出版社：Association for Medical Education in Europe (AMEE)
摘要：Background: The social accountability of medical schools is their obligation to address the priority health concerns of communities they serve, as identified together with governments, health care organizations, health professionals, and the public. Canadian faculties of medicine report regularly on their activities in this area, but it is unclear if communities are able to identify their needs in these processes. Methods: We conducted a 10-week internal environmental scan of social accountability at the University of Ottawa Faculty of Medicine (FoM). We used available data sources to collect activities across domains of admissions, community outreach, curriculum, clinical service, professional affairs, and innovation and research. We analyzed data quantitatively by Faculty categories, values expressed, populations, and social obligation. We conducted thematic qualitative analysis of a small number of solicited project descriptions. Results: Of 729 data items collected, 560 related to social accountability. Half of the items were classified in the Education category (281/560, 50.2%), with the vast majority falling under the curriculum domain (271/281, 96.4%). The values most frequently expressed were "quality" (293/560, 52.3%) and "partnership" (265/560, 47.3%), and the most frequently mentioned populations were "marginalized" (153/560, 27.3%), "Indigenous" (96/560, 17.1%) and "Francophone" (76/560, 13.6%). Only 17.1% (96/560) of all items were deemed socially accountable. In the qualitative analysis, partnership and maintaining relationships was again recognized as essential, as was a focus on priority health needs and populations. Conclusion: Some FoM activities are clearly socially accountable. Other domains could benefit from a greateremphasis on engagement and identification of priority health needs.
