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Professional Skills

August 1st, 2005 Ministerial Decree (Health-Related Specialty Schools Renewal) defines Community Medicine/PHC as a specialty grouped in “medical disciplines area” (as Internal Medicine, Geriatrics, Sport medicine, thermal medicine, oncology, Emergency Medicine).

This is the CM/PHC physician learning path as in the Government decree:
CM specialist acquires theoretical, scientific and professional competences about diagnosis, cure and rehabilitation in acute and chronic diseases and organization, management and checking in Primary Health Care, following the multidimensional view of needs and the integration of diagnostic, therapeutic, rehabilitation processes, consistent with assigned resources.
He/her promotes, manages and organizes Health promotion interventions, illnesses and disability prevention, cure and assistance, rehabilitation and social reintegration of individuals affected by these pathologies, even with team projects and activities.
Specific competences are: managing abilities in primary health care (districts, primary care and Community Medicine department) in the Primary Care coordination network.

CM/PHC specialty provides clinical and management abilities in order to obtain a manager role in Districts, Departments, and Primary care Operative Units.
According to a widely accepted Medical’s Pedagogy’s definition “professional role” consists in a collection of “functions”; every function is structured in a set of “tasks” and every task is developed through a set of “activities” or performances. 

Considering the Didactical Ordination of specialties as in MIUR’s indication,  received from Modena-Reggio Emilia University in the Studies’ Manifesto, referring to didactical goals and settings, CM/PHC physician professional profile’s is described by specific Functions, Tasks and Performances.

CM/PHC physician professional profile:  Functions, Tasks and Activities as a managerial role in Districts, Departments, Primary Care’s Units.


Functions: Planning, Organizing, Managing, Coordination, control, verifying of:
1. district
2. Primary Care department
3. Complex operative unit
4. simple multiprofessional operative unit
5. long-term cures and residential and home assistance
6. Cure pathways and chronic pathologies assistance
Tasks: 1. relational:
  • interactions with patients, families, local communities
  • interactions with Health professionals and Hospital and district’s social professionals
  • interaction with local health policy leader
  • negotiation and trading of integrated services’ budgets
  • leadership skills in multiprofessional equipes
2. technical-professional:
  • primary care clinic government
  • diagnosis, cure and rehabilitation in Primary Care settings.
3. epidemiological and operative research:
  • community profile and needs
  • services pertinence, efficacy, efficiency
4. University- local NHS network training.
  • medical school and other health professions university tutoring
  • health-related specialty schools tutoring
  • ECM courses (teacher)
Activities 1. Chairmanship / participation at work meeting with:
  • local Health authorities’ planning, accounting management, risk management, quality standards representatives
  • local mental and public Health Departments’ representatives.
  • Trade union’s and citizen’s representatives
  • other...
2.  Programs, projects and procedures’ planning
3. Clinical governance activities:
  • clinical and assistential guidelines’ EBM adoption.
  • Services access procedure  adoption.
  • digital documents adoption, in order to make services communication better (digital clinical records).
  • Health’s technologies territorial placement
  • clinical-assistential audit
  • clinical risk’ s management
  • resources management
  • activation of patients and families’ participation
  • results, endpoints, costs evaluation
  • multiprofessional and interdisciplinary team building
  • clinical governance academic research
4. multi-professional cure and care’s teams managing :
  • summing up equipe’s needs
  • PAI (assistential integrated planning) elaboration
  • health patient’s monitoring, pointing out new needs and reporting to specific professionals
  • inter-professional communication management
  • conflicts menagements
  • endpoint’s checking meeting
5. Health promotion and prevention (single patient and communitary) :
  • Health education, therapeutic education
6. diagnosis, cure, rehab, sustain
  • illnesses diagnosis and multidimensional needs.
  • cure definition and individual assistential plans
  • school and work disables integration
  • psicological support and counselling