Planetary Health Curriculum for Cardiovascular Training Programs
Air pollution and climate change have an impact on the risk of developing cardiovascular disease and the risk of dying of a cardiovascular event.
The Canadian Cardiovascular Society has proposed the following curriculum to be considered in the development of cardiovascular teaching programs. The following knowledge domains could be tailored to the learner whether they be medical/nursing students, internal medicine residents, cardiovascular trainees, nurse practitioners or cardiologists.
Proposed Planetary Health Curriculum for Cardiovascular Training Programs
Submitted by Matthew Bennett, Jason Gencher, Isabelle Nault and Stephen Wilton on behalf of the CCS Planetary Health Working Group
The cardiovascular trainee should be able to:
- Describe the processes (pathophysiology and scientific principles) by which climate change impacts cardiovascular health.
- Determine ways they can contribute to reducing the impact of climate change in their future practice.
- Apply that information meaningfully to patient care.
The specific knowledge domains are:
Air Pollution
- Association of air pollution with Cardiovascular disease (CVD) (atherosclerosis, hypertension, atrial fibrillation, ventricular arrhythmias, cardiac arrest and cardiovascular mortality)
- Pathogenesis of how air pollution is associated with CVD
- Main sources of air pollution locally and globally
- Counselling for patients regarding risk reduction tactics during peaks of air pollution
- Mitigation strategies to decrease local and global air pollution
Extremes of Temperatures
- Effects of extremes of temperatures on patients with cardiovascular disease
- Mitigation strategies for patients at risk during extreme temperature times
Climate Change
- Scientific principles regarding how climate change occurs including knowledge regarding greenhouse gases (what are they, what causes them and how do they result in climate change) and the effect of climate change on the incidence of extreme weather events
- Consequences of climate change on health and health care delivery
- Emergency response plan for patients, medical practice, and hospitals during extreme weather events (extreme temperatures, fires, floods)
- Climate change initiatives relevant to cardiovascular care including:
- For patients: “green” diet, active transport
- For clinicians: audit medical system processes to decrease their adverse climate effects (office, in-person/remote care, hospital practice, procedure/operating rooms)
- For society: city planning (city density, facilitation of active transport, green spaces, shift diets to emphasize foods of plant origin, minimize food waste)
- Health benefits of climate action