What Pistis said about Alexandria medical students


ALESSANDRIA – “What we have to teach is a method. The transition from books to ward does not only mean that from theory to practice, but the acquisition of a clinical methodology that is what makes the difference“. To say it was Gianfranco Pistis, director of the complex cardiology structure of the Alessandria hospital, who, together with the entire medical and nursing team, is preparing for the arrival of the first students of the third year of the Alexandrian degree course in Medicine of the University of Eastern Piedmont . In March the first 50 students will enter the departments where they will be supported by tutors and will begin to take their first steps in the hospital world.

They will be greeted by a full gym, a hospital where a large amount of highly complex work takes place“, He assured Pistis. The director of Cardiology then underlined how “the students they will begin to learn about the activities of some structures only apparently less specialized than others. The one in Alessandria is actually a hospital characterized by high complexity and for a student it represents the opportunity to approach individual realities where he will be able to deal with the simplest forms of pathologies and therapies, but also at the same time with particularly clinical pictures. critical and difficult“.

The doctors of tomorrow will be taught the methodology that Pistis explains with a parallel “between an investigation for a criminal episode and the cure of a disease. On the one hand there are the police and the judiciary who investigate, collect clues, examine evidence, interrogate witnesses with only one goal: to find the truth and convict the guilty. On the other hand there is the doctor in front of whom the patient arrives and begins to be visited, subjected to examinations, investigated to arrive at the correct diagnosis and therefore the most effective treatment. This is the method that is applied in every context, every specialty, every structure. The good doctor is characterized by the ability to follow and manage the clinical methodology“.

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Like many departments, cardiology will also be a gym where students will have to train and train: “Of course, the treatment of pathologies – acute coronary syndromes, chronic ischemic heart disease, arrhythmias, heart failure – and this is part of ordinary activity, but the fact that Alessandria is a hub hospital for the Quadrant of the provinces of Alessandria and Asti means that case studies and complexity are much greater than other realities. They will not only find themselves faced with simple and almost “textbook” cases, but with very complex situations (for example, angioplasty is performed only by us) and with scientifically relevant peculiarities. Here we have the Coronary Unit structure, the hospital ward and the Hemodynamic structure. And then, it should not be forgotten, the arrhythmology center which is made up of the medical area performs arrhythmological examinations, dedicated stress tests and control of implantable devices) and the interventional area equipped with a state-of-the-art operating room where pacemakers, defibrillators and cardiac resynchronization devices, device and electro-catheter extractions, ablations of atrial and ventricular tachyarrhythmias, percutaneous closure of the left auricle. Thanks to the collaboration with the children’s hospital there is an outpatient clinic and an interventional laboratory dedicated to pediatric patients“.

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