The behavioral CRs elicited by a drug-paired contextual cue in rats were measured in a series of experiments. The first three experiments measured the pattern of CRs elicited by a lithiumand an amphetamine-paired CS chamber. The final experiment measured the pattern of URs elicited by lithium or amphetamine when administered in the same chamber. The suppression of grooming-related activities (body washing, face washing, and/or scratching) appeared as a nonspecific effect of both drug USs that was capable of becoming conditioned to the contextual chamber cue. A number of other behaviors differed among conditions, which provides evidence that contextual cue-drug associations are drug-specific. Of the behaviors that differed between the two US drug conditions, lithium CRs showed evidence of behavioral activation (enhanced rearing and limb flicking), but amphetamine CRs showed evidence of behavioral suppression (line crossing, rearing, and shaking). The UR patterns shared some similar and some dissimilar elements of the CR patterns elicited by the CS chamber for both lithium and amphetamine; in fact, by the activity and rearing measures, the URs and CRs were opposite in direction. The results exclusively supported neither stimulus substitution nor conditioned compensatory response accounts of Pavlovian conditioning; instead, each process appears to have accounted for different components of the overall CR pattern.
Physician assistant (PA) admissions processes have typically given more weight to cognitive attributes than to noncognitive ones, both because a high level of cognitive ability is needed for a career in medicine and because cognitive factors are easier to measure. However, there is a growing consensus across the health professions that noncognitive attributes such as emotional intelligence, empathy, and professionalism are important for success in clinical practice and optimal care of patients. There is also some evidence that a move toward more holistic admissions practices, including evaluation of noncognitive attributes, can have a positive effect on diversity. The need for these noncognitive attributes in clinicians is being reinforced by changes in the US health care system, including shifting patient demographics and a growing emphasis on team-based care and patient satisfaction, and the need for clinicians to help patients interpret complex medical information. The 2016 Physician Assistant Education Association Stakeholder Summit revealed certain behavioral and affective qualities that employers of PAs value and sometimes find lacking in new graduates. Although there are still gaps in the evidence base, some tools and technologies currently exist to more accurately measure noncognitive variables. We propose some possible strategies and tools that PA programs can use to formalize the way they select for noncognitive attributes. Since PA programs have, on average, only 27 months to educate students, programs may need to focus more resources on selecting for these attributes than teaching them.
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