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The TERM-model for somatisation: The TERM-model for somatisation: the training of general practitionersthe training of general practitioners
Per Fink, MD, PhD, Dr.Med.Sc.
www.auh.dk/cl_psych/dk/index.htm
The Research Unit for Functional Disorders
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Aarhus University Hospital The Research Unit for Functional Disorders
The Definition of Somatization or The Definition of Somatization or functional disorders 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
The Research Unit for Functional Disorders
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Aarhus University Hospital The Research Unit for Functional Disorders
The TERM ModelThe TERM Model- preconditions and aims- preconditions and aims
Acceptable and applicable in primary care Mediation of knowledge
(aetiology, epidemiology, diagnostics, treatment, etc.)
Training of skillsInterview techniques
Treatment techniques
Change of attitude towards functional disorders
The Research Unit for Functional Disorders
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Aarhus University Hospital The Research Unit for Functional Disorders
The TERM ModelThe TERM Model Structure Structure
A two-day residential course 3-4 follow-up meetings Booster meeting after 1½ months Facilitator visit after 6 months
The Research Unit for Functional Disorders
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Aarhus University Hospital The Research Unit for Functional Disorders
The TERM ModelThe TERM Model Educational Material Educational Material
Theoretical folder Work folder for the participants Teacher’s folder Demonstration video (patient examples)
Available on: www.auh.dk/cl_psych/uk
INTRODUCTION20 min.
Exercise 115 + 15 min.
Video supervision30 min.
Exercise 215 + 15 min.
Video supervision30 min.
THEORY20 min
Break
Modules Modules
Group exercise: As aboveThere is a running rotation so all GPs will record at least one video with an actor
Plenary: Theoretical presentation about functional illness
Video supervision as above.
Supervision of the video recording in groups of 8 persons
2 of the GPs interview an actor. The first interview is recorded on video
Plenum: An introduction of the exercise, including a short video demonstration
Group exercise: Training of specific skills in groups of 2 GPs
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
The Research Unit for Functional Disorders
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Aarhus University Hospital The Research Unit for Functional Disorders
The TERM ModelThe TERM Model- testing the effect- testing the effect
2 randomized controlled studies 79 general practitioners Approx. 4000 patients
Aarhus County
Vejle County Follow-up after 1-2 years
The Research Unit for Functional Disorders
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Aarhus University Hospital The Research Unit for Functional Disorders
VERSPREIDINGVERSPREIDING
170 PRAKTIJKEN 190 HUISARTSEN 24 DEELNEMERS PER REGIO HUISARTSEN
Hebben meer vertrouwen Bespreken meer PS-zaken
PATIENTEN Meer tevreden Minder lichamelijke klachten