University Hospital Würzburg, Department of General Practice, Würzburg, Germany.
University of Ulm, Ulm, Germany.
GMS J Med Educ. 2023 May 15;40(3):Doc33. doi: 10.3205/zma001615. eCollection 2023.
Stakeholders in healthcare and science increasingly demand the rapid integration of teaching content on planetary health (PIH) into the curricula of all the healthcare professions. In medical education, such topics are currently only covered inadequately and are mostly limited to elective courses.
WHY WAS THE PROJECT INITIATED?: In order to reach all medical students in the sense of a learning spiral and promote an interdisciplinary understanding of planetary health, a longitudinal mosaic curriculum is being developed that introduces aspects of planetary health throughout the entire course of study. We share the first experiences of the start of this project as an example to inspire similar activities elsewhere.
We mapped all the courses at the Faculty of Medicine in Würzburg and compared them with existing learning objectives on planetary health topics from the National Competency-Based Catalog of Learning Objectives for Medical Education. We then identified curricular injection points and held consultations with teaching staff and course coordinators from 26 different specialities in order to integrate the respective contents into the courses and, if necessary, develop new content. An overview of all curricular injection points with the corresponding topics, learning objectives, and teaching and examination methods is under development.
The lecturers exchanged ideas with the project team of the teaching clinic of the Faculty of Medicine; further networking meetings to coordinate a learning spiral are to follow. The lecturers were asked to provide structured learning objectives in the categories "knowledge", "attitudes", "skills", and "confidence" on the topics integrated into the courses. Oral as well as written evaluations using Evasys questionnaires among students and lecturers are planned.
Planetary Health topics have been introduced in several courses following our intervention. In the context of a learning spiral, teaching staff from further medical disciplines will be contacted so that more perspectives can be highlighted at different points in the curriculum. In addition, interdisciplinary teaching formats will be developed in order to take the complexity of the interrelationships into account.
医疗保健和科学界的利益相关者越来越要求将行星健康 (PIH) 的教学内容快速纳入所有医疗保健专业的课程。在医学教育中，这些主题目前仅得到不足的涵盖，且大多限于选修课程。
为了在学习螺旋的意义上覆盖所有医学生，并促进对行星健康的跨学科理解，正在开发一个纵向镶嵌式课程，该课程将在整个学习过程中引入行星健康的各个方面。我们分享该项目启动的初步经验，以激发其他地方的类似活动。
我们绘制了维尔茨堡医学院的所有课程，并将其与国家基于能力的医学教育学习目标目录中现有的行星健康主题学习目标进行了比较。然后，我们确定了课程切入点，并与来自 26 个不同专业的教学人员和课程协调员进行了磋商，以便将相应内容纳入课程，并在必要时开发新内容。正在开发一个包含所有课程切入点的概览，其中包括相应的主题、学习目标以及教学和考试方法。
讲师与医学院教学诊所的项目团队交流了想法；进一步的网络协调会议将跟进以协调学习螺旋。要求讲师在整合到课程中的主题上提供“知识”、“态度”、“技能”和“信心”类别的结构化学习目标。计划在学生和讲师中使用 Evasys 问卷进行口头和书面评估。
在我们的干预下，已经在几个课程中引入了行星健康主题。在学习螺旋的背景下，将联系其他医学学科的教学人员，以便在课程的不同阶段突出更多的视角。此外，将制定跨学科教学模式，以考虑到相互关系的复杂性。
