Regular physical activity provides a variety of health benefits and is proven to treat and prevent several non-communicable diseases. Specifically, physical activity enhances muscular and osseous strength, improves cardiorespiratory fitness, and reduces the risk of hypertension, coronary heart disease, stroke, type 2 diabetes, mental health disorders, cognitive decline and several cancers. Despite these well-known benefits, physical activity promotion in clinical practice is underused due to insufficient training during medical education. Medical trainees in the USA receive relatively few hours of instruction in sports and exercise medicine (SEM). One reason for this shortage of instruction is a lack of curricular resources at each level of medical education. To address this need, the American Medical Society for Sports Medicine (AMSSM) assembled a group of SEM experts to develop curricular guidance for exercise medicine and physical activity promotion at the medical school, residency and sports medicine fellowship levels of training. After an evidence review of existing curricular examples, we performed a modified Delphi process to create curricula for medical students, residents and sports medicine fellows. Three training level-specific curricula emerged, each containing Domains, General Learning Areas, and Specific Learning Areas; options for additional training and suggestions for assessment and evaluation were also provided. Review and comment on the initial curricula were conducted by three groups: a second set of experts in exercise medicine and physical activity promotion, sports medicine fellowship directors representing a variety of fellowship settings and the AMSSM Board of Directors. The final curricula for each training level were prepared based on input from the review groups. We believe enhanced medical education will enable clinicians to better integrate exercise medicine and physical activity promotion in their clinical practice and result in healthier, more physically active patients.

中文翻译：

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运动医学和体育活动促进：美国医学院、住院医师和运动医学奖学金的核心课程：由美国运动医学医学会制定，并得到加拿大运动与运动医学学会的认可

有规律的体育活动提供了多种健康益处，并被证明可以治疗和预防几种非传染性疾病。具体来说，体育锻炼可以增强肌肉和骨骼的力量，改善心肺健康，并降低患高血压、冠心病、中风、2型糖尿病、精神健康障碍、认知能力下降和几种癌症的风险。尽管有这些众所周知的好处，但由于医学教育期间培训不足，临床实践中的体育锻炼推广并未得到充分利用。美国的医学实习生在运动和运动医学 (SEM) 方面接受的时间相对较少。教学短缺的一个原因是医学教育的各个层次都缺乏课程资源。为了解决这个需求，美国运动医学医学会 (AMSSM) 召集了一组 SEM 专家，为医学院、住院医师和运动医学奖学金培训级别的运动医学和体育活动推广制定课程指南。在对现有课程示例进行证据审查后，我们执行了修改后的 Delphi 流程，为医学生、住院医师和运动医学研究员创建课程。出现了三个特定于培训级别的课程，每个课程都包含领域、一般学习领域和特定学习领域；还提供了额外培训的选项以及评估和评价的建议。最初的课程由三个小组进行审查和评论：第二组运动医学和体育活动促进专家，代表各种奖学金设置的运动医学奖学金董事和 AMSSM 董事会。每个培训级别的最终课程都是根据审查小组的意见准备的。我们相信，加强医学教育将使临床医生能够更好地将运动医学和体育活动推广融入临床实践，从而使患者更健康、更活跃。