Williams Amy S, Williams Casey D, Cronk Nikole J, Kruse Robin L, Ringdahl Erika N, Koopman Richelle J
Department of Family and Community Medicine, University of Missouri-Columbia.
Fam Med. 2015 Feb;47(2):118-23.
Although the benefits of exercise are well known, rates of exercise among residents are much lower than those of attendings or medical students. Little is known about the barriers that prevent residents from exercising regularly. This mixed methodology study identifies and compares these barriers for resident and attending physicians practicing in the same setting.
We conducted three focus groups with first-year and senior residents and attending physicians in the University of Missouri Department of Family and Community Medicine from April to August 2013. We also administered a survey inquiring about exercise rates and habits to 110 resident and attending physicians in the same department using both paper and electronic versions.
During both inpatient and non-inpatient rotations, residents reported exercising less than attending physicians. No residents exercised more than 150 minutes/week during inpatient rotations compared to 18.42% of attendings. Only 6.9% of residents exercised more than 150 minutes/week during non-inpatient rotations, compared to 25% of attendings. Residents and attendings reported different barriers to regular exercise. Residents reported lack of time for a traditional structured workout as a major barrier, which leads to an adversarial relationship between work and exercise.
Residency programs can help residents overcome exercise barriers by reframing exercise expectations to include more frequent but brief periods of exercise during the workday and by developing a supportive exercise culture. Changing worksite environments to support physician exercise may improve physician wellness.
尽管运动的益处众所周知，但住院医师的运动率远低于主治医师或医学生。对于阻碍住院医师定期运动的因素，我们了解甚少。这项混合方法研究确定并比较了在相同环境中工作的住院医师和主治医师面临的这些障碍。
2013年4月至8月，我们在密苏里大学家庭与社区医学系与一年级和高年级住院医师以及主治医师进行了三场焦点小组讨论。我们还对同一科室的110名住院医师和主治医师进行了一项关于运动率和习惯的调查，调查采用纸质版和电子版两种形式。
在住院和非住院轮转期间，住院医师报告的运动量均少于主治医师。在住院轮转期间，没有住院医师每周运动超过150分钟，而主治医师的这一比例为18.42%。在非住院轮转期间，只有6.9%的住院医师每周运动超过150分钟，而主治医师的这一比例为25%。住院医师和主治医师报告的定期运动障碍有所不同。住院医师报告缺乏时间进行传统的结构化锻炼是主要障碍，这导致了工作与运动之间的对立关系。
住院医师培训项目可以通过重新设定运动期望，将工作日内更频繁但短暂的运动时段纳入其中，并营造支持性的运动文化，来帮助住院医师克服运动障碍。改变工作场所环境以支持医生运动可能会改善医生的健康状况。
