Perceived relevance of Planetary Health for Medical Students in Italy: Results from a mixed-methods analysis

Objectives: To address the growing hazards to human health caused by the anthropogenic environmental catastrophe, academic curricula at all levels and disciplines, particularly medical education, should incorporate Planetary Health Education. This study aims to examine medical students' expectations and feedback on a Planetary Health elective in an Italian University. Study design: Cross-sectional study, employing a convergent parallel mixed-methods design. Methods: Attendees were invited to take part in a mixed-methods written survey, integrating both quantitative and qualitative methodologies. A statistical and a thematic analysis were conducted to assess responses to questions of a quantitative and qualitative nature, respectively. Results: Interest in the climate crisis was the main reason for participating in the course (52.7 %), followed by interest in a multidisciplinary approach to health (48.6 %), and the focus on the relationship between human, animal and environmental health (48.6 %). Five themes emerged from the thematic analysis: relationship between human health and the environment, international health emergencies, characteristics and role of health systems, broadening of knowledge and views, positive professional impact of the course. Conclusion: The survey participants showed a deep understanding of the link between environmental conservation and the safeguarding of human health, suggesting that the next generation of medical practitioners could make a significant difference in healthcare and beyond.