Embed Size (px)
Citation preview
A Systematic Review of Social Accountability in Medical Education:
Robert Stempel College of Public Health and Social WorkHerbert Wertheim College of Medicine
Florida International University
Alan Wells, PhD, MPH; PresenterGilbert Ramirez, DrPH; Principal Investigator
Collaborators
• Shafik Dharmsi, PhD University of British Columbia
• Lauri Andress, PhD Independent Researcher, Consultant
• Luther Brewster, PhD Herbert Wertheim College of Medicine (HWCOM), Florida International University (FIU)
• David Brown, MD, HWCOM-FIU
• Alnecia Rumphs, Epi Doctoral Student FIU School of Public Health
Social Accountability Concepts
• “[Medical Schools have] the obligation to direct their education, research and service activities towards addressing the priority health concerns of the community, region, and/or nation they have a mandate to serve”
• WHO 1995
Social Accountability GridValues Education
Relevance What is the best role for doctors?
Quality Collaborating to address the Social Determinants of Health
Equity Minority recruitment and placing graduates in health professional shortage areas
Cost-effectiveness Promote a primary health care model
Boelen C, Woollard B., (2009). Social accountability and accreditation: A new frontier for educational institutions. Medical Education (43) 887-894
FIU data base
• Medical School Mission Statements • n=159
Content analysis of Social Accountability in Mission Statement
Word analysis looking at
Presence ↔ dichotomous (no, yes; 0,1)
• Intensity ↔ how often
• Consistency ↔ levels in mission, vision, values, goals
• But we haven’t analyzed all of this yet
Major themestheme description
Population A key group that must be included within the realm of care and concern or a group not historically trained that must be educated as providers
Principle A key standard, aspiration or believe that must be incorporated into education and curriculum and practice
Issue A subject, topic or concern that should be addressed
Practice A type of approach to providing care
Analytic categories and indicator words
Categories Words/Phrases
Principles/ Overarching Perspective Moral obligation/enterpriseSocial justice/obligation/perspective/responseAltruism, social contract
Issues/Needs Societal challenges and needs, cultural and social background
Groups/Populations Rural, poor, underserved, minority
Practice/Approach Partnership, integration, community engagement, community based
Analytic FrameworkM
issi
on • Principles• Issues• Groups• Practices
Visi
on • Principles• Issues• Groups• Practices
Valu
es/
Goa
ls • Principles• Issues• Groups• Practices
Next Steps?
Discussion
How should we measure/define social accountability outcomes?
Should we focus on analyses of medical curriculum?
Correspondence and Thank you• Alan L. Wells, HWCOM, FIU• [email protected]• 305-348-6197
