Evidence map›Paper›PMID 41555880›Full record

ArticleMedical science educator2025

Evaluation of Planetary Health and Sustainable Healthcare Online Course for Undergraduate Medical Students: A Quasi-experimental Study.

Hanaa Saeed Elhoshy, Soha Rashed Aref, Mennatallah Hassan Rizk

Abstract read
In one paragraph

Article in Medical science educator, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Current status and challenges of planetary health education: a scoping review.Environmental health and preventive medicine · 2026
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Hanaa Saeed ElhoshyDepartment of Medical Education, Faculty of Medicine, Alexandria University, Alexandria, Egypt.ORCID 0000-0002-7888-493X
Soha Rashed ArefDepartment of Medical Education, Faculty of Medicine, Alexandria University, Alexandria, Egypt.ORCID 0009-0000-9998-3438
Mennatallah Hassan RizkDepartment of Medical Education, Faculty of Medicine, Alexandria University, Alexandria, Egypt.ORCID 0000-0002-8761-5600

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Introducing medical students to sustainable healthcare and planetary health concepts is essential to preparing future physicians for the growing environmental challenges that impact human health. This study evaluates the effectiveness of an online elective course on sustainable healthcare and planetary medicine, designed to align with established sustainable healthcare priority learning outcomes. Methods: This study used a one-group pretest-posttest design to evaluate an online course on planetary health and sustainable healthcare for third-year medical students at Alexandria University. The community of inquiry (CoI) framework guided course development. A non-probability sample of 206 students was recruited. Due to the short-term nature of this study, evaluation focused on the first two levels of Kirkpatrick's model: level 1 (reaction) used a satisfaction survey to measure engagement and effectiveness, and level 2 (learning) used a 20-item pretest-posttest exam to assess knowledge acquisition. The pretest also captured students' perceptions of their prior knowledge and attitudes toward incorporating planetary health into medical education. Results: Before the course, only 29.1% of students perceived they had sufficient knowledge of sustainability in healthcare, while 93.2% expressed a need for more education in this area. At the end of the course, all students passed the 20-item posttest, with a statistically significant improvement in posttest scores compared to pretest scores ( Discussion: The findings align with outcomes reported in comparable courses, demonstrating consistent improvements in student knowledge and engagement in planetary health and sustainable healthcare education. Conclusion: The online elective course on planetary health and sustainable healthcare significantly enhanced students' knowledge and was well received, as evidenced by high satisfaction ratings. However, areas for enhancement include improving multimedia content, expanding course topics, and providing additional supplemental materials. Trial registration: Not applicable.

Indexed as

Climate changeCommunity of inquiryOnline learningPlanetary healthSustainable HealthcareUndergraduate medical curriculum

Identifiers

PMID41555880
PMCPMC12812108

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.