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http://dx.doi.org/10.17496/kmer.2019.21.3.127

Social Accountability of Medical Schools: Concept and Implementation Strategies  

Gil, Yoon Min (Department of Medical Education, Yonsei University College of Medicine)
Jeon, Woo Taek (Department of Medical Education, Yonsei University College of Medicine)
Publication Information
Korean Medical Education Review / v.21, no.3, 2019 , pp. 127-136 More about this Journal
Abstract
Medical schools have been working to produce competent doctors and improve the quality of care by introducing and implementing new curricula and innovative teaching and learning methods. Despite these efforts, health disparities within and between countries still exist. To close these gaps, medical schools must identify the priorities of the community, region, and/or nation and conduct education, research, and service that reflect them-the core foundation of the social accountability of medical schools. Many medical schools and networks around the world have tried to achieve social accountability, but this needs more attention in Korea. This study will review the literature in aims to improve understanding and promote the implementation of the social accountability of medical schools. Most medical schools that practice the principles of social accountability focus primarily on the medically underserved in their communities or those who have limited access to health services, and have built collaborative partnerships with stakeholders to meet the needs of society. In addition, in order to implement social accountability effectively and efficiently, medical schools have developed strategies and various evaluation frameworks appropriate to the context of each school. To have more socially accountable medical schools, it is necessary to clarify the concept of social accountability and to establish a system that can evaluate the impacts. Medical schools exist to alleviate suffering and promote health, and this can be accomplished through social accountability.
Keywords
Community; Health inequity; Medical school; Social accountability;
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1 Larkins SL, Preston R, Matte MC, Lindemann IC, Samson R, Tandinco FD, et al. Measuring social accountability in health professional education: development and international pilot testing of an evaluation framework. Med Teach. 2013;35(1):32-45.   DOI
2 Buchan J, Dhillon IS, Campbell J. Health employment and economic growth: an evidence base. Geneva: World Health Organization; 2017.
3 Woollard B, Boelen C. Seeking impact of medical schools on health: meeting the challenges of social accountability. Med Educ. 2012;46(1):21-7.   DOI
4 University of Saskatchewan College of Medicine. Division of social accountability [Internet]. Saskatoon (SK): University of Saskatchewan College of Medicine [cited 2019 Aug 20]. Available from: https://medicine.usask.ca/department/schools-divisions/social-accountability.php.
5 Meili R, Ganem-Cuenca A, Leung JW, Zaleschuk D. The CARE model of social accountability: promoting cultural change. Acad Med. 2011;86(9):1114-9.   DOI
6 Sandhu G, Garcha I, Sleeth J, Yeates K, Walker GR. AIDER: a model for social accountability in medical education and practice. Med Teach. 2013;35(8):e1403-8.   DOI
7 Skochelak SE. A decade of reports calling for change in medical education: what do they say? Acad Med. 2010;85(9 Suppl):S26-33.   DOI
8 Lindgren S, Karle H. Social accountability of medical education: aspects on global accreditation. Med Teach. 2011;33(8):667-72.   DOI
9 Smitherman HC Jr, Baker RS, Wilson MR. Socially accountable academic health centers: pursuing a quadripartite mission. Acad Med. 2019;94(2):176-81.   DOI
10 McCrea ML, Murdoch-Eaton D. How do undergraduate medical students perceive social accountability? Med Teach. 2014;36(10):867-75.   DOI
11 Park SM. Primary health care for vulnerable population. Korean J Fam Med. 2009;30(2):91-7.   DOI
12 Beagan BL. Teaching social and cultural awareness to medical students: "it's all very nice to talk about it in theory, but ultimately it makes no difference". Acad Med. 2003;78(6):605-14.   DOI
13 Ross S, Couzos S. Supporting medical students' values about social accountability. Med Educ. 2019;53(5):526-7.   DOI
14 Kwak MY, Lee TH, Hong HS, Na BJ, Kim Y. Development and adjustment of indicators for underserved area. Health Policy Manag. 2016;26(4):315-24.   DOI
15 Diaz T, Rasanathan K, Meribole E, Maina I, Nsona H, Aung KM, et al. Framework and strategy for integrated monitoring and evaluation of child health programmes for responsive programming, accountability, and impact. BMJ. 2018;362:k2785.
16 Gonnella JS, Hojat M. Medical education, social accountability and patient outcomes. Med Educ. 2012;46(1):3-4.   DOI
17 Kim SY, Yoon KC. An analysis of the regional differences of health inequality and the exploration of the factors causing the differences. Korean J Local Gov Stud. 2012;15(4):31-57.
18 Organization for Economic Cooperation and Development. Health at a glance 2017: OECD indicators [Internet]. Paris: OECD Publishing; 2017 [cited 2019 Aug 13]. Available from: http://dx.doi.org/10.1787/health_glance-2017-en.
19 Arcaya MC, Arcaya AL, Subramanian SV. Inequalities in health: definitions, concepts, and theories. Glob Health Action. 2015;8:27106.   DOI
20 Kim S. An analysis on the multi-dimensionality of health inequality: implications for policy. Crisisonomy. 2015;11(11):139-65.
21 The Korean Society for Equity in Health. Health disparities profile [Internet]. Seoul: The Korean Society for Equity in Health; 2018 [cited 2019 Aug 2]. Available from: https://drive.google.com/open?id=1Czdweu2_Db5QsKJOiqSGo1BJp2ody0nI.
22 Rourke J. AM last page: social accountability of medical schools. Acad Med. 2013;88(3):430.   DOI
23 Bovens M. Analysing and assessing accountability: a conceptual framework. Eur Law J. 2007;13(4):447-68.   DOI
24 Boelen C. Why should social accountability be a benchmark for excellence in medical education? Educ Med. 2016;17(3):101-5.
25 Boelen C, Pearson D, Kaufman A, Rourke J, Woollard R, Marsh DC, et al. Producing a socially accountable medical school: AMEE guide no. 109. Med Teach. 2016;38(11):1078-91.   DOI
26 Lee G, You M. Organizational accountability in health care: developing a model for analysis. Korean J Health Policy Adm. 2011;21(2):213-48.   DOI
27 Boelen C, Heck JE. Defining and measuring the social accountability of medical schools [Internet]. Geneva: World Health Organization; 1995 [cited 2019 May 3]. Available from: https://apps.who.int/iris/handle/10665/59441.
28 Boelen C, Dharamsi S, Gibbs T. The social accountability of medical schools and its indicators. Educ Health (Abingdon). 2012;25(3):180-94.   DOI
29 Boelen C, Woollard R. Social accountability: the extra leap to excellence for educational institutions. Med Teach. 2011;33(8):614-9.   DOI
30 Global Consensus for Social Accountability of Medical Schools. Global consensus for social accountability of medical schools [Internet]. [place unknown]: Global Consensus for Social Accountability of Medical Schools; 2010 [cited 2019 Jul 29]. Available from: http://healthsocialaccountability. sites.olt.ubc.ca/files/2011/06/11-06-07-GCSA-English-pdf-style.pdf.
31 Gibbs T. Sexy words but impotent curricula: can social accountability be the change agent of the future? Med Teach. 2011;33(8):605-7.   DOI
32 Preston R, Larkins S, Taylor J, Judd J. From personal to global: understandings of social accountability from stakeholders at four medical schools. Med Teach. 2016;38(10):987-94.   DOI
33 Boelen C. Towards unity for health: challenges and opportunities for partnership in health development: a working paper [Internet]. Geneva: World Health Organization; 2000 [cited 2019 Aug 12]. Available from: https://apps.who.int/iris/handle/10665/66566.
34 Murdoch-Eaton D, Green A. The contribution and challenges of electives in the development of social accountability in medical students. Med Teach. 2011;33(8):643-8.   DOI
35 Greer PJ Jr, Brown DR, Brewster LG, Lage OG, Esposito KF, Whisenant EB, et al. Socially accountable medical education: an innovative approach at Florida International University Herbert Wertheim College of Medicine. Acad Med. 2018;93(1):60-5.   DOI
36 Talib ZM, Baingana RK, Sagay AS, van Schalkwyk SC, Mehtsun S, Kiguli-Malwadde E. Investing in community-based education to improve the quality, quantity, and retention of physicians in three African countries. Educ Health (Abingdon). 2013;26(2):109-14.   DOI
37 Meili R, Fuller D, Lydiate J. Teaching social accountability by making the links: qualitative evaluation of student experiences in a service-learning project. Med Teach. 2011;33(8):659-66.   DOI
38 Merner ND, Hodgkinson KA, Haywood AF, Connors S, French VM, Drenckhahn JD, et al. Arrhythmogenic right ventricular cardiomyopathy type 5 is a fully penetrant, lethal arrhythmic disorder caused by a missense mutation in the TMEM43 gene. Am J Hum Genet. 2008;82(4):809-21.   DOI
39 Larkins S, Johnston K, Hogenbirk JC, Willems S, Elsanousi S, Mammen M, et al. Practice intentions at entry to and exit from medical schools aspiring to social accountability: findings from the Training for Health Equity Network Graduate Outcome Study. BMC Med Educ. 2018;18(1):261.   DOI
40 Cheek C, Hays R, Allen P, Walker G, Shires L. Building a medical workforce in Tasmania: a profile of medical student intake. Aust J Rural Health. 2019;27(1):28-33.
41 Northern Ontario School of Medicine. NOSM facts [Internet]. Thunder Bay (ON): Northern Ontario School of Medicine [cited 2019 Aug 23]. Available from: https://www.nosm.ca/about/about-nosm/nosm-facts/.
42 Reid SJ, Couper ID, Volmink J. Educational factors that influence the urban-rural distribution of health professionals in South Africa: a case-control study. S Afr Med J. 2011;101(1):29-33.   DOI
43 Talaat W, el-Wazir Y. The El-Tal El-Kebir story: an example of social accountability from Egypt. Med Teach. 2012;34(5):354-60.   DOI
44 Woolley T, Halili SD Jr, Siega-Sur JL, Cristobal FL, Reeve C, Ross SJ, et al. Socially accountable medical education strengthens community health services. Med Educ. 2018;52(4):391-403.   DOI
45 Hunt D, Klamen D, Harden RM, Ali F. The ASPIRE-to-Excellence Program: a global effort to improve the quality of medical education. Acad Med. 2018;93(8):1117-9.   DOI
46 ASPIRE. Areas of excellence to be recognised [Internet]. Dundee: Association for Medical Education in Europe; c2019 [cited 2019 Jul 29]. Available form: https://aspire-to-excellence.org/Areas+of+Excellence/.
47 Strasser RP, Lanphear JH, McCready WG, Topps MH, Hunt DD, Matte MC. Canada's new medical school: the Northern Ontario School of Medicine: social accountability through distributed community engaged learning. Acad Med. 2009;84(10):1459-64.   DOI
48 Ross SJ, Preston R, Lindemann IC, Matte MC, Samson R, Tandinco FD, et al. The training for health equity network evaluation framework: a pilot study at five health professional schools. Educ Health (Abingdon). 2014;27(2):116-26.   DOI
49 Rourke J. Social accountability: a framework for medical schools to improve the health of the populations they serve. Acad Med. 2018; 93(8):1120-4.   DOI
50 University of New Mexico School of Medicine. UNM School of Medicine rural and urban underserved program [Internet]. Albuquerque (NM): University of New Mexico School of Medicine [cited 2019 Aug 26]. Available from: https://hsc.unm.edu/school-of-medicine/education/md/ume/ruup.html.
51 Oman K, Khwa-Otsyula B, Majoor G, Einterz R, Wasteson A. Working collaboratively to support medical education in developing countries: the case of the Friends of Moi University Faculty of Health Sciences. Educ Health (Abingdon). 2007;20(1):12.
52 Kozakowski SM, Travis A, Marcinek JP, Bentley A, Fetter GT Jr. Entry of medical school graduates into family medicine residencies: 2016-2017. Fam Med. 2017;49(9):686-92.
53 Schmidt HG, Neufeld VR, Nooman ZM, Ogunbode T. Network of community-oriented educational institutions for the health sciences. Acad Med. 1991;66(5):259-63.   DOI
54 Kaufman A, van Dalen J, Majoor G, Carrasco FM. The network: towards unity for health: 25th anniversary. Med Educ. 2004;38(12):1214-7.   DOI
55 Mwenda AS. A student's analysis of the Moi University-Linkoping University exchange programme. Educ Health (Abingdon). 2012;25(2):111-5.   DOI
56 Boelen C, Woollard B. Social accountability and accreditation: a new frontier for educational institutions. Med Educ. 2009;43(9):887-94.   DOI
57 Hosny S, Ghaly M, Boelen C. Is our medical school socially accountable?: the case of Faculty of Medicine, Suez Canal University. Med Teach. 2015;37 Suppl 1:S47-55.   DOI
58 The Training for Health Equity Network. THEnet's social accountability evaluation framework version 1: monograph I (1 ed.) [Internet]. [place unknown]: The Training for Health Equity Network; 2011 [cited 2019 Jul 19]. Available from: https://gcsanetwork.files.wordpress.com/2012/02/monograph-print-quality-feb-1.pdf.
59 Palsdottir B, Neusy AJ, Reed G. Building the evidence base: networking innovative socially accountable medical education programs. Educ Health (Abingdon). 2008;21(2):177.