MANAGEMENT SANITARIO, DEONTOLOGIA ED ETICA PROFESSIONALE

Learning Objectives

• Institutions of Public Law

  The course aims to outline some essential elements of the health system, with particular regard to the system of health workers' responsibilities for medical injuries.

  With specific reference to the profession concerning the students, we will analyze the discipline that outlines the professional figure of the medical radiology technician.

  Particular attention will be dedicated to the discipline on radiation protection (from ionizing radiations), both with reference to workers, apprentices, students and other subjects (Legislative Decree No. 230/1995) and with reference to exposures in the health sector (Legislative Decree No. 187/2000).

• Occupational Medicine

  The aim of the course is to provide information and knowledge about workplace-related pathologies (accidents and illnesses) as well as to become familiar with prevention principles, with particular reference to risk assessment and preventive measure adoption.

  Students will have to learn methods and techniques to collect work history, identify environmental and occupational risks and possible relationships with genetic, demographic, socio-economic, psychological and cultural factors, related to health or illness statuses, as well as to look into the possible non-specific effects of occupational risk factors, especially for degenerative chronic diseases.

  The main etiologically diagnostic aspects of occupational medicine will be dealt with, and so will the epidemiology of con-causally work-related diseases. Also, the most frequent professional diseases and work accidents will be classified. The main analysis method and work risk assessment instruments will be provided, that is limit exposure levels, environmental/biological monitoring and healthcare surveillance. Also, occupational risk in/formation, safety and health law guidelines in work places, primary and secondary prevention of occupational diseases, role and duties of the competent physician will be discussed.

Course Structure

• Institutions of Public Law

  Frontal lessons, with a daily final debate with students on practical cases.

• Occupational Medicine

  Frontal lesson.

Detailed Course Content

• Institutions of Public Law

  - Elements of the legal order. The Constitution and the right to health.

  - Elements of the organization of the Health System.

  - The legal liability system for medical injuries.

  - The radiology technician.

  - The radiation protection laws.

• Occupational Medicine

  History and evolution of Occupational Medicine: prevention service legislation and organization; work accidents and professional diseases insurance practices. Risk assessment procedure; exposure times and limit levels/values.

  Primary and secondary prevention principles. Healthcare surveillance and duties of competent physician. Biological monitoring procedures. General and individual preventive practices and first aid action organization. Biological risk and vaccinations. Physical risks: noise, vibrations, ionizing-non-ionizing radiations, microclimate and compressed atmosphere. Ergonomy principles: postures and work. Workstation, shift and night work risks. Assessment of risks in manual loads handling and in repetitive movements of upper limbs with associated pathologies. Organizational wellness and its associated work stress. Health promotion in working places.

  Main dust/fibre and professional allergene exposure–related pathologies; indoor and outdoor pollutants. Exposure risks to chemical, mutagen and carcenogenic agents.

  Principles of Industrial Hygiene and hints of Statistics. Risks in the main working cycles. Guidelines on safety and health in working places.

Textbook Information

• Institutions of Public Law

  1) F. Giglioni, Manuale di Diritto Sanitario, Nel Diritto Editore, 2018 (only the chapters addressed to class).

  2) Notes on the radiation protection discipline.

• Occupational Medicine
  • David Koh, Ken Takahashi. Textbook of Occupational Medicine Practice. 3rd Edition ISBN: 978-981-4329-57-6
  • Antonio Mutti, Massimo Corradi: "Lezioni di Medicina del Lavoro". Nuova Editrice Berti, 2014 (ISBN 978-88-7364-627-3)
  • Per Alberto Bertazzi: "Medicina del lavoro". Raffaello Cortina Editore, 2013 (ISBN 978-88-6030-633-3)
  • Enrico Pira, Canzio Romano, Paolo Carrer: "Manuale di medicina del lavoro". Minerva Medica, 2016 (9788877118431)