Sandra Mandic1, Hamish Wilson2, Monika Clark-Grill2, Diana O’Neill3
1University of Otago, Active Living Laboratory, School of Physical Education, Sport and Exercise Sciences, Dunedin, New Zealand
2University of Otago, Dunedin School of Medicine, Dunedin, New Zealand
3Ministry of Health, Wellington, New Zealand
Medical Students’ Awareness of the Links between Physical Activity and Health
Monten. J. Sports Sci. Med. 2017, 6(2), 5-12 | DOI: 10.26773/mjssm.2017.09.001
The effectiveness of physicians in providing advice to patients about physical activity (PA) is influenced by their own understanding of the links between PA and health, as well as by their own PA habits. This study involved pre-clinical medical students in New Zealand, examining their baseline knowledge, skills, and attitudes towards advising patients about PA, as well as eliciting their personal exercise habits. A total of 234 students (age 20.9±2.9 years; 46% males; participation rate: 99%) completed a paper questionnaire assessing their awareness of current PA guidelines, the benefits of PA, their attitudes toward PA advising, perceived competence and importance of PA-advising skills, and personal PA habits. Data were analysed using descriptive statistics. Most students were aware of the benefits of PA and were regularly active. Students perceived PA advising as a high priority in general practice (79%) but only 37% felt confident in their ability to provide PA advice. At this point in their training, students considered PA advice to be important (4.7±0.8 out of 6), yet perceived themselves to be only moderately competent in providing patient-oriented exercise prescriptions (3.1±0.8 out of 6). However, students who had regular exercise felt more confident in providing PA advice (3.0±0.9 vs. 3.3±0.9, p=0.009). In conclusion, medical students were generally active and had a good understanding of the links between PA and health, but were lacking skills for PA advising. Competence and skills in PA counselling need to be further developed within clinical training as part of an overall curriculum strategy.
Medical Students, Education, Physical Activity, Exercise Advising
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Abramson, S., Stein, J., Schaufele, M., Frates, E., & Rogan, S. (2000). Personal exercise habits and counseling practices of primary care physicians: a national survey. Clinical Journal of Sport Medicine, 10(1), 40-48.
Biddle, S. J., Gorely, T., Pearson, N., & Bull, F. C. (2011). An assessment of self-reported physical activity instruments in young people for population surveillance: Project ALPHA. International Journal of Behavioral Nutrition and Physical Activity, 8, 1-9.
Blair, S. N. (2009). Physical inactivity: the biggest public health problem of the 21st century. British Journal of Sports Medicine, 43(1), 1-2.
Connaughton, A. V., Weiler, R. M., & Connaughton, D. P. (2001). Graduating medical students’ exercise prescription competence as perceived by deans and directors of medical education in the United States: implications for Healthy People 2010. Public Health Reports, 116(3), 226-234.
Croteau, K., Schofield, G., & McLean, G. (2006). Physical activity advice in the primary care setting: results of a population study in New Zealand. Australian and New Zealand Journal of Public Health, 30(3), 262-267.
Dyrbye, L. N., Satele, D., & Shanafelt, T. D. (in press). Healthy Exercise Habits Are Associated With Lower Risk of Burnout and Higher Quality of Life Among U.S. Medical Students. Academic Medicine. https://doi.org/10.1097/ACM.0000000000001540
Eakin, E. G., Brown, W. J., Marshall, A. L., Mummery, K., & Larsen, E. (2004). Physical activity promotion in primary care: bridging the gap between research and practice. American Journal of Preventive Medicine, 27(4), 297-303.
Elley, C. R., Kerse, N., Arroll, B., & Robinson, E. (2003). Effectiveness of counselling patients on physical activity in general practice: cluster randomised controlled trial. British Medical Journal, 326(7393), 793.
Frank, E., Hedgecock, J., & Elon, L. K. (2004). Personal health promotion at US medical schools: a quantitative study and qualitative description of deans’ and students’ perceptions. BMC Medical Education, 4(1), 29.
Frank, E., Rothenberg, R., Lewis, C., & Belodoff, B. F. (2000). Correlates of physicians’ prevention-related practices. Findings from the Women Physicians’ Health Study. Archives of Family Medicine, 9(4), 359-367.
Gaertner, P. H., Firor, W. B., & Edouard, L. (1991). Physical inactivity among physicians. Canadian Medical Association Journal, 144(10), 1253-1256.
Giannuzzi, P., Mezzani, A., Saner, H., Bjornstad, H., Fioretti, P., Mendes, M., . . . Veress, G. (2003). Physical activity for primary and secondary prevention. Position paper of the Working Group on Cardiac Rehabilitation and Exercise Physiology of the European Society of Cardiology. European Journal of Cardiovascular Prevention & Rehabilitation, 10(5), 319-327.
Gupta, K., & Fan, L. (2009). Doctors: fighting fit or couch potatoes? British Journal of Sports Medicine, 43(2), 153-154.
Harsha, D. M., Saywell, R. M., Jr., Thygerson, S., & Panozzo, J. (1996). Physician factors affecting patient willingness to comply with exercise recommendations. Clinical Journal of Sport Medicine, 6(2), 112-118.
Haskell, W. L., Lee, I. M., Pate, R. R., Powell, K. E., Blair, S. N., Franklin, B. A., . . . American Heart, A. (2007). Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation, 116(9), 1081-1093.
Keats, M. R., Culos-Reed, S. N., & Courneya, K. S. (2007). An examination of the beliefs, attitudes and counselling practices of paediatric oncologists toward physical activity: A provincial survey. Paediatric Child Health, 12(4), 289-293.
Liang, M. T., Dombrowski, H. T., Allen, T. W., Chang, C. O., Andriulli, J., Bastianelli, M., . . . Norris, S. D. (1993). Do medical students’ knowledge and attitudes about health and exercise affect their physical fitness? The Journal of the American Osteopathic Association, 93(10), 1020-1024, 1028-1032.
Ministry of Health. (2016). Green Prescriptions. Retrieved from http://www.health.govt.nz/our-work/preventative-health-wellness/physical-activity/green-prescriptions
Rogers, L. Q., Bailey, J. E., Gutin, B., Johnson, K. C., Levine, M. A., Milan, F., . . . Sherman, S. E. (2002). Teaching resident physicians to provide exercise counseling: a needs assessment. Academic Medicine, 77(8), 841-844.
Rogers, L. Q., Gutin, B., Humphries, M. C., Lemmon, C. R., Waller, J. L., Baranowski, T., & Saunders, R. (2006). Evaluation of internal medicine residents as exercise role models and associations with self-reported counseling behavior, confidence, and perceived success. Teaching and Learning in Medicine, 18(3), 215-221.
Sherman, S. E., & Hershman, W. Y. (1993). Exercise counseling: how do general internists do? Journal of General Internal Medicine, 8(5), 243-248.
Sport and Recreation New Zealand (SPARC). (2004). The New Zealand Physical Activity Questionnaires: Report on the validation and use of the NZPAQ-LF and NZPAQ-SF self-report physical activity survey instruments. Wellington.
Swinburn, B. A., Walter, L. G., Arroll, B., Tilyard, M. W., & Russell, D. G. (1998). The green prescription study: a randomized controlled trial of written exercise advice provided by general practitioners. American Journal of Public Health, 88(2), 288-291.
Vallance, J. K., Wylie, M., & MacDonald, R. (2009). Medical students’ self-perceived competence and prescription of patient-centered physical activity. Preventive Medicine, 48(2), 164-166.
Walsh, J. M., Swangard, D. M., Davis, T., & McPhee, S. J. (1999). Exercise counseling by primary care physicians in the era of managed care. American Journal of Preventive Medicine, 16(4), 307-313.
Wee, C. C., McCarthy, E. P., Davis, R. B., & Phillips, R. S. (1999). Physician counseling about exercise. JAMA, 282(16), 1583-1588.