Are family medicine residents trained to counsel patients on physical activity? The Canadian experience and a call to action

Abstract

Physical inactivity is a leading risk factor for non-communicable diseases (NCDs) and early mortality. Family physicians have an important role in providing physical activity counselling to patients to help prevent and treat NCDs. Lack of training on physical activity counselling is a barrier in undergraduate medical education, yet little is known regarding physical activity teaching in postgraduate family medicine residency. We assessed the provision, content and future direction of physical activity teaching in Canadian postgraduate family medicine residency programs to address this data gap. Fewer than half of Canadian Family Medicine Residency Programme directors reported providing structured physical activity counselling education to residents. Most directors reported no imminent plans to change the content or amount of teaching. These results reflect significant gaps between the recommendations of WHO, which calls on doctors to prescribe physical activity, and the current curricular content and needs of family medicine residents. Almost all directors agreed that online educational resources developed to assist residents in physical activity prescription would be beneficial. By describing the provision, content and future direction of physical activity training in family medicine, physicians and medical educators can develop competencies and resources to meet this need. When we equip our future physicians with the necessary tools, we can improve patient outcomes and do our part to reduce the global epidemic of physical inactivity and chronic disease.

Summary and application of the WHO 2020 physical activity guidelines for patients with essential hypertension in primary care

“…[ 77 ] reported that primary care physicians do not have sufficient time to discuss preventive care with their patients, spending only 29 min per working day on discussing preventive care, when they needed 6.1 h [ 77 ]. Moreover, lack of training in PA counseling among medical graduates and primary care providers is a barrier to promoting PA in primary care [ 78 , 79 , 80 , 81 , 82 ]. Primary care providers may have limitations to comprehensively counsel their patients about PA in such a time-limited encounter.…”

Physical activity levels among undergraduate students at the College of Applied Medical Sciences, King Saud University, Riyadh: A prevalence study

“…[3] Additionally, it can assist in lowering the risks of early mortality, coronary heart disease, strokes, high blood pressure, obesity, and non-communicable diseases (NCDs). [4][5][6] On the other hand, physical inactivity and sedentary behavior are major public health concerns, particularly among young adults like college students who struggle to balance academic, work, and personal responsibilities. In Saudi Arabia, physical inactivity is prevalent among both middle-aged and young individuals from diverse ethnic backgrounds.…”

“…[3] Additionally, it can assist in lowering the risks of early mortality, coronary heart disease, strokes, high blood pressure, obesity, and non-communicable diseases (NCDs). [4–6]…”