Date: Monday 28th August 2017
Unusually, this was an in-person meeting, held at AMEE 2017 in Helsinki, Finland
Co-chairs: Caroline Wellbery (US), Bob Woollard (Canada)
Note Taker: Arianne Teherani (US)
We were delighted that students from the International Federation of Medical Student Associations were able to join us (IFMSA represents 1.3 million medical students from 122 countries):
Alexander Lachapelle (Canada) IFMSA's Liaison Officer for Medical Education (LME)
Katerina Dima (Greece) IFMSA's External Relations Officer and LME-elect
Jeremy Glasner (Switzerland), co-author of the IFMSA Social Accountability toolkit
Tendwa Ongas (Kenya)
Margarethe Grupp (Germany)
We also welcomed the following faculty who are new to our international network:
Tatiana Giusti (Venezuela)
Arnuparp Lekhakula (Thailand)
Josephine Boland (Ireland)
Coordinator of respiratory medicine organisations (Switzerland)
Ann Wylie (Kings College London)
Ellie Hothersall (Dundee, UK)
Peter Musaeus (Denmark)
SanYuMay Tun (London, UK)
- Update on Progress
- Communications, Publications, Curricular progress
- Partnerships, Admin/Institutional buy-in
- Strategic Priorities/Overall Direction this year
- Assessment of achievements going forward (building feedback loops)
- Meetings and Communications
Update on Progress
- One chapter and one article from the work of the group that met last year at AMEE in Barcelona.
- There is another manuscript in Public Health also about to be published.
- Delphi work on objectives consensus is under review.
- A US group is looking at the curriculum in all US medical schools and where sustainability is taught.
- We have to think about whether education for sustainability in undergraduate medical education in the UK and other countries is sustainable. Most individuals doing work in this area are doing it top of their normal work, and struggle with how to make sustainability a priority at their medical school.
- Embedding it in the curricula – what is the minimum that needs to be included in medical education.
- Leverage the medical school system, which is one of the wealthiest organizations/institutions in the world, to bring about change.
- Students have much influence and are important agents of change when it comes to these topics. They can question why topics are being taught and how can they be taught better.
- It would be important to create a user-friendly repository of SHE teaching and curricular material that could be drawn on to develop individual school curricula. The SHE website itself and the Columbia school’s Global Consortium on Climate and Health Education, are important resources.
- The SHE website is freely accessible and users have the option of signing up to post information resources – it would be helpful to establish a communication platform for disseminating these resources.
- This meeting represents a networking of other existing networks.
- Alexander Lachapelle reminded us of IFMSA’s remit on social accountability, climate change and sustainable healthcare. Contact details were exchanged to facilitate further meetings online.
Meetings and communications
- A teleconference next month is planned for discussions to develop the above points.
- Please look out for a doodle poll, submit your availability and participate.
Date: Tuesday 1st August 2017 4.30pm BST
Chair and Host: Perry Sheffield, New York, USA
Scribe: SanYuMay Tun, London, UK
Present: Sarah Walpole, Congo/UK; Stefi Barna, Bangalore, India; Caroline Wellbery, Washington DC, USA; Evans Tembo, Belgium/Zambia; Rachel Stancliffe, Oxford, UK;
Apologies: Karina Pavao, Brazil; Maryam Omar, UK; Andrea Rother, South Africa; Bob Woolard, Canada
Minutes: (agenda items in bold)
Introductions, review of last meeting
Collaboration with Planetary Health Alliance on education – Emily Farrow has submitted application for SHE to join the Planetary Health Alliance.
IFMSA collaboration – Action point - Sarah - IFMSA>Medsin>Healthy Planet so will pursue connection through Healthy Planet. The goal is to build local student groups to focus on delivering teaching locally, as well as collaborating more internationally. At Mount Sinai, Perry has emailed medical students about IFMSA.
Action point – Evans Tembo – to circulate the literature produced by UNFCCC/COP on advocacy
Action point – Rachel Stancliffe – to keep in touch with WHO
Action point – Rachel Stancliffe – to follow up on the interest shown by students at UCL/Lancet Countdown event at Imperial.
There was discussion on goals and progress. The draft mission statement of the SHE network on the website incorporating 5 year goals can be adapted for a more international stance.
An international aspect is that in some developing countries medical officers may not be medical doctors, but are graduate environmental health or public health officers - they nevertheless should be educated in sustainable healthcare.
Global Consortium on Climate and Health Education (Columbia school of public health) - Caroline Wellbery is on the advisory committee. Funded by Rockefeller Foundation, promotes professional climate change education; website, consolidating resources and developing networks; 5 year plan.
Plans for AMEE 2017 in August in Finland:
Fringe event – about motivating medical students to become agents for social change - Caroline will discuss details with Peter Musaeus – Beth Crossley has been involved with resources. There are also excellent resources for evidence-based climate communication using visual imagery at http://climateoutreach.org/climatevisuals/
Upcoming SHE international group meeting in Finland – to take forward the current discussions of the group’s vision and progress at an in-person meeting that will encourage renewed impetus.
Date: May 17th 9pm BST
Chair: SanYuMayTun, London
Scribe and Host: Maryam Omar, London
Present: SanYuMay Tun, Evans Tembo, Natasha Askaroff, Bob Woollard, Perry Sheffield
1. Planning for fringe workshop at AMEE
2. Assessment for SHE
3. Local updates on progress
Introductions and local updates
1. IFSMA connection
Discussion regarding the mechanism of student engagement. Suggested to initiate a connection between IFSMA (International Federation of Medical Students' Associations) and SHE network. Particularly to develop the resources in engaging and surveying medical students regarding health effects of climate change. Bob is to facilitate this between Sarah Walpole, Matthew Mueller, SanYuMay Tun and Maryam Omar as a start. If any would like to be connected with this, please place your name forward.
2. Student Survey
Update on the progress of the student survey was provided by Natasha. It is now in the final stages on completion, and is currently being cognitive tested in Brazil, for refinements and engagement. The team feel that it can potentially be trialled in institutions soon.
Still an early working group looking at the challenge of devising appropriate assessments and looking at practical examples.
Current ideas in progress are to co-write a blog to encourage discussion within the SHE network. Idea is to work this up with forming actual assessments whether in form of bank of questions or other methodologies.
4. Brainstorming of ideas
Following discussion of incorporating new ideas within the SHE platform, the team suggested if possible to find out the topics being discussed within the International working group paper, so as not to duplicate work in going forward. This information may not be able to be posted on the open wiki.
5. Fringe Workshop
Unfortunately no members presenting at the Fringe workshop were present in this call, hence the discussion has been moved to the next meeting.
Date: Thursday (27th April) at 8pm BST – that is 7pm GMT (4pm in Brazil, etc..)
Chair: SanYuMay Tun, London, UK
Scribe: Sarah Walpole, currently at UNESP, Brazil
Present: SanYuMay Tun UK, Bob Woollard Canada, Maryam Omar UK, Matthew Muller USA, Emily Farrow UK, Karina Pavao Brazil, Sarah Walpole UK
Apologies: Caroline Welbury, Georgetown University, Peter Musaeus, Aarhus University, Kathleen Leedham-Green Kings London (listening but not speaking as on the train), Stefi Barna Bangalore India, Aditya Vyas Australia, Linda East (going to Boston PH conference), Andrea Rother South Africa Cape Town, Arianne Teherani UoCalifornia
During the meeting we all agreed and reaffirmed commitment to keeping this group open and accessible to new members – to achieve that we discussed an open invitation to contribute to case study collection, an open meeting at AMEE and we can also try to use the SHE website in that way – hence the wiki with open minutes and next meeting plans.
Skype seemed to work well as a platform for the meeting today.
Introductions and brief updates on local progress
- Discussion of cases at Georgetown University - new 8 week student selected module and new 90 minute core teaching for medical students, already implemented, hopefully LO1 being implemented in phase one at Hull York Medical School via adaptations to two existing PBL cases and a new workshop, one new module in Brazil - student selected 16 hour module covering LOs 1 and 2
- It would be useful to share case studies that include information about how space was negotiated in the curriculum. Maryam is working on collation of case studies and will explore including this aspect of curriculum development. It would also be useful to publish discussion about good practice in and approaches to negotiating space in the curriculum.
- Discussed putting an invitation on the website to anyone doing sustainability teaching to provide case studies - this may generate more case studies and may also generate many interest in the SHE network
- When the case studies are published this time, it might be useful if (different to the previous publication in 2012) it becomes a collection that is searchable and that we could add to
Update on international survey of medical student education
- Final survey design still in development, to be discussed in the small group led by Natasha
- Once survey complete, we can invite other medical schools to take part in disseminating the survey. Bob offered to share this with those at the world summit on social accountability
AMEE abstracts accepted - plan going forward
- Motivation abstract at fringe, as below, to be planned. Will be presented by Peter and Caroline, with help from Bob and Sarah. Matt and Karina are involved in planning.
- An short presentation about UK medical schools project implementing SHE, Sarah from HYMS or/and Ellie from Dundee will present
- Discussed having an open meeting about Sustainable Healthcare Education at AMEE where we can invite others and generate new activity and partnerships. Bob has offered to discuss with AMEE the possibility of having an official networking meeting that is open to anyone to attend
Assessment for sustainable healthcare education - potential workstream
- Possibility of developing a discourse and/or evaluation/research
- Could we have a confidential platform for sharing a bank of questions (multiple choice)? We could then try to get it into national medical assessments potentially. There is quite a long process to get questions into national medical banks - validation, etc.
- Discussed that there is a lot of specificity between countries, and there are different confidentiality processes in different locations
- Could we use the assessment system as a fulcrum to ensure presence of sustainability on the curriculum?
- Also good to think beyond the MCQs to other models of assessment.
- Plan to create a separate email group to discuss further - Sarah to email SHE group to invite members