship in musculoskeletal rehabilitation services with adults and elderly people with mainly musculoskeletal, acute or post-acute (conservative or post-surgical treatment) or chronic problems.
- Six-week guided internship in neurological rehabilitation services with adults and seniors with neurological problems.
INTERNSHIP EXAMINATION: CLINICAL CASE "ON PAPER" THEORETICAL-PRACTICAL TEST
The final certification evaluation is inclusive of the formative evaluations of the internship experiences, internship contracts, intermediate formative verification forms and final results; evaluation of professional workshops, active participation in working groups during the tutorial sessions; evaluation of the written production developed during the internship.