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Bloom's taxonomy wheel. Level 1 is application, level 6 is comprehension. Image used within rules of license (creative commons attribution-sharealike license). Taken from: https://www.wylio.com/credits/flickr/4100721032#.
Source publication
Objective
Sport and Exercise Medicine (SEM) Masters curricula vary. This Delphi study is aimed to create a consensus curriculum for doctors undertaking SEM Masters courses.
Methods
A modified Delphi survey was used. An expert panel was established of individuals deemed to have adequate knowledge of the field. The research group developed the initi...
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Background
Sport and Exercise Medicine (SEM) is a growing speciality in the United Kingdom (UK). This growth has not been replicated in SEM teaching at an undergraduate level and SEM-related topics in schools of medicine in the UK are under-represented. As SEM continues to develop as a specialty it is important to consider how it is embedded at all...
Citations
... Educating family physicians in sports medicine is essential for enhancing primary care and treatment outcomes for athletes and physically active individuals. By integrating sports medicine into primary care physicians' training programs, healthcare systems can better meet the diverse health needs of our populations, promote lifelong physical activity, and contribute to the overall well-being of our communities (31,32). ...
Introduction. Training family doctors in promoting physical activities and assisting individuals engaged in sports can significantly contribute to the primary prevention of non-communicable diseases. However, current training in this field, both in university and postgraduate programs, is often insufficient or even absent. The study aims to improve training programs for family physicians in the field of promoting physical activities by developing a model of continuing education program for them. Material and methods. A bibliographic study was conducted on the importance of training family physicians in promoting physical activity and sports. The study utilized the PubMed/MEDLINE, Google Scholar, and ResearchGate databases, covering the period from 2004 to 2024, using the following keywords: physical activity promotion, sports medicine, prevention, training, and family medicine. Results. In Moldova’s medical education system, it is crucial to implement educational interventions that integrate topics from sports medicine and physical activity promotion into undergraduate and postgraduate training. Our recommendations focus on developing appropriate curricula, providing continuing education sessions, and establishing partnerships with experts in sports medicine. Consequently, we propose a project for designing a training program for family physicians to enhance their role in promoting physical activity and sports. Conclusions. To effectively promote physical activities and support individuals engaged in sports, it is essential to develop and implement continuous training programs for family doctors, tailored to local needs and resources.
... 15 21 SEM is not included in core curricula for university medical degrees, nor is there scope for involvement during medical residency or typical public training models. [22][23][24] Lack of awareness, inadequate familiarity and inaccessibility are known barriers to exercise prescription and allied health referral. 14 23 25 Yet, minimal studies to date have specifically described (non-SEM) medical doctors' perceptions towards and collaboration with SEM physicians. ...
Objectives
This cross-sectional study aims to characterise the understanding and attitudes medical practitioners have towards sports and exercise medicine (SEM). By identifying knowledge gaps, misunderstandings and barriers to SEM referral, interventions may be suggested to improve the integration of SEM within a multidisciplinary approach to healthcare.
Design
A survey was constructed with a multidisciplinary expert panel. Refinement and consensus were achieved through a modified Delphi method. Both quantitative and qualitative data were analysed and intergroup comparisons made using χ ² test of independence and post-hoc paired comparisons.
Setting
The questionnaire was distributed across Australian public and private health sectors, in community and hospital-based settings.
Participants
Australian medical doctors practising in specialties likely to intersect with SEM were invited; including general practice, orthopaedics, emergency, rheumatology and anaesthetics/pain. Invitation was uncapped with no reportable response rate. A total of 120 complete responses were collected
Results
The minority (42.5%) of respondents understood the role and scope of sports and exercise physicians. SEM was poorly recognised and comprehended, with the most common misconception being that SEM is solely for elite athletes and performance. Few (20%) doctors were familiar with referral pathways to SEM services. Lack of awareness, clear scope and public presence were seen as major barriers. There was near unanimous (92.5%) agreement that ‘exercise is medicine’. A strong majority felt SEM would be valuable to collaborate with more in their current practice (63.3%) and as a part of the Australian public health system (82.5%). There were some significant differences among subgroups, including that junior doctors were more likely to express confusion about SEM.
Conclusions
Among non-SEM doctors, there is significant lack of clarity regarding the role of SEM and its optimal integration. Interdisciplinary education and addressing misconceptions may improve the contribution of SEM to community healthcare.
... [18] The methodology used in this study was also used for a Delphi study conducted by members of the research team for postgraduate SEM curricula, the same expert panel was utilised for both studies. [19]. ...
... A consensus of opinion was defined by 75% agreement, as reported previously by Keeney et al. [18] Ranges from 70 to 100% have been reported in previous literature as appropriate for consensus. [19,29] Participants had the option of providing anonymous comments after reviewing each LO. For each LO the percentage of agreement was calculated and any anonymous comments regarding that LO were reviewed by the research group. ...
Background
Sport and Exercise Medicine (SEM) is a growing speciality in the United Kingdom (UK). This growth has not been replicated in SEM teaching at an undergraduate level and SEM-related topics in schools of medicine in the UK are under-represented. As SEM continues to develop as a specialty it is important to consider how it is embedded at all levels of training. The aim of this project was to establish a consensus on SEM-related skills and knowledge relevant for undergraduate medical students in the UK, ultimately creating a curriculum of learning objectives (LOs).
Methods
A modified Delphi survey was utilised to seek consensus on LOs suitable for incorporation into UK medical school curricula. An expert panel with adequate knowledge in the field was recruited. The initial curriculum was created by the research team using already established postgraduate SEM curricula. All learning objectives were sent to the expert panel for opinions in phases. Levels of agreement and comments made by the expert panel were reviewed after each phase until a consensus on each learning objective was made.
Results
The expert panel was made up of 45 individuals, with 35 also completing phase 2 (78% retention rate). The initial curriculum contained 58 learning objectives separated into 9 themes. In phase 1 31% (18/58) were accepted outright, 48% (28/58) were altered and 19% (11/58) were rejected. Two additional learning objectives were added. Of the 49 LOs included in phase 2, 98% (48/49) were accepted. The final curriculum was made up of 9 sub-themes and 48 LOs.
Conclusion
Sport and Exercise Medicine is a broad ranging and rapidly growing speciality. It is important to establish SEM education in all levels of medical education, including undergraduate level. This is the first published version of a Delphi SEM curriculum for undergraduate medical teaching.
