title: Incorporating one health into medical education.
abstract: One Health is an emerging concept that stresses the linkages between human, animal, and environmental health, as well as the need for interdisciplinary communication and collaboration to address health issues including emerging zoonotic diseases, climate change impacts, and the human-animal bond. It promotes complex problem solving using a systems framework that considers interactions between humans, animals, and their shared environment. While many medical educators may not yet be familiar with the concept, the One Health approach has been endorsed by a number of major medical and public health organizations and is beginning to be implemented in a number of medical schools. In the research setting, One Health opens up new avenues to understand, detect, and prevent emerging infectious diseases, and also to conduct translational studies across species. In the clinical setting, One Health provides practical ways to incorporate environmental and animal contact considerations into patient care. This paper reviews clinical and research aspects of the One Health approach through an illustrative case updating the biopsychosocial model and proposes a basic set of One Health competencies for training and education of human health care providers.
authors.affiliation: Departments of Environmental and Occupational Health Sciences, Global Health, Family Medicine, University of Washington Center for One Health Research, 1959 NE Pacific Street HSB F551, Box 357234, Seattle, WA, 98195, USA. peterr7@uw.edu.
authors.forename: Peter M
authors.initials: PM
authors.lastname: Rabinowitz
authors.affiliation: Division of Cardiology, David Geffen School of Medicine, University of California, Los Angeles, USA.
authors.forename: Barbara J
authors.initials: BJ
authors.lastname: Natterson-Horowitz
authors.affiliation: Program on Science and Global Security, Woodrow Wilson School of Public and International Affairs, Princeton University, Princeton, USA.
authors.forename: Laura H
authors.initials: LH
authors.lastname: Kahn
authors.affiliation: Department of Pathology and Pathogen Biology, Royal Veterinary College, University of London, London, UK.
authors.forename: Richard
authors.initials: R
authors.lastname: Kock
authors.affiliation: Centers for Disease Control and Prevention Liaison to the Food and Drug Administration for Food Safety, Washington, DC, USA.
authors.forename: Marguerite
authors.initials: M
authors.lastname: Pappaioanou
mesh_terms: D000818:Animals; D057231:Climate Change; D021821:Communicable Diseases, Emerging; D003299:Cooperative Behavior; D004501:Education, Medical; D004782:Environmental Health / Q000193:education* / Q000458:organization & administration; D014943:Global Health / Q000193:education*; D006282:Health Personnel / Q000193:education*; D006801:Humans; D033183:Interdisciplinary Communication; D018794:Problem-Based Learning / Q000458:organization & administration*; D011634:Public Health; D015047:Zoonoses
keywords: Environmental health; Human-animal bond; Interdisciplinary education; Medical education; One Health; Zoonoses