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在儿科住院医师培训课程中实施和评估气候变化教育

Implementing and Assessing Climate Change Education in a Pediatrics Residency Curriculum.

作者信息

McShane Mark, Kumar Shelley, Zuniga Linessa

机构信息

is a PGY-6 Fellow in Pediatric Hospital Medicine, Department of General Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.

is an Instructor and Statistician, Center for Research, Innovation, & Scholarship in Health Professions Education, Department of Pediatrics, Baylor College of Medicine/Texas Children's Hospital, Houston, Texas, USA; and.

出版信息

J Grad Med Educ. 2024 Dec;16(6 Suppl):92-98. doi: 10.4300/JGME-D-24-00053.1. Epub 2024 Dec 13.

Abstract

For physicians to effectively combat the growing health crisis that is climate change, they should begin learning during medical training about its health implications. However, there is little data on residents' knowledge of the climate crisis, and even less data regarding the effectiveness and acceptability of climate change education in graduate medical training programs. To incorporate a new educational session on the health implications of climate change into a residency curriculum and evaluate the acceptability of the session and its effects on residents' knowledge, attitudes, and perceptions of the topic. In July 2021, a 90-minute, interactive, small-group format educational session on the health implications of climate change was incorporated into the first-year curriculum of a pediatric residency program. From July 2021 through June 2023, resident participants completed pre- and post-session surveys that assessed their knowledge, attitudes, and perceptions regarding health implications of climate change. Likert scale data were analyzed using Wilcoxon signed-rank tests. Of the 109 residents scheduled to participate, 50 (46%) completed both the pre- and post-session surveys. Session participation increased residents' self-reported knowledge of how climate change impacts health and how physicians can act as climate advocates. Ninety-eight percent of all post-session respondents (58 of 59) agreed that they would recommend the session to other residents. With 3 facilitators, the monthly session required ≤4 hours of preparation and ≤12 hours of direct teaching time per facilitator each academic year. A single educational session improved residents' self-reported knowledge of the health implications of climate change and was well-received by participants.

摘要

为了让医生有效地应对日益严重的气候变化健康危机,他们应该在医学培训期间就开始学习气候变化对健康的影响。然而,关于住院医师对气候危机的了解的数据很少,关于研究生医学培训项目中气候变化教育的有效性和可接受性的数据更少。将关于气候变化对健康影响的新教育课程纳入住院医师课程,并评估该课程的可接受性及其对住院医师关于该主题的知识、态度和认知的影响。2021年7月,一场90分钟的、互动式的、小组形式的关于气候变化对健康影响的教育课程被纳入一个儿科住院医师项目的第一年课程。从2021年7月到2023年6月,参与的住院医师完成了课前和课后调查,评估他们对气候变化对健康影响的知识、态度和认知。李克特量表数据使用威尔科克森符号秩检验进行分析。在计划参与的109名住院医师中,50名(46%)完成了课前和课后调查。参加课程提高了住院医师自我报告的关于气候变化如何影响健康以及医生如何成为气候倡导者的知识。所有课后受访者中有98%(59人中的58人)同意他们会向其他住院医师推荐该课程。有3名 facilitators,每个学年每月的课程每个 facilitator 需要≤4小时的准备时间和≤12小时的直接教学时间。单次教育课程提高了住院医师自我报告的关于气候变化对健康影响的知识,并且受到了参与者的好评。

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