Box 1.

Steps for medical students to adapt locally to develop and gain institutional support for a climate change and environmental health curriculum in the pre-clinical years.

● Identify highly motivated student-leaders in climate and environmental health ● Identify faculty mentor(s) with climate and health expertise ● Organize interdisciplinary panel or talk for students ● Research existing climate and health resources ● Identify linkages to climate and health content in existing curriculum (real-time) ● Meet with senior faculty members to discuss curriculum feasibility ● Outline curriculum proposal including fraction of time for proposed climate and health content as a proportion of total classroom learning ● Present proposal to student curriculum subcommittee ● Present proposal to faculty curriculum subcommittee ● Present proposal (or faculty present proposal) to Executive Curriculum Committee ● Once approved, meet with faculty leadership to plan implementation