Francesco DE CARO | PUBLIC HEALTH, LEGAL and OCCUPATIONAL MEDICINE

cod. 1060100054

PUBLIC HEALTH, LEGAL AND OCCUPATIONAL MEDICINE

	1060100054
	DIPARTIMENTO DI MEDICINA, CHIRURGIA E ODONTOIATRIA "SCUOLA MEDICA SALERNITANA"
	EQF7
	MEDICINE AND SURGERY
	2020/2021

PERCORSO SHARED STUDY PATHWAY

	OBBLIGATORIO
	YEAR OF COURSE 5
	YEAR OF DIDACTIC SYSTEM 2016
	PRIMO SEMESTRE

TEACHING UNITS

	SSD	CFU	HOURS	ACTIVITY	TYPE OF ACTIVITY
1	SANITA' PUBBLICA, MEDICINA LEGALE E DEL LAVORO - MOD MEDICINA LEGALE
	MED/43	2	24	LESSONS	COMPULSORY SUBJECTS, CHARACTERISTIC OF THE CLASS
2	SANITA' PUBBLICA, MEDICINA LEGALE E DEL LAVORO - MOD MEDICINA DEL LAVORO
	MED/44	2	24	LESSONS	COMPULSORY SUBJECTS, CHARACTERISTIC OF THE CLASS
3	SANITA' PUBBLICA, MEDICINA LEGALE E DEL LAVORO - MOD IGIENE GENERALE E APPLICATA
	MED/42	1	12	LESSONS	COMPULSORY SUBJECTS, CHARACTERISTIC OF THE CLASS

PROFESSORS

	MARIO CAPUNZO2 T Curriculum
	ANIELLO MAIESE1 Curriculum
	FRANCESCO DE CARO3 Curriculum

	Objectives
	FORENSIC MEDICINE: THE LEGAL MEDICINE COURSE TAKES PLACE IN THE FIRST SEMESTER OF THE FIFTH YEAR. THE COURSE AIMS TO PROMOTE THE ACQUISITION OF FUNDAMENTAL THEORETICAL KNOWLEDGE OF LEGAL MEDICINE AND AIMS TO CONTRIBUTE TO THE FORMATION OF THE FUTURE PRACTICING THE MEDICAL PROFESSION, INTEGRATING ITS BIOMEDICAL KNOWLEDGE WITH THE LEGAL-SOCIAL ONES. KNOWLEDGE AND UNDERSTANDING - KNOWLEDGE OF THE DEONTOLOGICAL AND JURIDICAL NORMS THAT REGULATE THE PROFESSIONAL ACTIVITY, THE RELATIONSHIP WITH PATIENT AND COLLEAGUES AND THE OBLIGATIONS TOWARDS THE HEALTH AND JUDICIAL AUTHORITY - KNOWLEDGE OF THE INSTITUTIONAL ELEMENTS OF GENERAL, CRIMINAL, CIVIL LAW AND SOCIAL SECURITY INSURANCE - KNOWLEDGE OF THE FEATURES OF PROFESSIONAL RESPONSIBILITY IN THE EXERCISE OF MEDICAL PROFESSION - KNOWLEDGE OF THE DAMAGING CAUSES AND THEIR BIOLOGICAL CONSEQUENCES, WITH REFERENCE TO THE TRAUMATOLOGY AND TO THE EVALUATION OF THE DAMAGE IN THE DIFFERENT JURIDICAL FIELDS - KNOWLEDGE OF THE PERSONAL IDENTIFICATION PROBLEMS IN THE LIVING AND IN THE CADAVER ABILITY TO APPLY KNOWLEDGE AND UNDERSTANDING - ABILITY TO UNDERSTAND AND APPLY THE ETHICAL AND LEGAL RULES RELATED TO THE PROFESSION - ABILITY TO DISTINGUISH FAULT AND MALICE IN THE PROFESSION - ABILITY TO DESCRIBE AND CRITICALLY EVALUATE PERSONAL INJURIES, THEIR BIOLOGICAL CONSEQUENCES AND PERSONAL INJURY - ABILITY TO COLLABORATE CRITICALLY WITH THE FORENSIC ACTIVITIES TRANSVERSAL SKILLS - ABILITY TO UPDATE THROUGH BIBLIOGRAPHIC TOOLS. - ABILITY TO CRITICALLY INTERPRET THE VALIDITY OF SCIENTIFIC LITERATURE. - ABILITY TO FORMULATE A CLINICAL RESEARCH QUESTION. OCCUPATIONAL MEDICINE: PROVIDE THE KNOWLEDGE ON THE HEALTH AND SAFETY OF WORKERS, THE MAIN TECHNOPATHIES. PUBLIC HEALTH

FORENSIC MEDICINE: THE LEGAL MEDICINE COURSE TAKES PLACE IN THE FIRST SEMESTER OF THE FIFTH YEAR.
THE COURSE AIMS TO PROMOTE THE ACQUISITION OF FUNDAMENTAL THEORETICAL KNOWLEDGE OF LEGAL MEDICINE AND AIMS TO CONTRIBUTE TO THE FORMATION OF THE FUTURE PRACTICING THE MEDICAL PROFESSION, INTEGRATING ITS BIOMEDICAL KNOWLEDGE WITH THE LEGAL-SOCIAL ONES.
KNOWLEDGE AND UNDERSTANDING
- KNOWLEDGE OF THE DEONTOLOGICAL AND JURIDICAL NORMS THAT REGULATE THE PROFESSIONAL ACTIVITY, THE RELATIONSHIP WITH PATIENT AND COLLEAGUES AND THE OBLIGATIONS TOWARDS THE HEALTH AND JUDICIAL AUTHORITY
- KNOWLEDGE OF THE INSTITUTIONAL ELEMENTS OF GENERAL, CRIMINAL, CIVIL LAW AND SOCIAL SECURITY INSURANCE
- KNOWLEDGE OF THE FEATURES OF PROFESSIONAL RESPONSIBILITY IN THE EXERCISE OF MEDICAL PROFESSION
- KNOWLEDGE OF THE DAMAGING CAUSES AND THEIR BIOLOGICAL CONSEQUENCES, WITH REFERENCE TO THE TRAUMATOLOGY AND TO THE EVALUATION OF THE DAMAGE IN THE DIFFERENT JURIDICAL FIELDS
- KNOWLEDGE OF THE PERSONAL IDENTIFICATION PROBLEMS IN THE LIVING AND IN THE CADAVER
ABILITY TO APPLY KNOWLEDGE AND UNDERSTANDING
- ABILITY TO UNDERSTAND AND APPLY THE ETHICAL AND LEGAL RULES RELATED TO THE PROFESSION
- ABILITY TO DISTINGUISH FAULT AND MALICE IN THE PROFESSION
- ABILITY TO DESCRIBE AND CRITICALLY EVALUATE PERSONAL INJURIES, THEIR BIOLOGICAL CONSEQUENCES AND PERSONAL INJURY
- ABILITY TO COLLABORATE CRITICALLY WITH THE FORENSIC ACTIVITIES
TRANSVERSAL SKILLS
- ABILITY TO UPDATE THROUGH BIBLIOGRAPHIC TOOLS.
- ABILITY TO CRITICALLY INTERPRET THE VALIDITY OF SCIENTIFIC LITERATURE.
- ABILITY TO FORMULATE A CLINICAL RESEARCH QUESTION.

OCCUPATIONAL MEDICINE: PROVIDE THE KNOWLEDGE ON THE HEALTH AND SAFETY OF WORKERS, THE MAIN TECHNOPATHIES.

PUBLIC HEALTH

	Prerequisites
	Student must have passed HYGIENE, PHYSIOLOGY, PATHOPHYSIOLOGY, BIOETHICS, GENERAL PATHOLOGY, PHARMACOLOGY tests.

	Contents
	FORENSIC MEDICINE: THE COURSE CONSISTS OF 16 HOURS OF LESSONS IN WHICH THE TOPICS WILL BE ADDRESSED: - INSTITUTIONS OF LEGAL MEDICINE: DEFINITION, PURPOSE AND METHOD OF LEGAL MEDICINE. THE RELATIONSHIP OF MATERIAL CAUSALITY. - PENALISTIC LEGAL MEDICINE: GENERAL PRINCIPLES OF CRIMINAL LAW. CRIMINAL RESPONSIBILITY. THE ELIGIBILITY. CRIMES AND PERSONAL INJURY. - CIVIL LAW LEGAL MEDICINE: LEGAL CAPACITY, ABILITY TO ACT. GENERAL DOCTRINE OF RESPONSIBILITY. THE DAMAGE TO THE PERSON IN CIVIL LIABILITY. EVALUATION OF PERSONAL INJURY. PRIVATE INSURANCE. - PROFESSIONAL DEONTOLOGY: DEONTOLOGICAL CODE. THE PRINCIPLES OF ETHICS. THE MEDICAL PROFESSION. THE POWER AND THE DUTY TO CURE. THE ABUSIVE EXERCISE OF THE PROFESSION. THE LEGAL QUALIFICATIONS OF THE DOCTOR. THE PROHIBITIONS IMPOSED BY LAW ON THE MEDICAL PROFESSION. THE PROFESSIONAL SECRET. INFORMATION AND CONSENT TO MEDICAL TREATMENT. COMPULSORY REPORTS, REPORT AND COMPLAINT TO JUDICIAL AUTHORITIES. CERTIFICATES; THE MEDICAL RECORD; RECIPE. - PROFESSIONAL RESPONSIBILITY IN THE EXERCISE OF PROFESSION: THERAPEUTIC TREATMENTS AND CRIMINAL LIABILITY. CAUSAL LINK AND OMISSIVE CONDUCT. MEDICAL FAULT AND OMISSIVE CAUSALITY: NEW ASSESSMENT CRITERIA. INFORMED CONSENT: FROM A STATEMENT OF PRINCIPLE TO A CRITERION THAT LEGITIMIZES PROFESSIONAL ACTIVITY. - EXPERTISE AND TECHNICAL ADVICE - SOCIAL SECURITY BETWEEN ASSISTANCE AND SOCIAL SECURITY: COMPULSORY INSURANCE AGAINST ACCIDENTS AT WORK AND OCCUPATIONAL DISEASES. RETIREMENT DISABILITY. PROTECTION OF CIVIL INVALID. THE LAW 104/92. PRIVILEGED PENSION. - MEDICAL-LEGAL PATHOLOGY: BLUNT LESIONS. WHITE WEAPON INJURIES. GUNSHOT INJURIES. INJURY FROM ELECTRICITY. FORENSIC ASPHYXIATION (SUFFOCATION, HANGING, STRANGULATION, STRANGLING, DROWNING, DEATH IN WATER). - TANATOLOGY: ASCERTAINING THE REALITY OF DEATH. THE MEDICO-LEGAL JUDGMENT OF THE EPOCH OF DEATH. EXTERNAL INSPECTION OF THE CADAVER. JUDICIAL AUTOPSY AND DIAGNOSTIC FINDING. LAW ON THE REMOVAL OF PARTS OF THE BODY. NOTES ON THE MAIN MORTUARY POLICE RULES. - FORENSIC TOXICOLOGY: THE HARMFULNESS OF CHEMICAL MEANS. CRITERIA FOR THE DIAGNOSIS OF POISONING. CO POISONING, PESTICIDE AND DRUG POISONING. CLASSIFICATION OF THE MAIN SUBSTANCES OF ABUSE. ADDICTION TO ALCOHOL AND DRUGS. LEGISLATION CONCERNING SUBSTANCES OF ABUSE. CHEMICAL-TOXICOLOGICAL LABORATORY DIAGNOSIS. - SEXUAL VIOLENCE; VOLUNTARY TERMINATION OF PREGNANCY; ABORTION AND INFANTICIDE.

Contents

FORENSIC MEDICINE: THE COURSE CONSISTS OF 16 HOURS OF LESSONS IN WHICH THE TOPICS WILL BE ADDRESSED:
- INSTITUTIONS OF LEGAL MEDICINE: DEFINITION, PURPOSE AND METHOD OF LEGAL MEDICINE. THE RELATIONSHIP OF MATERIAL CAUSALITY.
- PENALISTIC LEGAL MEDICINE: GENERAL PRINCIPLES OF CRIMINAL LAW. CRIMINAL RESPONSIBILITY. THE ELIGIBILITY. CRIMES AND PERSONAL INJURY.
- CIVIL LAW LEGAL MEDICINE: LEGAL CAPACITY, ABILITY TO ACT. GENERAL DOCTRINE OF RESPONSIBILITY. THE DAMAGE TO THE PERSON IN CIVIL LIABILITY. EVALUATION OF PERSONAL INJURY. PRIVATE INSURANCE.
- PROFESSIONAL DEONTOLOGY: DEONTOLOGICAL CODE. THE PRINCIPLES OF ETHICS. THE MEDICAL PROFESSION. THE POWER AND THE DUTY TO CURE. THE ABUSIVE EXERCISE OF THE PROFESSION. THE LEGAL QUALIFICATIONS OF THE DOCTOR. THE PROHIBITIONS IMPOSED BY LAW ON THE MEDICAL PROFESSION. THE PROFESSIONAL SECRET. INFORMATION AND CONSENT TO MEDICAL TREATMENT. COMPULSORY REPORTS, REPORT AND COMPLAINT TO JUDICIAL AUTHORITIES. CERTIFICATES; THE MEDICAL RECORD; RECIPE.
- PROFESSIONAL RESPONSIBILITY IN THE EXERCISE OF PROFESSION: THERAPEUTIC TREATMENTS AND CRIMINAL LIABILITY. CAUSAL LINK AND OMISSIVE CONDUCT. MEDICAL FAULT AND OMISSIVE CAUSALITY: NEW ASSESSMENT CRITERIA. INFORMED CONSENT: FROM A STATEMENT OF PRINCIPLE TO A CRITERION THAT LEGITIMIZES PROFESSIONAL ACTIVITY.
- EXPERTISE AND TECHNICAL ADVICE
- SOCIAL SECURITY BETWEEN ASSISTANCE AND SOCIAL SECURITY: COMPULSORY INSURANCE AGAINST ACCIDENTS AT WORK AND OCCUPATIONAL DISEASES. RETIREMENT DISABILITY. PROTECTION OF CIVIL INVALID. THE LAW 104/92. PRIVILEGED PENSION.
- MEDICAL-LEGAL PATHOLOGY: BLUNT LESIONS. WHITE WEAPON INJURIES. GUNSHOT INJURIES. INJURY FROM ELECTRICITY. FORENSIC ASPHYXIATION (SUFFOCATION, HANGING, STRANGULATION, STRANGLING, DROWNING, DEATH IN WATER).
- TANATOLOGY: ASCERTAINING THE REALITY OF DEATH. THE MEDICO-LEGAL JUDGMENT OF THE EPOCH OF DEATH. EXTERNAL INSPECTION OF THE CADAVER. JUDICIAL AUTOPSY AND DIAGNOSTIC FINDING. LAW ON THE REMOVAL OF PARTS OF THE BODY. NOTES ON THE MAIN MORTUARY POLICE RULES.
- FORENSIC TOXICOLOGY: THE HARMFULNESS OF CHEMICAL MEANS. CRITERIA FOR THE DIAGNOSIS OF POISONING. CO POISONING, PESTICIDE AND DRUG POISONING. CLASSIFICATION OF THE MAIN SUBSTANCES OF ABUSE. ADDICTION TO ALCOHOL AND DRUGS. LEGISLATION CONCERNING SUBSTANCES OF ABUSE. CHEMICAL-TOXICOLOGICAL LABORATORY DIAGNOSIS.
- SEXUAL VIOLENCE; VOLUNTARY TERMINATION OF PREGNANCY; ABORTION AND INFANTICIDE.

	Teaching Methods
	FORENSIC MEDICINE: TEACHING INCLUDES LECTURES FOR 16 HOURS. IT HAS A SIX-MONTHLY NATURE AND INVOLVES THE ELABORATION BY THE AUDITORS OF PAPERS ON ETHICAL-DEONTOLOGICAL AND MEDICO-LEGAL ISSUES. ATTENDANCE IS MANDATORY. IN ORDER TO TAKE THE FINAL EXAM, THE STUDENT MUST HAVE ATTENDED AT LEAST 75% OF THE TEACHING HOURS. THE MODE OF VERIFICATION OF PRESENCE IS MADE KNOWN BY THE TEACHER AT THE BEGINNING OF THE LESSONS. OCCUPATIONAL MEDICINE: LECTURES

Teaching Methods

FORENSIC MEDICINE:
TEACHING INCLUDES LECTURES FOR 16 HOURS. IT HAS A SIX-MONTHLY NATURE AND INVOLVES THE ELABORATION BY THE AUDITORS OF PAPERS ON ETHICAL-DEONTOLOGICAL AND MEDICO-LEGAL ISSUES. ATTENDANCE IS MANDATORY. IN ORDER TO TAKE THE FINAL EXAM, THE STUDENT MUST HAVE ATTENDED AT LEAST 75% OF THE TEACHING HOURS. THE MODE OF VERIFICATION OF PRESENCE IS MADE KNOWN BY THE TEACHER AT THE BEGINNING OF THE LESSONS.

OCCUPATIONAL MEDICINE:
LECTURES

	Verification of learning
	THE ACHIEVEMENT OF THE TEACHING OBJECTIVES IS CERTIFIED BY PASSING AN ORAL EXAM AT THE END OF THE COURSE, WHICH TAKES INTO ACCOUNT THE ACTIVE PARTICIPATION IN THE LESSONS AND THE CONTEXTUAL READING OF THE TEACHING MATERIAL DISTRIBUTED (SLIDES AND PAPER), WITH PREPARATION OF WRITTEN REPORT. THE FINAL MARK IS ATTRIBUTED IN THIRTIETHS. THE EXAM IS CONSIDERED PASSED WHEN THE GRADE IS GREATER THAN OR EQUAL TO 18. IT IS EXPECTED TO BE AWARDED THE HIGHEST MARKS WITH HONORS (30 CUM LAUDE). THE TEST AS A WHOLE MAKES IT POSSIBLE TO ASCERTAIN BOTH THE ABILITY TO KNOW AND UNDERSTAND, AND THE ABILITY TO APPLY THE SKILLS ACQUIRED, BOTH THE ABILITY TO EXHIBIT, AND THE ABILITY TO LEARN AND DEVELOP SOLUTIONS IN INDEPENDENT JUDGMENT. EVALUATION CRITERIA FOR THE EXAMINATION WILL BE: 1) ABILITY TO ARTICULATE A COMPLEX DISCOURSE; 2) ABILITY TO EXPRESS THEMSELVES CLEARLY AND WITH APPROPRIATE LANGUAGE; 3) ABILITY TO CONTEXTUALIZE AND UNDERSTAND THE LEGAL PROBLEMS INCLUDED IN A MEDICAL CONTEXT; 4) ABILITY TO DISCERN THE IMPORTANCE OF SIGNIFICANT DATA FOR THEIR POSSIBLE APPLICATION. Collegial evaluation of the members of the exam Commission.

Verification of learning

THE ACHIEVEMENT OF THE TEACHING OBJECTIVES IS CERTIFIED BY PASSING AN ORAL EXAM AT THE END OF THE COURSE, WHICH TAKES INTO ACCOUNT THE ACTIVE PARTICIPATION IN THE LESSONS AND THE CONTEXTUAL READING OF THE TEACHING MATERIAL DISTRIBUTED (SLIDES AND PAPER), WITH PREPARATION OF WRITTEN REPORT. THE FINAL MARK IS ATTRIBUTED IN THIRTIETHS. THE EXAM IS CONSIDERED PASSED WHEN THE GRADE IS GREATER THAN OR EQUAL TO 18. IT IS EXPECTED TO BE AWARDED THE HIGHEST MARKS WITH HONORS (30 CUM LAUDE). THE TEST AS A WHOLE MAKES IT POSSIBLE TO ASCERTAIN BOTH THE ABILITY TO KNOW AND UNDERSTAND, AND THE ABILITY TO APPLY THE SKILLS ACQUIRED, BOTH THE ABILITY TO EXHIBIT, AND THE ABILITY TO LEARN AND DEVELOP SOLUTIONS IN INDEPENDENT JUDGMENT.
EVALUATION CRITERIA FOR THE EXAMINATION WILL BE:
1) ABILITY TO ARTICULATE A COMPLEX DISCOURSE;
2) ABILITY TO EXPRESS THEMSELVES CLEARLY AND WITH APPROPRIATE LANGUAGE;
3) ABILITY TO CONTEXTUALIZE AND UNDERSTAND THE LEGAL PROBLEMS INCLUDED IN A MEDICAL CONTEXT;
4) ABILITY TO DISCERN THE IMPORTANCE OF SIGNIFICANT DATA FOR THEIR POSSIBLE APPLICATION.

Collegial evaluation of the members of the exam Commission.

	Texts
	FORENSIC MEDICINE: -DE FERRARI F., PALMIERI L. (A CURA DI). MANUALE DI MEDICINA LEGALE. ED. GIUFFRÈ, MILANO, 2013. -DI LUCA N.M., FEOLA T. E COLL., MANUALE DI MEDICINA LEGALE, ED. MINERVA MEDICA, TORINO, 2017. -NORELLI G.A., BUCCELLI C., FINESCHI V. MEDICINA LEGALE E DELLE ASSICURAZIONI, ED. PICCIN, 2014. -PUCCINI C., ISTITUZIONI DI MEDICINA LEGALE, CASA EDITRICE AMBROSIANA, MILANO, 2003. -ZAGRA M., ARGO A., MEDICINA LEGALE ORIENTATA PER PROBLEMI, II ED., EDRA ED., 2018. OCCUPATIONAL MEDICINE: SLIDES

Texts

FORENSIC MEDICINE:
-DE FERRARI F., PALMIERI L. (A CURA DI). MANUALE DI MEDICINA LEGALE. ED. GIUFFRÈ, MILANO, 2013.
-DI LUCA N.M., FEOLA T. E COLL., MANUALE DI MEDICINA LEGALE, ED. MINERVA MEDICA, TORINO, 2017.
-NORELLI G.A., BUCCELLI C., FINESCHI V. MEDICINA LEGALE E DELLE ASSICURAZIONI, ED. PICCIN, 2014.
-PUCCINI C., ISTITUZIONI DI MEDICINA LEGALE, CASA EDITRICE AMBROSIANA, MILANO, 2003.
-ZAGRA M., ARGO A., MEDICINA LEGALE ORIENTATA PER PROBLEMI, II ED., EDRA ED., 2018.

OCCUPATIONAL MEDICINE:
SLIDES

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Francesco DE CARO | PUBLIC HEALTH, LEGAL and OCCUPATIONAL MEDICINE