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Medical schools as agents of change: socially accountable medical education

Richard B Murray, Sarah Larkins, Heather Russell, Shaun Ewen and David Prideaux
Med J Aust 2012; 196 (10): 653. || doi: 10.5694/mja11.11473
  • Richard B Murray1
  • Sarah Larkins1
  • Heather Russell1,0
  • Shaun Ewen2
  • David Prideaux3

  • 1 School of Medicine and Dentistry, James Cook University, Townsville, QLD.
  • 2 Faculty of Medicine, Dentistry and Health Science, University of Melbourne, Melbourne, VIC.
  • 3 School of Medicine, Flinders University, Adelaide, SA.

Correspondence: richard.murray@jcu.edu.au

Competing interests:

No relevant disclosures.

  • 1. Boelen C, Heck J. Defining and measuring the social accountability of medical schools. Geneva: World Health Organization, 1995 (Unpublished document WHO/HRH/95.7, available on request from Division of Organization and Management of Health Systems, World Health Organization, 1211 Geneva 27, Switzerland.)
  • 2. Boelen C. A new paradigm for medical schools a century after Flexner’s report. Bull World Health Organ 2002; 80: 592-593.
  • 3. Boelen C, Woollard B. Social accountability and accreditation: a new frontier for educational institutions. Med Educ 2009; 43: 887-894.
  • 4. Frenk J, Chen L, Bhutta Z, et al. Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. Lancet 2010; 376: 1923-1958.
  • 5. Ho K, Buote D, Jarvis-Selinger S, et al. Achieving social accountability through interprofessional collaboration: the Canadian medical schools experience. J Interprof Care 2008; 22 Suppl 1: 4-14.
  • 6. Pálsdóttir B, Neusy AJ, Reed G. Building the evidence base: networking innovative socially accountable medical educational programs. Educ Health (Abingdon) 2008; 21: 177. http://www.educationforhealth.net/publishedarticles/article_print_177.pdf (accessed Apr 2012).
  • 7. Association of Faculties of Medicine of Canada. The future of medical education in Canada (FMEC): a collective vision for MD education. Ottawa: AFMC, 2010. http://www.afmc.ca/future-of-medical-education-in-canada/medical-doctor-project/pdf/collective_vision.pdf (accessed Apr 2012).
  • 8. Skochelak S. A decade of reports calling for change in medical education: what do they say? Acad Med 2010; 85 (9 Suppl): S26-S33.
  • 9. World Health Organization. The world health report 2006: working together for health 2006. Geneva: WHO, 2006. http://www.who.int/whr/2006/en/index.html (accessed Apr 2012).
  • 10. Australian Government Department of Health and Ageing. Building a 21st century primary health care system: Australia’s first national primary health care strategy. Canberra: DoHA, 2010. http://www.health.gov.au/internet/yourhealth/publishing.nsf/Content/report-primaryhealth (accessed Apr 2012).
  • 11. World Health Organization. Health Workforce. Increasing access to health workers in remote and rural areas through improved retention. Global policy recommendations. Geneva: WHO, 2010. http://www.who.int/hrh/retention/guidelines/en/index.html (accessed Apr 2012).
  • 12. Australian Government Department of Health and Ageing. Report on the audit of health workforce in rural and regional Australia, April 2008. Canberra: Commonwealth of Australia, 2008. http://www.health.gov.au/internet/main/publishing.nsf/Content/4F3A981914316A11CA257434008189EC/$File/ruraud.pdf (accessed Apr 2012).
  • 13. Kaufman A. Measuring the social responsiveness of medical schools: a case study from New Mexico. Acad Med 1999; 74 (8 Suppl): S69-S74.
  • 14. Heath C, Stoddart C, Green H. Parental backgrounds of Otago medical students. N Z Med J 2002; 115: U237.
  • 15. Dhalla I, Kwong J, Streiner D, et al. Characteristics of first-year students in Canadian medical schools CMAJ 2002; 166: 1029-1035.
  • 16. Block S, Chiarelli N, Peters A, et al. Academia’s chilly climate for primary care. JAMA 1996; 276: 677-682.
  • 17. Hewett D, Gallois C, Ward M, et al. Intergroup communication between hospital doctors: implications for quality of patient care. Soc Sci Med 2009; 69: 1732-1740.
  • 18. Rourke J. Social accountability in theory and practice. Ann Fam Med 2006; 4 Suppl 1: S45-S48; discussion S58-S60.
  • 19. Mullan F, Chen C, Petterson S, et al. The social mission of medical education: ranking the schools. Ann Intern Med 2010; 152: 804-811.
  • 20. Australian Institute of Health and Welfare. Rural, regional and remote health: indicators of health system performance. Canberra: AIHW, 2008. (AIHW Cat. No. PHE 103.) http://www.aihw.gov.au/publication-detail/?id=6442468150 (accessed Apr 2012).
  • 21. Dunbabin J, Levitt L. Rural origin and rural medical exposure: their impact on the rural and remote medical workforce in Australia. Rural Remote Health [internet] 2003; 3: 212. Epub 2003 Jun 25.
  • 22. Hsueh W, Wilkinson T, Bills J. What evidence-based undergraduate interventions promote rural health? Hsueh W, Wilkinson T, Bills J. What evidence-based undergraduate interventions promote rural health? N Z Med J 2004; 117: U1117. http://www.nzma.org.nz/journal/117-1204/1117/ (accessed Apr 2012).
  • 23. Gray JD, Steeves LC, Blackburn JW. The Dalhousie University experience of training residents in many small communities. Acad Med 1994; 69: 847-851.
  • 24. Grobler L, Marais BJ, Mabunda SA, et al. Interventions for increasing the proportion of health professionals practising in rural and other underserved areas. Cochrane Database Syst Rev 2009; (1): CD005314.
  • 25. Strasser R, Neusy AJ. Context counts: training health workers in and for rural and remote areas. Bull World Health Organ 2010; 88: 777-782.
  • 26. Blue AV, Chessman AW, Geesey ME, et al. Medical students’ perceptions of rural practice following a rural clerkship. Fam Med 2004; 36: 336-340.
  • 27. Sen Gupta TK, Murray RB, McDonell A, et al. Rural internships for final year students: clinical experience, education and workforce. Rural Remote Health [internet] 2008; 8: 827. Epub 2008 Feb 13.
  • 28. Chater A. Looking after health care in the bush. Aust Health Rev 2008; 32: 313-318.
  • 29. Prideaux D, Worley P, Bligh J. Symbiosis: a new model for medical education. Clin Teach 2007; 4: 209-212.
  • 30. Worley P, Esterman D, Prideaux D. Cohort analysis of examination performance of undergraduate medical student learning in community settings. BMJ 2004; 328: 207-209.
  • 31. Australian Institute of Health and Welfare. The health and welfare of Australia’s Aboriginal and Torres Strait Islander people: an overview 2011. Canberra: AIHW, 2011. (AIHW Cat. No. IHW 42.) http://www.aihw.gov.au/publication-detail/?id=10737418989 (accessed Apr 2012).
  • 32. Australian Institute of Health and Welfare. Access to health and services for Aboriginal and Torres Strait Islander people. Canberra: AIHW, 2011. (AIHW Cat. No. IHW 46.) http://www.aihw.gov.au/publication-detail/?id=10737418966 (accessed Apr 2012).
  • 33. Office of Aboriginal and Torres Strait Islander Health. A National Aboriginal Health Strategy. Canberra: OATSIH, 1989. http://www.health.gov.au/internet/main/publishing.nsf/Content/health-oatsih-pubs-NAHS1998 (accessed Apr 2012).
  • 34. Committee of Deans of Australian Medical Schools, Australian Indigenous Doctors’ Association. CDAMS Indigenous Health Curriculum Framework. Melbourne: ONEMDA and Koorie Press, 2004. http://www.limenetwork. net.au/files/lime/cdamsframeworkreport.pdf (accessed Apr 2012).
  • 35. Hafferty F, Franks R. The hidden curriculum, ethics teaching, and the structure of medical education. Acad Med 1994; 69: 861-871.
  • 36. Garvey G, Rolfe I, Pearson S, et al. Indigenous Australian medical students’ perceptions of their medical school training. Med Educ 2009; 43: 1047-1055.
  • 37. Cha S, Ross J, Lurie P, et al. Description of a research-based health activism curriculum for medical students. J Gen Intern Med 2006; 21: 1325-1328.
  • 38. Papadimos TJ, Murray SJ. Foucault’s “fearless speech” and the transformation and mentoring of medical students. Philos Ethics Humanit Med 2008; 3: 12.
  • 39. Ewen SC. Unequal treatment: the possibilities of and need for indigenous parrhesiastes in Australian medical education. J Immigr Minor Health 2011; 13: 609-615.
  • 40. Parliament of Australia. Senate standing committee on rural and regional affairs and transport. Inquiry into rural and regional access to secondary and tertiary education opportunities. Canberra: The Senate, 2009. http://www.aph.gov.au/Parliamentary_Business/Committees/Senate_Committees?url=rrat_ctte/rural_and_regional_education/index.htm (accessed Apr 2012).
  • 41. King S, Garrett R, Wrench A, et al. The loneliness of relocating: does the transition to university pose a significant health risk for rural and isolated students? Proceedings of the 14th Pacific Rim First Year in Higher Education Conference; 2011 Jun 28 – Jul 1; Freemantle, Australia. http://www.fyhe. com.au/past_papers/papers11/FYHE-2011/content/pdf/16B.pdf (accessed Apr 2012).
  • 42. Kamien M. Rural student clubs and the social responsibility of medical schools. Aust J Rural Health 1996; 4: 237-241.
  • 43. National Rural Health Students’ Network. Rural health clubs [website] 2011. http://www.nrhsn.org.au/site/index.cfm?display=39703 (accessed Apr 2012).
  • 44. Turner J, Scott L. University rural health clubs: nurturing the future Australian rural workforce. Rural Remote Health [internet] 2007; 7: 649. Epub 2007 Jul 5.
  • 45. THEnet: Training for Health Equity Network. Social accountability in action. THEnet’s evaluation framework for socially accountable health professional education. Version 1.0. Monograph 1. Brussels: The Training for Health Equity Network, 2011. http://thenetcommunity.org/files/articles/Monograph% 20print%20quality%20feb%201.pdf (accessed Apr 2012).

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