Team,
As mentioned earlier this week we're going to help bring the Physiology First Approach to 500 medical students. Let's have some fun designing the best possible approach to implementation in this unique and high impact setting. Here's where I would suggest starting.
Step One: Announce a Foundations of Breath lecture. Online, in-person, or hybrid depending on logistics of bringing everyone together.
Step Two: opens the lecture with her "why" and earns the trust and ear of the room. She shares 3 core principles from our Foundations of Breath module. For a group this size I would share the simplest principles from the module:
Breathe through the nose, breathe lightly.
📸 Me presenting exactly these principles to a large group of students. Co2 tolerance testing, breathing biomechanics, personalized breath training work in small groups - simple, easy to implement principles in large groups.
She could then offer the following digital resources from Physiology First.
A digital copy of my book, Breathe to Perform and our Breathe to Perform app w/ audio tracks as an accompaniment to the lecture.
She could close by letting everyone know they are invited to be part of a 30 day Breath Awareness Pilot Program - informal and designed to help them reduce stress, heighten awareness, and build a more conscious relationship to their breath.
30 Day Breath Awareness Pilot Program🫁 Can 3 Simple Breathing Principles Shift Resting Physiology in Medical Students?
“This informal pilot explores whether 30 days of breath awareness is associated with measurable changes in resting heart rate, respiration rate, stress, focus, and energy.”
Use a 3-day baseline, then a 24-day practice period, then a 3-day final reassessment.
Days 1–3: Baseline
Just measure:
• Morning resting heart rate
• Evening resting heart rate
• Resting respiration rate
Days 4–27: Breath Awareness Practice
Three rules:
- Breathe through the nose 90% of the time
- Breathe light
Days 28–30: Final assessment
Same exact measurements as baseline.
Then compare each person’s 3-day baseline average vs 3-day final average.
Every student records:
Morning RHR
Immediately upon waking, before phone, caffeine, food, or movement.
Evening RHR
Same time each evening, seated or lying down, after 5 minutes of stillness.
Respiration Rate
Sit quietly for 2 minutes. Count breaths for 60 seconds. One inhale + one exhale = one breath.
Add 3 simple self-ratings
Each day, add:
Energy: 1–10 Stress: 1–10Focus: 1–10
This connects breath to mental and emotional state, not just physiology.
Best data capture
Use one Google Form.
Daily fields:
- Name or anonymous ID
- Date
- Morning RHR
- Evening RHR
- Respiration rate
- Energy 1–10
- Stress 1–10
- Focus 1–10
- Did you follow the 3 breath principles today? Yes / Mostly / No
At the end, calculate:
Baseline average = Days 1–3
Final average = Days 28–30
Then look at:
- average change in morning RHR
- average change in evening RHR
- average change in respiration rate
- average change in stress, focus, and energy
Also compare:
High adherence students vs low adherence students.
In a group of 500 will see a wide variation in adherence and interest. There will definitely be highly interested students who read the Breathe to Perform book, engage with the app, and adhere to the pilot This will become her next pilot group for more advanced breath protocols such as our 20 minute audio breathing track used on a daily basis and eventually to biometric assessment such as Vo2 max testing.
All students will receive education and resources, many will become more aware of the relationship between their mind, body, and breath and some will grow to be part of a smaller, focused cohort engaged in deeper learning with Dr. Swati's guidance and leadership.