气候和地球健康的医学教育能力框架:一个范围审查
Elizabeth Cerceo1, Hannah N W Weinstein2,3, Stefan Wheat4
1Cooper University Healthcare, Cooper Medical School of Rowan University, Camden, NJ, USA.
The journal of climate change and health
|February 6, 2026
概括
准备医生应对气候变化影响需要标准化的教育. 这次审查发现,全球需要一致的气候健康能力框架,以确保未来的医生能够解决健康不平等和气候相关疾病.
科学领域:
- 环境健康 环境健康
- 医学教育 医学教育
- 公共卫生 公共卫生
背景情况:
- 气候变化对人类健康构成重大威胁,加剧了现有的健康不平等,破坏了医疗保健系统.
- 教育未来的医生对于建立能够应对气候相关健康挑战的有弹性的医疗保健系统至关重要.
- 医学院当前的气候健康教育缺乏全球一致性和核心能力的共识.
研究的目的:
- 在医学教育中系统地审查气候和行星健康的现有能力框架.
- 确定当前框架中强调的关键能力和领域.
- 突出差距,并为标准化全球能力的发展提供信息.
主要方法:
- 在主要数据库 (PubMed,ERIC,EMBASE,CINAHL) 进行了系统的文献搜索.
- 纳入标准侧重于在医学教育中解决气候/行星健康问题的框架,并提供共识级指导.
- 对能力和领域确定框架的专题评估.
主要成果:
- 十二个框架符合纳入标准.
- 共同能力包括对气候影响的医学知识,临床技能,倡导可持续医疗保健和解决健康公平问题.
- 基础知识得到了广泛的覆盖,但卫生系统的可持续性和跨专业技能没有得到一致的整合. 像土著知识和环境正义这样的独特方面出现在很少的框架中.
结论:
- 需要全球一致的,基于证据的能力框架,特别是全球南方地区.
- 标准化能力对于全球医生持续的气候健康教育和准备能力至关重要.
- 对弱势群体的实际,以行动为导向的技能和能力存在差距,需要进一步开发全面的框架.
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