We believe that the impacts of the environment on health and healthcare should be part of the curriculum for medical students, doctors in training and all health professionals.
Clinical and professional values: understanding health within the context of social and ecological systems is important to fostering a more holistic and person-centred approach in clinical practice. This deeper understanding can also encourage individuals to explore the wider role of health professionals, not just in treating illness but in shaping the determinants of health.
Leadership and management training: sustainable healthcare education is proving a valuable addition to clinical leadership and management training at both undergraduate and postgraduate levels. Sustainability is a new motivation for clinicians and students to engage in service improvement, and has been described as the seventh dimension of quality in healthcare. A sustainability “lens” shows up opportunities to redesign care and eliminate wasteful processes, while involvement in green projects develops an understanding of healthcare organisation alongside practical skills in project management.
CSH Education Projects
The SHE Network is jointly coordinated by Dr Frances Mortimer, Medical Director of CSH, and Ms Stefi Barna, Lecturer in Public Health, University of East Anglia. In addition to its coordinating role, within the SHE Network, CSH is a leading contributor to curriculum development and creation of learning materials.
Sustainable Specialty Fellowships
As part of our Sustainable Specialties Programme, CSH has pioneered the Sustainable Specialty Fellowship, seconding a clinician to work full time on sustainability for 1-2 years, before returning to clinical practice.
The model was successfully piloted in kidney care with the Green Nephrology Fellowship 2009-10 (funded by NHS Kidney Care). This allowed the secondment of a specialist trainee in renal medicine to work full time on sustainability of kidney care for one year. The model proved very successful: harnessing the Fellow’s detailed understanding of renal care to address sustainability issues, increasing ownership of the programme among the clinical community, and supporting professional development of a trainee in both medical leadership and sustainable healthcare – enabling him to gain an MD from the University of Warwick Medical School. Download a summary of the educational outputs of the renal fellowship here.
Mental health is the second specialty to benefit from a Sustainable Specialties Fellowship, with the appointment of Dr Daniel Maughan to the RCPsych Research Fellowship in Sustainability 2013-15. Achievements so far include a national survey of sustainability in mental health services, creation of an RCPsych Sustainability Award, and establishment of the psych susnet network, as well as a growing number of publications in mental health journals.
CSH is working to secure funding for ongoing Fellowship programmes in kidney care, ophthalmology and other specialties.
GP Sustainability Scholarships – Severn Deanery
The GP Sustainability Scholarship programme is open to GP trainees in the Severn Deanery. Scholars have half a day per week over 13 months to learn about sustainable healthcare and carry out a related project. Educational supervision is provided by CSH.
CSH has developed and piloted teaching on sustainable healthcare in a range of educational settings, including:
- University of Oxford undergraduate medical school (final year medical students)
- Oxford Brookes University School of Health (interprofessional learning, as well as individual sessions with physiotherapy, occupational therapy and operating department practitioner students)
- Postgraduate medical leadership development teaching:
- Foundation Year / ST1 Public Health (Oxford)
- London “Darzi” Fellowships in Clinical Leadership
- Department for Health CMO Clinical Advisor Scheme
- NHS Institute Improvement Faculty
CSH Education Resources
Educating for Sustainable Healthcare - Priority Learning Outcomes
Three priority learning outcomes for environmental sustainability in medical education were developed by the SHE Network in response to a request from the General Medical Council (GMC) and refined through a two-stage national consultation, involving medical educators, clinicians and students.
In partnership with The Climate Connection, CSH has created Carbon Addict - a humorous, illustrated website linking high-carbon lifestyles, health, and health interventions.
BMJ e-learning modules
CSH has collaborated in two BMJ Learning e-learning modules on Climate Change and Health: