Climate change is the biggest health threat this century — here’s how medical schools are adapting

On the lakefront campus of the University of Wisconsin in Madison, which in 60 years could have average temperatures resembling those felt currently in Kansas City nearly 500 miles to its south, the next wave of aspiring doctors settles in for a “Climate Change and Medicine” elective filled to capacity.

“Climate change is our reality. It is going to change the way we provide clinical care. For that reason, it needs to be taught in every medical school across the nation,” said Dr. Ashish Jha, the K.T. Li Professor of Global Health and Health Policy at Harvard’s T.H. Chan School of Public Health, writing in the Journal of the American Medical Association.

For instance, an asthma-diagnosing exercise with questions more closely tied to pollution exposure has now been in practice at the University of Illinois College of Medicine at Urbana-Champaign and is driving curriculum priorities at the University of California, San Francisco, near where deadly fires raged over the last couple of years.

The benefits of the work under way at UC, San Francisco, part of a broader statewide system, is that new practices might be implemented throughout its several hospitals, clinics and classrooms, and much of the new training is geared toward layering on to existing course work. For instance, it’s important for medical students to understand the effects that hotter temperatures can have on the effectiveness and risks of pharmaceuticals, such as antipsychotics and diuretics, said UCSF’s Dr.

Ivankovich said that she and other therapists are seeing patients who, among other concerns, find themselves troubled by the choice to have children more than past clients had, which Ivankovich linked in part to their fears for climate change and their response to the pickup in media coverage.

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