美国家庭医学住院医师项目网络中的气候变化课程。

Journal of graduate medical education Pub Date : 2024-12-01 Epub Date: 2024-12-13 DOI:10.4300/JGME-D-23-00850.1
Jennifer S Robohm, Grace Shih, Robert Stenger
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引用次数: 0

摘要

医生需要与气候相关的培训,但在研究生医学教育水平上对实际或期望的培训知之甚少。目的量化美国西北部家庭医学住院医师项目网络中提供的气候课程,评估采用气候课程的障碍,并确定首选的气候相关内容、交付方法和项目行动。2021年秋季,家庭医学住院医师网络的住院医师和教师对一项25项关于其项目中与气候相关的培训的匿名在线调查进行了回应。李克特量表用于评估被调查者项目中当前和期望的气候课程的程度,并使用配对样本t检验来比较它们。使用下拉菜单和频率来确定整合气候课程的主要障碍,以及首选的课程内容、交付方法和项目行动。结果1275名潜在应答者中有246人(19.3%)回复。近90%(240家中的215家)的节目中很少或根本没有气候内容。受访者希望接受更多与气候相关的培训(t[237]=18.17;尽管存在许多障碍,但大多数家庭医学教师和住院医生都希望在他们的培训课程中加入更多与气候相关的内容。
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Climate Change Curriculum in a Network of US Family Medicine Residency Programs.

Background Physicians require climate-related training, but not enough is known about actual or desired training at the graduate medical education level. Objective To quantify the climate curriculum provided within a network of family medicine residency programs in the Northwestern United States, to assess barriers to adoption of climate curricula, and to identify preferred climate-related content, delivery methods, and program actions. Methods In fall 2021, residents and faculty in a family medicine residency network responded to a 25-item, anonymous, online survey about climate-related training within their programs. Likert scales were used to assess the extent of current and desired climate curricula in respondent programs, and a paired samples t test was used to compare them. Drop-down menus and frequencies were used to identify top barriers to integration of a climate curriculum, and preferred curricular content, delivery methods, and program actions. Results Responses were received from 19.3% (246 of 1275) of potential respondents. Nearly ninety percent (215 of 240) reported little or no climate content in their programs. Respondents desired significantly more climate-related training (t[237]=18.17; P<.001; Cohen's d=1.18) but identified several barriers, including insufficient time/competing curricular priorities (80.7%, 192 of 238), concern about the political/controversial nature of the topic (27.3%, 65 of 238), and perceived irrelevance (10.9%, 26 of 238). More respondents selected integration of climate content throughout relevant didactics (62.2%, 145 of 233) than other delivery methods. Over 42% of respondents selected each of the climate-related topics and program actions suggested. Conclusions Despite a number of barriers, most family medicine faculty and residents desire significantly more climate-related content in their training curricula.

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来源期刊
Journal of graduate medical education
Journal of graduate medical education Medicine-Medicine (all)
CiteScore
3.20
自引率
0.00%
发文量
248
期刊介绍: - Be the leading peer-reviewed journal in graduate medical education; - Promote scholarship and enhance the quality of research in the field; - Disseminate evidence-based approaches for teaching, assessment, and improving the learning environment; and - Generate new knowledge that enhances graduates'' ability to provide high-quality, cost-effective care.
期刊最新文献
A Residency Elective in Sustainable Health Care. Adapting the Planetary Health Report Card for Graduate Medical Training Programs. An Interprofessional Approach to Prepare Medical Residents and Fellows to Address Climate- and Environment-Related Health Risks. Assessing Physician Climate Change Competency via Medical Licensing and Board Examinations: Lessons From Integrating Ultrasound Topics in Emergency Medicine. Climate Change Curriculum in a Network of US Family Medicine Residency Programs.
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