To ensure the next generation of doctors can advise patients on physical activity for both the treatment and prevention of chronic disease
ISPAH ePoster Library. Rufford C. 10/15/18; 225561; 400
Chris Rufford
Chris Rufford
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Abstract
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Abstract Physical inactivity has been called’ the greatest public threat of the 21st century’. The health costs of inactivity are massive. The United Kingdom is three times as inactive as Holland and twice as inactive as France. Exercise can be used to both prevent and treat chronic disease as well as improving surgical outcomes. Relatively small amounts of exercise have been shown to have dramatic affects [150 minutes of moderate exercise weekly] so if we could get more people to reach the minimum requirements we could save the NHS an estimated £18 billion a year. The knowledge of the physical activity guidelines recommended by the chief medical officer in most medical schools is poor.Since 2012 fourth year medical students have attended a two hour lecture/workshop as part of the musculoskeletal module where they look at statistics relating to inactivity and the physiology of how exercise both prevents and treats chronic disease as well as improving surgical outcomes. Working in small groups using real clinical case scenarios they learn how to write a structured prescription with brief interventions tailored to the individual using behaviour change counselling and motivational interviewing which they can use in their consultations. Later simulated patients with chronic disease are used to practice consultation skills under the supervision of general practice Tutors.Evaluation is performed using online feedback at the end of the musculoskeletal module.Physical activity prescribing is also part of the 4th year end of year OSCE assessment. Dr Chris Rufford
Abstract Physical inactivity has been called’ the greatest public threat of the 21st century’. The health costs of inactivity are massive. The United Kingdom is three times as inactive as Holland and twice as inactive as France. Exercise can be used to both prevent and treat chronic disease as well as improving surgical outcomes. Relatively small amounts of exercise have been shown to have dramatic affects [150 minutes of moderate exercise weekly] so if we could get more people to reach the minimum requirements we could save the NHS an estimated £18 billion a year. The knowledge of the physical activity guidelines recommended by the chief medical officer in most medical schools is poor.Since 2012 fourth year medical students have attended a two hour lecture/workshop as part of the musculoskeletal module where they look at statistics relating to inactivity and the physiology of how exercise both prevents and treats chronic disease as well as improving surgical outcomes. Working in small groups using real clinical case scenarios they learn how to write a structured prescription with brief interventions tailored to the individual using behaviour change counselling and motivational interviewing which they can use in their consultations. Later simulated patients with chronic disease are used to practice consultation skills under the supervision of general practice Tutors.Evaluation is performed using online feedback at the end of the musculoskeletal module.Physical activity prescribing is also part of the 4th year end of year OSCE assessment. Dr Chris Rufford
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