Climate Change as a Social Determinant of Health: An Interactive Case-Based Learning Activity

Introduction Despite consensus on climate change's impact on humans, medical schools have not widely adopted inclusion of environmental topics into their mandatory curriculum. This educational activity explicitly addresses climate change as one of the environmental determinants of health (EDH)....

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Main Authors: Arindam Sarkar, Nital P. Appelbaum, Rathi Asaithambi, Connie Tran, Doris Lin, Anjali Aggarwal, Stephanie Nguyen
Format: Article
Language:English
Published: Association of American Medical Colleges 2023-08-01
Series:MedEdPORTAL
Subjects:
Online Access:http://www.mededportal.org/doi/10.15766/mep_2374-8265.11332
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author Arindam Sarkar
Nital P. Appelbaum
Rathi Asaithambi
Connie Tran
Doris Lin
Anjali Aggarwal
Stephanie Nguyen
author_facet Arindam Sarkar
Nital P. Appelbaum
Rathi Asaithambi
Connie Tran
Doris Lin
Anjali Aggarwal
Stephanie Nguyen
author_sort Arindam Sarkar
collection DOAJ
description Introduction Despite consensus on climate change's impact on humans, medical schools have not widely adopted inclusion of environmental topics into their mandatory curriculum. This educational activity explicitly addresses climate change as one of the environmental determinants of health (EDH). Methods We developed a required, 1-hour module for all first-year medical students. This interactive, case-based, small-group activity was incorporated into a curriculum within an advising program but could be run independently. Before and after the session, participants completed evaluations assessing knowledge gains and attitude shifts. Results Of 183 first-year students, 155 completed both pre- and postmodule surveys. Participants' rating increased on the postmodule survey item “priority should be given to the discussion of EDH in medical education.” The Wilcoxon signed rank test determined this difference in priority was statistically significant (p < .001). Reported strengths of this activity included the cases, informative content on EDH, the video, the discussion, and highlighted EDH resources. Suggested areas for improvement included more information on how to apply concepts to clinical contexts, guidance on how to engage in EDH concepts, and more discussion time. As a result of the module, students planned to engage in recycling, reduced consumption, advocacy, and changes to mode of transportation. Discussion Climate change remains the greatest global threat to human health, and future physicians must be equipped to educate patients and policymakers on the harms of environmental hazards. This brief yet effective module offers one approach to incorporating this topic into medical school curricula.
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spelling doaj.art-37846d930ad84148bc8c6dac5b37ec3d2023-08-02T04:00:15ZengAssociation of American Medical CollegesMedEdPORTAL2374-82652023-08-011910.15766/mep_2374-8265.11332Climate Change as a Social Determinant of Health: An Interactive Case-Based Learning ActivityArindam Sarkar0Nital P. Appelbaum1Rathi Asaithambi2Connie Tran3Doris Lin4Anjali Aggarwal5Stephanie Nguyen6Assistant Professor, Department of Family and Community Medicine, Baylor College of MedicineAssistant Professor, Department of Education, Innovation and Technology, and Assistant Dean, Medical Education Research and Scholarship, Baylor College of MedicineAssistant Professor, Department of Pediatrics, Baylor College of MedicineAssociate Professor, Department of Anesthesiology, Baylor College of MedicineAssociate Professor, Department of Medicine, Baylor College of MedicineAssociate Professor, Department of Family and Community Medicine, Baylor College of MedicineAssistant Professor, Department of Family and Community Medicine, Baylor College of MedicineIntroduction Despite consensus on climate change's impact on humans, medical schools have not widely adopted inclusion of environmental topics into their mandatory curriculum. This educational activity explicitly addresses climate change as one of the environmental determinants of health (EDH). Methods We developed a required, 1-hour module for all first-year medical students. This interactive, case-based, small-group activity was incorporated into a curriculum within an advising program but could be run independently. Before and after the session, participants completed evaluations assessing knowledge gains and attitude shifts. Results Of 183 first-year students, 155 completed both pre- and postmodule surveys. Participants' rating increased on the postmodule survey item “priority should be given to the discussion of EDH in medical education.” The Wilcoxon signed rank test determined this difference in priority was statistically significant (p < .001). Reported strengths of this activity included the cases, informative content on EDH, the video, the discussion, and highlighted EDH resources. Suggested areas for improvement included more information on how to apply concepts to clinical contexts, guidance on how to engage in EDH concepts, and more discussion time. As a result of the module, students planned to engage in recycling, reduced consumption, advocacy, and changes to mode of transportation. Discussion Climate change remains the greatest global threat to human health, and future physicians must be equipped to educate patients and policymakers on the harms of environmental hazards. This brief yet effective module offers one approach to incorporating this topic into medical school curricula.http://www.mededportal.org/doi/10.15766/mep_2374-8265.11332Environmental Determinants of HealthCase-Based LearningCommunity-Based MedicinePopulation HealthSocial Determinants of HealthClimate Change
spellingShingle Arindam Sarkar
Nital P. Appelbaum
Rathi Asaithambi
Connie Tran
Doris Lin
Anjali Aggarwal
Stephanie Nguyen
Climate Change as a Social Determinant of Health: An Interactive Case-Based Learning Activity
MedEdPORTAL
Environmental Determinants of Health
Case-Based Learning
Community-Based Medicine
Population Health
Social Determinants of Health
Climate Change
title Climate Change as a Social Determinant of Health: An Interactive Case-Based Learning Activity
title_full Climate Change as a Social Determinant of Health: An Interactive Case-Based Learning Activity
title_fullStr Climate Change as a Social Determinant of Health: An Interactive Case-Based Learning Activity
title_full_unstemmed Climate Change as a Social Determinant of Health: An Interactive Case-Based Learning Activity
title_short Climate Change as a Social Determinant of Health: An Interactive Case-Based Learning Activity
title_sort climate change as a social determinant of health an interactive case based learning activity
topic Environmental Determinants of Health
Case-Based Learning
Community-Based Medicine
Population Health
Social Determinants of Health
Climate Change
url http://www.mededportal.org/doi/10.15766/mep_2374-8265.11332
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