Environmental anthropology and health sciences: key aspects in medical education
DOI:
https://doi.org/10.56294/mw2023212Keywords:
Environmental anthropology, Medical education, Climate change, Gender inequalities, Participatory methodologiesAbstract
The intersection between environmental anthropology and medical education has gained relevance in recent decades, especially in the face of global challenges such as climate change, environmental degradation and social inequalities. This systematic review identified that environmental anthropology offers conceptual and methodological tools to enrich medical training by integrating cultural, social and ecological perspectives in the analysis of health determinants. However, its incorporation into medical curricula remains limited and fragmented. Critical areas such as the need to address gender inequalities and the impacts of climate change on health, as well as the importance of participatory methodologies and community collaboration, were highlighted. These methodologies, although promising, face challenges such as the lack of systematization and long-term evaluation. In addition, the urgency of fostering interdisciplinary collaboration between anthropologists, physicians and educators, and of exploring the role of digital technologies in medical training, was identified. Together, these strategies can promote a more just, equitable and contextualized medical education, preparing health professionals to face the challenges of the 21st century with a comprehensive and human perspective.
References
1. Panter-Brick C, Eggerman M. The field of medical anthropology in Social Science & Medicine. Social Science & Medicine. 2018;196:233–9. https://doi.org/10.1016/j.socscimed.2017.10.033
2. Diez Roux AV. Social Epidemiology: Past, Present, and Future. Annual Review of Public Health. 2022;43(1):79–98. https://doi.org/10.1146/annurev-publhealth-060220-042648
3. Kaufman DM. Teaching and Learning in Medical Education: How Theory can Inform Practice. En: Understanding Medical Education. 1a ed. Wiley; 2018. p. 37–69. https://doi.org/10.1002/9781119373780.ch4
4. Robin L. Environmental humanities and climate change: understanding humans geologically and other life forms ethically. WIREs Climate Change. 2018;9(1):e499. https://doi.org/10.1002/wcc.499
5. Stellmach D, Beshar I, Bedford J, Du Cros P, Stringer B. Anthropology in public health emergencies: what is anthropology good for? BMJ Glob Health. 2018;3(2):e000534. https://doi.org/10.1136/bmjgh-2017-000534
6. Valencia Celis AU, Rosas Patiño G, Sánchez Castillo V. Aproximaciones conceptuales para la construcción de un modelo de gestión del conocimiento en educación ecocientífica. Bibliotecas Anales de Investigación. 2023;19(3):5. https://dialnet.unirioja.es/servlet/articulo?codigo=9117088
7. Arévalo Zurita M, Expósito García E, Apez Arévalo I. Gestión empresarial y prácticas de equidad e igualdad de género: el caso de la empresa Agroforestal Cafetalera Tercer Frente. Región Científica. 2023;2(2):202375. https://doi.org/10.58763/rc202375
8. O’Reilly J, Isenhour C, McElwee P, Orlove B. Climate Change: Expanding Anthropological Possibilities. Annual Review of Anthropology. 2020;49(1):13–29. https://doi.org/10.1146/annurev-anthro-010220-043113
9. Pereno A, Eriksson D. A multi-stakeholder perspective on sustainable healthcare: From 2030 onwards. Futures. 2020;122:102605. https://doi.org/10.1016/j.futures.2020.102605 Get rights and content
10. Sentell T, Vamos S, Okan O. Interdisciplinary Perspectives on Health Literacy Research Around the World: More Important Than Ever in a Time of COVID-19. International Journal of Environmental Research and Public Health. 2020;17(9):3010. https://doi.org/10.3390/ijerph17093010
11. Moran EF. Human Adaptability: an introduction to ecological anthropology. Fourth edition. New York, London: ROUTLEDGE; 2022. 1 p. https://doi.org/10.4324/ 9781003175575
12. Gómez Cano CA, Sánchez Castillo V, Ballen Losada Y, Bermudez Monje MA. Analysis of the risks associated with the provision of services in respiratory diseases ward during the COVID 19 pandemic at the Hospital Maria Inmaculada. Salud, Ciencia y Tecnología. 2022;2:123. https://doi.org/10.56294/saludcyt2022123
13. Linares Giraldo M, Rozo Carvajal KJ, Sáenz López JT. Impacto de la pandemia en el comportamiento del comercio B2C en Colombia. Región Científica. 2023;2(1):202320. https://doi.org/10.58763/rc202320
14. Sklar DP, Hemmer PA, Durning SJ. Medical Education and Health Care Delivery: A Call to Better Align Goals and Purposes. Academic Medicine. 2018;93(3):384–90. https://doi.org/10.1097/ACM.0000000000001921
15. Monaghan AM. Medical Teaching and Assessment in the Era of COVID-19. Journal of Medical Education and Curricular Development. 2020;7:2382120520965255. https://doi.org/10.1177/2382120520965255
16. Afanador Cubillos N. Historia de la producción y sus retos en la era actual. Región Científica. 2023;2(1):202315. https://doi.org/10.58763/rc202315
17. Manandhar M, Hawkes S, Buse K, Nosrati E, Magar V. Gender, health and the 2030 agenda for sustainable development. Bulletin of the World Health Organization. 2018;96(9):644–53. https://doi.org/10.2471/BLT.18.211607
18. Marter-Kenyon J, Sellers S, Call M. Gender, Population and the Environment. En: International Handbook of Population and Environment. Cham: Springer International Publishing; 2022. p. 463–83. (International Handbooks of Population; vol. 10). https://doi.org/10.1007/978-3-030-76433-3_21
19. Mauvais-Jarvis F, Bairey Merz N, Barnes PJ, Brinton RD, Carrero JJ, DeMeo DL, et al. Sex and gender: modifiers of health, disease, and medicine. The Lancet. 2020;396(10250):565–82. https://doi.org/ 10.1016/S0140-6736(20)31561-0
20. Nielsen MW, Stefanick ML, Peragine D, Neilands TB, Ioannidis JPA, Pilote L, et al. Gender-related variables for health research. Biology of Sex Differences. 2021;12(1):23. https://doi.org/10.1186/s13293-021-00366-3
21. Eastin J. Climate change and gender equality in developing states. World Development. 2018;107:289–305. https://doi.org/10.1016/j.worlddev.2018.02.021
22. Miranda Larroza MM, Sanabria Zotelo ME. Estrategias didácticas en plataformas educativas: experiencia de docentes de Licenciatura en Administración en universidad pública de Paraguay. Región Científica. 2023;2(1):202330. https://doi.org/10.58763/rc202330
23. Leask CF, Sandlund M, Skelton DA, Altenburg TM, Cardon G, Chinapaw MJM, et al. Framework, principles and recommendations for utilising participatory methodologies in the co-creation and evaluation of public health interventions. Research Involvement and Engagement. 2019;5(1):2. https://doi.org/10.1186/s40900-018-0136-9
24. Finkel ML. A call for action: integrating climate change into the medical school curriculum. Perspectives on Medical Education. 2019;8(5):265–6. https://doi.org/10.1007/s40037-019-00541-8
25. Philipsborn RP, Sheffield P, White A, Osta A, Anderson MS, Bernstein A. Climate Change and the Practice of Medicine: Essentials for Resident Education. Academic Medicine. 2021;96(3):355–67. https://doi.org/10.1097/ACM.0000000000003719
26. Shultz JM, Rechkemmer A, Rai A, McManus KT. Public Health and Mental Health Implications of Environmentally Induced Forced Migration. Disaster Medicine and Public Health Preparedness. 2019;13(02):116–22. https://doi.org/10.1017/dmp.2018.27
27. Eslava Zapata R, Mogollón Calderón OZ, Chacón Guerrero E. Socialización organizacional en las universidades: estudio empírico. Región Científica. 2023;2(2):202369. https://doi.org/10.58763/rc202369
28. Smith GS, Anjum E, Francis C, Deanes L, Acey C. Climate Change, Environmental Disasters, and Health Inequities: The Underlying Role of Structural Inequalities. Current Environmental Health Reports. 2022;9(1):80–9. https://doi.org/10.1007/s40572-022-00336-w
29. Sánchez Castillo V, Gómez Cano CA, Gonzalez-Argote J. Telemedicine and mHealth Applications for Health Monitoring in Rural Communities in Colombia: A Systematic Review. EAI Endorsed Transactions on Pervasive Health and Technology. 2023;9:e5. https://doi.org/10.4108/eetpht.9.3400
30. Ebi KL, Hess JJ. Health Risks Due To Climate Change: Inequity In Causes And Consequences: Study examines health risks due to climate change. Health Affairs. 2020;39(12):2056–62. https://doi.org/10.1377/hlthaff.2020.01125
31. Linares C, Díaz J, Negev M, Martínez GS, Debono R, Paz S. Impacts of climate change on the public health of the Mediterranean Basin population - Current situation, projections, preparedness and adaptation. Environmental Research. 2020;182:109107. https://doi.org/10.1016/j.envres.2019.109107
32. Flood S, Cradock-Henry NA, Blackett P, Edwards P. Adaptive and interactive climate futures: systematic review of ‘serious games’ for engagement and decision-making. Environmental Research Letters. 2018;13(6):063005. https://doi.org/10.1088/1748-9326/aac1c6
33. Pérez Gamboa AJ, Gómez Cano CA, Sánchez Castillo V. Decision making in university contexts based on knowledge management systems. Data and Metadata. 2022;1:92. https://doi.org/10.56294/dm202292
34. Higuera Carrillo EL. Aspectos clave en agroproyectos con enfoque comercial: Una aproximación desde las concepciones epistemológicas sobre el problema rural agrario en Colombia. Región Científica. 2022;1(1):20224. https://doi.org/10.58763/rc20224
35. Kotcher J, Maibach E, Miller J, Campbell E, Alqodmani L, Maiero M, et al. Views of health professionals on climate change and health: a multinational survey study. The Lancet Planetary Health. 2021;5(5):e316–23. https://doi.org/10.1016/S2542-5196(21)00053-X
36. Álvarez L, Coolsaet B. Decolonizing Environmental Justice Studies: A Latin American Perspective. Capitalism Nature Socialism. 2020;31(2):50–69. https://doi.org/10.1080/10455752.2018.1558272
37. Gonzalez-Argote J, Lepez CO, Castillo-Gonzalez W, Bonardi MC, Gómez Cano CA, Vitón-Castillo AA. Use of real-time graphics in health education: A systematic review. EAI Endorsed Transactions on Pervasive Health and Technology. 2023;9:e3. https://doi.org/10.4108/eetpht.v9i.3209
38. Pillai P, Patz JA, Seibert CS. Climate Change and Environmental Health Must Be Integrated Into Medical Education. Academic Medicine. 2021;96(11):1501–2. https://doi.org/10.1097/ACM.0000000000004238
39. Gómez Cano CA. Ingreso, permanencia y estrategias para el fomento de los Semilleros de Investigación en una IES de Colombia. Región Científica. 2022;1(1):20226. https://doi.org/10.58763/rc20226
40. Fadadu RP, Jayaraman T, Teherani A. Climate and health education for medical students. The Clinical Teacher. 2021;18(4):362–4. https://doi.org/10.1111/tct.13317
41. Palmer VJ, Weavell W, Callander R, Piper D, Richard L, Maher L, et al. The Participatory Zeitgeist: an explanatory theoretical model of change in an era of coproduction and codesign in healthcare improvement. Medical Humanities. 2019;45(3):247–57. https://doi.org/10.1136/medhum-2017-011398
42. Haldane V, Chuah FLH, Srivastava A, Singh SR, Koh GCH, Seng CK, et al. Community participation in health services development, implementation, and evaluation: A systematic review of empowerment, health, community, and process outcomes. Maulsby C, editor. PLoS ONE. 2019;14(5):e0216112. https://doi.org/10.1371/journal.pone.0216112
43. Sánchez Suárez Y, Marqués León M, Hernández Nariño A, Suárez Pérez MM. Metodología para el diagnóstico de la gestión de trayectorias de pacientes en hospitales. Región Científica. 2023;2:2023115. https://doi.org/10.58763/rc2023115
44. Grant J. Principles of Curriculum Design. En: Understanding Medical Education. 1a ed. Wiley; 2018. p. 71–88. https://doi.org/10.1002/9781119373780.ch5
45. Dada S, McKay G, Mateus A, Lees S. Lessons learned from engaging communities for Ebola vaccine trials in Sierra Leone: reciprocity, relatability, relationships and respect (the four R’s). BMC Public Health. 2019;19(1):1665. https://doi.org/10.1186/s12889-019-7978-4
46. Baah FO, Teitelman AM, Riegel B. Marginalization: Conceptualizing patient vulnerabilities in the framework of social determinants of health—An integrative review. Nursing Inquiry. 2019;26(1):e12268. https://doi.org/10.1111/nin.12268
47. Jones NL, Gilman SE, Cheng TL, Drury SS, Hill CV, Geronimus AT. Life Course Approaches to the Causes of Health Disparities. American Journal of Public Health. 2019;109(S1):S48–55. https://doi.org/10.2105/AJPH.2018.304738
48. Buckingham S. Gender and Environment. 2a ed. Second edition. | Abingdon, Oxon; New York: Routledge, 2020. | Series: Routledge introductions to environment: environment and society texts: Routledge; 2020. https://doi.org/10.4324/9781315179926
49. Richie C. Climate Change and Health Care Education. En: Applied Philosophy for Health Professions Education. Singapore: Springer Nature Singapore; 2022. p. 233–50. https://doi.org/10.1007/978-981-19-1512-3_16
50. Álvarez Contreras DE, Díaz Pérez CM, Herazo Morales R. Factores académicos asociados al proceso de investigación formativa en las instituciones educativas del sector oficial de Sincelejo, Sucre. Región Científica. 2023;2(1):202319. https://doi.org/10.58763/rc202319
51. Wallerstein N, Oetzel JG, Sanchez-Youngman S, Boursaw B, Dickson E, Kastelic S, et al. Engage for Equity: A Long-Term Study of Community-Based Participatory Research and Community-Engaged Research Practices and Outcomes. Health Educ Behav. 2020;47(3):380–90. https://doi.org/10.1177/1090198119897075
52. Wallerstein N, Muhammad M, Sanchez-Youngman S, Rodriguez Espinosa P, Avila M, Baker EA, et al. Power Dynamics in Community-Based Participatory Research: A Multiple–Case Study Analysis of Partnering Contexts, Histories, and Practices. Health Education & Behavior. 2019;46(1_suppl):19S-32S. https://doi.org/10.1177/1090198119852998
53. Castillo-Gonzalez W, Piñera-Castro HJ, Vitón-Castillo AA, Lepez CO, Gonzalez-Argote J, Bonardi MC, et al. The 100 most cited articles on wearable technology in the area of Medical Informatics: A bibliometric analysis using Web of Science. EAI Endorsed Transactions on Pervasive Health and Technology. 2022;8(5):e3. https://doi.org/10.4108/eetpht.v8i5.3171
54. Arroix Jiménez T, Sánchez Castillo V, Colala Troya AL, Pérez Gamboa AJ. The use of methods in teaching History: a mixed exploratory study at the Ciego de Ávila University, Cuba. Salud, Ciencia y Tecnología - Serie de Conferencias. 2023;2:529. https://doi.org/10.56294/sctconf2023529
55. Jiménez Gómez JL, Carmona Suarez EJ. Construcción del pensamiento computacional mediante la incorporación de la educación STEM en el currículo de secundaria del departamento del Quindío (Colombia). Región Científica. 2023;2(1):202326. https://doi.org/10.58763/rc202326
Published
Issue
Section
License
Copyright (c) 2023 Verenice Sánchez Castillo (Author)

This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.