Goshua Anna, Gomez Jason, Erny Barbara, Gisondi Michael, Patel Lisa, Sampath Vanitha, Sheffield Perry, Nadeau Kari C
Stanford School of Medicine, Stanford, CA, USA.
Stanford Graduate School of Business, Stanford, CA, USA.
Pediatr Res. 2023 Apr 20. doi: 10.1038/s41390-023-02600-7.
Anthropogenic climate change-driven primarily by the combustion of fossil fuels that form greenhouse gases-has numerous consequences that impact health, including extreme weather events of accelerating frequency and intensity (e.g., wildfires, thunderstorms, droughts, and heat waves), mental health sequelae of displacement from these events, and the increase in aeroallergens and other pollutants. Children are especially vulnerable to climate-related exposures given that they are still developing, encounter higher exposures compared to adults, and are at risk of losing many healthy future years of life. In order to better meet the needs of generations of children born into a world affected by climate change, medical trainees must develop their knowledge of the relationships between climate change and children's health-with a focus on applying that information in clinical practice. This review provides an overview of salient climate change and children's health topics that medical school and pediatric residency training curricula should cover. In addition, it highlights the strengths and limitations of existing medical school and residency climate change and pediatric health curricula. IMPACT: Provides insight into the current climate change and pediatric health curricular opportunities for medical trainees in North America at both the medical school and residency levels. Condenses climate change and pediatric health material relevant to trainees to help readers optimize curricula at their institutions.
人为气候变化主要由形成温室气体的化石燃料燃烧驱动，会产生许多影响健康的后果，包括极端天气事件的频率和强度不断加快（如野火、雷暴、干旱和热浪）、这些事件导致的流离失所带来的心理健康后遗症，以及空气过敏原和其他污染物的增加。鉴于儿童仍在发育，与成年人相比接触量更高，且面临失去许多未来健康生命年的风险，他们尤其容易受到与气候相关的暴露影响。为了更好地满足出生在受气候变化影响的世界中的几代儿童的需求，医学实习生必须增进对气候变化与儿童健康之间关系的了解，并着重将这些信息应用于临床实践。本综述概述了医学院校和儿科住院医师培训课程应涵盖的突出的气候变化与儿童健康主题。此外，它还强调了现有医学院校和住院医师培训中气候变化与儿科健康课程的优势和局限性。影响：深入了解北美医学院校和住院医师培训阶段医学实习生当前在气候变化与儿科健康课程方面的情况。提炼与实习生相关的气候变化和儿科健康材料，以帮助读者优化其所在机构的课程。
