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英国医学教育中的行星健康与可持续发展教学:医学院课程综述

Planetary health and sustainability teaching in UK medical education: A review of medical school curricula.

作者信息

Bevan James, Blyth Rachel, Russell Benjamin, Holtgrewe Lydia, Cheung Annie Hoi Ching, Austin Isobel, Shah Viraj, Butler Megan, Fraser Simon

机构信息

Faculty of Medicine, University of Southampton, Southampton, UK.

NHS Foundation Trust, St. George's University Hospitals, London, UK.

出版信息

Med Teach. 2023 Jun;45(6):623-632. doi: 10.1080/0142159X.2022.2152190. Epub 2022 Dec 12.

Abstract

BACKGROUND

The doctors of the future need to be empowered to deliver healthcare sustainably while protecting their patients' health in the context of a degrading environment. This study aimed to objectively review the extent and nature of the teaching of planetary health and sustainability topics in UK medical education.

METHODS

A multi-centre national review of the timetabled teaching sessions in medical courses in the UK during the academic year 2020/2021 against the General Medical Council's adopted 'Educating for Sustainable Healthcare - Priority Learning Outcomes'. Medical students were recruited and reviewed the entirety of their own institution's online teaching materials associated with core teaching sessions using a standardised data collection tool. Learning outcome coverage and estimated teaching time were calculated and used to rank participating medical schools.

RESULTS

45% of eligible UK medical schools were included in the study. The extent of teaching varied considerably amongst courses. Mean coverage of the 13 learning outcomes was 9.9 (SD:2.5) with a mean estimated teaching time of 140 min (SD:139). Courses with dedicated planetary health and sustainability sessions ranked best.

CONCLUSION

There is large disparity in the education that medical students receive on these topics. Teaching may not adequately prioritise sustainability or reflect advances in planetary health knowledge.[Box: see text].

摘要

背景

未来的医生需要在保护环境的同时,有能力可持续地提供医疗保健服务,保护患者健康。本研究旨在客观地评估英国医学教育中行星健康和可持续发展主题教学的程度和性质。

方法

针对英国医学课程在2020/2021学年的排课教学课程,依据英国医学总会采用的“可持续医疗教育——优先学习成果”进行多中心全国性评估。招募医学生,让他们使用标准化数据收集工具,审查其所在院校与核心教学课程相关的全部在线教学材料。计算学习成果覆盖率和估计教学时间,并据此对参与研究的医学院校进行排名。

结果

45%符合条件的英国医学院校纳入本研究。各课程的教学程度差异很大。13项学习成果的平均覆盖率为9.9(标准差:2.5),平均估计教学时间为140分钟(标准差:139)。设有专门行星健康和可持续发展课程的排名最佳。

结论

医学生在这些主题上接受的教育存在很大差异。教学可能未充分重视可持续性,也未反映行星健康知识的进展。[方框内容:见正文]

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