Medical education for obstetricians and gynecologists should incorporate environmental health

Tinney, Veronica A.; Paulson, Jerome A.; Bathgate, Susanne L.; Larsen, John W.

doi:10.1016/j.ajog.2014.07.038

Cited by 18 publications

(11 citation statements)

References 21 publications

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“…To do this, it seems necessary to train health professionals to think in terms of salutogenesis and not only, as is usually the case, in terms of risks, thereby counteracting the disturbing aspects that we have noted [41]. This result is in accordance with the literature, especially owing to the growing demands of patients [42].…”

Section: Discussionsupporting

confidence: 79%

How to Educate Pregnant Women about Endocrine Disruptors?

Rouillon

Ouazzani

Hardouin

et al. 2020

IJERPH

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Background: Despite mediatization, only half of pregnant women are informed about endocrine disruptors (EDs). We wished to inquire about appropriate environmental health education procedures during pregnancy: Who, when, and how? Methods: The question stems from a comprehensive population health intervention research project. It includes qualitative studies aimed at constructing an educational program in environmental health and an accompanying assessment tool. The validation of a customized questionnaire (PREVED© for Pregnancy Prevention Endocrine Disruptors) about the knowledge, attitudes, and practices (KAP) of pregnant women regarding exposure to EDs was carried out in a quantitative study. Results: Health education by a prenatal professional with communication skills should take place as early as possible, during the preconception period or early pregnancy, as part of individual consultation or group workshops. In order to customize the discourse and to develop women’s empowerment, concomitant presentation of the risks by the products used in each room and of previous solutions is recommended. Conclusion: Appropriate health education procedures on EDs should be done at every contact but taking the KAP of pregnant women into account first. We propose all educational actions should be accompanied by questioning of the KAP of pregnant women; for example, with questions from the PREVED© questionnaire.

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Section: Discussionsupporting

confidence: 79%

How to Educate Pregnant Women about Endocrine Disruptors?

Rouillon

Ouazzani

Hardouin

et al. 2020

IJERPH

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“…The need to incorporate EH in initial training is a clear conclusion of our study and has been regularly called upon by others [ 12 , 18 , 37 ]. It appeared from our survey that along with medical professions, this training must be extended to other professions in contact with families and small children, such as child care providers or social workers.…”

Section: Discussionmentioning

confidence: 85%

Environmental Health in Perinatal and Early Childhood: Awareness, Representation, Knowledge and Practice of Southern France Perinatal Health Professionals

Sunyach

Antonelli

Tardieu

et al. 2018

IJERPH

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The exposure of adults of reproductive age as well as pregnant women and children to environmental contaminants is of particular concern, as it can impact fertility, in utero development, pregnancy outcomes and child health. Consequently, the World Health Organisation (WHO) and international societies advocate including Environmental Health (EH) in perinatal care, yet perinatal health professionals (HPs) hardly put these recommendations into practice. In 2017, a cross-sectional study was performed in a large panel of perinatal HPs in south-eastern France with the aim of painting a picture of their current attitudes, representation, knowledge, and training expectations. Quantitative and qualitative information was collected via auto-questionnaire. Questionnaires were completed by 962 participants, mainly midwives (41.1%), physicians (25.6%) and nursery nurses (11%). Indoor/outdoor air quality and endocrine disruptors were the best-mastered topics, whereas electromagnetic fields and diet gave rise to unsure responses. Overall, perinatal HPs were ill-trained and -informed about the reproductive risks linked to daily environmental exposure. HPs reported scarce knowledge, fear of patient reaction and lack of solutions as the main barriers to providing information regarding EH to the public. Our findings highlight the need to set up EH training programmes focused on scientific knowledge and to provide simple messages and tips to help perinatal HPs deliver advice to populations to mitigate exposure to environmental toxicants.

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“…The Centers for Disease Control and Prevention in collaboration with the Association of American Medical Colleges (AAMC) and other organizations have signed on to a collaborative set of population health competencies for medical students, including elements of environmental health [31]. Graduate medical education organizations have also embraced this need [32,33]. Short of adding a year for a master's degree in public health (MPH), many educational institutions have attempted to implement enhanced training in environmental health via its integration into other learning activities, electives, summer internships [34], and certificate programs [35], but medical curricular time is scarce.…”

Section: The Need For Physicians To Receive Both Public Health and Enmentioning

confidence: 99%

Lessons for Physicians from Flint's Water Crisis

Carravallah¹,

Reynolds

Woolford³

2017

AMA Journal of Ethics

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Physicians form a vital front in recognizing unusual clinical presentations that could herald a health threat. In the Flint water crisis, physicians can be credited with playing critical roles in both uncovering the crisis and providing leadership when government failed to respond effectively. Yet most physicians in Flint were not formally trained in advocacy or leadership and might have recognized the health implications of the crisis more quickly had they received formal environmental health training.

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Medical education for obstetricians and gynecologists should incorporate environmental health

Cited by 18 publications

References 21 publications

How to Educate Pregnant Women about Endocrine Disruptors?

How to Educate Pregnant Women about Endocrine Disruptors?

Environmental Health in Perinatal and Early Childhood: Awareness, Representation, Knowledge and Practice of Southern France Perinatal Health Professionals

Lessons for Physicians from Flint's Water Crisis

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