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A Longitudinal Pediatric Residency Climate Justice Curriculum
Harleen Marwah1, Isha Thapar2, Mark McShane3
1at the time of the study, was a PGY-3 Resident, Department of General Pediatrics, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA, and is now an Editorial Fellow, New England Journal of Medicine, Waltham, Massachusetts, USA.
Journal of Graduate Medical Education
|December 16, 2024
Summary
A new climate justice and health equity curriculum improved pediatric residents' understanding of climate change's health impacts. Residents reported increased confidence in advocating for climate action and discussing these issues with patients.
Area of Science:
- Environmental Health
- Medical Education
- Public Health
Background:
- Graduate medical education must equip physicians to address climate change impacts on patient health equity and outcomes.
- A longitudinal climate justice curriculum was implemented in a pediatrics residency program to address this educational gap.
- The curriculum aimed to prepare future physicians for climate-related health challenges.
Purpose of the Study:
- To evaluate the impact of a climate justice curriculum on pediatric residents' attitudes and behavioral intentions.
- To measure changes in self-reported understanding and advocacy confidence related to climate change and health.
- To assess residents' willingness to integrate climate change discussions into patient care.
Main Methods:
- A 4-part longitudinal climate justice and health equity (CJHE) curriculum was delivered to pediatric residents from 2023-2024.
- Pre- and post-session surveys assessed changes in attitudes and intentions regarding climate change advocacy.
- Paired deidentified survey responses were analyzed using the Wilcoxon signed-rank test.
Main Results:
- The CJHE curriculum significantly increased residents' understanding of climate change's health impacts (P<.001).
- Participants reported increased agreement that healthcare providers can be effective climate advocates (P<.001).
- Residents showed a greater intention to discuss climate change health impacts with patients post-curriculum (P<.001).
Conclusions:
- The longitudinal CJHE curriculum was acceptable to pediatric residents.
- The curriculum effectively enhanced participants' understanding of climate-health connections.
- Physicians can be trained as effective advocates through targeted educational interventions.
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