Air pollution as an element of underand postgraduate medical education: A narrative review of the curricula of Polish medical schools and specialty training programs

Zuzanna Grześczyk-Nojszewska

doi:10.21697/ejhp.0106.01

Published: 2025-06-28

Vol. 4 No. 1 (2025)

Air pollution as an element of underand postgraduate medical education: A narrative review of the curricula of Polish medical schools and specialty training programs

Zuzanna Grześczyk-Nojszewska

European Journal of Health Policy, Humanization of Care and Medical Ethics

Section: Articles

https://doi.org/10.21697/ejhp.0106.01

Abstract

The aim of this narrative review is to investigate whether the current curricula of under- and postgraduate programs training physicians in Poland cover air pollution and to what extent. For this purpose, the newest versions of the official curricula of selected postgraduate specialty programs and medical universities’ curriculum criteria were analyzed. The investigation indicates
that the topic of air pollution is in many cases included as an element of physicians’ education, but to a very limited extent and without adequate information that is essential for effectively communicating its health risks to future patients.

Keywords:

medical education, air pollution, postgraduate, university, specialty, residency

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References

Center of Postgraduate Medical Education (Centrum Medycznego Kształcenia Podyplomowego). (n.d.). [Curricula for postgraduate programs]. Retrieved May 18, 2025 from https://www.cmkp.edu.pl/ksztalcenie/podyplomowe/lekarze-i-lekarze-dentysci
Google Scholar

Council of the European Union. (n.d.). Air Pollution in the EU: Facts and Figures. Retrieved May 18, 2025 from https://www.consilium.europa.eu/en/infographics/air-pollution-in-the-eu/
Google Scholar

Dąbrowiecki, P., Konduracka, E., Kołtowski, Ł., Chciałowski, A., Dąbrowiecka, A., Kępa, P., Czechowski, P.O., Owczarek T., & Badyda A. (2025). Ambient Air Pollution and a Risk of Hospital Admission Due to Acute and Chronic Coronary Syndromes: A T ime-Stratified Case-Crossover Study in the 3 Largest Urban Agglomerations in Poland. Polish Archives of Internal Medicine, 135, 16925. https://doi.org/10.20452/pamw.16925 DOI: https://doi.org/10.20452/pamw.16925
Google Scholar

European Environment Agency. (2024a). Premature Deaths Due to Exposure to Fine Particulate Matter in Europe. Retrieved May 18, 2025 from https://www.eea.europa.eu/en/analysis/indicators/health-impacts-of-exposure-to Air po llution as an elemen t of under - and postgraduate medical education …
Google Scholar

European Environment Agency. (2024b) Poland: Air Pollution Country Fact Sheet 2024. https://www.eea.europa.eu/en/topics/in-depth/air-pollution/air-pollution-country-fact-sheets-2024/poland--air-pollution-country-fact-sheet-2024
Google Scholar

European Environment Agency. (2024c). European City Air Quality Viewer. Retrieved May 19, 2025 from https://www.eea.europa.eu/en/topics/in-depth/air-pollution/european-city-air-quality-viewer
Google Scholar

European Parliament and Council of the European Union. (2024, October 23). Directive (EU) 2024/2881 on Ambient Air Quality and Cleaner Air for Europe. Official Journal of the European Union. Retrieved May 18, 2025 from https://eur-lex.europa.eu/eli/dir/2024/2881/oj
Google Scholar

Hadley, M. B., Baumgartner, J., & Vedanthan, R. (2018). Developing a Clinical Approach to Air Pollution and Cardiovascular Health. Circulation, 137(7), 725–742. https://doi.org/10.1161/CIRCUL ATIONAHA. DOI: https://doi.org/10.1161/CIRCULATIONAHA.117.030377
Google Scholar

030377
Google Scholar

Hassan, N., March, C., Mohammadkhan, A., Zarandi, I., Wilson, S., & Slight, S. (2024). Using Medications to Prevent or Reduce the Impact of Poor Air Quality on Health: A Systematic Review. International Journal of Pharmacy Practice, 32(Suppl. 2), ii20–ii21. https://doi.org/10.1093/ijpp/ DOI: https://doi.org/10.1093/ijpp/riae058.024
Google Scholar

riae058.024
Google Scholar

Holnicki, P., Tainio, M., Kałuszko, A., & Nahorski, Z. (2017). Burden of Mortality and Disease Attributable to Multiple Air Pollutants in W arsaw, Poland. International Journal of Environmental Research and Public Health, 14(11), 1359. https://doi.org/10.3390/ijerph14111359 DOI: https://doi.org/10.3390/ijerph14111359
Google Scholar

Karimi, B., & Samadi, S. (2024). Long-Term Exposure to Air Pollution on Cardio-Respiratory, and Lung Cancer Mortality: A Systematic Review and Meta-Analysis. Journal of Environmental Health Science and Engineering, 22(1), 75–95. https://doi.org/10.1007/s40201-024-00900-6 DOI: https://doi.org/10.1007/s40201-024-00900-6
Google Scholar

Khomenko, S., Pisoni, E., Thunis, P., Bessagnet, B., Cirach, M., Iungman, T., Barboza, E. P., Khreis, H., Mueller, N., Tonne, C., de Hoogh, K., Hoek, G., Chowdhury, S., Lelieveld, J., & Nieuwenhuijsen, M. (2023). Spatial and Sector-Specific Contributions of Emissions to Ambient Air Pollution and DOI: https://doi.org/10.1289/isee.2023.OP-176
Google Scholar

Mortality in European Cities: A Health Impact Assessment. The Lancet Public Health, 8(7), e546–e558. 10.1016/S2468-2667(23)00106-8 External Link
Google Scholar

Kuźma, Ł., Dąbrowski, E. J., Kurasz, A., Święczkowski, M., Jemielita, P., Kowalewski, M., Wańha, W., Kralisz, P., Tomaszuk-Kazberuk, A., Bachórzewska-Gajewska, H., Dobrzycki, S., & Lip, G. Y. H. (2024). Effect of Air Pollution Exposure on Risk of Acute Coronary Syndromes in Poland: A Nationwide Population-Based Study (EP-PARTICLES study). The Lancet Regional Health – Europe, 41, 100910.
Google Scholar

https://doi.org/10.1016/j.lanepe.2024.100910 DOI: https://doi.org/10.1016/j.lanepe.2024.100910
Google Scholar

Lederer, A. M., Fredriksen, P. M., Nkeh-Chungag, B. N., Everson, F., Strijdom, H., De Boever, P., & Goswami, N. (2021). Cardiovascular Effects of Air Pollution: Current Evidence From Animal and Human Studies. American Journal of Physiology-Heart and Circulatory Physiology, 320(4), H1417–H1439. https://doi.org/10.1152/ajpheart.00706.2020 DOI: https://doi.org/10.1152/ajpheart.00706.2020
Google Scholar

Manisalidis, I., Stavropoulou, E., Stavropoulos, A., & Bezirtzoglou, E. (2020). Environmental and Health Impacts of Air Pollution: A Review. Frontiers in Public Health, 8, 14. https://doi.org/10.3389/fpubh.2020.00014 DOI: https://doi.org/10.3389/fpubh.2020.00014
Google Scholar

Ministry of Education and Science (Ministerstwo Edukacji i Nauki). (2023, September 29). Rozporządzenie Ministra Edukacji i Nauki z dnia 29 września 2023 r. zmieniające rozporządzenie w sprawie standardów kształcenia przygotowującego do wykonywania zawodu lekarza, lekarza dentysty, farmaceuty, pielęgniarki, położnej, diagnosty laboratoryjnego, fizjoterapeuty i ratownika medycznego [Regulation of the Minister of Education and Science of 29 September 2023 amending the regulation on education standards preparing for the professions of physician,
Google Scholar

dentist, pharmacist, nurse, midwife, laboratory diagnostician, physiotherapist, and paramedic]. Dziennik Ustaw [Journal of L aws], 2023, item 2152.
Google Scholar

Nazar, W., & Niedoszytko, M. (2022). Air Pollution in Poland: A 2022 Narrative Review With Focus on Respiratory Diseases. International Journal of Environmental Research and Public Health, 19(2), 895. https://doi.org/10.3390/ijerph19020895 DOI: https://doi.org/10.3390/ijerph19020895
Google Scholar

“Program czyste powietrze – oddech dla Opola.” (2022). niskaemisjaopole.pl. https://www.niskaemisjaopole.pl/dzialania-miasta-na-rzecz-czystego-powietrza/dzialania-miasta-opola-w-zakresie-ograniczenia-niskiej-emisji
Google Scholar

Reis, L. A., Drouet, L., & Tavoni, M. (2022). Internalising Health-Economic Impacts of Air Pollution Into Climate Policy: A Global Modelling Study. The Lancet Planetary Health, 6(1), e40–e48. 10.1016/S2542-5196(21)00259-X DOI: https://doi.org/10.1016/S2542-5196(21)00259-X
Google Scholar

Renzi, M., Scortichini, M., Forastiere, F., De’Donato, F., Michelozzi, P., Davoli, M., Gariazzo, C., Viegi, G., Stafoggia, M., & BEEP Collaborative Group. (2022). A Nationwide Study of Air Pollution From Particulate Matter and Daily Hospitalizations for Respiratory Diseases in Italy. Science of the
Google Scholar

Total Environment, 807(Part 3), 151034. https://doi.org/10.1016/j.scitotenv.2021.151034 DOI: https://doi.org/10.1016/j.scitotenv.2021.151034
Google Scholar

Sun, G., Hazlewood, G., Bernatsky, S., Kaplan, G. G., Eksteen, B., & Barnabe, C. (2016). Association Between Air Pollution and the Development of Rheumatic Disease: A Systematic Review. International Journal of Rheumatology, 2016, 5356307. https://doi.org/10.1155/2016/5356307 DOI: https://doi.org/10.1155/2016/5356307
Google Scholar

Tilles, D. (2021, June 17). Polish City Has EU’s Most Polluted Air as Poland Takes Half of Ten Worst Spots in Ranking. Notes from Poland. https://notesfrompoland.com/2021/06/17/polish-city-has-eus-most-polluted-air-as-poland-takes-half-of-ten-worst-spots-in-ranking/
Google Scholar

Weuve, J., Bennett, E. E., Ranker, L., Gianattasio, K. Z., Pedde, M., Adar, S. D., Yanosky, J. D., & Power, M. C. (2021). Exposure to Air Pollution in Relation to Risk of Dementia and Related Outcomes: An Updated Systematic Review of the Epidemiological Literature. Environmental Health Perspectives, 129(9), 096001. https://doi.org/10.1289/EHP8716 DOI: https://doi.org/10.1289/EHP8716
Google Scholar

Więckowska, M. (2021, November 2). Przekroczenie norm jakości powietrza? RCB wyśle SMS-owy alert. Teraz Środowisko. https://www.teraz-srodowisko.pl/aktualnosci/smog-PM10-alert-smsowy-RCB-11012.html
Google Scholar

World Bank. (2019). Poland – Air Quality Management – Final Report. Retrieved May 18, 2025 from https://documents1.worldbank.org/curated/en/574171554178748054/pdf/Air-Quality-Management-in-Poland.pdf
Google Scholar

World Health Organization. (2021). WHO Global Air Quality Guidelines: Particulate Matter (PM2.5 and PM10), Ozone, Nitrogen Dioxide, Sulfur Dioxide and Carbon Monoxide. World Health Organization. https://www.who.int/publications/i/item/9789240034228
Google Scholar

Zielonka, T. M. (2021). The Awareness of Pulmonologists and Patients with Respiratory Diseases About the Impact of Air Pollution on Health in Poland. Journal of Clinical Medicine, 10(12), 2606. https://doi.org/10.3390/jcm10122606 DOI: https://doi.org/10.3390/jcm10122606
Google Scholar

Zielonka, T. M. (2022). Awareness of Polish Physicians Regarding the Impact of Air Pollution on Health. Archives of Environmental & Occupational Health, 77(6), 478–485. https://doi.org/10.1080/19338244.2021.1935677 DOI: https://doi.org/10.1080/19338244.2021.1935677
Google Scholar

Zuzanna Grześczyk-Nojszewska

https://orcid.org/0009-0000-4520-9746

Affiliation:

School of Public Health Center for Postgraduate Medical Education, Poland Poland