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The TERM-model for somatisation: the training of general practitioners

The TERM-model for somatisation: the training of general practitioners. Per Fink, MD, PhD, Dr.Med.Sc. www.auh.dk/cl_psych/dk/index.htm. The Definition of Somatization or functional disorders .

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The TERM-model for somatisation: the training of general practitioners

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  1. The TERM-model for somatisation: the training of general practitioners Per Fink, MD, PhD, Dr.Med.Sc. www.auh.dk/cl_psych/dk/index.htm

  2. The Definition of Somatization or functional disorders • Conditions where the patient complains of physical symptoms that cause excessive worry or discomfort or lead the patient to seek treatment, but for which no adequate organic or patho-physiological basis can be found. Fink 96

  3. The TERM Model - preconditions and aims • Acceptable and applicable in primary care • Mediation of knowledge • (aetiology, epidemiology, diagnostics, treatment, etc.) • Training of skills • Interview techniques • Treatment techniques • Change of attitude towards functional disorders

  4. The TERM Model Structure • A two-day residential course • 3-4 follow-up meetings • Booster meeting after 1½ months • Facilitator visit after 6 months

  5. The TERM Model Educational Material • Theoretical folder • Work folder for the participants • Teacher’s folder • Demonstration video (patient examples) Available on: www.auh.dk/cl_psych/uk

  6. INTRODUCTION 20 min. Exercise 1 15 + 15 min. Video supervision 30 min. Break Exercise 2 15 + 15 min. Video supervision 30 min. THEORY 20 min Modules Plenum: An introduction of the exercise, including a short video demonstration Group exercise: Training of specific skills in groups of 2 GPs 2 of the GPs interview an actor. The first interview is recorded on video Supervision of the video recording in groups of 8 persons Group exercise: As above There is a running rotation so all GPs will record at least one video with an actor Video supervision as above. Plenary: Theoretical presentation about functional illness

  7. Fink P et al. Assessment and Treatment of Functional Disorders in General Practice: The Extended Reattribution and Management Model - An Advanced Educational Program for Nonpsychiatric Doctors.Psychosomatics 2002; 43:93-131

  8. The TERM Model - testing the effect • 2 randomized controlled studies • 79 general practitioners • Approx. 4000 patients • Aarhus County • Vejle County • Follow-up after 1-2 years

  9. VERSPREIDING • 170 PRAKTIJKEN • 190 HUISARTSEN • 24 DEELNEMERS PER REGIO • HUISARTSEN • Hebben meer vertrouwen • Bespreken meer PS-zaken • PATIENTEN • Meer tevreden • Minder lichamelijke klachten

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