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Reorganization Of The Graduate School In Cardiology.

Original Language Title: Riordino della scuola di specializzazione in cardiologia.

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THE RECTOR the consolidated text of the laws on higher education, approved by Royal Decree of 31 August 1933, n. 1592; In view of the Royal Decree of 20 June 1935 n. 1071 changes and amendments to the consolidated text of the laws on higher education, converted into Law 2 January 1936, n. 73; In view of the Royal Decree of 30 September 1938 n. 1652 sorting provisions teaching college and subsequent amendments and additions; Given the Statute of the University 'of Palermo, approved by Royal Decree of 14 October 1926, n. 2412 and amended by Royal Decree of 13 October 1927, n. 2240, as amended; Having regard to Law 21 February 1980, n. 28, delegates to the Government for the reorganization of university teaching and related courses of study as well as' educational and organizational experimentation; The Order of the President of the Republic July 11, 1980, n. 382, reorganization of university teaching and related courses of study as well as' organizational and educational experimentation; Having regard to Law 9 May 1989, n. 168, on the creation of the Ministry of the University 'and scientific and technological research; Having regard to Law 7 August 1990, n. 245, containing the regulations on the three-year development plan; Having regard to Law 19 November 1990, n. 341 laying down the reform of university teaching; Having regard to Law 12 January 1991, n. 13, determination of administrative measures to be adopted in the form of Decree of the President of the Republic; Given the opportunity 'to carry out the revision of teaching regulations of the medical graduate schools; Heard the views of the National University Council expressed in its meetings of 19 November 1993 on 18 March, 20 May, 15 June and 15 September 1994; Given the need 'to change the table I, attached to the Royal Decree of 30 September 1938, n. 1652, and subsequent amendments thereto, and to add after the XLV / 1 table, the XLV / 2 table showing the Teaching regulations of the medical graduate schools; The proposals for amending the statutes formulated by the authorities' academic University 'of Palermo (board of faculty', meeting on 28 May 1996, the Academic Senate, on November 11, 1996, the Board of Directors, meeting on December 3 1996; Given the report of the national university Council expressed in the January 23, 1997; Decrees session is rearranged in accordance with the Ministerial decree of 11 May 1995 the school of specialization in cardiology. graduate school of Art cardiology. 1. the graduate school in cardiology responds to the general rules of medical specialization schools. the school and 'divided into the following addresses: a) cardiology; b) angiology. The school aims to train specialist doctors in the professional field of clinical cardiology. The school awarding the title of specialist in cardiology. The course has a duration of four years. They contribute to the school operating the facilities of the faculty 'of medicine and surgery, and those of the national health service identified in the protocols of understanding in art. 6, paragraph 2 of Legislative Decree n. 502/1992 and the relevant university staff belonging to the scientific areas referred to in Table A and the leader of the National Health Service of the corresponding functional areas and disciplines. The maximum number of interns that can be allowed, and 'eight per program year for a total of thirty-two. The office of the school and 'located at the Institute of Medical and clinical cardiovascular disease. Graduates in medicine and surgery candidates on the merit list for access to specialized schools can be registered to the same schools purche 'achieve the title of professional qualification within the first useful session following the actual start of each course . During this period, the aforementioned trainees acquire theoretical knowledge and practical basics in the context of a gradual assumption of responsibility 'professional. Table A for Professional Training Areas
and related scientific areas A. area of ​​basic sciences. Objective: the specialization student must learn the basic knowledge of anatomy and physiology, biochemistry and general cardiac apparatus in order to establish the biological basis for learning laboratory, clinical and cardiological therapy. The trainee must also learn the fundamentals of mathematics, statistical physics and computer science, useful for understanding the physiology of circulation and for processing data and immagioni cirnico of interest. Sectors: B01B Physics, Anatomy E09A, E09B Histology, Biochemistry E05A, E10X Medical Biophysics, E06A Human Physiology, F03X Medical Genetics, F01X Medical Statistics. B. Area of ​​molecular biology, pathophysiology and cardiovascular disease. Objective: the specialization student must acquire advanced knowledge of etio-pathogenetic mechanisms underlying the development of congenital and acquired heart disease as well as' the mechanisms that alter the normal structure and function. Sectors: E04B Molecular Biology, F03X Medical Genetics, F04A General Pathology, F05X Microbiology and clinical microbilogia, F06A Pathological anatomy. C. Lab Area and instrumentation. Objective: the specialization student must acquire the basic theoretical and technical knowledge on the structure and operation of the appliances of cardio-vascular diagnostics. Sectors: B01B Physics, E10X medical Biofisia, F04B Clinical Pathology, F18X diagnostic imaging and radiotherapy. D. noninvasive cardiological diagnostic area. Objective: the specialization student must acquire the forndamentali theoretical and technical knowledge in all areas of non-invasive diagnostic karyological sectors, compresal'elettrocardiografia (standard and dynamic), the elettrofiologia, echocardiography (two-dimensional one-dimensional, Doppler and color Doppler), the radioisotopic methods, CT, MRI. Sectors: F07C Cardiovascular Diseases, F18X Diagnostic imaging and radiotherapy. E. Diagnostic Area invasive cardiology. Objective: the specialization student must acquire the basic theoretical and technical knowledge in all areas of karyological invasive diagnostics. Sectors: F07C Cardiovascular Diseases, F06A Pathological Anatomy, F18X Diagnostic imaging and radiotherapy. F. Clinical Cardiology Area. Objective: the specialization student must acquire the basic theoretical knowledge and necessary practices for the prevention, diagnosis and drug treatment of cardiovascular diseases, as well as' to acquire the necessary knowledge and behavioral methods in acute syndromes and in emergency situations. Sectors: F07C Cardiovascular Diseases, F07A Internal Medicine, E07X Pharmacology. G. Area interventional cardiology. Objective: the specialization student must acquire the knowledge and practice to perform complex invasive diagnostic procedures. Sectors: F07C Cardiovascular Diseases, Cardiac Surgery F09X. H. Area of ​​cardiovascular disease. Objective: the specialization student must acquire the basic theoretical and practical knowledge necessary for the prevention, diagnosis and treatment of peripheral vascular diseases. Sectors: F07C Cardiovascular Diseases. I. Area of ​​pediatric cardiology. Objective: the specialization student must acquire the basic theoretical and practical knowledge necessary for the prevention, diagnosis and treatment of cardiovascular disease in the age 'pediatric. Sectors: F07C Cardiovascular Diseases, F19A General and specialist paediatrics. Table B Total Training Standard
professionalizing Trainees to be admitted to the final examination diploma must: 1. have performed and still refertato personally at least 300 standard and 100 ECG Holter electrocardiograms; 2. have personally executed at least 100 physical stress testing and / or drug; 3. have personally followed at least 100 echocardiograms one-dimensional, two-dimensional and Doppler, with associated reports; 4. have participated in diagnostic definition of at least 30 cardiac radioisotope examinations; 5. have personally followed at least 30 right catheterization, with measurement of hemodynamic parameters and 30 coronary angiography; 6. they have correctly making a diagnosis in patients with various cardiovascular disease, setting its medical therapy as well as' placing any indication to revascularization (angioplasty and bypass); 7. have acquired theoretical knowledge and clinical experience in acute patient management and in CPR, with the overall service at united 'coronary care of at least an annuity' and a half. Activities constitute 'address. I - Cardiology (at least one sector of three): a) emodinamia and interventional cardiology: Personal execution of at least 100 coronaroventricolografie of which at least 50% as the operator and direct participation in at least 50 coronary angioplasties in which at least 50% as Operator , interpretation of angiographic pictures, etc .; b) ultra specialized applications of diagnostic ultrasound: Personal execution of at least 40 transesophageal echocardiograms, 70 eco-stress tests, acquisition of theoretical and practical knowledge related to eco-contrastografia, intraoperative ultrasound experience, etc .; c) advanced clinical electrophysiology: performing electrophysiological exams because bloody or transesophageal implantation of at least 30 pacemakers definitive, of which at least 10 as the operator, participation in ablative techniques and intracavitary mapping, etc. II - Angiology: it has acquired in the field of theoretical knowledge and practical diagnostic invasive non-invasive (echo color doppler, plethysmography, laser Doppler, etc.), Therapy and prevention angiological, with possible indication for surgical treatment of cardiovascular diseases. Finally, the trainee must have participated in the run, according to good clinical practice standards, at least three controlled trials. The University Didactic Regulation will eventually specify the types of different interventions, and its specific weight. Palermo, 10 March 1997 The Rector