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Climate Change Curricula in US Graduate Medical Education: A Scoping Review
Adrian Cois1, Sara Kirkpatrick2, Rachelle Herrin3
1is Assistant Professor, Department of Emergency Medicine, Oregon Health & Science University (OHSU), Portland, Oregon, USA.
Journal of Graduate Medical Education
|December 16, 2024
Summary
Climate change education in US graduate medical education (GME) is limited, with few published accounts. Emergency medicine residency programs show more integration, but efficacy of proposed curricula remains unknown.
Area of Science:
- Medical Education
- Environmental Health
- Public Health
Background:
- Climate change poses significant risks to human health and well-being.
- While undergraduate medical education increasingly addresses climate change, its integration into graduate medical education (GME) in the US is not well-documented.
Purpose of the Study:
- To investigate the extent of climate change integration within US GME curricula.
- To identify key themes and characteristics of existing GME climate change educational content.
Main Methods:
- A scoping review of literature published between January 2013 and November 2023 was conducted.
- Searches of PubMed and Scopus databases were performed, with articles assessed by three independent reviewers.
- Included articles described climate change in US GME, covering topics like disaster medicine, public health, and sustainability.
Main Results:
- Seventeen articles met the inclusion criteria, detailing climate change incorporation and interventions in GME.
- Surveys of program directors were the most common article type (29%), focusing on the inclusion of climate-related topics.
- Emergency medicine and related fields featured more prominently in the analyzed content.
Conclusions:
- Published evidence of climate change topics in US GME curricula is scarce.
- While curriculum frameworks exist for pediatrics and internal medicine, their effectiveness is largely unassessed.
- Further research is needed to evaluate curriculum efficacy and promote healthcare sustainability and resilience.
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