Mapping health, social and health system issues and applying a social accountability inventory to a problem based learning medical curriculum

Social accountability is a powerful concept. It is applied to medical education to encourage future doctors to take action to address health inequalities and overlooked health needs of disadvantaged populations. Problem-based learning (PBL) provides an ideal setting to teach medical students about t...

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Published inMedical education online Vol. 27; no. 1; p. 2016243
Main Authors Kelly, Dervla, Hyde, Sarah, Abdalla, Mohamed Elhassan
Format Journal Article
LanguageEnglish
Published United States Taylor & Francis 01.12.2022
Taylor & Francis Ltd
Taylor & Francis Group
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Abstract Social accountability is a powerful concept. It is applied to medical education to encourage future doctors to take action to address health inequalities and overlooked health needs of disadvantaged populations. Problem-based learning (PBL) provides an ideal setting to teach medical students about these topics. The objective of this study is to explore how well the components of social accountability are covered in a pre-clinical PBL medical curriculum and to determine the usefulness of an adapted validated social accountability framework. We identified Irish health needs and social issues through a literature review. The retrieved documents were aligned to four values (relevance, equity, cost-effectiveness and quality) from a validated social accountability inventory, to generate a map of social accountability values present in the Irish health system and population. We then used the adapted validated social accountability inventory to evaluate the content of the PBL medical curriculum at an Irish medical school. We identified 45 documents, which upon analysis lead to the identification of health and social issues related to social accountability. 66 pre-clinical PBL cases included demographic, health and psychosocial issues similar to the local population. Analysing along the four social accountability values, the PBL cases demonstrated room for improvement in the equity and relevance domains. Topics for expansion are Traveller health, LGBTI health, alcohol use, climate change and more. Medical educators can use the paper as an example of how to apply this methodology to evaluate PBL cases. Adapting and applying a validated framework is a useful pedagogical exercise to understand established societal values related to social accountability to inform a medical curriculum. We identified opportunities to improve the PBL cases to depict emerging global and social issues.
AbstractList Social accountability is a powerful concept. It is applied to medical education to encourage future doctors to take action to address health inequalities and overlooked health needs of disadvantaged populations. Problem-based learning (PBL) provides an ideal setting to teach medical students about these topics. The objective of this study is to explore how well the components of social accountability are covered in a pre-clinical PBL medical curriculum and to determine the usefulness of an adapted validated social accountability framework. We identified Irish health needs and social issues through a literature review. The retrieved documents were aligned to four values (relevance, equity, cost-effectiveness and quality) from a validated social accountability inventory, to generate a map of social accountability values present in the Irish health system and population. We then used the adapted validated social accountability inventory to evaluate the content of the PBL medical curriculum at an Irish medical school. We identified 45 documents, which upon analysis lead to the identification of health and social issues related to social accountability. 66 pre-clinical PBL cases included demographic, health and psychosocial issues similar to the local population. Analysing along the four social accountability values, the PBL cases demonstrated room for improvement in the equity and relevance domains. Topics for expansion are Traveller health, LGBTI health, alcohol use, climate change and more. Medical educators can use the paper as an example of how to apply this methodology to evaluate PBL cases. Adapting and applying a validated framework is a useful pedagogical exercise to understand established societal values related to social accountability to inform a medical curriculum. We identified opportunities to improve the PBL cases to depict emerging global and social issues.
Author Hyde, Sarah
Abdalla, Mohamed Elhassan
Kelly, Dervla
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  givenname: Dervla
  orcidid: 0000-0001-9836-5400
  surname: Kelly
  fullname: Kelly, Dervla
  email: dervla.m.kelly@ul.ie
  organization: Faculty of Education and Health Sciences, and Health Research Institute, University of Limerick
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  givenname: Mohamed Elhassan
  orcidid: 0000-0002-9241-1370
  surname: Abdalla
  fullname: Abdalla, Mohamed Elhassan
  organization: Faculty of Education and Health Sciences, and Health Research Institute, University of Limerick
BackLink https://www.ncbi.nlm.nih.gov/pubmed/34958286$$D View this record in MEDLINE/PubMed
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CitedBy_id crossref_primary_10_1016_j_jtumed_2022_08_002
crossref_primary_10_1080_21642850_2022_2046474
crossref_primary_10_1080_20523211_2024_2306869
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Issue 1
Keywords problem-based learning
curriculum mapping
Social accountability
content analysis
medical education
Language English
License open-access: http://creativecommons.org/licenses/by/4.0/: http://creativecommons.org/licenses/by/4.0/: This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Snippet Social accountability is a powerful concept. It is applied to medical education to encourage future doctors to take action to address health inequalities and...
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SubjectTerms Accountability
Alcohol use
Climate change
content analysis
Cost analysis
Curricula
Curriculum
curriculum mapping
Disadvantaged
Education, Medical
Health disparities
Health needs
Humans
LGBTQ people
Literature reviews
Local population
Mapping
Medical education
Medical schools
Medical students
Problem based learning
Psychosocial factors
Schools, Medical
Social accountability
Social issues
Social Responsibility
Usefulness
Values
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Title Mapping health, social and health system issues and applying a social accountability inventory to a problem based learning medical curriculum
URI https://www.tandfonline.com/doi/abs/10.1080/10872981.2021.2016243
https://www.ncbi.nlm.nih.gov/pubmed/34958286
https://www.proquest.com/docview/2896552667
https://pubmed.ncbi.nlm.nih.gov/PMC8725756
https://doaj.org/article/879afd49634044ab902b2bb71059993d
Volume 27
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