Hull York Medical School, York, UK.
University of Leeds, Leeds, UK.
BMC Med Educ. 2023 Mar 23;23(1):179. doi: 10.1186/s12909-023-04139-x.
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).
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.
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.
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.
运动医学（SEM）是英国（UK）日益发展的专业。但在英国医学本科教学中，SEM 教学并未得到同等程度的发展，SEM 相关主题在医学院校中也没有得到充分体现。随着 SEM 作为一个专业不断发展，考虑如何在各级培训中嵌入 SEM 变得尤为重要。本项目旨在就英国医学生 SEM 相关技能和知识达成共识，最终制定出学习目标（LOs）课程。
采用改良 Delphi 调查法，就英国医学院校课程中适合纳入的 LOs 达成共识。招募了一个在该领域具有足够知识的专家小组。研究团队使用已有的研究生 SEM 课程来创建初始课程。所有学习目标分阶段发送给专家小组征求意见。在每个阶段后，审查专家小组的意见和评论，直到对每个学习目标达成共识。
专家小组由 45 人组成，其中 35 人还完成了第 2 阶段（保留率为 78%）。初始课程包含 58 个学习目标，分为 9 个主题。在第 1 阶段，有 31%（18/58）的目标直接被接受，48%（28/58）的目标被修改，19%（11/58）的目标被拒绝。另外增加了 2 个学习目标。在第 2 阶段包含的 49 个 LOs 中，98%（48/49）被接受。最终课程由 9 个子主题和 48 个 LOs 组成。
运动医学是一个广泛而快速发展的专业。在医学教育的各个层次，包括本科层次，建立 SEM 教育非常重要。这是发布的首个用于本科医学教学的 Delphi SEM 课程。
