University Hospital Heidelberg, Heidelberg Institute of Global Health, Heidelberg, Germany.
University Heidelberg, Medical Faculty, Heidelberg, Germany.
GMS J Med Educ. 2023 May 15;40(3):Doc36. doi: 10.3205/zma001618. eCollection 2023.
Climate change (CC) is of major importance for physicians as they are directly confronted with changing disease patterns, work in a greenhouse gas intensive sector and can be potential advocates for healthy people on a healthy planet.
We assessed third to fifth year medical students' needs to support the integration of CC topics into medical curricula. A questionnaire with 54 single choice-based items was newly designed with the following sections: role perception, knowledge test, learning needs, preference of educational strategies and demographic characteristics. It was administered online to students at Heidelberg medical faculty. Data sets were used for descriptive statistics and regression modelling.
72.4% of students (N=170, 56.2% female, 76% aged 20-24 years) (strongly) agreed that physicians carry a responsibility to address CC in their work setting while only 4.7% (strongly) agreed that their current medical training had given them enough skills to do so. Knowledge was high in the area of CC, health impacts of CC, vulnerabilities and adaptation (70.1% correct answers). Knowledge gaps were greatest for health co-benefits and climate-friendly healthcare (55.5% and 16.7% of correct answers, respectively). 79.4% wanted to see CC and health included in the medical curriculum with a preference for integration into existing mandatory courses. A multilinear regression model with factors age, gender, semester, aspired work setting, political leaning, role perception and knowledge explained 45.9% of variance for learning needs.
The presented results encourage the integration of CC and health topics including health co-benefits and climate-friendly healthcare, as well as respective professional role development into existing mandatory courses of the medical curriculum.
气候变化（CC）对医生来说非常重要，因为他们直接面临着疾病模式的变化，在温室气体排放密集的行业工作，并且可以成为健康星球上健康人群的潜在倡导者。
我们评估了三到五年级医学生的需求，以支持将 CC 主题纳入医学课程。一份包含 54 个单项选择题的问卷是新设计的，分为以下几个部分：角色认知、知识测试、学习需求、教育策略偏好和人口统计学特征。它在海德堡医学院的学生中进行了在线调查。数据集用于描述性统计和回归建模。
72.4%的学生（N=170，56.2%为女性，76%年龄在 20-24 岁）（强烈）同意医生有责任在工作场所解决 CC 问题，而只有 4.7%（强烈）同意他们目前的医学培训已经使他们具备了足够的技能来解决这个问题。CC、CC 对健康的影响、脆弱性和适应等领域的知识水平较高（70.1%的答案正确）。健康协同效益和气候友好型医疗保健方面的知识差距最大（分别为 55.5%和 16.7%的正确答案）。79.4%的人希望看到 CC 和健康被纳入医学课程，并且更倾向于将其融入现有的必修课程。一个包含年龄、性别、学期、理想工作环境、政治倾向、角色认知和知识等因素的多元线性回归模型，解释了学习需求方差的 45.9%。
所呈现的结果鼓励将 CC 和健康主题纳入医学课程，包括健康协同效益和气候友好型医疗保健，以及相应的专业角色发展，纳入现有必修课程。
