Physician Communication Coaching: How Psychologists can Elevate Skills and Support Resident Education,Professionalism, and Well-being

Journal of Clinical Psychology in Medical Settings - Many factors influence resident physician communication, including rigorous training demands that can contribute to professionalism issues or...     

Prospective memory and aging: preserved spontaneous retrieval,but impaired deactivation,in older adults

Prospective remembering is partially supported by cue-driven spontaneous retrieval processes. We investigated spontaneous retrieval processes in younger and older adults by presenting prospective memory target cues during a lexical decision task following instructions that the prospective memory task was finished. Spontaneous retrieval was inferred from slowed lexical decision responses to target cues (i.e., intention interference). When the intention was finished, younger adults efficiently deactivated their intention, but the older adults continued to retrieve their intentions. Levels of inhibitory functioning were negatively associated with intention interference in the older adult group, but not in the younger adult group. These results indicate that normal aging might not compromise spontaneous retrieval processes but that the ability to deactivate completed intentions is impaired.     

Delaying execution of intentions: overcoming the costs of interruptions

In real-world settings, execution of retrieved intentions must often be briefly delayed until an ongoing activity is completed (delayed-execute prospective memory tasks). Further, in demanding work settings, the ongoing activity itself can be interrupted. Experiment 1 examined the effects of the delay length (5, 15, 40 s), the presence of an interruption within that delay, and the length of the interruption on prospective memory performance. Delay length did not significantly affect performance, but interruptions produced significant decrements in performance relative to a delay alone. The length of the interruptions (10 vs. 20 s) did not significantly affect performance. Experiment 2 replicated the negative effects of interruptions, and found that these effects could be overcome with a simple external mnemonic. We suggest that in demanding work environments where interruptions are likely, external cues are advisable, especially where prospective memory failures have critical consequences. Copyright © 2004 John Wiley & Sons, Ltd.