Table 1 Elements of the Krishna-Pisupati Model (KPM)
Term | Meaning |
|---|---|
Belief system within the Innate Ring | Religious and cultural beliefs, moral values and ethical principles |
Belief system within the Individual Ring | Autonomous function and individual characteristics |
Belief system within the Relational Ring | Values governing personal relationships |
Belief system within the Societal Ring | Belief system guiding peripheral relationships and societal, professional and legal expectations |
Resonance | New life experiences are consistent with the physician’s values, beliefs and principles |
Synchrony | Resonant values, beliefs and principles are reprioritized to better fit within practical considerations |
Dissonance | New life experiences clash with existing belief systems |
Disharmony | Dissonance within one ring of the RToP |
Dyssynchrony | Dissonance between rings of the RToP |
Sensitivity | Detection of resonance, synchrony, disharmony and/or dyssynchrony |
Judgement | Physicians determine whether a response to an event is required |
Willingness | Physicians consider their motivation, ability and capacity to adapt their identity in response to an event |
Balance | The prioritization of these adaptations to preserve identity |
Identity work | The process through which physicians adapt their identity |