The course of Medical Genetics aims to provide students of the sixth year of medical training about consequences in clinical practice of medical genetic and of new diagnostic genetic tools now available. In particular, the course provides students with basic knowledge needed to MMG and PLS to target towards diagnostic and therapeutic appropriateness paths their patients.
Medical genetics and diagnostic molecular tools: appropriateness and use in clinical practice,
Appropriateness to addressing patients to diagnostic-therapeutic pathways and participation in multidisciplinary teams.
Rare diseases (MR): legislative context, therapeutic and diagnostic plans
To know how to recognize the main hereditary disease in the clinical practice.
To know the main chromosomal disorders and know how to use the appropriate tests for their diagnosis
To know the characteristics of the main genetic testing (diagnostic, presymptomatic, predictive, pre-natal)
To know how to propose genetic testing in an appropriate setting according to their specificity, sensitivity and predictive value and clinical utility.
To know purposes and methods of genetic counseling
To know the main applications of pharmacogenetics in clinical practice
To know how to propose molecular-genetic tests and administer a written consensus for carrying out a genetic test.
To know how to communicate to the patient and family diagnosis of hereditary diseases.
To know the psychological, health, social and ethical issues, related to the diagnosis of hereditary diseases.
The course consists of 16 hours of classroom training with theoretical lessons (in the co-presence of different teachers) on all matters of the program and illustrative case reports.
• clinical and molecular features of frequent inherited diseases in the Italian population, and practical implications, including newborn screening (cystic fibrosis, spinal muscular atrophy)
• clinical and molecular features of disease due to expansion of microsatellites (Friedreich's ataxia, myotonic dystrophy, fragile X syndrome)
• Clinical and molecular characteristics of neuromuscular diseases (muscular dystrophies, myopathies, neuropathies)
• Chromosomal abnormalities and related genetic testing, including prenatal diagnosis.
• prenatal tests in current and future clinical practice, including medically assisted procreation applied to genetics.
. Legislation and technological innovations. ethical and clinical issues. clinical examples
• Preconception genetic counseling: mental retardation, malformations, consanguinity, miscarriage. clinical examples
• clinical and genetic characteristics of the neurocutaneous syndromes, including clinical management and followup
• genetic testing and genetic counseling for hereditary disease late onset: general principles and specific aspects.
• clinical and molecular features of motor neuron diseases, including new genetic diagnostic tools
• clinical and molecular features of dementias including new genetic diagnostic tools
All topics covered in the classroom students are available (slides and case reports)
Ricevimento: Professor receives students on Mondays from 12 am to 13
Ricevimento: -Students must make an appointment to talk to professors (e-mail, phone).
ALBERTO BALLESTRERO (President)
FRANCO DALLEGRI (President)
EMILIA BELLONE
STEFANO BERTOLINI
ANGELO GIULIANO CATALDI
FABIO FERRANDO
RICCARDO GHIO
PAOLA MANDICH
FIAMMETTA MONACELLI
FABRIZIO MONTECUCCO
GIOVANNI MURIALDO
GIUSEPPE NOBERASCO
PATRIZIO ODETTI
FRANCO PATRONE
LIVIA PISCIOTTA
MARIO SESSAREGO
ANDREA STIMAMIGLIO
FRANCESCO PUPPO (President and Coordinator of Integrated Course)
Written test with open-response to two cases of genetic counsellig
The test is carried out through the final exam that has the objective of determining the actual acquisition by the student of the expected learning outcomes.
Supplementary material is reported (and possibly supplied) during or after classes.