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Pediatric Resident and Program Director Views on Climate Change and Health Curricula: A Multi-Institution Study
Summary
Pediatric trainees and program directors recognize the need for climate change education, but current training is insufficient. Most agree on the importance of discussing climate change health impacts with families, yet lack confidence.
Area of Science:
- Environmental Health
- Pediatric Medical Education
- Climate Change Impacts
Background:
- The American Academy of Pediatrics highlighted the need for training on climate change's effects on child health in 2007.
- Few studies have assessed pediatric trainees' knowledge and attitudes regarding climate change and children's health.
- This study addresses the gap in understanding current preparedness and educational needs.
Purpose of the Study:
- To evaluate pediatric residents' and program directors' knowledge and attitudes concerning climate change and health.
- To assess their views on integrating climate and health content into pediatric graduate medical education.
- To identify preferred topics and activities for such curricula.
Main Methods:
- A mixed-methods approach using anonymous, cross-sectional surveys.
- Involved pediatric residents and program directors from Association of Pediatric Program Directors (APPD) Longitudinal Educational Assessment Research Network (LEARN)-affiliated programs.
- Utilized multivariable regression, factor analyses, and conventional content analysis for quantitative and qualitative data.
Main Results:
- 18 programs participated, with 100% program director and 42% resident response rates.
- Only 17% of program directors felt knowledgeable about climate change and health impacts.
- While 64% of residents believed physicians should discuss climate change with patients, only 21% felt comfortable doing so.
- A significant majority of residents (76%) and program directors (83%) supported incorporating climate change into training.
Conclusions:
- Pediatric residents and program directors strongly support climate change education within pediatrics training.
- There is a clear need for curricula to prepare future pediatricians to address climate change's impact on child health.
- Despite identified needs, specific training opportunities are currently limited in many programs.
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