Malani Kanika, Yamron Emily, Tokareva Kate, Brewer Taylor, Northrop Alexander, Franklin Lauren, Martin Kyle Denison
Yale New Haven Hospital, New Haven, CT, United States.
Albert Einstein College of Medicine, Bronx, NY, United States.
Front Public Health. 2025 Jul 24;13:1593332. doi: 10.3389/fpubh.2025.1593332. eCollection 2025.
This study evaluates challenges and successes faced by medical students leading planetary health (PH) curriculum reform and tracks changes over time.
The Planetary Health Report Card (PHRC) is a standardized, metric-based tool for assessing PH education in medical schools. In October 2023, a survey was emailed to 132 medical students across 52 US institutions who had served as primary contacts for their school's most recent PHRC between 2020 and 2023. The survey explored challenges and successes in integrating PH into the curriculum. A total of 31 students from 17 US states responded. All respondents were invited to follow-up Zoom interviews, with 11 completing them. Survey and interview data were analyzed using descriptive statistics and directed content analysis, while longitudinal PHRC data were assessed using Wilcoxon signed-rank tests.
Students are primary stakeholders in PH integration ( = 28, 90%). While other stakeholders were perceived as generally supportive, surveyed students felt these groups were less likely to lead PH curricular reform and may lack confidence in delivering PH content ( = 7, 70.0%). Interviewees ( = 11) noted various obstacles and suggested potential solutions to improve PH integration into medical curricula.
Medical schools should prioritize developing longitudinal, course-specific PH education, supported by both individual institutions and national frameworks and licensing organizations.
本研究评估了医学生在引领行星健康（PH）课程改革过程中面临的挑战与取得的成功，并跟踪了随时间的变化情况。
行星健康报告卡（PHRC）是一种基于指标的标准化工具，用于评估医学院校的行星健康教育。2023年10月，向美国52所机构的132名医学生发送了一份调查问卷，这些学生在2020年至2023年期间担任其学校最近一次PHRC的主要联系人。该调查探讨了将行星健康融入课程的挑战与成功之处。共有来自美国17个州的31名学生做出了回应。所有受访者都被邀请参加后续的Zoom访谈，其中11人完成了访谈。调查和访谈数据采用描述性统计和定向内容分析进行分析，而纵向PHRC数据则采用威尔科克森符号秩检验进行评估。
学生是行星健康融入过程中的主要利益相关者（n = 28，90%）。虽然其他利益相关者被认为总体上持支持态度，但参与调查的学生认为这些群体不太可能引领行星健康课程改革，并且可能对提供行星健康内容缺乏信心（n = 7，70.0%）。受访者（n = 11）指出了各种障碍，并提出了改善行星健康融入医学课程的潜在解决方案。
医学院校应优先发展由各机构以及国家框架和许可组织支持的纵向、针对具体课程的行星健康教育。
