Sarfati Marine, Trecourt Alexis
Faculté de médecine de Lyon-Est, université Claude-Bernard-Lyon 1, 69003 Lyon, France.
Service de pathologie multi-sites, centre hospitalier Lyon-Sud, hospices civils de Lyon, 69310 Pierre-Bénite, France; Centre pour l'innovation en cancérologie de Lyon (CICLY), UR3738, faculté de médecine et de maïeutique de Lyon-Sud-Charles-Mérieux, université Claude-Bernard-Lyon 1, 69921 Oullins, France.
Ann Pathol. 2024 Sep;44(5):323-330. doi: 10.1016/j.annpat.2024.05.004. Epub 2024 Aug 24.
Global warming and the disruption in ecosystems have been identified as the greatest threats to human health in the 21st century. Today, the French healthcare system accounts for 6.6% to 10% of overall greenhouse gas emissions in France. This system is currently not resilient and totally dependent on fossil fuels. Therefore, a transformation of the current system is needed in order to reduce the deterioration of populations' health. Medical education and pedagogy have been identified as a major solution for the ecological transformation of the healthcare system. The introduction of early education on ecology and environmental health in the first and second cycles of medical studies is a major lever for action. From the third cycle of medical studies, and more specifically in pathology, it is essential to teach this topic to residents and experienced pathologists, whether in "theoretical teaching" or "applied to the medical specialty". The aim of this review is to identify the educational programs and training currently available in the medical courses and at the post-graduate level, regarding ecology/environmental health and the consequences on human health. Then, we will detail more specifically the pedagogical perspectives and training opportunities for pathology residents and pathologists.
全球变暖和生态系统破坏已被确认为21世纪对人类健康的最大威胁。如今，法国医疗系统的温室气体排放占法国总排放量的6.6%至10%。该系统目前缺乏韧性，完全依赖化石燃料。因此，需要对当前系统进行变革，以减少对民众健康的损害。医学教育和教学方法已被视为医疗系统生态转型的主要解决方案。在医学学习的第一阶段和第二阶段引入生态与环境卫生早期教育是一个主要行动杠杆。从医学学习的第三阶段起，更具体地说是在病理学领域，无论是在“理论教学”还是“应用于医学专业”方面，都必须向住院医师和经验丰富的病理学家传授这一主题。本综述的目的是确定医学课程及研究生阶段目前在生态/环境卫生以及对人类健康影响方面的教育项目和培训。然后，我们将更具体地详细阐述病理学住院医师和病理学家的教学前景和培训机会。
