Eligibility
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Our inaugural cohort will be recruiting fellows from Pakistan.
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Physicians registered with Pakistan Medical Commission and currently practicing medicine are eligible to apply.
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We are particularly interested in recruiting physicians representing historically marginalized communities such as women and other sexual and gender minorities, religious and ethnic minorities, refugees, first-generation physicians, and those coming from lower socioeconomic backgrounds.
Benefits
Climate Medicine Thought Leadership.
Become a climate medicine thought leader through cutting-edge training on the health impacts of climate change and health equity. You will learn about the effects of climate change on your patient populations and discuss strategies to mitigate these negative health impacts.
Leadership Development.
Receive support for your career development and growth planning to become a systems thinker and societal change agent.
Networking & Social Capital.
Through cohort-based learning, develop, grow, and enhance your professional network by engaging with other physician leaders.
Profile & Blog Featuring. of Completion.
As a Climate Fellow, your profile including a biography will be featured on our website for you to share with your networks and enhance your professional presence. You will also have an opportunity to write a blog, with support from the Fellowship Director, which will also be featured on our website.
Certificate of Completion.
Receive a mailed and electronic version of a certificate of completion to add to your professional accolades and achievements. Equity Award Opportunity
Fellowship Evaluation Activities Opportunity.
Fellows will be invited to participate in brief evaluation activities for which they will receive $200 compensation.
Climate Adaptation Equity Award Opportunity.
Climate Fellows will have access to exclusive Climate Adaptation Equity Award funds of up to $1000, and technical assistance, to engage in climate and health knowledge dissemination projects. Details will be provided to selected fellows during the orientation. (Due to COVID-19 related logistical challenges, Climate Adaptation Equity Awards are not available for the 2021 Cohort).
Logistics & Requirements
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Virtual Fellowship delivered over Zoom.
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Orientation and 6 training and discussion sessions of up to 2 hours each.
Fellowship Training.
Physicians have a critical role to play in tackling the challenge of climate change, ranging from integrating climate knowledge in your clinical practice to climate advocacy to avert this existential threat to humanity. As Climate Fellows, you will learn about the critical importance of integrating climate knowledge into their clinical practice through a combination of didactic training rooted in critical pedagogy, Socratic method discussions, and case-based learning.
Clinical Medicine Meets Climate Education. We will discuss several clinical cases to explore and learn the intersection of climate change and your clinical practice as a physician. You will be able to connect the climate exposures with health outcomes so you can engage in a climate-informed clinical practice and prevent morbidity and mortality in the communities you serve. Some of the topics covered in this training include the following:
Sample Climate Case Study
A 67-year-old female domestic worker presents to the clinic after being found confused, lethargic, lying on the porch of her employer. In her last communications, she had left to throw trash in the garbage collection bin about 1 kilometer away.
Her accompanying granddaughter, also a domestic worker, informs you of her history of heart failure and depression. Her belongings have the following medication: metoprolol, panadol extra, furosemide, lisinopril, and sertraline.
Preliminary Lab Results
Calcium Levels: Normal
Potassium Levels: Normal
Phosphate Levels: Decreased
Blood glucose: Elevated
Creatine kinase (CK): Elevated
AST: Elevated
ALT: Elevated
Lab
Results
On physical examination, the patient's skin is warm to the touch. She is only arousable with physical stimulation. Her body temperature is 41.4 °C, blood pressure is 98/74 mm Hg, pulse rate is 118/min, and respiration rate is 20/min. Oxygen saturation is 96% breathing ambient air. The mucous membranes and axillae are dry. Normal muscle tone and reflexes are noted but no urine sample is yet available to rule out rhabdomyolysis.
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How would you diagnose this case?
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What is the differential diagnosis?
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What does climate change have to do with this?
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Beyond medication, what preventative care you can provide to this patient and similar other patients?
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How and what specific climate exposures may have worsened this situation?
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What can you do as a physician for this patient? What systems changes you can implement as a physician leader?