Cerceo Elizabeth, Marwah Harleen, Philipsborn Rebecca Pass
Acad Med. 2025 Aug 8. doi: 10.1097/ACM.0000000000006184.
The escalating climate crisis necessitates that health care and medical education adapt to the increasing health impacts of extreme weather events, rising temperatures, and shifting ecosystems. Patients and medical trainees are already confronting the health consequences of climate change, pollution, and environmental degradation, while health care systems grapple with effects on service delivery. These environmental challenges underscore the need for health care and medical education that is resilient and proactive in addressing emerging threats.Planetary health is a field inclusive of the effects of climate change and environmental degradation on human health and the broader systems that sustain life. Many U.S. medical schools have begun integrating planetary health into their curricula. However, without deliberate and scaffolded inclusion of planetary health education throughout graduate medical education, trainees may lack the ability to translate environmental determinants of health into actionable clinical strategies that improve patient outcomes and health care system resilience, as graduate medical education plays a pivotal role in shaping physicians' practice patterns. The Accreditation Council for Graduate Medical Education (ACGME), which sets the standard for routine graduate medical education, has the opportunity to help prepare trainees to meet societal needs and equip them for the challenges they will encounter in their medical practice.Incorporating planetary health into the Common Program Requirements would establish a training standard for planetary health, now widely recognized as fundamental to human health. Existing ACGME priorities, such as health equity, quality improvement, systems-based practice, and interdisciplinary collaboration, align with planetary health approaches. The ACGME's endorsement of planetary health education would ensure all residents acquire the skills and knowledge necessary to address the health consequences of climate change and are prepared to practice sustainable health care, thus fostering a health care workforce capable of meeting the needs of patients and delivering resilient, sustainable, and equitable care.
不断升级的气候危机要求医疗保健和医学教育适应极端天气事件、气温上升和生态系统变化对健康日益增加的影响。患者和医学实习生已经在面对气候变化、污染和环境退化对健康的影响，而医疗保健系统则在努力应对对服务提供的影响。这些环境挑战凸显了对具有适应能力且能积极应对新出现威胁的医疗保健和医学教育的需求。
行星健康是一个涵盖气候变化和环境退化对人类健康以及维持生命的更广泛系统影响的领域。许多美国医学院校已开始将行星健康纳入其课程。然而，如果在研究生医学教育中没有经过深思熟虑且有系统地纳入行星健康教育，实习生可能缺乏将健康的环境决定因素转化为可改善患者治疗效果和医疗保健系统适应能力的可行临床策略的能力，因为研究生医学教育在塑造医生的执业模式方面起着关键作用。制定常规研究生医学教育标准的研究生医学教育认证委员会（ACGME）有机会帮助实习生做好准备以满足社会需求，并使他们具备应对医疗实践中所遇挑战的能力。
将行星健康纳入共同项目要求将为行星健康确立一项培训标准，而行星健康如今已被广泛认为是人类健康的基础。ACGME现有的优先事项，如健康公平、质量改进、基于系统的实践和跨学科合作，与行星健康方法相一致。ACGME对行星健康教育的认可将确保所有住院医师获得应对气候变化对健康影响所需的技能和知识，并为实施可持续医疗保健做好准备，从而培养一支能够满足患者需求并提供有适应能力、可持续且公平的医疗服务的医疗保健队伍。
