International group working on Sustainable Healthcare Education - Next meeting outline

Upcoming October meeting for the SHE international working group - date and time to be confirmed - if you would like to attend please complete this doodle poll and you will be notified of the outcome in due course.


Past Meeting

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)

Also present:

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)
  • Partnerships
  • 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.

Strategic priorities

  • 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.


Past Meeting

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

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.


Past Meeting

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. 

3. Assessment

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. 

<<Past meetings>>

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




Stefi Barna's picture



Apologies for not making it on Thursday Night

Peter Musaeus's picture

AMEE 2017 Abstract Acceptance

Thank you for submitting your abstract for AMEE 2017 in Helsinki (26-30 August).  If you have submitted more than one abstract, you will receive a separate email relating to each one.


We are very pleased to accept the following abstract in the presentation type indicated below:

Submission ID:


Abstract Title:

How can we become agents for change toward a better, greener world?

Abstract Author(s):

Peter Musaeus, Aarhus University, Center for Health Sciences Education, Aarhus, Denmark

Elizabeth Crossley, Hull York Medical School, York, UK

Matthew Mueller, Des Moines University, Des Moines, IA, USA.

Caroline Wellbery, Georgetown University Medical Center, Washington DC, USA

Karina Pavão Patrício, Botucatu Medical School, UNESP, Botucatu, São Paulo, Brazil.

Abstract Presenter(s):

Peter Musaeus

Presentation Type:

AMEE Fringe



Linda East's picture

This abstract title sounds really interesting Peter.  Are you able to share it? 


Short abstract...the challenge is to come up with cool activity

Peter Musaeus's picture

How can we become agents for change toward a better, greener world?


In spite of the increasing global urgency of social and environmental impacts on health, medical students and other health professionals do not necessarily appreciate their potential role in becoming agents for social change. Research demonstrates a variety of barriers exist which prevent us from driving the conversations about climate and health. Whether perceived or actual, these barriers can be overcome by providing the tools necessary for us to be confident public health advocates. Using imagery and metaphor we will identify obstacles between medical students and social action, and present a means for encouraging students and others to be green social change agents.


Apologies from me, too

Linda East's picture

Hi everyone - I will be travelling to Boston tomorrow for the inaugural Planetary Health Alliance meeting.  There is an education working group meeting, where the aim is to draw up six key principles for planetary health education.  I will talk about the SHE network while I am in Boston, and post a report here when I return.



Andrea Rother's picture

My apologies; I am unable to attend.


Sorry to miss. Have another

Arianne Teherani's picture

Sorry to miss. Have another meeting at this time.


Sorry folks, I'm also an

Adi Vyas's picture
Sorry folks, I'm also an apology.

Following up on work commenced in Helsinki...

Sarah Walpole's picture

Fantastic to read the minutes of the Helsinki meeting.

How did the Fringe presentation on Creating Agents for Change go?

It's great to see some strategic priorities beginning to emerge. I think that in particular, we could develop these 3 at the next meeting. We can explore where we aim to achieve these aims, who will be able to address these priorities and through which approaches and channels (how), and finally, how we will know when we have been successful?...

  • 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.

Fringe at AMEE

Peter Musaeus's picture

It went roughly as follows - and thank you to Caroline Wellbery for great help during the event:

1. First I gave a very short oral introduction to the problems facing medical teachers, doctors, patients, and policy makers as a result of global warming. Motivated for sustainable action. What it means to become a green social change agent.

2. Great laughs: Around 120 people at the AMEE conference participated in an activity involving inflated globes being volleyed through the air with great agility and joy on behalf of participants. 

3. Participants wrote post-its about good or bad excuses or reasons for engaging in sustainable action (in relation to healthcare). They stuck them on the globes (beach balls) when they caught them before bouncing them back into the air.

4. We tried to make a final point about one globe (in the air) being the one plant we have and the importance of acting on it for a better future. This point might have been lost in laughter and bewilderment. But the post-its were not lost.

By the way: I intended to have shown this video, however, it did not work for technical reasons and instead. Here is the link  – hope it works this time:

Peter Musaeus