title: Understanding the exercise habits of residents and attending physicians: a mixed methodology study.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  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.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  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.
authors: Department of Family and Community Medicine, University of Missouri-Columbia.
authors: Amy S
authors: AS
authors: Williams
authors: Casey D
authors: CD
authors: Williams
authors: Nikole J
authors: NJ
authors: Cronk
authors: Robin L
authors: RL
authors: Kruse
authors: Erika N
authors: EN
authors: Ringdahl
authors: Richelle J
authors: RJ
authors: Koopman
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D015444:Exercise / Q000523:psychology*; D005180:Faculty, Medical; D005194:Family Practice / Q000193:education*; D005260:Female; D017144:Focus Groups; D006184:Habits; D006801:Humans; D007396:Internship and Residency; D008297:Male; D008505:Medical Staff, Hospital / Q000523:psychology*; D008875:Middle Aged; D008923:Missouri; D010820:Physicians / Q000523:psychology*