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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

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