Sustainability in clinical skills teaching

Bajgoric, Sanjin; Appiah, Joseph Oduro; Wass, Val; Shelton, Cliff

doi:10.1111/tct.12141

Cited by 18 publications

(11 citation statements)

References 4 publications

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“…Many diseases and health burdens are linked to climate fluctuations including respiratory illness, infectious diseases, and malnutrition [4]. Furthermore, physicians work within the wasteful, high eco-footprint healthcare system, which has barely begun to embrace a culture of sustainability [5]. Physicians are in a position to view sustainability from multiple angles, to move the health and healthcare culture toward greater ecological responsibility and, as a consequence, improve patient and public health.…”

Section: Introductionmentioning

confidence: 99%

“…A SHE curriculum developed from within the framework of social accountability provides a critical scaffold for students and teachers to understand the importance of what is learned to the healthcare needs of the patients they serve. Moreover, a SHE curriculum resonates with aims [18] for bettering the healthcare system by (1) improving population health through proactive anticipation of society’s healthcare needs and attention to prevention, and (2) reducing healthcare costs by focusing on the sustainability and resource efficiency (including containment of waste and cost) in the healthcare system [5]. …”

Section: Introductionmentioning

confidence: 99%

“…Currently few medical schools offer electives, some student-run, that focus on the impact of climate change on health and/or creating sustainable healthcare practices [5]. A recent review found that medical students and physicians know about ecosystems but need more education on causes and consequences of environmental change [12].…”

Section: Introductionmentioning

confidence: 99%

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Identification of core objectives for teaching sustainable healthcare education

Teherani

Nishimura

Apatira

et al. 2017

Medical Education Online

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Background: Physicians will be called upon to care for patients who bear the burden of disease from the impact of climate change and ecologically irresponsible practices which harm ecosystems and contribute to climate change. However, physicians must recognize the connection between the climate, ecosystems, sustainability, and health and their responsibility and capacity in changing the status quo. Sustainable healthcare education (SHE), defined as education about the impact of climate change and ecosystem alterations on health and the impact of the healthcare industry on the aforementioned, is vital to prevention of adverse health outcomes due to the changing climate and environment. Objective: To systematically determine which and when a set of SHE objectives should be included in the medical education continuum. Design: Fifty-two SHE experts participated in a two-part modified-Delphi study. A survey was developed based on 21 SHE objectives. Respondents rated the importance of each objective and when each objective should be taught. Descriptive statistics and an item-level content validity index (CVI) were used to analyze data. Results: Fifteen of the objectives achieved a content validity index of 78% or greater. The remaining objectives had content validity indices between 58% and 77%. The preclinical years of medical school were rated as the optimal time for introducing 13 and the clinical years for introducing six of the objectives. Respondents noted the definition of environmental sustainability should be learned prior to medical school and identifying ways to improve the environmental sustainability of health systems in post-graduate training. Conclusions: This study proposes SHE objectives for the continuum of medical education. These objectives ensure the identity of the physician includes the requisite awareness and competence to care for patients who experience the impact of climate and environment on health and advocate for sustainability of the health systems in which they work. Abbreviations: CVI: Content validity index; SHE: Sustainable healthcare education

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Identification of core objectives for teaching sustainable healthcare education

Teherani

Nishimura

Apatira

et al. 2017

Medical Education Online

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“…Using architectural design to increase proximity of patients and staff to green spaces can accelerate recovery; reduce pain, aggression, mental fatigue, staff burnout, and health care costs; and increase cognitive function [30][31][32][33]. Other sustainability initiatives safely and effectively reduce large amounts of energy and landfill waste by modifying procedures for hospital-based cannulation and intravenous antibiotic preparation [31] and for disposal of unused pharmaceuticals [32] and medical devices, which, when replaced with reprocessed devices, saved over 24 million pounds of waste and $1 billion over 20 years at 1,700 health care facilities nationwide [34]. Energy efficiencies saved one health system $47 million over five years, and requisition of energy-efficient computers saved another health system $4 million annually [35].…”

Section: Types Of Sustainability Initiativesmentioning

confidence: 99%

Are Physicians Obliged to Lead Environmental Sustainability Efforts in Health Care Organizations?

Macpherson

Hill²

2017

AMA Journal of Ethics

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Climate change threatens health, health care, and the industries and resources upon which these depend. The growing prevalence and severity of its health consequences and economic costs are alarming health professionals and organizations as their professional obligations, grounded in the core value of health, include protecting against these harms. One means of fulfilling these obligations is to lead or support sustainability initiatives that are built upon current, reliable, accurate, and unbiased evidence and collaboratively tailored to meet specific needs and respond to specific contexts. We consider why and how health professionals and organizations should lead or support such initiatives. CaseAt an international conference on the impact of climate change on human health, Dr. Patel attends lectures given by physicians in a variety of specialties and by global public health experts. Over the course of the conference, Dr. Patel learns that the devastating effects of climate change on human health include infectious disease, flooding, drought, food insecurity, and extreme heat. One thing Dr. Patel hears over and over at the conference is the importance of physician leadership in responding to climate change. In particular, she learns that physicians can make a positive impact by leading sustainability initiatives at their organizations, especially hospitals, which are major commercial consumers of energy in the United States. In 2003, large hospitals (i.e., more than 200,000 square feet) made up less than 1 percent of all commercial buildings but used One conference speaker, who works at a large health care network, explains that recently she's been spearheading a sustainability initiative. "We've made a lot of changes," she continues, "including some updates to our infrastructure and equipment. Our energy expenditure and waste have already decreased significantly. Plus, the communities where we have hospitals and offices have really rallied around these efforts, with many of those communities' members expressing appreciation for our

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“…Some countries have responded to this need by introducing formal training for students studying medicine and nursing. 5,6 Recognizing the scope of this issue within the U.S., the CDC has emphasized training of "…public health staff to respond to the health threats posed by climate change" as a priority health action. 7 Like physicians and nurses, pharmacists have a vital role to play in climate-related prevention, education, and policy.…”

Section: Introductionmentioning

confidence: 99%