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将气候变化教育纳入住院医师培训:关注社区风险与资源

Incorporating Climate Change Education Into Residency: A Focus on Community Risks and Resources.

作者信息

Moon Charles, Braganza Sandra, Bathory Eleanor

机构信息

is a Pediatric Environmental Health Fellow, Department of Environmental Medicine and Climate Science, Icahn School of Medicine at Mount Sinai, New York, New York, USA.

is Associate Professor, Department of Pediatrics and Department of Family and Social Medicine, The Children's Hospital at Montefiore, Bronx, New York, USA; and.

出版信息

J Grad Med Educ. 2024 Dec;16(6 Suppl):86-91. doi: 10.4300/JGME-D-24-00061.1. Epub 2024 Dec 13.

Abstract

BACKGROUND

Graduate medical education (GME) focused on climate change (CC) health effects is essential. However, few CC education evaluations exist to guide residency programs looking to implement CC content.

OBJECTIVE

To evaluate the effect of an education session on residents' self-reported knowledge of CC health effects and confidence utilizing local CC anticipatory guidance and community resources with patients.

METHODS

A CC session was integrated into the pediatric, family medicine, and social medicine curricula at an urban academic medical center in 2023. A convenience sample of residents participated in 1 of 4 nonrandomized case-based or lecture-based sessions. Pre- and post-session 5-question Likert-scale surveys were used for assessment and analyzed using paired tests.

RESULTS

Sixty-eight of 108 eligible residents completed the surveys (28 case-based, 40 lecture-based, 63% response rate). Residents' understanding and confidence to engage with patients on CC health effects after the educational session improved (Q1 mean difference 1.3, =9.85, 95% CI 1.04-1.57, <.001; Q2 1.5, =9.98, 95% CI 1.20-1.82, <.001; Q3 1.8, =12.84, 95% QI 1.54-2.11, <.001; Q4 2.1, =16.25, 95% CI 1.84-2.36, <.001; Q5 2.1, =16.28, 95% CI 1.86-2.38, <.001).

CONCLUSIONS

Resident self-reported understanding of the health effects of CC and confidence utilizing local CC anticipatory guidance and resources with patients increased after a CC education session.

摘要

背景

专注于气候变化(CC)对健康影响的毕业后医学教育(GME)至关重要。然而,几乎没有CC教育评估可用于指导希望实施CC内容的住院医师培训项目。

目的

评估一次教育课程对住院医师自我报告的CC对健康影响的知识以及利用当地CC预期指导和社区资源与患者沟通的信心的影响。

方法

2023年,在一家城市学术医疗中心将一次CC课程纳入儿科、家庭医学和社会医学课程。一个便利样本的住院医师参加了4个非随机的基于案例或讲座的课程中的1个。课前和课后使用5个问题的李克特量表调查进行评估,并使用配对检验进行分析。

结果

108名符合条件的住院医师中有68名完成了调查(28名基于案例,40名基于讲座,回复率63%)。教育课程后,住院医师对与患者就CC对健康的影响进行沟通的理解和信心有所提高(问题1平均差异1.3,t = 9.85,95%置信区间1.04 - 1.57,P <.001;问题2 1.5,t = 9.98,95%置信区间1.20 - 1.82,P <.001;问题3 1.8,t = 12.84,95%置信区间1.54 - 2.11,P <.001;问题4 2.1,t = 16.25,95%置信区间1.84 - 2.36,P <.001;问题5 2.1,t = 16.28,95%置信区间1.86 - 2.38,P <.001)。

结论

在一次CC教育课程后,住院医师自我报告的对CC对健康影响的理解以及利用当地CC预期指导和资源与患者沟通的信心有所增加。

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