Climate change and Australian general practice vocational education: a cross-sectional study

Author:

Wild Kathleen1ORCID,Tapley Amanda12ORCID,Fielding Alison12ORCID,Holliday Elizabeth1ORCID,Ball Jean3ORCID,Horton Graeme1ORCID,Blashki Grant4ORCID,Davey Andrew12ORCID,van Driel Mieke5ORCID,Turner Alexandria12ORCID,FitzGerald Kristen67ORCID,Spike Neil8910ORCID,Magin Parker12ORCID

Affiliation:

1. School of Medicine and Public Health, University of Newcastle, University Drive , Callaghan, Newcastle, NSW 2308 , Australia

2. NSW & ACT Research and Evaluation Unit, GP Synergy Regional Training Organisation (RTO) , 20 McIntosh Drive, Mayfield West, NSW 2304 , Australia

3. Clinical Research Design and Statistical Support Unit (CReDITSS), John Hunter Hospital, Hunter Medical Research Institute (HMRI) , New Lambton Heights, NSW 2305 , Australia

4. Nossal Institute and the Melbourne Sustainable Society Institute, The University of Melbourne , Parkville, VIC 3010 , Australia

5. General Practice Clinical Unit, Faculty of Medicine, Royal Brisbane & Women’s Hospital, University of Queensland , Level 8, Health Sciences Building, Brisbane, QLD 4029 , Australia

6. General Practice Training Tasmania Regional Training Organisation , Level 3, RACT House, 179 Murray Street, Hobart, TAS 7000 , Australia

7. Tasmanian School of Medicine, University of Tasmania , Level 1, Medical Science 1, 17 Liverpool Street, Hobart, TAS 7000 , Australia

8. Eastern Victoria General Practice Training Regional Training Organisation , 15 Cato Street, Hawthorn, VIC 3122 , Australia

9. Department of General Practice and Primary Health Care, University of Melbourne , 200 Berkeley Street Carlton, VIC 3053 , Australia

10. Faculty of Medicine, Nursing and Health Sciences, School of Rural Health, Monash University , Northways Road, Churchill, VIC 3842 , Australia

Abstract

Abstract Background Climate change is a rapidly progressing threat to global health and well-being. For general practitioners (GPs) currently in training, the effects of climate change on public health will shape their future professional practice We aimed to establish the prevalence and associations of Australian GP registrars’ (trainees’) perceptions of climate change as it relates to public health, education, and workplaces. Methods A cross-sectional questionnaire-based study of GP registrars of three Australian training organizations. The questionnaire assessed attitudes regarding adverse health effects of climate change (over the next 10–20 years), and agreement with statements on (i) integrating health impacts of climate change into GP vocational training, and (ii) GPs’ role in making general practices environmentally sustainable. Results Of 879 registrars who participated (response rate 91%), 50.4% (95% CI 46.8%, 54.0%) perceived a large or very large future health effect of climate change on their patients, and 61.8% (95% CI 58.6%, 65.0%) agreed that climate health impacts should be integrated within their education programme. 77.8% (95% CI 74.9%, 80.4%) agreed that GPs should have a leadership role in their practices’ environmental sustainability. Multivariable associations of these attitudes included female gender, training region, and (for the latter two outcomes) perceptions of future impact of climate change on patient health. Conclusions GP registrars are motivated to receive climate health education and engage in environmentally sustainable practice. This may primarily reflect concern for future practice and patient care.

Funder

Royal Australian College of General Practitioners

Australian Government

Australian General Practice Training Program

GP Synergy

Eastern Victoria General Practice Training

General Practice Training Tasmania

Publisher

Oxford University Press (OUP)

Subject

Family Practice

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