gms | German Medical Science

The curtain drops for the interlude of summer 2020. Solitary clapping in the auditorium. Well, it nearly worked. Still a lot of room for improvement, but it was all right for a dress rehearsal. Still some time before things get really serious. Thank goodness for that. There is still some time to think about those crucial issues – to reflect, focus, and revise key elements again. Unlike a theatre dress rehearsal, the SARS-CoV-2-catastrophe hit us suddenly and largely unforeseen impressing upon us concrete, increasingly graphic images of what global threat means. In many countries, it is thanks to the level-headed, reflected, and science-based approach of those working in health policy and the health sector – including medical students - that we were able to tread the boards for this dress rehearsal. Although the cost has high.

Alongside physicians, medical students bravely engaged in infection prevention, providing immediate assistance and care to patients suspected of being infected with SARS-CoV-2 or COVID-19 patients [1]. At the same time, telemedical approaches sored to the forefront of medical training and the support of patients – impacting future physicians directly [2], [3]. Online learning services [4] and, even in the field of simulation-based learning, distance learning models [5] were quickly introduced to medical curricula everywhere. The virus itself has become a focus of medical education. In no time at all, research funds were mobilized and scientists, together with their PhD students and research assistants, set out in search of effective treatment methods and a vaccine. Despite considerable challenges and psychological burden [6], medical students have shown their particular resilience: conviction regarding scientific data on reproduction rates, the effectiveness of preventive measures and therapeutic approaches, and trust in our technological resources may well have helped us cheat the gallows as much as possible and leave us very shaken but possibly better prepared for future SARS-CoV-2 outbreaks.

It seems all the more cynical that this trust in feasibility, our experience of invulnerability, our fixation on technology and the continued expansion of “global reach” [7] will lead us directly towards the staging of the “climate pandemic”. Global warming appears to be less tangible, less comprehensible, even less daunting at times. Yet, sadly, this is a dangerous deception. Rising temperatures and sea levels will make large parts of the earth uninhabitable. By 2050, 140 million additional climate refugees will be on their way to less hostile regions, and as a result social structures and economic areas will begin to destabilize [8]. Contrary to the haphazardly staged COVID-19 dress rehearsal, we are able to plan and prepare our performance in the “climate pandemic”.

Over 26,000 scientists have publicly declared that the demands voiced by the Fridays-for-Future movement must be taken seriously and are based on an accurate interpretation of scientific data and findings [9]. The “Lancet Countdown on Health and Climate Change” [10] concludes that our society's and our children's health largely depends on how we deal with climate change. More than ever before, and despite all the already existing physician-led initiatives and efforts, we as (future) medical doctors need to ask ourselves the following questions:

• Why are we not making the scientific data on the current and imminent effects of global warming our guiding principle for action and treating the findings just as seriously as we are and have been with the COVID-19 pandemic [11]?
• Why are we only partially assuming our responsibility as role models and medical practitioners when it comes to global warming [12]?
• Why are we still insufficiently qualified with regard to the medical implications of climate change [13]?
• Why are we not ensuring that the places where we are trained and our patients are treated become mentally and physically sustainable environments and evolve into “green hospitals” [14]?
• Why don’t we use the “miracle cure” of digitalization, the technology that was successfully used to ensure distance learning and treatment approaches during the COVID-19 pandemic, to make an important contribution towards minimizing our climate impact in light of the impending “climate pandemic”?
• Why not allow (postgraduate) medical training, national and international team meetings, scientific conferences [15] and networking events to benefit from this long-established technology?

The next premiere is just around the corner - the curtain will rise soon. So soon in fact that even civil disobedience of health professionals is being discussed in high-impact journals [16]. Therefore, we really need to reflect, focus, and revise – while there is time.

The authors declare that they have no competing interests.