Academic Journal
Unpacking educational approaches for social accountability in health professions education: a scoping review.
| Τίτλος: | Unpacking educational approaches for social accountability in health professions education: a scoping review. |
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| Συγγραφείς: | Zaccagnini M; School of Epidemiology and Public Health, University of Ottawa, Ottawa, Ontario, Canada.; Canadian Society of Respiratory Therapists, Ottawa, Ontario, Canada., Cameron E; Division of Human Sciences, NOSM University, Thunder Bay, Ontario, Canada.; Dr. Gilles Arcand Centre for Health Equity, Thunder Bay, Ontario, Canada., Strasser R; Division of Clinical Sciences, NOSM University, Sudbury, Ontario, Canada.; Te Huataki Waiora School of Health, University of Waikato, Hamilton, New Zealand., Razack S; Centre for Health Education Scholarship, University of British Columbia, Vancouver, British Columbia, Canada.; British Columbia Children's Hospital Research Institute, Vancouver, British Columbia, Canada., Molinaro M; Institute of Health Sciences Education, McGill University, Québec, Canada., Dubé T; Department of Family Medicine and Emergency Medicine, Faculty of Medicine and Health Sciences, Université de Sherbrooke, Sherbrooke, Québec, Canada. tim.dube@usherbrooke.ca. |
| Πηγή: | Advances in health sciences education : theory and practice [Adv Health Sci Educ Theory Pract] 2026 Sep; Vol. 31 (4), pp. 1355-1379. Date of Electronic Publication: 2025 Dec 22. |
| Τύπος έκδοσης: | Journal Article; Scoping Review |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Springer Netherlands Country of Publication: Netherlands NLM ID: 9612021 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-1677 (Electronic) Linking ISSN: 13824996 NLM ISO Abbreviation: Adv Health Sci Educ Theory Pract Subsets: MEDLINE |
| Imprint Name(s): | Publication: <2009- > : [Dordrecht] : Springer Netherlands Original Publication: Dordrecht ; Boston : Kluwer Academic Publishers, c1996- |
| Ιατρικοί όροι (MeSH): | Health Occupations*/education , Social Responsibility*, Humans ; Curriculum ; Academia |
| Περίληψη: | Health systems worldwide continue to face health inequities rooted in social, political, and economic structures. In response, health professions education (HPE) programs are increasingly aiming to prepare learners for socially accountable practice. Despite this growing attention, social accountability remains ambiguously defined and inconsistently taught, assessed, and enacted across curricula. The aim of this scoping review was to map the breadth and depth of educational approaches within HPE that promote social accountability. A scoping review was conducted following Arksey and O'Malley's six-stage framework and the Joanna Briggs Institute methodology. MEDLINE, EMBASE, CINAHL, ERIC, APA PsycINFO, and Education Source were searched for articles published from January 2000 to May 2020, with an updated search in 2024. Screening involved a calibration exercise at both title/abstract and full-text stages. Descriptive numerical analysis and reflexive thematic analysis were employed, supported by knowledge user consultation. Most articles originated in North America (n = 179; 82%) and focused on undergraduate medical education (n = 157; 71.7%), especially among future physicians (n = 122; 55.7%). Common strategies included reflection-based learning (n = 90; 41.1%), small group learning (n = 82; 37.4%), and didactic lectures (n = 80; 36.5%). Many studies described using multimodal approaches (n = 85; 38.8%). Educational approaches emphasized experiential, reflective, and community-engaged learning and were grouped into ten overarching categories. These were organized using the Guideline for Reporting Evidence-based practice Educational interventions and Teaching (GREET). By synthesizing how educational approaches to social accountability are reported, this review offers a basis for reflection, dialogue, and further inquiry into their development, delivery, and integration in HPE curricula. (© 2025. The Author(s).) |
| Competing Interests: | Declarations. Ethical approval: The study received ethics approval by the Université de Sherbrooke’s Research Ethics Board (#2021-3042) in accordance with the Tri-Council Policy Statement: Ethical Conduct for Research Involving Humans – TCPS 2 (2022). Financial interests: The authors have no relevant financial or non-financial interests to disclose. Competing interests: The authors declare no competing interests. |
| References: | Syst Rev. 2016 Sep 29;5(1):164. (PMID: 27686611) Med Teach. 2022 Nov;44(11):1214-1220. (PMID: 34294021) Perspect Med Educ. 2022 Mar;11(2):67-69. (PMID: 35254652) Med Teach. 2017 Jan;39(1):67-73. (PMID: 27797293) Educ Health (Abingdon). 2014 Jan-Apr;27(1):99-102. (PMID: 24934958) Int J Nurs Educ Scholarsh. 2004;1:Article21. (PMID: 16646887) MedEdPORTAL. 2019 Jan 04;15:10789. (PMID: 30800989) Acad Med. 2008 Jul;83(7):675-83. (PMID: 18580088) Nurs Philos. 2012 Jan;13(1):27-45. (PMID: 22176546) J Forensic Nurs. 2018 Apr/Jun;14(2):88-97. (PMID: 29781968) Med Teach. 2001 Mar;23(2):123-137. (PMID: 11371288) Acad Med. 2008 Jan;83(1):14-9. (PMID: 18162745) MedEdPORTAL. 2019 Jan 25;15:10798. (PMID: 30800998) Acad Med. 2020 Dec;95(12):1811-1816. (PMID: 32217852) J Interprof Care. 2018 Sep 5;33(1):120-124. (PMID: 30183436) Can Fam Physician. 2007 Nov;53(11):1923-6. (PMID: 18000269) Educ Health (Abingdon). 2018 Sep-Dec;31(3):178-183. (PMID: 31134950) Nurse Educ Pract. 2015 Mar;15(2):91-6. (PMID: 25487056) Int J Psychiatry Med. 2017 May;52(3):245-254. (PMID: 29065810) Pediatr Phys Ther. 2018 Apr;30(2):149-154. (PMID: 29579005) Can Med Educ J. 2018 Nov 12;9(4):e127-e134. (PMID: 30498552) Postgrad Med J. 2022 Feb;98(1156):79-85. (PMID: 33288683) Lancet. 2010 Dec 4;376(9756):1923-58. (PMID: 21112623) BMJ. 2021 Mar 29;372:n71. (PMID: 33782057) Med Educ. 2008 Mar;42(3):266-70. (PMID: 18275413) J Health Care Poor Underserved. 2018;29(2):581-590. (PMID: 29805124) Int J Nurs Educ Scholarsh. 2014 Mar 11;11:. (PMID: 24615491) Public Health. 2015 Nov;129(11):1444-51. (PMID: 26112126) Can J Rural Med. 2014 Fall;19(4):143-50. (PMID: 25291039) MedEdPORTAL. 2017;13:. (PMID: 29387786) J Nurs Educ. 2022 Nov;61(11):650-653. (PMID: 36040805) BMC Med Educ. 2023 Jun 20;23(1):456. (PMID: 37340413) Am J Public Health. 2015 Mar;105 Suppl 1:S106-8. (PMID: 25706002) Med Teach. 2020 Jul;42(7):806-812. (PMID: 32180494) BMC Med Res Methodol. 2018 Nov 19;18(1):143. (PMID: 30453902) Med Educ. 2018 Feb;52(2):171-181. (PMID: 28949033) J Nurs Educ. 2011 Jun;50(6):332-6. (PMID: 21417191) AEM Educ Train. 2019 Apr 26;3(4):347-352. (PMID: 31637352) Acad Med. 2015 Mar;90(3):283-8. (PMID: 25426737) Med Teach. 2012;34(2):161-4. (PMID: 22288996) Med Teach. 2010;32(11):905-11. (PMID: 21039101) Acad Med. 2020 Dec;95(12):1945-1954. (PMID: 32910000) J Allied Health. 2023 Fall;52(3):172-179. (PMID: 37728347) JBI Evid Synth. 2023 Mar 01;21(3):520-532. (PMID: 36081365) Patient Educ Couns. 2020 Nov;103(11):2335-2341. (PMID: 32423836) Public Health Nurs. 2014 May-Jun;31(3):272-80. (PMID: 24720659) Am J Prev Med. 2011 Oct;41(4 Suppl 3):S228-36. (PMID: 21961669) Acad Med. 2009 Jun;84(6):782-7. (PMID: 19474560) Med Teach. 2015 Apr;37(4):312-22. (PMID: 25319403) Educ Health (Abingdon). 2022 Jan-Apr;35(1):3-8. (PMID: 36367022) Acad Med. 2017 Feb;92(2):161-166. (PMID: 27782918) Med Educ. 2024 May;58(5):556-565. (PMID: 37885341) Acad Med. 1998 Mar;73(3):273-7. (PMID: 9526454) J Agromedicine. 2010 Jan;15(1):58-65. (PMID: 20390733) Ann Intern Med. 2018 Oct 2;169(7):467-473. (PMID: 30178033) Can Med Educ J. 2018 Mar 27;9(1):e33-e43. (PMID: 30140333) Adv Med Educ Pract. 2014 Sep 23;5:307-14. (PMID: 25278787) MedEdPORTAL. 2016 Jun 17;12:10417. (PMID: 31008197) J Prof Nurs. 2021 Nov-Dec;37(6):1071-1078. (PMID: 34887025) Implement Sci. 2010 Sep 20;5:69. (PMID: 20854677) Lancet. 2022 Oct 29;400(10362):1539-1556. (PMID: 36522209) Med Teach. 2013 Nov;35(11):938-43. (PMID: 24006908) Acad Med. 2020 Aug;95(8):1191-1200. (PMID: 32134785) Can Fam Physician. 2015 Jul;61(7):614-20. (PMID: 26380854) Med Teach. 2010;32(12):977-82. (PMID: 21090951) J Interprof Care. 2008;22 Suppl 1:61-72. (PMID: 19005955) Med Teach. 2025 Jul;47(7):1083-1096. (PMID: 39418524) Occup Ther Health Care. 2009;23(2):146-67. (PMID: 23947416) Med Educ. 2015 May;49(5):461-75. (PMID: 25924122) Int J Equity Health. 2021 May 21;20(1):123. (PMID: 34020674) Med Teach. 2020 Sep;42(9):1058-1064. (PMID: 32608298) MedEdPORTAL. 2020 Dec 8;16:11038. (PMID: 33324748) Nurse Educ Today. 2023 Jan;120:105660. (PMID: 36459950) J Grad Med Educ. 2017 Feb;9(1):118-122. (PMID: 28261406) Acad Med. 2011 Sep;86(9):1108-13. (PMID: 21785306) Med Educ. 2024 Jan;58(1):8-10. (PMID: 37963573) Nurs Educ Perspect. 2025 Mar-Apr 01;46(2):119-121. (PMID: 36877737) Acad Med. 2008 Jul;83(7):639-45. (PMID: 18580079) J Nurs Educ. 2012 Dec;51(12):714-8. (PMID: 23362514) Acad Pediatr. 2017 Apr;17(3):228-232. (PMID: 27988207) J Nurs Educ. 2014 Feb;53(2):65-9. (PMID: 24410636) Acad Med. 2017 Apr;92(4):515-520. (PMID: 28145945) Adv Health Sci Educ Theory Pract. 2009 Oct;14(4):595-621. (PMID: 18034364) Can Med Educ J. 2024 Jul 12;15(3):129-131. (PMID: 39114791) Med Teach. 2016 Nov;38(11):1078-1091. (PMID: 27608933) MedEdPORTAL. 2018 Jan 17;14:10668. (PMID: 30800868) Front Public Health. 2020 Jul 17;8:283. (PMID: 32766194) J Prof Nurs. 2000 May-Jun;16(3):177-83. (PMID: 10860316) J Nurs Educ. 2017 Apr 1;56(4):243-246. (PMID: 28383751) BMC Med Educ. 2017 Oct 5;17(1):180. (PMID: 28982353) BMC Med Educ. 2016 Sep 06;16(1):237. (PMID: 27599967) Med Teach. 1999;21(2):141-3. (PMID: 21275727) |
| Contributed Indexing: | Keywords: Curriculum; Education; Medical; Social accountability; Social responsibility; Teaching |
| Entry Date(s): | Date Created: 20251222 Date Completed: 20260908 Latest Revision: 20260917 |
| Update Code: | 20260917 |
| PubMed Central ID: | PMC13553656 |
| DOI: | 10.1007/s10459-025-10494-9 |
| PMID: | 41427976 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1573-1677 |
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| DOI: | 10.1007/s10459-025-10494-9 |