1 / 9

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 .

byron
Download Presentation

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

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  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

More Related