a Hull York Medical School , Hull University , Hull , UK.
b Medecins Sans Frontiers , Democratic Republic of Congo.
Med Teach. 2017 Oct;39(10):1040-1050. doi: 10.1080/0142159X.2017.1342031. Epub 2017 Jul 6.
Global environmental change is associated with significant health threats. The medical profession can address this challenge through advocacy, health system adaptation and workforce preparedness. Stewardship of health systems with attention to their environmental impacts can contribute to mitigation of and adaptation to negative health impacts of environmental change. Medical schools have an integral role in training doctors who understand the interdependence of ecosystems and human health. Yet integrating environmental perspectives into busy medical curricula is not a simple task.
At the 2016 Association for Medical Education in Europe conference, medical educators, students and clinicians from six continents discussed these challenges in a participatory workshop. Here we reflect on emerging themes from the workshop and how to plan for curricular change. Firstly, we outline recent developments in environmental health and associated medical education. Secondly, we reflect on our process and outcomes during this innovative approach to international collaboration. Thirdly, we present learning objectives which cover core content for environmentally accountable medical curricula, developed through a reflective process of international collaboration integrating current literature and the workshop outcomes.
International collaboration can bring together diverse perspectives and provide critical insights for the inclusion of environmental health into basic education for medical practitioners.
全球环境变化与重大健康威胁有关。医学界可以通过倡导、卫生系统适应和劳动力准备来应对这一挑战。关注卫生系统对环境的影响,管理卫生系统,可以有助于减轻和适应环境变化对健康的不利影响。医学院在培养了解生态系统和人类健康相互依存关系的医生方面发挥着重要作用。然而,将环境观点纳入繁忙的医学课程并不是一件简单的任务。
在 2016 年欧洲医学教育协会会议上,来自六大洲的医学教育工作者、学生和临床医生在一个参与式研讨会上讨论了这些挑战。在这里,我们反思了研讨会中出现的主题以及如何规划课程改革。首先,我们概述了环境健康的最新发展以及相关的医学教育。其次,我们反思了在这种创新的国际合作方法中我们的过程和结果。第三,我们提出了学习目标,这些目标涵盖了环境负责的医学课程的核心内容,这些内容是通过国际合作的反思过程制定的,该过程整合了当前文献和研讨会的结果。
国际合作可以汇集不同的观点,并为将环境健康纳入医学从业者的基础教育提供重要的见解。