Department of General Practice/Family Medicine, University Hospital Würzburg, Würzburg, Germany.
Centre for Planetary Health Policy (CPHP), Berlin, Germany.
Front Public Health. 2023 Apr 25;11:1143751. doi: 10.3389/fpubh.2023.1143751. eCollection 2023.
The climate and ecological crises are considered fundamental threats to human health. Healthcare workers in general and doctors in particular can contribute as change agents in mitigation and adaptation. Planetary health education (PHE) aims to harness this potential. This study explores perspectives among stakeholders involved in PHE at German medical schools on the characteristics of high-quality PHE and compares them to existing PHE frameworks.
In 2021, we conducted a qualitative interview study with stakeholders from German medical schools involved in PHE. Three different groups were eligible: faculty members, medical students actively involved in PHE, and study deans of medical schools. Recruitment was performed through national PHE networks and snowball sampling. Thematic qualitative text analysis according to Kuckartz was used for the analysis. Results were systematically compared to three existing PHE frameworks.
A total of 20 participants (13 female) from 15 different medical schools were interviewed. Participants covered a wide range of professional backgrounds and experience in PHE education. The analysis revealed ten key themes: (1) Complexity and systems thinking, (2) inter- and transdisciplinarity, (3) ethical dimension, (4) responsibility of health professionals, (5) transformative competencies including practical skills, (6) space for reflection and resilience building, (7) special role of students, (8) need for curricular integration, (9) innovative and proven didactic methods, and (10) education as a driver of innovation. Six of our themes showed substantial overlap with existing PHE frameworks. Two of our themes were only mentioned in one of the frameworks, and two others were not explicitly mentioned. Few important elements of the frameworks did not emerge from our data.
In the light of increased attention regarding the connections of the climate and ecological crises and health, our results can be useful for anyone working toward the integration of planetary health into medical schools' and any health professions' curricula and should be considered when designing and implementing new educational activities.
气候和生态危机被认为是对人类健康的根本性威胁。医疗保健工作者，尤其是医生，可以作为减轻和适应气候变化的推动者发挥作用。行星健康教育（PHE）旨在利用这一潜力。本研究探讨了德国医学院参与 PHE 的利益相关者对高质量 PHE 的看法，并将其与现有的 PHE 框架进行了比较。
2021 年，我们对参与 PHE 的德国医学院的利益相关者进行了定性访谈研究。有三个不同的群体符合条件：教师、积极参与 PHE 的医学生和医学院的教务长。通过国家 PHE 网络和滚雪球抽样进行招募。采用 Kuckartz 的主题定性文本分析进行分析。结果与三个现有的 PHE 框架进行了系统比较。
共有来自 15 所不同医学院的 20 名参与者（13 名女性）接受了采访。参与者涵盖了广泛的专业背景和 PHE 教育经验。分析揭示了十个关键主题：（1）复杂性和系统思维，（2）跨学科和跨学科，（3）伦理维度，（4）卫生专业人员的责任，（5）包括实践技能在内的变革性能力，（6）反思和弹性建设的空间，（7）学生的特殊作用，（8）课程整合的需要，（9）创新和经过验证的教学方法，以及（10）教育是创新的驱动力。我们的六个主题与现有的 PHE 框架有很大的重叠。我们的两个主题仅在一个框架中提到，另外两个主题没有明确提及。框架中没有出现很少有重要元素。
鉴于人们越来越关注气候和生态危机与健康之间的联系，我们的研究结果对于任何致力于将行星健康纳入医学院校和任何卫生专业课程的人都将是有用的，并且在设计和实施新的教育活动时应考虑这些结果。
