GP specialty trainees' knowledge and values towards physical activity: a national survey of Scottish trainees

Background: Despite the known benefits of physical activity (PA), one - third of adults in the UK fail to meet recommended levels of PA. PA promotion in primary care has been shown to be effective at improving PA in patients but implementation of PA promotion by GPs remains poor. Research has shown a need to improve PA education in undergraduate medical education, but, to the authors' knowledge, no review of postgraduate medical education has been performed. Aim: To assess the knowledge and values of general practice specialist trainees (GPSTs) towards PA promotion in Scotland. Design & setting: Cross- sectional survey distributed to GPSTs in Scotland. Method: A mixed- methods cross- sectional survey, informed by previous research, was developed and distributed to all ( n = 1205) GPSTs in Scotland in December 2022. Descriptive statistics were used to analyse quantitative data. A content analysis of free - text responses was also performed. Results: A total of 168 GPSTs responded, representing 13.9% of all GPSTs in Scotland. Of responders, 93.5% reported no previous experience in the subject of sports and exercise science and medicine. Overall, 38.9% of responders stated they were unaware of the current UK PA guidelines, with 33.9% unable to correctly identify the UK PA guidelines when presented with multiple choice options. In addition, 83.3% felt they had been inadequately trained to deliver PA advice during their medical training. Conclusion: This study highlights a lack of knowledge, confidence, and education in PA promotion in GPSTs in Scotland. Given the importance of primary prevention, this urgently needs to be addressed.