The study aimed to examine the sustained impact of a 1.5-hour medical school-based physical activity (PA) module on interns’ perceived competence and importance in advising older adults about exercise. The modified Exercise and Physical Activity Competence Questionnaire (EPACQ) was administered in 2017 (CG: control group) and 2018 (IG: intervention group) two years post-course. The perceived competence of both, CG (n=23) and IG (n=18), decreased significantly over two years (p≤0.05) with no difference between the groups (p≥0.05). However, 72.2% (n=13) of the interns who attended the PA module still felt competent in advising older adults about exercise (4.21±0.66) compared to 47.8% (n=11) of the CG (3.89±0.67). The perceived importance decreased significantly in both groups (p≤0.05) with no difference between the groups (p≥0.05). However, both groups still perceived exercise for older people as important (CG:4.55±0.61; IG:4.83±0.47). Subsequently, continued professional development is likely to be a key requirement for ensuring sustainability over time.
Perceived competence exercise prescription interns medical education older people
This is a preview of subscription content, log in to check access.
The authors would like to thank Prof David Wilson for reviewing the manuscript and all the students and interns who participated in this study.
Conflict of interest: The authors declare no conflicts of interest.
Andersen RE, Blair SN, Cheskin LJ, Bartlett SJ. Encouraging patients to become more physically active: the physician’s role. Ann Intern Med 1997;127(5):395–400.CrossRefGoogle Scholar
Taylor D. Physical activity is medicine for older adults. Postgrad Med J 2014;90(1059):26–32.CrossRefGoogle Scholar
Glasgow RE, Eakin EG, Fisher EB, Bacak SJ, Brownson RC. Physician advice and support for physical activity: results from a national survey. Am J Prev Med 2001;21(3):189–196.CrossRefGoogle Scholar
Jadczak AD, Tam KL, Yu S, Visvanathan R. Medical students’ perceptions of the importance of exercise and their perceived competence in prescribing exercise to older people. Australas J Ageing 2017;36(3):E7–E13.CrossRefGoogle Scholar
Jadczak AD, Tam KL, Visvanathan R. Educating Medical Students in Counselling Older Adults About Exercise: The Impact of a Physical Activity Module. J Frailty Aging 2018;7(2):113–119.PubMedGoogle Scholar
Connaughton AV, Weiler RM, Connaughton DP. 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 Rep 2001;116(3):226–234.CrossRefGoogle Scholar
Diachun LL, Dumbrell AC, Byrne K, Esbaugh J. … But does it stick? Evaluating the durability of improved knowledge following an undergraduate experiential geriatrics learning session. J Am Geriatr Soc 2006:54(4):696–701.CrossRefGoogle Scholar
Perrig M, Berendonk C, Rogausch A, Beyeler C. Sustained impact of a short small group course with systematic feedback in addition to regular clinical clerkship activities on musculoskeletal examination skills-a controlled study. BMC Med Educ 2016;16(1):35.CrossRefGoogle Scholar
Sant’Ana GM, Cavalini W, Negrello B, et al. Retention of laparoscopic skills in naive medical students who underwent short training. Surg Endosc 2017:31(2):937–944.CrossRefGoogle Scholar
Reeves S, Perrier L, Goldman J, Freeth D, Zwarenstein M. Interprofessional education: effects on professional practice and healthcare outcomes (update). Cochrane Database Syst Rev 2013;2013(3):CD002213.PubMedCentralGoogle Scholar