Division of Occupational and Environmental Medicine, Lund University, Lund, Sweden.
Division of Sustainable Health, Umeå University, Umeå, Sweden.
Front Public Health. 2024 Aug 6;12:1454729. doi: 10.3389/fpubh.2024.1454729. eCollection 2024.
Planetary health is being or should be added to medical training curricula in accordance with association consensus. Several articles published in recent years have addressed concern on the implementation, and the challenges that can occur if not addressed properly. This scoping narrative literature review focuses on planetary health as a concept, as well as challenges and suggested solutions to address these challenges. Planetary health is an important concept and needs to be addressed in all medical training. We found that one main challenge is implementation without ensuring the right competences and resources. Medically trained teachers set out to understand and teach complex natural and social systems. At some institutions the time allocated to teach planetary health is limited or non-existent. Case studies and student led teaching are solutions suggested, while other argue that true interdisciplinarity by inviting experts are more in line with what we expect from other subjects. In conclusion, the roots of planetary health, the enormous health risks at stake and nature of the subject requires medical training to adopt a true inter/trans-disciplinary approach to succeed. It might not be expected for all students to become planetary health experts, but all need a general understanding of the most important aspects and values.
根据协会共识,应将行星健康纳入医学培训课程中。近年来发表的几篇文章都对实施情况表示关注,如果不能妥善解决,可能会出现挑战。本范围叙述性文献综述重点介绍了行星健康作为一个概念,以及解决这些挑战所面临的挑战和建议的解决方案。行星健康是一个重要的概念,需要在所有医学培训中加以解决。我们发现,一个主要的挑战是在不确保适当能力和资源的情况下实施。受过医学培训的教师着手理解和教授复杂的自然和社会系统。在一些机构,教授行星健康的时间有限或不存在。建议采用案例研究和学生主导教学等方法,但也有人认为,通过邀请专家真正实现跨学科,更符合我们对其他学科的期望。总之,行星健康的根源、所涉及的巨大健康风险以及该学科的性质要求医学培训采取真正的跨/多学科方法才能取得成功。并非所有学生都期望成为行星健康专家,但所有人都需要对最重要的方面和价值观有一个大致的了解。