Arianne Teherani|Holly Nishimura|Latifat Apatira|Thomas B. Newman|Susan M. Ryan
Identification of core objectives for teaching sustainable healthcare education
University of California, San Francisco|University of California, San Francisco|Colorado Permanente Medical Group|University of California, San Francisco|University of California, San Francisco
background physicians called upon care patients bear burden disease impact climate change ecologically irresponsible practices harm ecosystems contribute climate change however physicians must recognize connection climate ecosystems sustainability health responsibility capacity changing status quo sustainable healthcare education defined education impact climate change ecosystem alterations health impact healthcare industry aforementioned vital prevention adverse health outcomes due changing climate environmentobjective systematically determine set objectives included medical education continuumdesign fiftytwo experts participated twopart modifieddelphi study survey developed based 21 objectives respondents rated importance objective objective taught descriptive statistics itemlevel content validity index cvi used analyze dataresults fifteen objectives achieved content validity index 78 greater remaining objectives content validity indices 58 77 preclinical years medical school rated optimal time introducing 13 clinical years introducing six objectives respondents noted definition environmental sustainability learned prior medical school identifying ways improve environmental sustainability health systems postgraduate trainingconclusions study proposes objectives continuum medical education objectives ensure identity physician includes requisite awareness competence care patients experience impact climate environment health advocate sustainability health systems workabbreviations cvi content validity index sustainable healthcare education