Since 1990 he has been focusing his clinical interests on hypotensive phenomenae and on episodes of loss of consciousness, organizing and developing a functional multi-speciality unit called "Syncope and Posture Disorders Unit", as part of the Internal Medicine Unit where he worked (currently Medical Clinic, Istituto Clinico Humanitas, Rozzano, and in the past L. Sacco Hospital, Milan, and Bolognini Hospital, Bergamo). This unit has benefited from the assistance of a neurologist, an endocrinologist, a cardiologist and a psychiatrist, in accordance with clinical-care facilitated protocols. With this organizational structure, and using a specific clinical laboratory, more than 1600 Tilt Tests have been carried out, together with intensive work with outpatients and inpatients, which led to the studying and care of patients also from other regions in Italy and abroad (France, Switzerland, Australia, Comoros Islands and United States), The Syncope and Posture Disorders Unit is currently part of a worldwide network of centres that refer to the National Dysautonomia Research Foundation, an American non-profit foundation providing advice and support to patients with different types of dysautonomia and financing international research protocols on the subject.
- 2007-2012 Hospital, Seriate, Italy
Director of Internal Medicine Unit, Outpatients and Day Hospital for medicine.
This unit has 40 beds, with three lines of excellence managed by a staff of 12 doctors, in addition to the Director:
1. Syncope and Posture Disorders Unit. The unit has been certified by GIMSI (Multidisciplinary Italian Group for the Study of Syncope), with 1 nurse working part-time (50%) and 2 doctors who rotate between the diagnostic laboratory and outpatients' on the diagnosis and treatment of orthostatic intolerance. More than 90 tilt tests are carried out in this structure each year, with a study of the neurovegetative profile.
2. Departmental Unit of Diabetology: run by 2 full-time nurses and a doctor in charge. The work consists of approximately 2000 patients per year.
3. Hepatology Unit and treatment of viral hepatitis. Operated by 1 nurse (working 30% of the time) and 2 doctors through outpatients' functioning 2 days a week.
The staff from the General Medicine Department also manage the A&E Department (approximately 32,000 medical services per year), 24 hours a day and the specific outpatients of Immunorheumotology, Angiology with peripheral arterial and venous doppler diagnostics, obesity and dyslipidaemia and internal medicine ultrasound diagnostics.
Director (F.F.) of the Department of Medicine from November 2011 to February 2012
- 1982-2007 Hospital, Milan, Italy
• Hospital assistant of Internal Medicine (Medicine II) until 1990. During this period, he was directly responsible for 8 beds in this Department and carried out regular call duties in the A&E Department. He was also involved in invasive measurements of blood pressure.
• Co-manager assistant in Internal Medicine (Medicine II; from February 1990). During this period, he was responsible for 12-18 beds of the Medicine Department, coordinating the work of two assistants. From January 2002 to January 2005 he had the title of "High Specialisation" in the field of disorders from orthostatic intolerance. From January 2005 he was responsible for the simple structure "Unit for Syncopes and Posture Disorders".
• Following the incorporation process of Italian hospitals (as from 1996), he was involved in programmes for the ottimization of efficiency and cost reduction of the Medicine II Department and he had an active part in the discussion of the annual budget from 1998. He was responsible for the Day Hospital in Medicine II until January 2005.
• He followed the course for Directors of Complex Operative Units, hospital area, edition UBMDSCO0201, held at the School of Management in Health of the Lombardy Region (I.Re.F.) in 2002, discussing the final project entitled "Evaluation of diagnostic performance and cost analysis of tilt test in the diagnosis of syncopal episodes", obtaining the resulting certification.