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Table 1 Curricular module content

From: Developing institutional infrastructure for physician wellness: qualitative Insights from VA physicians

Module

Central Conceptual Framework

Relevant Capacity/Skill

Practical Application

To Practice

Strengthening Emotional

Balance

Sequenced stages of emotional episode: Trigger, Emotion Program, and Emotional Behavior

1) Understand and analyze personal conditioning & emotional triggers

2) Feel sensate/somatic experience of emotions directly

3) Differentiate conscious from unconscious emotional behavior

Building capacity to consciously observe, experience, and act from emotions constructively rather than destructively

Tracking and Regulating Stress Responses

Mapping angry and anxious activation vs. overwhelmed shutdown in self & other

1) Develop interoceptive skills: monitoring internal stimuli

2) Regulate stressful responses and energize shutdown states

Enhancing ability to sense activation or shutdown & then intervene to self-regulate

Interpersonal Boundaries

1) Function of healthy boundaries

2) Spectrum and features of loose and rigid boundaries

1) Identify own typical boundary style

2) Verbalize personally appropriate boundaries

Maintain relational safety amidst challenging interactions

Priorities in Interpersonal Conflict

Prioritizing between three central priorities and approaches in relational conflict

1) Asking for change in another

2) Preserving relationship

3) Preserving personal boundaries

Effectively managing conflicts or disagreements

Managing Disruptive

Patients

1) Assessing levels of stress in patients

2) Using the appropriate approach per stress level

1) Non-verbal de-escalation

2) Active and reflective listening

2) Limit-setting

Developing confidence in assessing and responding to disruptive patients