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URMC / Family Medicine / Mindful Practice / Our Approach / Theme-based Mindful Practice Modules
 

Theme-based Mindful Practice Modules

Each module is thematically-oriented around a particular topic relevant to clinical practice. Each Mindful Practice® workshop may include one or more modules that are chosen based on learners’ specialty, goals, level of training, and other factors. Each module has didactic, contemplative, and interactive elements with detailed guidelines for these exercises. Time for debriefing is allotted within each module, in which participants share their own insights, challenges, and questions.

The interactive presentation of each module outlines the structure and purpose of the session and presents material related to the theme of the module. Presentations are supported by interactive discussion with some focused inquiry.

Guided contemplative exercises generally comprise about 1/3 of each session. These include meditative practices guided in a manner that weaves in the theme of the given module.

Dialogue exercises (narrative medicine, appreciative interviews, insight dialogues, etc.) comprise about 1/3 of each session. Generally, participants divide into small groups of 5-10 and prepare written narratives. These narratives are shared in dyads, triads, or among the entire small group.  Reflective questions are posed to encourage deeper inquiry into the narrative experience.

Mindful Practice® Themes
  • Awareness – Our ability to notice, perceive, and discern
  • Self-monitoring – How we know how we are doing, automatic and deliberative processing, how we know when to slow down
  • Cognition – Our ability to think and be aware of biases and cognitive ‘traps’
  • Teamwork – Our capacity to work effectively with others
  • Suffering – Our responses to others’ suffering, being compassionate while cultivating resilience
  • Errors – How and why we make errors, how to prevent them and disclosure/apology once they occur
  • Managing time – How we perceive and use time effectively
  • Working with uncertainty – Recognizing that uncertainty is unavoidable in clinical practice and involves both cognitive and emotional challenges
  • Self-care and self-compassion – How to prevent and recognize burnout, enhancing well-being
  • Compassion for others – Cultivating compassion for all others regardless of our feelings of worth or merit
  • Challenges to professionalism – Attraction to patients, monetary incentives, conflict, pressure to prescribe, boundaries and limits, etc.
  • Grief and loss – Awareness of and responding to our own losses as well as those of our patients and learners
  • Resilience – The capacity to respond to stress in a healthy way, bouncing back after challenges while growing stronger