Hampshire Karly, Islam Nuzhat, Kissel Bennett, Chase Hannah, Gundling Katherine
University of California, San Francisco School of Medicine, San Francisco, CA, USA.
University of California, San Francisco School of Medicine, San Francisco, CA, USA.
Lancet Planet Health. 2022 May;6(5):e449-e454. doi: 10.1016/S2542-5196(22)00045-6. Epub 2022 Apr 22.
The warming of our planet and destruction of our ecosystems have created grave new threats to human health, such as food insecurity, physical and mental trauma from extreme weather events, and heat-related illness. In the 21st century, medical schools should be training physicians who, as researchers, can advance evidence-based linkages between environment and health; who, as clinicians, can recognise, prevent, and treat associated diseases; and who, as healers, can advocate for a healthy biosphere as an indelible precondition for a healthy humanity. To address the substantial gap between existing and needed curricular content that reflects the realities of the health impacts of environmental degradation, medical students have developed the Planetary Health Report Card (PHRC), a metric-based tool for evaluating and improving planetary health content in medical schools. The PHRC spans five topic areas-curriculum, research, community outreach and advocacy, support for student-led initiatives, and sustainability. Since its creation in 2019, the PHRC has expanded rapidly to evaluate more than 60 medical schools in five countries. Although evaluation results reveal inadequate engagement in all topic areas, application of the PHRC is already spawning transformative dialogue between students, faculty, and administrators, serving as a platform to advance the curricular innovations that will hopefully fulfil the learning needs of medical students in a rapidly changing world.
地球变暖以及生态系统遭到破坏，给人类健康带来了新的严重威胁，比如粮食不安全、极端天气事件造成的身心创伤以及与高温相关的疾病。在21世纪，医学院校应培养这样的医生：作为研究人员，他们能够推动基于证据的环境与健康之间的联系；作为临床医生，他们能够识别、预防和治疗相关疾病；作为治疗者，他们能够倡导健康的生物圈，将其视为人类健康不可或缺的前提条件。为了弥补现有课程内容与反映环境退化对健康影响现实所需内容之间的巨大差距，医学生们开发了“行星健康成绩单”（PHRC），这是一种基于指标的工具，用于评估和改进医学院校的行星健康内容。PHRC涵盖五个主题领域——课程、研究、社区外展与倡导、对学生主导倡议的支持以及可持续性。自2019年创建以来，PHRC迅速扩展，已对五个国家的60多所医学院校进行了评估。尽管评估结果显示在所有主题领域的参与度都不足，但PHRC的应用已经在学生、教师和管理人员之间引发了变革性对话，成为推动课程创新的平台，有望满足快速变化的世界中医学生的学习需求。
