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在医学培训课程中实施行星健康,跨学科是成功的关键。

Bridging disciplines-key to success when implementing planetary health in medical training curricula.

机构信息

Division of Occupational and Environmental Medicine, Lund University, Lund, Sweden.

Division of Sustainable Health, Umeå University, Umeå, Sweden.

出版信息

Front Public Health. 2024 Aug 6;12:1454729. doi: 10.3389/fpubh.2024.1454729. eCollection 2024.

DOI:10.3389/fpubh.2024.1454729
PMID:39165783
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11333318/
Abstract

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.

摘要

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。

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本文引用的文献

1
Planetary health and its relevance in the modern era: A topical review.行星健康及其在现代的相关性:专题综述。
SAGE Open Med. 2024 May 20;12:20503121241254231. doi: 10.1177/20503121241254231. eCollection 2024.
2
Public Health Risks of PFAS-Related Immunotoxicity Are Real.PFAS 相关免疫毒性的公共健康风险是真实存在的。
Curr Environ Health Rep. 2024 Jun;11(2):118-127. doi: 10.1007/s40572-024-00441-y. Epub 2024 Mar 25.
3
Biomimetics and planetary health - a review of human diseases in interaction with the environment and ecosystem.仿生学与行星健康——人类疾病与环境和生态系统相互作用的综述。
Dan Med J. 2023 Dec 18;71(1):A08230539.
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Creating Environmental Health Leaders When Educators Are Learning Too.当教育工作者也在学习时,培养环境卫生领域的领导者。
J Med Educ Curric Dev. 2023 Dec 18;10:23821205231219162. doi: 10.1177/23821205231219162. eCollection 2023 Jan-Dec.
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Rapid review: Guides and frameworks to inform planetary health education for health professions.快速审查:为健康专业人员提供行星健康教育的指南和框架。
Health Promot J Austr. 2024 Oct;35(4):864-874. doi: 10.1002/hpja.819. Epub 2023 Oct 22.
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Climate change and health: three grand challenges.气候变化与健康:三大挑战。
Nat Med. 2023 Jul;29(7):1631-1638. doi: 10.1038/s41591-023-02438-w. Epub 2023 Jul 18.
7
The Climate Change Conversation: Understanding Nationwide Medical Education Efforts.气候变化对话:了解全国范围内的医学教育工作。
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8
Ten characteristics of high-quality planetary health education-Results from a qualitative study with educators, students as educators and study deans at medical schools in Germany.高质量行星健康教育学的十个特征——德国医学院校教育工作者、学生教育者和教务长的定性研究结果。
Front Public Health. 2023 Apr 25;11:1143751. doi: 10.3389/fpubh.2023.1143751. eCollection 2023.
9
Overcoming the coupled climate and biodiversity crises and their societal impacts.克服气候和生物多样性危机及其对社会的影响。
Science. 2023 Apr 21;380(6642):eabl4881. doi: 10.1126/science.abl4881.
10
Climate and health education: A critical review at one medical school.气候与健康教育培训:某医学院的批判性回顾
Front Public Health. 2023 Jan 12;10:1092359. doi: 10.3389/fpubh.2022.1092359. eCollection 2022.