Passannante Marian R, Shahani Shaun, Gochfeld Michael, Purcell Wendy M, Savul Sajjad A, Thomas Pauline
is Professor Emeritus, Department of Medicine, Rutgers New Jersey Medical School, Newark, New Jersey, USA, and Professor Emeritus, Department of Biostatistics and Epidemiology, Rutgers School of Public Health, Piscataway, New Jersey, USA.
is Assistant Professor, Department of Medicine, Rutgers New Jersey Medical School, Newark, New Jersey, USA.
J Grad Med Educ. 2024 Dec;16(6 Suppl):120-124. doi: 10.4300/JGME-D-24-00348.1. Epub 2024 Dec 13.
Climate change and related pollution and environmental damage are an urgent focus for public health physicians. Curricular content is increasing in medical schools, but to date, only pediatrics has published guidance for residency education. To survey program directors of Accreditation Council for Graduate Medical Education preventive medicine specialties (public health and preventive medicine [PHPM], occupational and environmental medicine [OEM], and aerospace medicine [AM]) for current teaching on climate and health issues. Links to an online 9-question confidential survey were sent to all program directors through Listservs January through March 2024. Questions were developed with guidance from a climate health expert. Responses were analyzed via summary statistics for continuous data, as well as Fisher's Exact, Kruskal-Wallis, and Wilcoxon pairwise comparison tests for nominal data. Thirty-five of 71 programs responded (49.3%), including 21 of 42 PHPM, 12 of 23 OEM, and 2 of 6 AM programs. Two (5.9%) reported having a formal curriculum for climate and health issues, and 2 (5.9%) reported not covering any included topics. Programs differed by topic emphasis with OEM and AM more likely to address fire, smoke, wind, and flooding effects. Lectures and local or state health department rotations were the most frequent teaching strategies. Of complete responders, 23 of 34 (67.6%) expressed interest in joining a workgroup to develop shared curricula. This survey of preventive medicine residency programs found that most include climate and health topics, but only 2 have a formal curriculum, and 2 reported no topics included in the survey.
气候变化以及相关污染和环境破坏是公共卫生医生的一个紧迫关注重点。医学院校的课程内容在不断增加，但迄今为止，只有儿科学发布了住院医师教育指南。对研究生医学教育认证委员会预防医学专业（公共卫生与预防医学[PHPM]、职业与环境医学[OEM]以及航空航天医学[AM]）的项目主任进行调查，了解目前关于气候与健康问题的教学情况。2024年1月至3月期间，通过邮件列表向所有项目主任发送了一份包含9个问题的在线保密调查问卷链接。问题是在一位气候健康专家的指导下制定的。对于连续数据，通过汇总统计进行分析；对于名义数据，则通过费舍尔精确检验、克鲁斯卡尔 - 沃利斯检验和威尔科克森成对比较检验进行分析。71个项目中有35个做出了回应（49.3%），包括42个PHPM项目中的21个、23个OEM项目中的12个以及6个AM项目中的2个。两个项目（5.9%）报告有关于气候与健康问题的正式课程，两个项目（5.9%）报告未涵盖任何所涉主题。不同项目在主题重点上存在差异，OEM和AM项目更有可能涉及火灾、烟雾、风灾和洪水影响。讲座以及当地或州卫生部门轮转是最常见的教学策略。在所有完整回复者中，34人中有23人（67.6%）表示有兴趣加入一个工作组来制定共享课程。这项对预防医学住院医师项目的调查发现，大多数项目都包含气候与健康主题，但只有两个项目有正式课程，还有两个项目报告未涵盖调查中的任何主题。
