Cognitive perspectives on maintaining physicians' medical expertise: V. Using a motivational framework to understand the benefits and costs of testing.

We apply a motivational perspective to understand the implications of physicians' longitudinal assessment. We review the literature on situated expectancy-value theory, achievement goals, mindsets, anxiety, and stereotype threat in relation to testing and assessment. This review suggests several motivational benefits of testing as well as some potential challenges and costs posed by high-stakes, standardized tests.

Cognitive perspectives on maintaining physicians' medical expertise: III. Strengths and weaknesses of self-assessment.

Is self-assessment enough to keep physicians' cognitive skills-such as diagnosis, treatment, basic biological knowledge, and communicative skills-current? We review the cognitive strengths and weaknesses of self-assessment in the context of maintaining medical expertise. Cognitive science supports the importance of accurately self-assessing one's own skills and abilities, and we review several ways such accuracy can be quantified. However, our review also indicates a broad challenge in self-assessment is that individuals do not have direct access to the strength or quality of their knowledge and instead must infer this from heuristic strategies.

Cognitive perspectives on maintaining physicians' medical expertise: IV. Best practices and open questions in using testing to enhance learning and retention.

Although tests and assessments-such as those used to maintain a physician's Board certification-are often viewed merely as tools for decision-making about one's performance level, strong evidence now indicates that the experience of being tested is a powerful learning experience in its own right: The act of retrieving targeted information from memory strengthens the ability to use it again in the future, known as the testing effect. We review meta-analytic evidence for the learning benefits of testing, including in the domain of medicine, and discuss theoretical accounts of its mechanism(s). We also review key moderators-including the timing, frequency, order, and format of testing and the content of feedback-and what they indicate about how to most effectively use testing for learning.

Cognitive perspectives on maintaining physicians' medical expertise: II. Acquiring, maintaining, and updating cognitive skills.

Over the course of training, physicians develop significant knowledge and expertise. We review dual-process theory, the dominant theory in explaining medical decision making: physicians use both heuristics from accumulated experience (System 1) and logical deduction (System 2). We then discuss how the accumulation of System 1 clinical experience can have both positive effects (e.

Cognitive perspectives on maintaining physicians' medical expertise: I. Reimagining Maintenance of Certification to promote lifelong learning.

Until recently, physicians in the USA who were board-certified in a specialty needed to take a summative test every 6-10 years. However, the 24 Member Boards of the American Board of Medical Specialties are in the process of switching toward much more frequent assessments, which we refer to as longitudinal assessment. The goal of longitudinal assessments is to provide formative feedback to physicians to help them learn content they do not know as well as serve an evaluation for board certification.

Familiar Strategies Feel Fluent: The Role of Study Strategy Familiarity in the Misinterpreted-Effort Model of Self-Regulated Learning.

Why do learners not choose ideal study strategies when learning? Past research suggests that learners frequently misinterpret the effort affiliated with efficient strategies as being indicative of poor learning. Expanding on past findings, we explored the integration of study habits into this model. We conducted two experiments where learners experienced two contrasting strategies-blocked and interleaved schedules-to learn to discriminate between images of bird families.

The role of priming in grammatical acceptability judgements for native versus non-native speakers: Effects of intelligibility.

Comprehenders frequently need to adapt to linguistic variability between talkers and dialects. Previous research has shown, given repeated exposure to quasi-grammatical structures, comprehenders begin to perceive them as more grammatical (Luka & Barsalou 2005, Luka & Choi 2012). We examined whether grammatical acceptability judgements differ for native versus non-native speech.

Attentional Competition and Semantic Integration in Low- and High-Span Readers.

The goal of the current study is to investigate the effects of the distractive textual information on the activation of predictive inference online, and how the readers with high or low working memory capacity (WMC) differ in their online activation and text memory. To test the two hypothesis of attentional competition (AC) and semantic integration (SI), we conducted three experiments to investigate whether a local prediction (e.g.

Mapping Pitch Accents to Memory Representations in Spoken Discourse Among Chinese Learners of English: Effects of L2 Proficiency and Working Memory.

We examined L2 learners' interpretation of pitch accent cues in discourse memory and how these effects vary with proficiency and working memory (WM). One hundred sixty-eight L1-Chinese participants learning L2-English listened to recorded discourses containing pairs of contrastive alternatives and then took a later recognition memory test. Their language proficiency and WM were measured through standard tests and the participants were categorized into low, medium, advanced, and high advanced language proficiency groups.

Aerobic exercise improves episodic memory in late adulthood: a systematic review and meta-analysis.

Background: Aerobic exercise remains one of the most promising approaches for enhancing cognitive function in late adulthood, yet its potential positive effects on episodic memory remain poorly understood and a matter of intense debate. Prior meta-analyses have reported minimal improvements in episodic memory following aerobic exercise but have been limited by restrictive inclusion criteria and infrequent examination of exercise parameters.

Methods: We conducted a meta-analysis of randomized controlled trials to determine if aerobic exercise influences episodic memory in late adulthood ( = 70.

Selecting effectively contributes to the mnemonic benefits of self-generated cues.

Self-generated memory cues support recall of target information more robustly than memory cues generated by others. Across two experiments, we tested whether the benefit of self-generated cues in part reflects a meta-mnemonic effect rather than a pure generation effect. In other words, can learners select better memory cues for themselves than others can? Participants generated as many possible memory cues for each to-be-remembered target as they could and then selected the cue they thought would be most effective.

Eye see what you're saying: Contrastive use of beat gesture and pitch accent affects online interpretation of spoken discourse.

Cues to prominence such as beat gesture and contrastive pitch accent play an important role in constraining what is remembered. However, it is currently unclear how beat gesture affects online discourse processing alone and in combination with contrastive accenting. Using an adaptation of the visual world eye-tracking paradigm, we orthogonally manipulated the presence of these cues and their felicity (match) with contrast within local (sentence-level) and global (experiment-level) referential contexts.

Contrast Is in the Eye of the Beholder: Infelicitous Beat Gesture Increases Cognitive Load During Online Spoken Discourse Comprehension.

We investigated how two cues to contrast-beat gesture and contrastive pitch accenting-affect comprehenders' cognitive load during processing of spoken referring expressions. In two visual-world experiments, we orthogonally manipulated the presence of these cues and their felicity, or fit, with the local (sentence-level) referential context in critical referring expressions while comprehenders' task-evoked pupillary responses (TEPRs) were examined. In Experiment 1, beat gesture and contrastive accenting always matched the referential context of filler referring expressions and were therefore relatively felicitous on the global (experiment) level, whereas in Experiment 2, beat gesture and contrastive accenting never fit the referential context of filler referring expressions and were therefore infelicitous on the global level.

Cross-Linguistic Word Recognition Development Among Chinese Children: A Multilevel Linear Mixed-Effects Modeling Approach.

The effects of psycholinguistic variables on reading development are critical to the evaluation of theories about the reading system. Although we know that the development of reading depends on both individual differences (endogenous) and item-level effects (exogenous), developmental research has focused mostly on average-level performance, ignoring individual differences. We investigated how the development of word recognition in Chinese children in both Chinese and English is affected by (a) item-level, exogenous effects (word frequency, radical consistency, and curricular grade level); (b) subject-level, endogenous individual differences (orthographic awareness and phonological awareness); and (c) their interactive effect.

Character and child factors contribute to character recognition development among good and poor Chinese readers from grade 1 to 6.

In light of the dramatic growth of Chinese learners worldwide and a need for a cross-linguistic research on Chinese literacy development, this study investigated (a) the effects of character properties (i.e., orthographic consistency and transparency) on character acquisition, and (b) the effects of individual learner differences (i.

Perceiving effort as poor learning: The misinterpreted-effort hypothesis of how experienced effort and perceived learning relate to study strategy choice.

How do learners make decisions about how, what, and when to study, and why are their decisions sometimes ineffective for learning? In three studies, learners experienced a pair of contrasting study strategies (Study 1: interleaved vs. blocked schedule; Studies 2 & 3: retrieval practice vs. restudy) and rated their perceptions of each strategy before choosing one for future use.

Listeners consider alternative speaker productions in discourse comprehension and memory: Evidence from beat gesture and pitch accenting.

Cues to emphasis, such as beat gesture and contrastive pitch accenting, play an important role in constraining what comprehenders remember from a discourse. One possibility is that these cues are used in a purely bottom-up manner in which additional attention is devoted to emphasized material. Another possibility is that comprehenders use top-down expectations of what cues might be expected in the current communicative context, such that the absence of an expected cue may serve as an indicator that material is unimportant.

The complex interactions of context availability, polysemy, word frequency, and orthographic variables during lexical processing.

In this study we examined the interactions of context availability, polysemy, word frequency, and orthographic neighborhood variables during lexical processing. Context availability and polysemy interacted, in that words that were both lower in context availability and had fewer related senses were especially disadvantaged, as was originally reported by Tokowicz and Kroll (2007). Word frequency interacted with both polysemy and context availability, in that the effects of polysemy and context availability were stronger for lower-frequency words.

Individual differences in syntactic processing: Is there evidence for reader-text interactions?

There remains little consensus about whether there exist meaningful individual differences in syntactic processing and, if so, what explains them. We argue that this partially reflects the fact that few psycholinguistic studies of individual differences include multiple constructs, multiple measures per construct, or tests for reliable measures. Here, we replicated three major syntactic phenomena in the psycholinguistic literature: use of verb distributional statistics, difficulty of object-versus subject-extracted relative clauses, and resolution of relative clause attachment ambiguities.

Aging and recognition memory: A meta-analysis.

Recognizing a stimulus as previously encountered is a crucial everyday life skill and a critical task motivating theoretical development in models of human memory. Although there are clear age-related memory deficits in tasks requiring recall or memory for context, the existence and nature of age differences in recognition memory remain unclear. The nature of any such deficits is critical to understanding the effects of age on memory because recognition tasks allow fewer strategic backdoors to supporting memory than do tasks of recall.

Readers generalize adaptation to newly-encountered dialectal structures to other unfamiliar structures.

Growing evidence suggests that syntactic processing may be guided in part by expectations about the statistics of the input that comprehenders have encountered; however, these statistics and even the syntactic structures themselves vary from situation to situation. Some recent work suggests that readers can adapt to variability in the frequencies of known, but infrequent syntactic structures. But, the relation between adaptation to altered frequencies of familiar structures and learning to process unfamiliar, never-before-seen structures is under-explored.

The influences of valence and arousal on judgments of learning and on recall.

Much is known about how the emotional content of words affects memory for those words, but only recently have researchers begun to investigate whether emotional content influences metamemory-that is, learners' assessments of what is or is not memorable. The present study replicated recent work demonstrating that judgments of learning (JOLs) do indeed reflect the superior memorability of words with emotional content. We further contrasted two hypotheses regarding this effect: a physiological account in which emotional words are judged to be more memorable because of their arousing properties, versus a cognitive account in which emotional words are judged to be more memorable because of their cognitive distinctiveness.

Reduction in Prosodic Prominence Predicts Speakers' Recall: Implications for Theories of Prosody.

Repeated words are often reduced in prosodic prominence, but the underlying mechanisms remain unclear. The present study contrasted two theories: does prosodic reduction reflect the choice of a particular linguistic form, or does ease of retrieval within the language production system lead to facilitated, less prominent productions? One test of facilitation-based theories is suggested by findings on human memory: Whether a second presentation of an item benefits later memory is predicted by the item's availability at the time of the second presentation. If prosodic reduction partially reflects facilitated retrieval, it should predict later memory.

Conflict and metacognitive control: the mismatch-monitoring hypothesis of how others' knowledge states affect recall.

Information about others' success in remembering is frequently available. For example, students taking an exam may assess its difficulty by monitoring when others turn in their exams. In two experiments, we investigated how rememberers use this information to guide recall.