TOPIC modelTask oriented processes in care

New Problem Check-up Chronic illness Psycho social Behavior

() () () () Change()


(
) BATHE

(





-

A. A. A. A. A.
()
B. B. B. B. B.

USPSTF DSM-4

GRIPE
USPSTF Recommendations for Primary Care Practice
https://www.uspreventiveservicestaskforce.org/Page/Name/recommendations
http://plaza.umin.ac.jp/jafm/
fd/20090627/090628_fujinu
ma03.pdf






Discover
Dream
Design
Deliver

BATHE



Best

Account
Thankfulness

Journal Club Happen
Health
Empathy, Empowerment
http://www.hcfm.jp/journal/?p=60

Routines

Ceremonies

Dramas


5 micro-skills
OneMinutesPreseptor

1. Get a commitment


2. Probe for supporting evidence

3. Teach general rules

4. Reinforce what was done right
5. Correct mistakes


SNAPPS Terry M.Wolpaw 2003

Summarize H&P
3
Narrow the differential
3
Analyze the differential

Probe the uncertainties

Plan management

Select case-related self-study

GRIPE
Guidelines and Goals()

Reflect on the patient()


Intervention()

Prevention, Pain, Palliation()

Effective Feedback ()


Miller WL. Routine, ceremony, or drama: an exploratory field study of the primary care clinical
encounter. J Fam Pract. 1992 Mar;34(3):289-96.
II (process of care) TOPIC Task-
Oriented Processes in Care (TOPIC) Model in Ambulatory Care https://goo.gl/hWDHW2
http://slideplayer.com/slide/10771281/