Robohm Jennifer S, Shih Grace, Stenger Robert
is Clinical Professor of Medicine in Behavioral Science, Family Medicine Residency of Western Montana, University of Montana, Missoula, Montana, USA.
is Director, WWAMI Region Family Medicine Residency Network, and Associate Professor in the Department of Family Medicine, University of Washington, Seattle, Washington, USA; and.
J Grad Med Educ. 2024 Dec;16(6 Suppl):78-85. doi: 10.4300/JGME-D-23-00850.1. Epub 2024 Dec 13.
Physicians require climate-related training, but not enough is known about actual or desired training at the graduate medical education level. To quantify the climate curriculum provided within a network of family medicine residency programs in the Northwestern United States, to assess barriers to adoption of climate curricula, and to identify preferred climate-related content, delivery methods, and program actions. In fall 2021, residents and faculty in a family medicine residency network responded to a 25-item, anonymous, online survey about climate-related training within their programs. Likert scales were used to assess the extent of current and desired climate curricula in respondent programs, and a paired samples test was used to compare them. Drop-down menus and frequencies were used to identify top barriers to integration of a climate curriculum, and preferred curricular content, delivery methods, and program actions. Responses were received from 19.3% (246 of 1275) of potential respondents. Nearly ninety percent (215 of 240) reported little or no climate content in their programs. Respondents desired significantly more climate-related training (t[237]=18.17; <.001; Cohen's d=1.18) but identified several barriers, including insufficient time/competing curricular priorities (80.7%, 192 of 238), concern about the political/controversial nature of the topic (27.3%, 65 of 238), and perceived irrelevance (10.9%, 26 of 238). More respondents selected integration of climate content throughout relevant didactics (62.2%, 145 of 233) than other delivery methods. Over 42% of respondents selected each of the climate-related topics and program actions suggested. Despite a number of barriers, most family medicine faculty and residents desire significantly more climate-related content in their training curricula.
医生需要与气候相关的培训，但在研究生医学教育层面，对于实际的或期望的培训了解不足。旨在量化美国西北部一个家庭医学住院医师培训项目网络中提供的气候课程，评估采用气候课程的障碍，并确定首选的与气候相关的内容、授课方式和项目行动。2021年秋季，一个家庭医学住院医师培训网络中的住院医师和教员对一项关于其项目中与气候相关培训的25项匿名在线调查做出了回应。使用李克特量表来评估受访者项目中当前和期望的气候课程程度，并使用配对样本检验进行比较。使用下拉菜单和频率来确定整合气候课程的主要障碍，以及首选的课程内容、授课方式和项目行动。收到了19.3%（1275人中的246人）潜在受访者的回复。近90%（240人中的215人）报告称他们的项目中几乎没有气候相关内容。受访者明显希望获得更多与气候相关的培训（t[237]=18.17；<.001；科恩d值=1.18），但也指出了一些障碍，包括时间不足/课程优先级相互冲突（80.7%，238人中的192人）、对该主题的政治/争议性质的担忧（27.3%，238人中的65人）以及认为无关紧要（10.9%，238人中的26人）。选择在整个相关教学中整合气候内容的受访者（62.2%，233人中的145人）多于其他授课方式。超过42%的受访者选择了所建议的每个与气候相关的主题和项目行动。尽管存在一些障碍，但大多数家庭医学教员和住院医师明显希望在他们的培训课程中增加更多与气候相关的内容。
