Dataset Information

What's Happening in Your Head: Overcoming Our Assumptions to Work Better Together.

ABSTRACT: Introduction: It is crucial that residents learn in environments that are psychologically safe and free of morale-harming rumors. This workshop introduced the Ladder of Inference as a means for programs to foster psychological safety, mitigate against rumors, and increase trust.

Methods: Residents and faculty of two residency programs (cohorts A and B) were introduced to the Ladder of Inference. After an interactive discussion, small groups applied the concept to engaging, highly relevant hypothetical situations. Debriefing and reflection followed the group work. Finally, attendees completed an assessment of the workshop's effectiveness (10 7-point questions) and their satisfaction (one 7-point question).

Results: Seventeen residents from cohort A completed the workshop, and 15 completed the assessment (response rate: 88%). Participants found it favorable (M = 65.9 out of 70) and satisfactory (6.3 out of 7). Twenty-eight residents and faculty from cohort B completed the workshop, and 15 completed the assessment (response rate: 54%). Cohort B participants also found the workshop favorable (M = 64.8) and satisfactory (6.8). Both cohorts felt the workshop was effective in helping them understand the concept of the Ladder of Inference (6.5 for both cohorts) and would provide value in their residency program in the future (6.1 for cohort A, 6.7 for cohort B) and at other organizations (6.3 for cohort A, 6.7 for cohort B).

Discussion: This workshop is an effective method whereby participants can develop and apply an understanding of the Ladder of Inference. This shared understanding can promote trust and enhance the resilience of a program.

SUBMITTER: Schlegel D

PROVIDER: S-EPMC7703482 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature

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What's Happening in Your Head: Overcoming Our Assumptions to Work Better Together.

Schlegel Daniel D Parascando Jessica J

MedEdPORTAL : the journal of teaching and learning resources 20201130

<h4>Introduction</h4>It is crucial that residents learn in environments that are psychologically safe and free of morale-harming rumors. This workshop introduced the Ladder of Inference as a means for programs to foster psychological safety, mitigate against rumors, and increase trust.<h4>Methods</h4>Residents and faculty of two residency programs (cohorts A and B) were introduced to the Ladder of Inference. After an interactive discussion, small groups applied the concept to engaging, highly re ...[more]

PMID: 33274293

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Project description:PurposeEating disorders are prevalent public health problems associated with broad psychosocial impairments and with elevated rates of psychiatric and medical comorbidities. Critical reviews of the treatment literature for eating disorders indicate that although certain specialized psychological treatments and specific medications show efficacy to varying degrees across the different eating disorders, many patients fail to derive sufficient benefit from existing treatments. This article addresses whether combining psychological and pharmacologic interventions confers any additional benefits for treating eating disorders.MethodsThis study was a critical review of randomized controlled trials (RCTs) testing combined psychological and pharmacologic treatment approaches for eating disorders with a focus on anorexia nervosa (AN), bulimia nervosa (BN), and binge-eating disorder (BED).FindingsFor AN, 3 of the 4 RCTs reported no significant advantage for combining treatments; the fourth reported a statistically significant, albeit clinically modest, advantage. For BN, 10 of the 12 RCTs reported no significant advantage for combining treatments; 2 RCTs found that combining fluoxetine with specific psychological treatments enhanced outcomes relative to medication only but not relative to the psychological treatments only. For BED, of the 12 RCTs, only 2 (both with antiseizure medications) significantly enhanced both binge-eating and weight outcomes, and only 2 (with orlistat, a weight-loss medication) enhanced weight loss but not binge-eating outcomes.ImplicationsDespite the public health significance of eating disorders, the scope of research performed on the utility of combining treatments is limited. To date, the few RCTs testing combined pharmacologic plus psychological treatments for eating disorders have yielded mostly nonsignificant findings. Future RCTs should focus on testing additive benefits of medications with relevant mechanisms of action to available effective psychological interventions. In addition, future RCTs that test additive effects should use adaptive designs, which could inform treatment algorithms to enhance outcomes among both responders and nonresponders to initial interventions.

Dataset Information

What's Happening in Your Head: Overcoming Our Assumptions to Work Better Together.

Publications

What's Happening in Your Head: Overcoming Our Assumptions to Work Better Together.

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