Are we teaching the health impacts of climate change in a clinically relevant way? A systematic narrative review of biomechanism-focused climate change learning outcomes in medical curricula

References

• Aasheim ET, Bhopal AS, O'Brien K, Lie AK, Nakstad ER, Andersen LF, Hessen DO, Samset BH, Banik D. 2023. Climate change and health: a 2-week course for medical students to inspire change. Lancet Planet Health. 7:e12–e14. doi: 10.1016/S2542-5196(22)00304-7.
   PubMedGoogle Scholar
• ACP. 2016. Climate change toolkit. United States of America: American College of Physicians; [accessed 12 October 2021]. Available from: https://www.acponline.org/advocacy/advocacy-in-action/climate-change-toolkit.
   Google Scholar
• Adam M, Chen SF, Amieva M, Deitz J, Jang H, Porwal A, Prober C. 2017. The use of short, animated, patient-centered springboard videos to underscore the clinical relevance of preclinical medical student education. Acad Med. 92:961–965. doi: 10.1097/ACM.0000000000001574.
   PubMed Web of Science ®Google Scholar
• Australian Medical Association. 2015. AMA Position Statement on Climate Change and Human Health 2004. Revised 2008. Revised 2015. Available at: https://www.ama.com.au/position-statement/ama-position-statement-climate-change-and-human-health-2004-revised-2015.
   Google Scholar
• Batalden PB, Davidoff F. 2007. What is “quality improvement” and how can it transform healthcare? BMJ Publishing Group Ltd. Qual Saf Health Care. 16:2–3. doi: 10.1136/qshc.2006.022046.
   PubMed Web of Science ®Google Scholar
• Bevan J, Blyth R, Russell B, Holtgrewe L, Cheung AHC, Austin I, Shah V, Butler M, Fraser S, Pabellan V, et al. 2023. Planetary health and sustainability teaching in UK medical education: a review of medical school curricula Med Teach. 45:623–632. doi: 10.1080/0142159X.2022.2152190.
   PubMed Web of Science ®Google Scholar
• Blom IM, Rupp I, de Graaf IM, Kapitein B, Timmermans A, Sperna Weiland NH. 2023. Putting planetary health at the core of the medical curriculum in Amsterdam. Lancet Planet Health. 7:e15–e17. doi: 10.1016/S2542-5196(22)00316-3.
   PubMedGoogle Scholar
• Burch H, Watson B, Simpson G, Beaton LJ, Maxwell J, Winkel K. 2021. Mapping climate change and health into the medical curriculum: co-development of a “planetary health–organ system map” for graduate medical education. medRxiv.2021.2011.2023.21265688.
   Google Scholar
• Canadian Federation of Medical Students (CFMS) Health and Environment Adaptive Response Taskforce (HEART). 2019. CFMS Health and Environment Adaptive Response Task Force (HEART) Planetary Health Educational Competencies. Available from: https://www.cfms.org/.
   Google Scholar
• Chen H, Samet JM, Bromberg PA, Tong H. 2021. Cardiovascular health impacts of wildfire smoke exposure. Part Fibre Toxicol. 18:2. doi: 10.1186/s12989-020-00394-8.
   PubMed Web of Science ®Google Scholar
• Cook DA, West CP. 2012. Conducting systematic reviews in medical education: a stepwise approach. Med Educ. 46:943–952. doi: 10.1111/j.1365-2923.2012.04328.x.
   PubMed Web of Science ®Google Scholar
• Dunne H, Rizan C, Jones A, Bhutta MF, Taylor T, Barna S, Taylor CJ, Okorie M. 2022. Effectiveness of an online module: climate-change and sustainability in clinical practice. BMC Med Educ. 22:682. doi: 10.1186/s12909-022-03734-8.
   PubMed Web of Science ®Google Scholar
• Duvivier RJ, Boulet JR, Opalek A, van Zanten M, Norcini J. 2014. Overview of the world’s medical schools: an update. Med Educ. 48:860–869. doi: 10.1111/medu.12499.
   PubMed Web of Science ®Google Scholar
• Fadadu RP, Jayaraman T, Teherani A. 2021. Climate and health education for medical students. Clin Teach. 18:362–364. doi: 10.1111/tct.13317.
   PubMed Web of Science ®Google Scholar
• GCCHE. 2020. Global Consortium on Climate and Health Education (GCCHE) Climate & health key competencies for health professions students. Global Consortium on Climate and Health Education; [accessed 2021 12 September]. Available from: https://www.publichealth.columbia.edu/sites/default/files/global_consortium_on_climate_and_health_education_key_competencies_2021.pdf.
   Google Scholar
• Goldman RH, Zajac L, Geller RJ, Miller MD. 2021. Developing and implementing core competencies in children’s environmental health for students, trainees and healthcare providers: a narrative review. BMC Med Educ. 21:503. doi: 10.1186/s12909-021-02921-3.
   PubMed Web of Science ®Google Scholar
• Gomez J, Goshua A, Pokrajac N, Erny B, Auerbach P, Nadeau K, Gisondi MA. 2021. Teaching medical students about the impacts of climate change on human health. J Climate Change Health. 3:100020. doi: 10.1016/j.joclim.2021.100020.
   Google Scholar
• Gosselin K, Norris JL, Ho MJ. 2016. Beyond homogenization discourse: reconsidering the cultural consequences of globalized medical education. Med Teach. 38:691–699. doi: 10.3109/0142159X.2015.1105941.
   PubMed Web of Science ®Google Scholar
• Hampton T. 2020. Exposure to wildfire smoke linked to higher death rates in patients with kidney failure. Kidney News. 12:1–4.
   Google Scholar
• Hatfield J, Domingo A, Ivicek Lanciotti K, Mitenbuler S, Stadler D, Peterson TD, Needoba J. 2023. An interprofessional, solutions-oriented approach to raising awareness about the impacts of climate change on human health for health profession students. Int J Gynaecol Obstet. 160:453–454. doi: 10.1002/ijgo.14464.
   PubMed Web of Science ®Google Scholar
• Henrich J, Heine SJ, Norenzayan A. 2010. The weirdest people in the world? Behav Brain Sci. 33:61–83. discussion 83-135. doi: 10.1017/S0140525X0999152X.
   PubMed Web of Science ®Google Scholar
• Hiatt RA, Beyeler N. 2020. Cancer and climate change. Lancet Oncol. 21:e519–e527. doi: 10.1016/S1470-2045(20)30448-4.
   PubMed Web of Science ®Google Scholar
• Horton GL. 2018. The attitudes of Australian medical students to the inclusion of the topic of “health impacts of climate change” in the medical curriculum. [Doctoral Dissertation], Newcastle, Australia: The University of Newcastle. http://hdl.handle.net/1959.13/1384937.
   Google Scholar
• Hsieh HF, Shannon SE. 2005. Three approaches to qualitative content analysis. Qual Health Res. 15:1277–1288. doi: 10.1177/1049732305276687.
   PubMed Web of Science ®Google Scholar
• InciSioN UK Collaborative. 2020. Global health education in medical schools (GHEMS): a national, collaborative study of medical curricula. BMC Med Educ. 20:389. doi: 10.1186/s12909-020-02315-x.
   PubMed Web of Science ®Google Scholar
• Jay O. 2022. Helping the most vulnerable survive heatwaves today and in the future. Physiol News. (127):29–33. https://www.physoc.org/magazine-articles/helping-the-most-vulnerable-survive-heatwaves-today-and-in-the-future/
   Google Scholar
• Jay O, Capon A, Berry P, Broderick C, de Dear R, Havenith G, Honda Y, Kovats RS, Ma W, Malik A, et al. 2021. Reducing the health effects of hot weather and heat extremes: from personal cooling strategies to green cities. Lancet. 398:709–724. doi: 10.1016/S0140-6736(21)01209-5.
   PubMed Web of Science ®Google Scholar
• Kligler SK, Clark L, Cayon C, Prescott N, Gregory JK, Sheffield PE. 2021. Climate change curriculum infusion project: an educational initiative at one U.S. medical school. J Climate Change Health. 4:100065. doi: 10.1016/j.joclim.2021.100065.
   Google Scholar
• Krathwohl DR. 2002. A revision of Bloom’s taxonomy: an overview. Theory into Practice. 41:212–218. doi: 10.1207/s15430421tip4104_2.
   Web of Science ®Google Scholar
• Kuczmarski TM, Fox J, Katznelson E, Thakral D, Aung K-K, Moore E, Eisen J, Slutzman JE, LaRocque R, Solomon CG, et al. 2021. Climatizing the internal medicine residency curriculum: a practical guide for integrating the topic of climate and health into resident education. J Climate Change Health. 4:100067. doi: 10.1016/j.joclim.2021.100067.
   Google Scholar
• Lannigan R. 2004. Ecosystem health at the University of Western Ontario. EcoHealth. 1:S30–S33. doi: 10.1007/s10393-004-0110-x.
   Google Scholar
• Le T, Bhushan V, Sochat M, Kallianos K, Chavda Y, Kalani M, Abrams J, Vaidyanathan V. 2019. First aid for the USMLE Step 1 2019. New York: McGraw Hill Education.
   Google Scholar
• Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JP, Clarke M, Devereaux PJ, Kleijnen J, Moher D. 2009. The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. PLoS Med. 6(7):e1000100. doi: 10.1371/journal.pmed.1000100.
   PubMed Web of Science ®Google Scholar
• Madden DL, Horton GL, McLean M. 2022. Preparing Australasian medical students for environmentally sustainable health care. Med J Aust. 216:225–229. doi: 10.5694/mja2.51439.
   PubMed Web of Science ®Google Scholar
• Maibach EW, Nisbet M, Baldwin P, Akerlof K, Diao G. 2010. Reframing climate change as a public health issue: an exploratory study of public reactions. BMC Public Health. 10:299. doi: 10.1186/1471-2458-10-299.
   PubMed Web of Science ®Google Scholar
• Majra JP, Acharya D. 2009. Protecting health from climate change: preparedness of medical interns. Indian J Commun Med. 34:317–320. doi: 10.4103/0970-0218.58390.
   PubMedGoogle Scholar
• Malau-Aduli BS, Alele FO, Heggarty P, Teague PA, Sen Gupta T, Hays R. 2019. Perceived clinical relevance and retention of basic sciences across the medical education continuum. Adv Physiol Educ. 43:293–299. doi: 10.1152/advan.00012.2019.
   PubMed Web of Science ®Google Scholar
• Malik SM, Awan H, Khan N. 2012. Mapping vulnerability to climate change and its repercussions on human health in Pakistan. Global Health. 8:31. doi: 10.1186/1744-8603-8-31.
   PubMed Web of Science ®Google Scholar
• Maxwell J, Blashki G. 2016. Teaching about climate change in medical education: an opportunity. J Public Health Res. 5:673.
   PubMed Web of Science ®Google Scholar
• Navarrete-Welton A, Chen JJ, Byg B, Malani K, Li ML, Martin KD, Warrier S. 2022. A grassroots approach for greener education: an example of a medical student-driven planetary health curriculum. Front Public Health. 10:1013880. doi: 10.3389/fpubh.2022.1013880.
   PubMed Web of Science ®Google Scholar
• Neimann Rasmussen L, Montgomery P. 2018. The prevalence of and factors associated with inclusion of non-English language studies in Campbell systematic reviews: a survey and meta-epidemiological study. Syst Rev. 7:129. doi: 10.1186/s13643-018-0786-6.
   PubMed Web of Science ®Google Scholar
• Osama T, Brindley D, Majeed A, Murray KA, Shah H, Toumazos M, Van Velthoven M, Car J, Wells G, Meinert E. 2018. Teaching the relationship between health and climate change: a systematic scoping review protocol. BMJ Open. 8:e020330. doi: 10.1136/bmjopen-2017-020330.
   PubMed Web of Science ®Google Scholar
• Oxford Academic. 2023. Oxford medicine Online. Oxford: OUP; [accessed]. Available form: https://oxfordmedicine.com/.
   Google Scholar
• Perrotta K. 2019. Climate change toolkit for health professionals. Produced by the Canadian Association of Physicians for the Environment (CAPE). Canada.
   Google Scholar
• Petrin-Desrosiers C, Essafi S, McGushin A, Tcholakov Y, Leon Sd, Diaa A, Holm-Hansen C, Dijk S, Martins DC, Cáceres MJC. 2016. Training manual climate and health; [accessed 2021 3 April]. Available from: https://ifmsa.org/wp-content/uploads/2017/03/Final-IFMSA-Climate-and-health-training-Manual-2016.pdf.
   Google Scholar
• Philipsborn RP, Sheffield P, White A, Osta A, Anderson MS, Bernstein A. 2021. Climate change and the practice of medicine: essentials for resident education. Acad Med. 96:355–367. doi: 10.1097/ACM.0000000000003719.
   PubMed Web of Science ®Google Scholar
• Popay J, Roberts H, Sowden A, Petticrew M, Arai L, Rodgers M, Britten N, Roen K, Duffy S. 2006. Guidance on the conduct of narrative synthesis in systematic reviews. https://citeseerx.ist.psu.edu/document?repid=rep1&type=pdf&doi=ed8b23836338f6fdea0cc55e161b0fc5805f9e27
   Google Scholar
• Rabin BM, Laney EB, Philipsborn RP. 2020. The unique role of medical students in catalyzing climate change education. J Med Educ Curric Dev. 7:2382120520957653. 2382120520957653. eng. doi: 10.1177/2382120520957653.
   Web of Science ®Google Scholar
• Rocque RJ, Beaudoin C, Ndjaboue R, Cameron L, Poirier-Bergeron L, Poulin-Rheault RA, Fallon C, Tricco AC, Witteman HO. 2021. Health effects of climate change: an overview of systematic reviews. BMJ Open. 11:e046333. doi: 10.1136/bmjopen-2020-046333.
   PubMed Web of Science ®Google Scholar
• Scieszka D, Hunter R, Begay J, Bitsui M, Lin Y, Galewsky J, Morishita M, Klaver Z, Wagner J, Harkema JR, et al. 2022. Neuroinflammatory and neurometabolomic consequences from inhaled wildfire smoke-derived particulate matter in the Western United States. Toxicol Sci. 186:149–162. doi: 10.1093/toxsci/kfab147.
   PubMed Web of Science ®Google Scholar
• Smith MR, Golden CD, Myers SS. 2017. Potential rise in iron deficiency due to future anthropogenic carbon dioxide emissions. Geohealth. 1:248–257. doi: 10.1002/2016GH000018.
   PubMed Web of Science ®Google Scholar
• Sullivan GM. 2018. Why are medical education literature reviews so hard to do? J Grad Med Educ. 10:481–485. eng. doi: 10.4300/JGME-D-18-00676.1.
   PubMedGoogle Scholar
• Teherani A, Nishimura H, Apatira L, Newman T, Ryan S. 2017. Identification of core objectives for teaching sustainable healthcare education. Med Educ Online. 22:1386042. doi: 10.1080/10872981.2017.1386042.
   PubMed Web of Science ®Google Scholar
• Thompson T, Walpole S, Braithwaite I, Inman A, Barna S, Mortimer F. 2014. Learning objectives for sustainable health care. Lancet. 384:1924–1925. doi: 10.1016/S0140-6736(14)62274-1.
   PubMed Web of Science ®Google Scholar
• Valois P, Blouin P, Ouellet C, Renaud JS, Belanger D, Gosselin P. 2016. The health impacts of climate change: a continuing medical education needs assessment framework. J Contin Educ Health Prof. 36:218–225. doi: 10.1097/CEH.0000000000000084.
   PubMed Web of Science ®Google Scholar
• Wabnitz K, Schwienhorst-Stich EM, Asbeck F, Fellmann CS, Gepp S, Leberl J, Mezger NCS, Eichinger M. 2022. National Planetary Health learning objectives for Germany: a steppingstone for medical education to promote transformative change. Front Public Health. 10:1093720. doi: 10.3389/fpubh.2022.1093720.
   PubMed Web of Science ®Google Scholar
• Walpole SC, Pearson D, Coad J, Barna S. 2016. What do tomorrow’s doctors need to learn about ecosystems? A BEME systematic review: BEME Guide No. 36. Med Teach. 38:338–352. doi: 10.3109/0142159X.2015.1112897.
   PubMed Web of Science ®Google Scholar
• Watts N, Amann M, Arnell N, Ayeb-Karlsson S, Beagley J, Belesova K, Boykoff M, Byass P, Cai W, Campbell-Lendrum D, et al. 2021. The 2020 report of The Lancet Countdown on health and climate change: responding to converging crises. Lancet. 397:129–170. doi: 10.1016/S0140-6736(20)32290-X.
   PubMed Web of Science ®Google Scholar