Medical schools as agents of change: socially accountable medical education

Murray, Richard B., Larkins, Sarah, Russell, Heather, Ewen, Shaun, and Prideaux, David (2012) Medical schools as agents of change: socially accountable medical education. Medical Journal of Australia, 196 (10). pp. 1-5.

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Medical education reform can make an important contribution to the future health care of populations. Social accountability in medical education was defined by the World Health Organization in 1995, and an international movement for change is gathering momentum.

Priority community needs are generally not well reflected in existing medical curricula. Medical schools have often been concerned more with prestige, research competitiveness and training doctors for narrow specialist careers in urban areas.

Orthodoxies in medical education have been challenged where the gap between a community’s health care needs and the availability of doctors has been greatest — notably in rural areas and, in Australia, in Aboriginal communities.

At a time of growing crisis in health care systems, the need to focus on addressing health inequalities and delivering effective, affordable, people-centred health care is more important than ever.

While change can be enabled with policy levers, such as funding tied to achieving equity outcomes and systems of accreditation, medical schools and students themselves can lead the transformation agenda. An international movement for change and coalitions of medical schools with an interest in socially accountable medical education provide a "community of practice" that can drive change from within.

Item ID: 25551
Item Type: Article (Research - C1)
ISSN: 1326-5377
Date Deposited: 15 Mar 2013 06:28
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111717 Primary Health Care @ 100%
SEO Codes: 92 HEALTH > 9205 Specific Population Health (excl. Indigenous Health) > 920506 Rural Health @ 50%
92 HEALTH > 9202 Health and Support Services > 920205 Health Education and Promotion @ 50%
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