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Table 1 Curricular module content

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

ModuleCentral Conceptual FrameworkRelevant Capacity/SkillPractical Application
To Practice
Strengthening Emotional
Balance
Sequenced stages of emotional episode: Trigger, Emotion Program, and Emotional Behavior1) 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 ResponsesMapping angry and anxious activation vs. overwhelmed shutdown in self & other1) 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 Boundaries1) 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 ConflictPrioritizing between three central priorities and approaches in relational conflict1) 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