. 2022 Sep 1;13(5):87–100. doi: 10.36834/cmej.74083

Table 1. (abridged).

Results from phases one and two of the curriculum scan for 24-Hour Movement Guideline content in the Queen’s University Undergraduate Medical Education 2019-2020 curriculum.

Content related to the Canadian 24-Hour Movement Guidelines for Adults					Queen’s Competency Framework³¹
Learning Event Objectives	Learning Event Title: Description (Format)	Assessment Type: (Duration)	Course (Term, Semester, Year)	Existing Instruction Time	Queen’s Outcomes	Queen’s Competencies
Understand the types of evidence on the utility of exercise^a to reduce risk and associated cardiometabolic risk factors.	PROACTIVE Trial Critical Appraisal: Critical appraisal on a randomized controlled trial manuscript (DIL)	Formative: Critical appraisal worksheet small group assignment	MEDS123: Population Health^b (Term 2, W2020)	50 mins	Health Advocate 1.1.5	#7
Understand the types of evidence on the utility of exercise^a to reduce risk and associated cardiometabolic risk factors.	Exercise^a in Medicine: PowerPoint slides on the utility of PA to manage obesity-related health risk (LEC)	N/A	MEDS123: Population Health (Term 2, W2020)	120 mins	Scholar 1.3.7	#10
Consider effective strategies for health promotion at the individual, group, and community level and how to promote health in a 1:1 encounter.	Introduction to Health Promotion: Module on health promotion, prevention, and behaviour change, including exercise^a, PA, and avoidance of sedentary behaviours (LEC + SGL)	Summative: Exam (20 mins, 5 questions)	MEDS123: Population Health (Term 2, W2020)	110 mins	Health Advocate 1.1.5	#7
					Health Advocate 2.1.1, 2.1.2	#8
					Health Advocate 3.1.1	#9
Prescribe exercise^a to older adults using the FITT principle and discuss strategies to help older adults address barriers to exercise^a.	Exercise^a/Falls in Older Adults: Reading and PowerPoint slides on prescribing exercise^a in older adults (SGL)	Summative: Exam (45 mins, questions on one mandatory reading)	MEDS126: Principles of Geriatrics, Oncology, and Palliative Care (Term 2, W2020)	120 mins	Medical Expert 1.1.1	#1
					Medical Expert 2.1.3, 2.2.1, 2.2.2, 2.2.5	#2
					Health Advocate 1.1.5, 1.1.2	#7
Explore the normal response to exercise^a and the impact of cardio-respiratory disease on exercise^a function.	Exercise^a: Module on exercise^a and cardio-respiratory-metabolic function (SGL)	Formative: Question and small group activity worksheet Summative: Exam (120 mins, portion of questions)	MEDS110: Human Structure and Function (Term 1, F2019)	110 mins	[Outcomes to be added and mapped to learning event]	[Competencies to be added and mapped to learning event]
N/A	PA for patients in chest pain, back pain, prevention, screening, depression, and anxiety sessions	N/A	MEDS115: Family Medicine (Term 1, F2019)	Varies	N/A	N/A
Instances Embedded in Learning Events to Promote Medical Students’ Participation in Healthy Movement Behaviours
N/A	HIIT and stretching during 10 minute break	N/A	MEDS115: Family Medicine (Term 1, F2019)	10 mins	N/A	N/A
N/A	Facilitating standing breaks anytime a video is shown	N/A	Multiple (ongoing)	Varies	N/A	N/A

DIL = directed independent learning; FITT principle = frequency, intensity, type, time; HIIT = high-intensity interval training; LEC = lecture; PA = physical activity; SGL = small group learning

Note: The curriculum scan was performed for the 2019-2020 academic year. Learning events related to sleep disorders were identified in the curriculum scan; however, as this falls outside the scope of the 24-Hour Movement Guidelines (which pertain to sleep recommendations for health promotion), these learning events were excluded. No content related to sleep for health promotion was identified in the curriculum scan, therefore learning events presented in Table 1 only content related to physical activity, exercise, or sedentary behaviour.

The term “exercise” is used throughout Table 1 (rather than “physical activity”, which is the language consistent with the 24-Hour Movement Guidelines) as this is the current language used in the curriculum.

Only learning events in first year courses were identified in the curriculum scan.