Phase 1 of the intervention started at the beginning of January 2011 and lasted for six weeks. Phase 1 was a randomized controlled trial, and Phase 2 was a team-based steps competition. We hypothesized that 1) residents who were randomly assigned to an activity monitor with visual feedback would have higher physical activity levels as measured in steps per day compared to residents assigned to a blinded monitor and 2) conducting a team-based steps competition would increase activity levels of residents compared to the non-competition phase. – We conducted a 2-phase study over 12 weeks to determine if use of an activity monitor as part of a resident wellness program would result in increased physical activity levels. Physical activity interventions that use pedometers or activity monitors can be effective among healthy, working populations. Promoting physical activity among residents could help establish a pattern of healthy lifestyle during and after residency as well as reduce depression and burnout. A study of military physicians found that physical fitness declined and weight increased during residency training, and a study of 375 residents from two academic medical centers found that third year medical residents were more likely to be overweight than first year residents. However, residents are less likely to exercise regularly than medical students or attendings,, and a survey of radiology residents found that only 37% engaged in recommended guidelines for physical activity. ,, One survey of residents found that self-care activities, including exercise, were associated with the absence of burnout. – Residency is a period when time-constraints are particularly acute, and symptoms of burnout and depression are high. Regular physical activity helps prevent obesity and chronic disease and is associated with reduced psychological symptoms, including depression, anxiety, and burnout symptoms. ,, , Lack of sleep, stress, and intense interactions with patients contribute to burnout, substance abuse, and depression,. – However, many physicians do not take the time to care for themselves,, – and long work hours reduce time for healthy behaviors. , Physicians are expected to serve as role models for healthy lifestyles, and evidence suggests that physicians are more likely to counsel when they practice these behaviors themselves. – “Physician wellness” has typically been described in the context of mental health, – with less attention to the positive aspects of health promotion. ![]() The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.Ĭompeting interests: The authors have declared that no competing interests exist.Ī growing body of evidence suggests that poor physician health is associated with suboptimal patient care. Thorndike is supported by the grant K23 HL93221 from the National Institutes of Health/National Heart Lung and Blood Institute. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.įunding: Dr. Received: FebruAccepted: Published: June 20, 2014Ĭopyright: © 2014 Thorndike et al. PLoS ONE 9(6):Įditor: Naoyuki Hayashi, Tokyo Institute of Technology, Japan (2014) Activity Monitor Intervention to Promote Physical Activity of Physicians-In-Training: Randomized Controlled Trial. Citation: Thorndike AN, Mills S, Sonnenberg L, Palakshappa D, Gao T, Pau CT, et al.
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