Building Capacity in Pediatric Environmental Health: The Academic Pediatric Association's Professional Development Program

Landrigan, Philip J.; Braun, Joseph M.; Crain, Ellen F.; Forman, Joel; Galvez, Maida P.; Gitterman, Benjamin A.; Halevi, Gali; Karr, Catherine J.; Mall, Jennifer K.; Paulson, Jerome A.; Woolf, Alan D.; Lanphear, Bruce P.; Wright, Robert O.

doi:10.1016/j.acap.2019.01.001

Cited by 6 publications

(3 citation statements)

References 20 publications

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“…Literature indicates that while most medical students, residents, and physicians recognize the need for physician advocacy, many report that they have neither the competency nor the training necessary to be effective advocates. 5,6 In response, many medical schools, 7,8 residency programs, 9,10 and professional organizations 11 have developed curricula, workshops, and other creative learning opportunities to teach physician advocacy.…”

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confidence: 99%

Building a Community-Centered Public Health Advocacy Training Program for Medical Students

Shankar

Phinney

Krapek

et al. 2022

Journal of Public Health Management and Practice

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Context: Public health advocacy is increasingly acknowledged as an essential component of practice in medicine. Medical schools, residency programs, and professional organizations have begun developing curricula in an effort to teach advocacy. This article describes the structuring and evolution of the Dr Pete Dehnel Public Health Advocacy Fellowship, an innovative program prioritizing a community-centered approach to teaching physician advocacy to medical students. Program: Created by the Twin Cities Medical Society (TCMS), the fellowship's curriculum adopts a cohort-based learning model organized around skills training, personalized physician-mentor pairing in a shared field of interest, and hands-on advocacy activities. The curriculum also centers insights and practical knowledge from community members who are outside of the health care sphere alongside those of experienced physician-advocates. Implementation: TCMS partnered with an independent research organization to conduct an ongoing developmental evaluation (DE) of the fellowship. DE focuses on rapid-cycle feedback and utilization of findings to inform the development of program components. This enables TCMS to customize the fellowship's curricular components to the local context and in response to student and mentor feedback. Evaluation: Early findings have allowed TCMS to refine curricular components while providing evidence of significant gains in 3 areas of growth among fellows: perceived knowledge and advocacy skills proficiency; perceived self-efficacy; and motivation for lifelong advocacy practice. Discussion: Key fellowship components, including a flexible curricular structure with built-in adaptability and emphasis on long-term health advocacy engagement, are associated with student growth. These core elements along with a focus on community-centeredness can be integrated into curricula of other programs seeking to train medical learners and physicians to embrace a lifelong commitment to public health advocacy.

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confidence: 99%

Building a Community-Centered Public Health Advocacy Training Program for Medical Students

Shankar

Phinney

Krapek

et al. 2022

Journal of Public Health Management and Practice

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“…Few pediatricians collect information routinely about the house, school, or playground as part of the demographic and social history, or report diseases possibly caused by environmental exposures, and most lack confidence in diagnosing and treating these conditions. 1,4 One of the most important tools for discerning the importance of environmental risks and health consequences or prioritizing guidance in advance is environmental history-taking. Questions about the environment should be a natural component of routine medical history.…”

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confidence: 99%

Environmental history-taking as part of pediatric consultations: a pilot study

et al. 2022

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Introduction. Children's environmental health studies the influence of the environment on health and disease in children. Global environmental exposures pose a serious threat to health, warranting further research and action.Objective. To assess the environmental health of a sample of children living in urban and rural areas in Uruguaiana, Brazil.Population and methods. We included parents/legal guardians (n = 714) of children seen at Policlinica Infantil de Uruguaiana between January and October 2021, who completed the environmental historytaking in pediatrics (Brazilian Society of Pediatrics). Collected data were analyzed based on place of residence (urban or rural) or household income.Results. The comparison between inhabitants of the urban area (n = 660) and the rural area (n = 54) established that, among those living in the rural area, activity with chemical substances (15% versus 32.7%; p = 0.004), living near a plantation (7.5% versus 74.5%; p < 0.001) or near a source of contamination (4.8% versus 32.7%; p < 0.001), having a dog (62% versus 87.3%; p < 0.001), using pesticides (0.6% versus 32.7%; p < 0.001), and exposure to chemical contamination (2.6% versus 18.2%; p < 0.001) were significantly higher. In the urban area, exposure to vehicle traffic near the house (85% versus 48.1%; p < 0.001), an average income below 3 minimum wages (90%), and a low level of education predominated. Conclusion.Environmental history-taking is critical for the detection of environmental threats present in the areas where children and adolescents live, learn, play, and study.

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“…As of 2023, there were 29 medical toxicology [6] and 8 clinical toxicology [7] training programs in the USA. There is currently no ABMScertified fellowship training program in pediatric environmental health for physicians, although advanced training has been offered sporadically [8] and competencies in the specialty have been proposed [9]. Finally, PCs have a defined role in addressing toxic disasters as an integral part of an emergency response network.…”

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confidence: 99%

Poison Centers and Pediatric Environmental Health Specialty Units: Productive Two-Way Partnerships

2023

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This year marks the 25th anniversary of the founding of the Pediatric Environmental Health Special Units (PEHSUs) program, created by the ATSDR and EPA in 1998 subsequent to President Bill Clinton's Executive Order 13045 [1]. It is now a collection of 10 regional PEHSUs forming a robust national network. This year also marks the 70th year anniversary of the founding of the poison centers (PCs) in Chicago, Illinois, in 1953 [2]. There is now a cohesive network of 55 regional PCs in the USA [3].These two national networks have largely operated independent of each other, with distinctly different missions but overlapping audiences. PEHSUs address clinical issues associated with environmental toxic hazards involving infants and children by offering clinical consultations, advanced training opportunities, and educational outreach efforts to the public, healthcare professionals, public health officials, and communities. In recent years, PEHSUs have expanded their scope of services to include issues in reproductive environmental health, the promotion of environmental justice for disadvantaged communities, and education around health consequences related to climate change.

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Building Capacity in Pediatric Environmental Health: The Academic Pediatric Association's Professional Development Program

Cited by 6 publications

References 20 publications

Building a Community-Centered Public Health Advocacy Training Program for Medical Students

Building a Community-Centered Public Health Advocacy Training Program for Medical Students

Environmental history-taking as part of pediatric consultations: a pilot study

Poison Centers and Pediatric Environmental Health Specialty Units: Productive Two-Way Partnerships

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