This article reviews the behavioral literature on the control of goal-directed aiming and presents a multiple-process model of limb control. The model builds on recent variants of Woodworth's (1899) two-component model of speed-accuracy relations in voluntary movement and incorporates ideas about dynamic online limb control based on prior expectations about the efferent and afferent consequences of a planned movement. The model considers the relationship between movement speed and accuracy, and how performers adjust their trial-to-trial aiming behavior to find a safe, but fast, zone for movement execution. The model also outlines how the energy and safety costs associated with different movement outcomes contribute to movement planning processes and the control of aiming trajectories. Our theoretical position highlights the importance of advance knowledge about the sensory information that will be available for online control and the need to develop a robust internal representation of expected sensory consequences. We outline how early practice contributes to optimizing strategic planning to avoid worst-case outcomes associated with inherent neural-motor variability. Our model considers the role of both motor development and motor learning in refining feed-forward and online control. The model reconciles procedural and representational accounts of the specificity-of-learning phenomenon. Finally, we examine the breakdown of perceptual-motor precision in several special populations (i.e., Down syndrome, Williams syndrome, autism spectrum disorder, normal aging) within the framework of a multiple-process approach to goal-directed aiming.

Empathy is an essential attribute for medical professionals. Yet, evidence indicates that medical learners' empathy levels decline dramatically during medical school. Training in evidence-based observation and mindfulness has the potential to bolster the acquisition and demonstration of empathic behaviours for medical learners. In this prospective cohort study, we explore the impact of a course in arts-based visual literacy and mindfulness practice (Art of Seeing) on the empathic response of medical residents engaged in obstetrics and gynaecology and family medicine training. Following this multifaceted arts-based programme that integrates the facilitated viewing of art and dance, art-making, and mindfulness-based practices into a practitioner-patient context, 15 resident trainees completed the previously validated Interpersonal Reactivity Index, Compassion, and Mindfulness Scales. Fourteen participants also participated in semistructured interviews that probed their perceived impacts of the programme on their empathic clinical practice. The results indicated that programme participants improved in the Mindfulness Scale domains related to self-confidence and communication relative to a group of control participants following the arts-based programme. However, the majority of the psychometric measures did not reveal differences between groups over the duration of the programme. Importantly, thematic qualitative analysis of the interview data revealed that the programme had a positive impact on the participants' perceived empathy towards colleagues and patients and on the perception of personal and professional well-being. The study concludes that a multifaceted arts-based curriculum focusing on evidence-based observation and mindfulness is a useful tool in bolstering the empathic response, improving communication, and fostering professional well-being among medical residents.