Chambers Jessica Y, Rippon Jillian, Ahle Daniel, Le Xavier, Miller Beth, Moreno Alejandro
is Associate Program Director, Internal Medicine Residency, and Assistant Professor of Medicine, University of Texas at Austin Dell Medical School, Austin, Texas, USA.
is Assistant Professor of Medicine, University of Texas at Austin Dell Medical School, Austin, Texas, USA.
J Grad Med Educ. 2024 Dec;16(6 Suppl):99-103. doi: 10.4300/JGME-D-24-00081.1. Epub 2024 Dec 13.
Despite global awareness of the impacts of climate change on human health, assessment of resident physicians' confidence in environmental health is limited. Lack of confidence in explaining environmental health topics can affect both patient education and advocacy efforts. To determine how confident resident physicians are in their environmental health training and their ability to explain climate health topics. An online survey was distributed to internal medicine residents at a large university-affiliated program in 2023. Self-perceived confidence levels in explaining various environmental health topics to a peer were measured using a Likert scale (from 1=not confident at all, to 5=completely confident) and a subsequent rank-order analysis of the response means. The response rate was 56% (62 out of 110 residents). A mean confidence score of 2.22 was reported on all topics, with hazardous waste (m=1.73), endocrine disruptors (m=1.76), water quality (m=1.9), toxicology (m=2.02), and environmental justice (m=2.04) representing lowest scores. Highest mean scores were reported in food security (m=2.71) and emerging infectious disease (m=2.92). Twenty-seven of 62 (44%) residents reported no confidence at all in their ability to discuss environmental justice concepts, with 17 of 62 (27%) reporting slight confidence in doing so. Physician trainees report low confidence levels regarding their ability to explain multiple environmental topics to their peers. Forty-four of 62 (71%) residents report either no or slight confidence in their ability to explain environmental justice to a colleague.
尽管全球都意识到气候变化对人类健康的影响，但对住院医师在环境卫生方面的信心评估却很有限。在解释环境卫生主题方面缺乏信心会影响患者教育和宣传工作。为了确定住院医师对其环境卫生培训的信心以及他们解释气候健康主题的能力。2023年，在一个大型大学附属项目中，对内科住院医师进行了一项在线调查。使用李克特量表（从1=完全没有信心，到5=完全有信心）以及对回答均值的后续排序分析，来衡量向同行解释各种环境卫生主题时的自我感知信心水平。回复率为56%（110名居民中有62名回复）。所有主题的平均信心得分为2.22，其中危险废物（均值=1.73）、内分泌干扰物（均值=1.76）、水质（均值=1.9）、毒理学（均值=2.02）和环境正义（均值=2.04）得分最低。食品安全（均值=2.71）和新发传染病（均值=2.92）的平均得分最高。62名居民中有27名（44%）表示对讨论环境正义概念完全没有信心，62名中有17名（27%）表示对此略有信心。医师学员表示，他们向同行解释多个环境主题的能力信心水平较低。62名居民中有44名（71%）表示对向同事解释环境正义没有信心或仅有一点信心。
