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European Board of Cardiovascular Perfusion
Italy

HISTORY OF PERFUSION EDUCATION ANDE TRAINING IN ITALY 
FROM  THE BEGINNING TO THE MASTER DEGREE

Erminia Macera Mascitellio, Guilio Pavan*
oPerfusionist "Careggi Hospital" FIRENZE *Perfusionist "Civic Hospital" BRESCIA
Introduction
The Italian Society of Perfusionists (A.N.Pe.C.) was founded in 1978. The primary goal of the association is to promote complete laws and rules in Italy. The special goal is the official acknoledgement of the perfusionists proffession, and the creation of  a professional Board in order to safeguard the jobs of perfusionists and the rights of citizens to get healthcare. A.N.Pe.C. is also interested in professional training, economic problems and so on, like representing Italian perfusionists in foreign relationships. The official organ of Italian perfusionists association is the journal "In by-pass", published every six months. Inside the journal it is possible to have all the information about the association activities, read scientific articles and a good variety of surveys. Every two years A.N.Pe.C. organizes a National Congress to discuss about Extra Corporeal Circulation field and related subjects in order to promote the exchange of knowledge in relation of clinical experiences and the results of scientific research. In the year 2001 A.N.Pe.C. counts about 250 members. In July 2001  the official Web Site of the association was activated (www.anpec.it).

Figure 1. Schools in ROME, VERONA, MILAN, SIENA, PAVIA 
in Academic Year 1001-2002

Education
In Italy, the first specialized school for perfusionists was born in 1973 at the University of Rome. Before this date surgeons and nurses were trained as perfusionists. Until 1977 when the second school was started in Verona no other institutions were enabled to release a diploma on cardiovascular perfusion. In 1980, other University schools started in Chieti, Milan, Genoa, Siena. 

The first correct name of the school was: "University Specialized School For Technician of Cardiac Surgery". The school is conducted directly from faculty of medicine and the number of students is restricted (act. n.910/69 art.1 DPR 162/82 art.6). Actually admission criteria is a high-school diploma and the duration of the course is 3 years. With the new statute, the student attends 400 hours of theorie program, while the practical training is performed in operating rooms, in the Intensive Care unit and in the Cardiology Laboratory where the diagnostic and interventional cases are done. At the end of the course the final examination is held in front of the Directory of the University School. The diploma allows the perfusionist to work in public and private Hospitals. According to act 42 (art. 4) February 2, 1999 the Minister of Health established that the first university diploma is equalize at "University Graduate Degree". In May 2001, finally the "School for Cardiocirculatory Physiopathology Technicians" was transformed in "University Graduate Degree for Cardiocirculatory Physiopathology Technician and Cardiovascular Perfusionist". The duration of the course is the same but the education program more complete (table 1). In the new Academic year 2001 - 2002 the schools are open in Rome, Verona, Milan, Siena and Pavia (fig. 1). Today in Italy excists about 80 between public and private surgery departments and the increasing number of cases is about 8% in the year. The number of perfusionists working now in Italy is 250 and about 80% of these have succesfully completed and got the exam of the European Board of Cardiovascular Perfusion.  

Perfusion Education Program  
 
Table 1.

Year 1- 
Semester 1
CFU
total
CFU
lessons
CFU
practice
propedeusis sciences physics 1 1  
biomedical statistics 2 1 1
informatics 1 1  
histology and human anatomy histology 1 1  
human anatomy 2 2  
biology biology 2 1 1
biochemistry biochemistry 2 2  
surgery thoracic surgery 6 1 5
vascular surgery 6 1 5
cardiac surgery 7 1 6
TOTAL 30    
Year 1-
Semester 2
CFU
total
CFU
lessons
CFU
practice
microbiology and general pathology microbiology 2 2  
general pathology 2 2  
physiology physiology 4 3 1
hystology and human anatomy human anatomy 1 1  
surgery thoracic surgery 6 1 5
  vacular surgery 7 1 6
cardiac surgery 8 1 7
TOTAL 30    

 

Year 2- 
Semester 1
CFU
total
CFU
lessons
CFU
practice
bio-engeneering science of biomaterials and technology  4 3 1
electronics 1 1  
blood disease blood disease 1 1  
medical science and technology medical science and technology 4 2 2
surgery thoracic surgery 6 1 5
  vascular surgery 6 1 5
cardiac surgery 6 1 7
TOTAL 30    

 

Year 2- 
Semester 2
CFU
total
CFU
lessons
CFU
practice
internal medicine pharmacology 2 2  
internal medicine 1 1  
general surgery 1 1  
clinical pathology clinical pathology 2 2  
general pathology 3 2 1
medical science and technology medical science and technology 4 3 1
pathology pathology 1 1  
surgery
vascular surgery 8 1 7
cardiac surgery 8 1 7
TOTAL 30    
Year 3- 
Semester 1
CFU
total
CFU
lessons
CFU
practice
professional liability health care 2 2  
law medicine 2 2
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