Sustainability in quality improvement (SusQI): a case-study in undergraduate medical education

Clery, Philippa; Smith, Stuart; Marsden, Oliver; Leedham‐Green, Kathleen

doi:10.1186/s12909-021-02817-2

Cited by 20 publications

(7 citation statements)

References 26 publications

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“…[ 29 ] Likewise, the realisation that co-benefits of climate action for health provide tools for action was appreciated by the students. The participants of a similar study among undergraduate medical students appreciated the focus on action and the examples of concrete, achievable sustainability projects by their near peers [ 30 ].…”

Section: Discussionmentioning

confidence: 99%

Drawing a line from CO2 emissions to health—evaluation of medical students’ knowledge and attitudes towards climate change and health following a novel serious game: a mixed-methods study

Stevens,

Israel,

Nusselder

et al. 2024

BMC Med Educ

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Background Education is urgently needed to equip medical students with knowledge, values and skills to promote planetary health. However, the current literature offers little insight into evidence-based approaches and best practices. In response to this pressing need, a novel serious game was introduced into the medical curriculum at Erasmus Medical Center in 2023. The aim of this study was to evaluate the knowledge and attitudes of medical students after they had played a serious game that addresses climate change and health. Methods In accordance with a mixed-methods design, quantitative data were collected using pre- and post-intervention surveys. Differences were assessed using the Wilcoxon signed rank test. Focus group discussions were held after the game and thematically analysed. Results One hundred forty-five students (38.6% of the entire cohort) played the game, of which 59 students completed the pre- and post-intervention surveys. After the game, self-reported knowledge increased. Regarding objective knowledge, an increase in the proportion of students who answered one of the two questions correctly was observed, while the proportion of correct responses decreased for the other question. Student’s responses to two out of five attitude questions were significantly more positive. The proportion of students who recognized the importance of climate change education, to inform patients and society about the health impacts of climate change, increased. Moreover, survey results indicated a significant increase in climate worry subsequent to the game. Eleven students participated in the focus group discussions. Thematic analysis highlighted participants’ reflections on the roles and responsibilities in climate change and health, along with their realisation of the tools for action that climate and health co-benefits provide. Another significant aspect was the importance participants placed on learning alongside peers with diverse attitudes. Additionally, participants appreciated the tangible overview of climate change and health provided by the serious game. Conclusions Our novel serious game addressed an important gap in the medical curriculum. The game can enable medical students to cultivate the necessary knowledge and attitudes to promote health in times of a climate crisis. The accompanying climate worry needs attention through the empowerment of students’ agency to foster change.

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Section: Discussionmentioning

confidence: 99%

Drawing a line from CO2 emissions to health—evaluation of medical students’ knowledge and attitudes towards climate change and health following a novel serious game: a mixed-methods study

Stevens,

Israel,

Nusselder

et al. 2024

BMC Med Educ

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“…[45][46][47][48] Education may be a powerful route for hospitalist impact, as residents' behaviors surrounding provision of high-value care are highly influenced by their training. 49 Environmental health can also be integrated into education outside of the classrooms and clinical rotations, through involvement in hospitalbased initiatives such as sustainability quality improvement projects 50 or advocacy efforts. 48…”

Section: Discussionmentioning

confidence: 99%

Assessing hospitalists' opinions regarding the role of environmental health within the practice of hospital medicine

Gordon

Liu

Hudak

et al. 2023

Journal of Hospital Medicine

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Background Environmental health represents the concept that a stable climate and clean environment are fundamental prerequisites for good human health. Despite growing awareness of the impact of climate change more broadly, knowledge of environmental health has not fully entered mainstream medicine in the United States. Objective To understand practicing hospitalists' perspectives regarding the current and future roles of environmental health within the practice of hospital medicine, as well as existing barriers and potential motivators to its further inclusion. Methods We conducted virtual focus groups of practicing hospitalists in partnership with the Hospital Medicine Reengineering Network from across the United States. Structured interviews elicited hospitalists' thoughts pertaining to environmental health. Transcripts then underwent descriptive coding to identify and group comments into themes. Results We conducted three focus groups with a total of 14 physician participants. Four themes emerged: the negative environmental impact of the healthcare system, a lack of prioritization of environmental health within hospital medicine, the potential for expanding environmental health in nonclinical roles including medical education, and the importance of systems‐level support. Conclusion Environmental health is felt to be of importance, and while there exist avenues to do better, there is limited understanding of hospitalists' most effective role in making change.

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“…Their participants appreciated the focus on action and the examples of concrete, achievable sustainability projects by their near peers. (30) To this end, we will instruct teachers to put a greater emphasis on the co-bene ts as tools for action during the re ection, to combat the potential increase in climate worry.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

Drawing a line from CO2 emissions to health - Evaluation of medical students’ knowledge and attitudes towards climate change and health following a novel serious game: a mixed-methods study

Stevens,

Israel,

Nusselder

et al. 2024

Preprint

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Background Education is urgently needed to equip medical students with knowledge, values and skills to promote planetary health. However, the current literature offers little insight into evidence-based approaches and best practices. In response to this pressing need, a novel serious game was introduced into the medical curriculum at Erasmus Medical Center in 2023. The aim of this study was to evaluate the knowledge and attitudes of medical students after they had played a serious game that addresses climate change and health. Methods In accordance with a mixed-methods design, quantitative data were collected using pre- and post-intervention surveys. Differences were assessed using the Wilcoxon signed rank test. Focus group discussions were held after the game to explore the underlying mechanisms that led to the changes in knowledge and attitudes as identified in the survey. The transcripts were then thematically analysed. Results 145 students played the game, of which 59 (40.7%) students completed the pre- and post-intervention surveys. After the game, self-reported knowledge and the proportion of students who recognized the importance of climate change education, to inform patients and society about the health impacts of climate change, significantly increased. Moreover, survey results indicated a significant increase in climate worry subsequent to the game. Eleven students participated in the focus group discussions. Thematic analysis highlighted participants’ reflections on the roles and responsibilities in climate change and health, along with their recognition of climate and health co-benefits as tools for action. Another significant aspect was the importance participants placed on learning alongside peers with diverse attitudes. Additionally, participants appreciated the tangible overview of climate change and health provided by the serious game. Conclusions Our novel serious game positively influenced medical students’ knowledge and attitudes towards climate change and health. The accompanying climate worry needs attention through the empowerment of students’ agency to foster change.

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Sustainability in quality improvement (SusQI): a case-study in undergraduate medical education

Cited by 20 publications

References 26 publications

Drawing a line from CO2 emissions to health—evaluation of medical students’ knowledge and attitudes towards climate change and health following a novel serious game: a mixed-methods study

Drawing a line from CO2 emissions to health—evaluation of medical students’ knowledge and attitudes towards climate change and health following a novel serious game: a mixed-methods study

Assessing hospitalists' opinions regarding the role of environmental health within the practice of hospital medicine

Drawing a line from CO2 emissions to health - Evaluation of medical students’ knowledge and attitudes towards climate change and health following a novel serious game: a mixed-methods study

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