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The health impacts of climate change – the role of health professionals Ian Gilmore PRCP London School of Hygiene and Tropical Medicine 25 th November.

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Presentation on theme: "The health impacts of climate change – the role of health professionals Ian Gilmore PRCP London School of Hygiene and Tropical Medicine 25 th November."— Presentation transcript:

1 The health impacts of climate change – the role of health professionals Ian Gilmore PRCP London School of Hygiene and Tropical Medicine 25 th November 2009

2 Why the Royal College of Physicians got involved as a partner in the present work Origins in principles of medical professionalism and RCP report Enthusiasm of students and juniors in our roadshows ‘Understanding Doctors’ Interface with our work on health inequalities

3 By the beginning of the 21 st Century the Medical Profession no longer had exclusive control over: Knowledge base Independence from the state Professional associations that serve as ultimate authorities Influence over public policy Education and training Sole determination over substance of training Right to discipline Workplace autonomy Right to regulation Creuss and Creuss 1999

4 Why did the Royal College of Physicians seek to reassess the basis of ‘professionalism’ in 2005? Uncertainty about the role of doctors Reshaped attitudes and expectations of both public and doctors Questioning of traditional values and behaviours An unprecedented interest in medical ‘scandals and disasters’ in the UK: –Shipman, Alder Hey, Bristol Changing environment: –training –practice – the work place –doctor patient relationships

5 Doctors in Society RCP definition of Medical Professionalism :..signifies a set of values, behaviours, and relationships that underpins the trust the public has in doctors

6 Doctors in Society six vital themes emerged in RCP report: –Team working –Education –Appraisal –Career management –Research –Leadership

7 British Medicine had risen in public esteem in the 19 th century by emphasising the primacy of the doctor-patient relationship But 20 th century clinicians used this to absolve themselves from engaging in the needs of the wider public

8 …..doctors being at the heart of shaping and developing health care delivery for the good of patients as an integral and valued part of their core duties ….. What is modern medical leadership?

9 Medical Management and Leadership Development RCP new consultants programme RCP MSc in medical leadership Academy of Medical Royal Colleges Competency framework

10 Presentation title: 32pt Arial Regular, black Recommended maximum length: 1 line Medical Leadership Competency Framework Enhancing Engagement in Medical Leadership Project

11 Medical Leadership Competency Framework

12 Framework Application Application of the Framework will differ according to the career stage of the doctor and the type of role they fulfil. Undergraduate Post-Specialist CertificationPostgraduate

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14 Public Profession of Values “Physicians should speak about their values. ‘Profession’ means, from the Latin, ‘speaking forth’. Public avowal of values has been a distinctive feature of the professions from before medieval times” Wynia MK

15 Public Health – where we are used to advocacy

16 The Black Report first robust strategy to address health disparities drew attention to actions needed beyond health (eg education, housing called for measures and targets to aim at ‘buried’ by incoming Conservative Government

17 Deaths from heat Direct Injury Pollution Food-related illness Altered disease vectors Crop Failure Water shortages Mass Migration Resource Wars Health Consequences of Climate Change and its mitigation Benefits for heart disease, obesity, cancer and mental health from: Active transport policies Reduction in meat consumption

18 Royal Colleges Advocacy on climate change– using our assets organisations seen asorganisations seen as –Authoritative –Independent –Influential with physicians Doctors remain trusted by our patients and the public.Doctors remain trusted by our patients and the public. Many doctors are environmentally active in their personal lives but ‘give up’ at the hospital doorMany doctors are environmentally active in their personal lives but ‘give up’ at the hospital door We can help them take on a leadership role at workWe can help them take on a leadership role at work

19 Health professionals and the NHS need to act on climate change right now. Here’s why and here’s how From ‘The Age of Stupid’, sponsored by the following:

20 Royal Colleges Advocacy on climate change– presentation to meeting in Australia calling for: Raising the profile within our countries of the health consequences of no action and the benefits of mitigationRaising the profile within our countries of the health consequences of no action and the benefits of mitigation lobby our Governments before Copenhagen December 2009.lobby our Governments before Copenhagen December 2009. Show a united ‘profession’Show a united ‘profession’

21 RCP Initiatives to date An opinion-formers workshopAn opinion-formers workshop An RCP conferenceAn RCP conference Partnership in project being launchedPartnership in project being launched Bringing International Colleges and Academies together (Lancet ? BMJ letter) Bringing International Colleges and Academies together (Lancet ? BMJ letter) Supporting the creation of an International Climate and Health CouncilSupporting the creation of an International Climate and Health Council Looking to support the integration of sustainability into training programmesLooking to support the integration of sustainability into training programmes

22 The physicians are the natural attorneys of the poor, and social problems fall to a large extent within their jurisdiction. Rudolf Virchow Die medizinische Reform

23 If the planet is febrile… …we need doctors and other healthcare workers to mop its fevered brow


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