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

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.