1
|
Leese C, Mann RH, Cockcroft EJ, Abraham K. GP specialty trainees' knowledge and values towards physical activity: a national survey of Scottish trainees. BJGP Open 2024:BJGPO.2023.0051. [PMID: 37652716 DOI: 10.3399/bjgpo.2023.0051] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2023] [Revised: 06/14/2023] [Accepted: 07/16/2023] [Indexed: 09/02/2023] Open
Abstract
BACKGROUND Despite the known benefits of physical activity (PA), one-third of adults in the UK fail to meet recommended levels of PA. PA promotion in primary care has been shown to be effective at improving PA in patients but implementation of PA promotion by GPs remains poor. Research has shown a need to improve PA education in undergraduate medical education, but, to the authors' knowledge, no review of postgraduate medical education has been performed. AIM To assess the knowledge and values of general practice specialist trainees (GPSTs) towards PA promotion in Scotland. DESIGN & SETTING Cross-sectional survey distributed to GPSTs in Scotland. METHOD A mixed-methods cross-sectional survey, informed by previous research, was developed and distributed to all (n = 1205) GPSTs in Scotland in December 2022. Descriptive statistics were used to analyse quantitative data. A content analysis of free-text responses was also performed. RESULTS A total of 168 GPSTs responded, representing 13.9% of all GPSTs in Scotland. Of responders, 93.5% reported no previous experience in the subject of sports and exercise science and medicine. Overall, 38.9% of responders stated they were unaware of the current UK PA guidelines, with 33.9% unable to correctly identify the UK PA guidelines when presented with multiple choice options. In addition, 83.3% felt they had been inadequately trained to deliver PA advice during their medical training. CONCLUSION This study highlights a lack of knowledge, confidence, and education in PA promotion in GPSTs in Scotland. Given the importance of primary prevention, this urgently needs to be addressed.
Collapse
Affiliation(s)
- Callum Leese
- School of Medicine, University of Dundee, Dundee, UK
| | - Robert H Mann
- Department of Public Health and Sport Sciences, University of Exeter Medical School, Exeter, United Kingdom
| | - Emma J Cockcroft
- Department of Health and Community Sciences, University of Exeter Medical School, Exeter, UK
| | | |
Collapse
|
2
|
Scheer V, Lohrer H, Pakravan A, Tsapralis K, Valle X, Ghrairi M, Bueno Padilla JM, Malliaropoulos N, Maffulli N, Knechtle B, Heron N. Role of pan-national associations such as the European College of Sports and Exercise Physicians (ECOSEP) in advancing the specialty of sports and exercise medicine in the 21st century. BMJ Open Sport Exerc Med 2023; 9:e001703. [PMID: 37920280 PMCID: PMC10619032 DOI: 10.1136/bmjsem-2023-001703] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/19/2023] [Indexed: 11/04/2023] Open
Affiliation(s)
- Volker Scheer
- Ultra Sports Science Foundation, Pierre-Benite, France
- Universidad a distancia de Madrid (UDIMA), Madrid, Spain
| | - Heinz Lohrer
- Zentrum für Sportorthopädie, European SportsCare Network, Wiesbaden, Germany
- Department of Sport and Sport Science, Albert-Ludwigs-Universität Freiburg, Freiburg im Breisgau, Germany
| | - Amir Pakravan
- Department of Sport and Exercise Science, University of Suffolk, Ipswich, UK
- British Basketball League and Women’s British Basketball League, London, UK
| | | | - Xavier Valle
- Medical Department, FC Barcelona Servicios Medicos, Barcelona, Spain
- Hospital Universitari Dexeus (ICATME), Barcelona, Spain
| | - Mourad Ghrairi
- Chief Medical Officer, FIFA Medical Centre of Excellence Dubai, Dubai, UAE
| | - Jose María Bueno Padilla
- Football Medicine Performance Association, Spanish Football Doctors Association, Madrid, Spain
- Royal College of Physicians, Seville, Spain
| | - Nikos Malliaropoulos
- Centre Sports and Exercise Medicine, QMUL, London, UK
- Sports Medicine, Thessaloniki Sports Medicine Clinic, Thessaloniki, Greece
| | - Nicola Maffulli
- Centre for Sports and Exercise Medicine, Queen Mary, University of London, London, UK
- School of Pharmacy and Bioengineering, Keele University, Stoke-on-Trent, Staffordshire, UK
- Department of Trauma and Orthopaedics, Faculty of Medicine and Psychology, Sapienza University of Rome, Rome, Italy
| | - Beat Knechtle
- Institute of Primary Care, University of Zurich, Zurich, Switzerland
- Medbase, St. Gallen, Switzerland
| | - Neil Heron
- Queen's University Belfast, Belfast, UK
- Keele University, Keele, UK
| |
Collapse
|
3
|
Brennan JN, Hall AJ, Baird EJ. Online case-based educational meetings can increase knowledge, skills, and widen access to surgical training:The nationwideVirtualTrauma & Orthopaedic Meetingseries. Surgeon 2023; 21:e263-e270. [PMID: 36914519 DOI: 10.1016/j.surge.2023.02.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2022] [Revised: 02/17/2023] [Accepted: 02/22/2023] [Indexed: 03/13/2023]
Abstract
BACKGROUND Access to surgical training is challenging for undergraduate and early postgraduate trainees due to a greater focus on developing generic knowledge and skills, and a drive to recruit greater numbers into internal medicine and primary care. COVID-19 accelerated the declining access to surgical training environments. Our aims were to: 1) establish the feasibility of an online, specialty-specific, case-based surgical training series, and 2) evaluate its suitability for meeting the needs of trainees. METHODS A nationwide audience of undergraduate and early postgraduate trainees were invited to a series of bespoke online case-based educational meetings in Trauma & Orthopaedics (T&O) over a six month period. The six sessions, which simulated real-world clinical meetings, were constructed by Consultant sub-specialists and involved the presentation of cases by registrars, followed by structured discussion of basic principles, radiological interpretation, and management strategies. Mixed qualitative and quantitative analyses were conducted. RESULTS There were 131 participants (59.5% male), consisting mostly of doctors in training (58%) and medical students (37.4%). The mean quality rating was 9.0/10 (SD 1.06), further supported by qualitative analysis. 98% enjoyed the sessions, 97% reported improved knowledge of T&O, and 94% reported a direct benefit to clinical practice. There was a significant improvement in knowledge of T&O conditions, management plans, and radiological interpretation (p = <0.05). CONCLUSION Structured virtual meetings, underpinned by bespoke clinical cases, may widen access to T&O training, increase flexibility and robustness of learning opportunities, and mitigate the effects of reduced exposure on preparation for surgical careers and recruitment.
Collapse
Affiliation(s)
- Joseph N Brennan
- Edinburgh Orthopaedics, Royal Infirmary of Edinburgh, Edinburgh, UK
| | - Andrew J Hall
- Edinburgh Orthopaedics, Royal Infirmary of Edinburgh, Edinburgh, UK; Department of Orthopaedics, Golden Jubilee University National Hospital, Clydebank, UK; University of Edinburgh, Edinburgh, UK.
| | - Emily J Baird
- Edinburgh Orthopaedics, Royal Infirmary of Edinburgh, Edinburgh, UK; Royal Hospital for Children & Young People, Edinburgh, UK
| |
Collapse
|
4
|
Carrard J, Morais Azevedo A, Gojanovic B, Edouard P, Pandya T, Robinson DG, Dönmez G, Ušacka L, Martínez Stenger RA, Mendonça LDM, Thornton J, Reis e Silva M, Schneider I, Zwerver J, Jederström M, Fagher K, AlSeyrafi O, Zondi P, Ahamed F, Zhang M, Van Oostveldt K, Suvachittanont N, Akinyi Okoth C, Bel L, Matthews E, Nelson L, Kotila K, Hollander K, Owen PJ, Verhagen E. Sport and exercise medicine around the world: global challenges for a unique healthcare discipline. BMJ Open Sport Exerc Med 2023; 9:e001603. [PMID: 37020535 PMCID: PMC10069566 DOI: 10.1136/bmjsem-2023-001603] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/21/2023] [Indexed: 03/31/2023] Open
Affiliation(s)
- Justin Carrard
- Division of Sport and Exercise Medicine, Department of Sport, Exercise and Health, University of Basel, Basel, Switzerland
| | - Ana Morais Azevedo
- La Trobe Sport and Exercise Medicine Research Centre, La Trobe University, Melbourne, Victoria, Australia
- The Australian Ballet, Melbourne, Victoria, Australia
| | - Boris Gojanovic
- Swiss Olympic Medical Center, Hôpital de La Tour, Meyrin, Geneva, Switzerland
| | - Pascal Edouard
- Université Jean Monnet Saint-Etienne, Lyon 1, Université Savoie Mont-Blanc, Inter-university Laboratory of Human Movement Biology (EA 7424), Saint-Etienne, France
- Department of Clinical and Exercise Physiology, Sports Medicine Unit, University Hospital of Saint-Etienne, Faculty of Medicine, Saint-Etienne, France
| | - Tej Pandya
- Adult Critical Care Unit, The Royal London Hospital, Barts Health NHS Trust, London, UK
| | - Diana Gai Robinson
- Medical School, Notre Dame University, Sydney, New South Wales, Australia
- Sydney Sportsmed Specialists, Sydney, New South Wales, Australia
| | - Gürhan Dönmez
- Department of Sports Medicine, Hacettepe University Faculty of Medicine, Ankara, Turkey
- Gençlerbirliği Sports Club, Ankara, Turkey
| | - Laila Ušacka
- Faculty of Medicine, University of Latvia, Riga, Latvia
| | - Rodrigo A Martínez Stenger
- Dr A. Zubizarreta Hospital, Buenos Aires, Argentina
- Argentinian Sports Physicians Association, Buenos Aires, Argentina
| | - Luciana De Michelis Mendonça
- Physical Therapy Department, School of Physical Education, Physical Therapy and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Jane Thornton
- Western Centre for Public Health & Family Medicine, Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada
| | | | - Isabel Schneider
- Physio-Motion - Sport treiben gesund bleiben. Sports, Exercise, and Health Advisor and Service Provider, Groebenzell, Germany
| | - Johannes Zwerver
- Sports & Exercise Medicine, SportsValley, Gelderse Vallei Hospital, Ede, Netherlands
- Center for Human Movement Sciences, University of Groningen, University Medical Center Groningen, Groningen, Netherlands
| | - Moa Jederström
- Athletics Research Center, Department of Health, Medicine and Caring Sciences, Linköping University, Linkoping, Sweden
| | - Kristina Fagher
- Rehabilitation Medicine Research Group, Department of Health Sciences, Lund University, Lund, Sweden
| | - Omar AlSeyrafi
- Aspetar Orthopaedic and Sports Medicine Hospital, Doha, Qatar
| | - Phathokuhle Zondi
- High-Performance Commission, Medical Advisory Committee, South African Sports Confederation and Olympic Committee, Houghton, Johannesburg, South Africa
| | - Fariz Ahamed
- Sri Lanka Sports Medicine Association, National Hospital of Sri Lanka, Colombo, Sri Lanka
- Sports and Exercise Medicine Unit, Colombo South Teaching Hospital, Kalubowila, Sri Lanka
| | - Mandy Zhang
- Singapore Sport and Exercise Medicine Centre, Changi General Hospital, SingHealth, Singapore
| | | | | | - Carole Akinyi Okoth
- National Spinal Injury Referral Hospital, Ministry of Health, Nairobi, Kenya
- Medical Commission National Olympic Committee, Nairobi, Kenya
| | - Loïc Bel
- School of Health Professions, Bern University of Applied Sciences, Bern, Switzerland
| | | | - Luke Nelson
- Health & High Performance, Melbourne, Victoria, Australia
| | - Karen Kotila
- Danish Society of Sports Physical Therapy, Odense, Denmark
- Boarding School of Nyborg, Nyborg, Denmark
| | - Karsten Hollander
- Institute of Interdisciplinary Exercise Science and Sports Medicine, MSH Medical School Hamburg, Hamburg, Germany
| | - Patrick J Owen
- Deakin University, Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Geelong, Victoria, Australia
| | - Evert Verhagen
- Amsterdam Collaboration on Health & Safety in Sports, Department of Public and Occupational Health, Amsterdam Movement Sciences, Amsterdam University Medical Centres, Vrije Universiteit Amsterdam, Amsterdam, Netherlands
| |
Collapse
|