The Health and Environment Adaptive Response Task Force (HEART) is a group within the 8,000 member Canadian Federation of Medical Students . Its core purpose is to advocate for improvements in the medical curriculum to include the crucial links between health and climate and environmental change. In January 2020, HEART released Canada’s first-ever National Report on Planetary Health Education , meant to establish a benchmark on planetary health education in Canadian medical schools, and to provide schools with best practices and recommendations for improvements. Some of the practical examples cited: incorporating “the effects of air pollution with respiratory health teaching, discussing climate-related displacement within teaching on refugee and migrant health, and exploring the increasing burden of heat stress on health-care systems. Furthermore, case-based sessions can highlight the effects on specific individuals. Examples could include considering isolated older people at risk of heat stroke or of being in extreme weather events, or discussing the effects of flooding or poor water quality on Indigenous communities.”
The HEART analysis identified the University of Alberta, the Northern Ontario School of Medicine and Dalhousie University as leaders, “where environmental issues are covered at greater length through lectures, assignments and extracurricular opportunities.” The report is based on survey responses from “nearly 50 students” and 10 faculty members representing all 17 Canadian medical schools, and includes brief best practice examples.
The students also published a Commentary in Lancet Planetary Health on January 7 , “Training Canadian doctors for the health challenges of climate change”, which announces their report and aligns themselves with the Fridays for Future youth movement. It also puts their advocacy within the context of global campaigns by medical students (for example, the International Federation of Medical Students Associations ) and the Call to Action on Climate Change and Health in Summer 2019 by the Canadian health professionals’ associations, led by the Canadian Association of Physicians for the Environment.