Perceptions and experiences of undergraduate medical students regarding social accountability: a cross-sectional study at a Subsaharan African medical school

Abstract Background Medical schools are called to be socially accountable by medical education and healthcare system stakeholders. Social accountability is a feature of excellent medical education. Medical students are essential to the development of socially accountable medical schools. Therefore,...

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Main Authors: Lorraine Oriokot, Ian Guyton Munabi, Sarah Kiguli, Aloysius Gonzaga Mubuuke
Format: Article
Language:English
Published: BMC 2024-04-01
Series:BMC Medical Education
Subjects:
Online Access:https://doi.org/10.1186/s12909-024-05412-3
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author Lorraine Oriokot
Ian Guyton Munabi
Sarah Kiguli
Aloysius Gonzaga Mubuuke
author_facet Lorraine Oriokot
Ian Guyton Munabi
Sarah Kiguli
Aloysius Gonzaga Mubuuke
author_sort Lorraine Oriokot
collection DOAJ
description Abstract Background Medical schools are called to be socially accountable by medical education and healthcare system stakeholders. Social accountability is a feature of excellent medical education. Medical students are essential to the development of socially accountable medical schools. Therefore, understanding the perceptions and experiences of medical students regarding social accountability is critical for efforts to improve social accountability practices and outcomes. Methods This cross-sectional online questionnaire-based survey used Google Forms and involved medical students in their fourth and fifth years of study at the Makerere University School of Medicine. The survey was conducted between September 2022 and October 2023. We used a study questionnaire and a validated toolkit designed by students as part of The Training for Health Equity Collaborative to gauge a school’s progress towards social accountability in medical schools to collect data on demographics, perceptions and experiences and evaluate social accountability. Results Out of 555 eligible medical students, 426 responded to the online questionnaire. The response rate was 77%. The mean age of the students was 25.24 ± 4.4 years. Almost three fourths of the students were male (71.3%), and slightly less than two thirds were in their fourth year of study (65%). Almost half of the students (48.1%%) evaluated the school as doing well with regard to social accountability. The evaluation items referring to community-based research and positive impact on the community had the highest mean scores. Only 6 (3.6%) students who reported hearing of social accountability had a clear understanding of social accountability. Students receiving career guidance in secondary school was associated with evaluating social accountability in the medical school as strong (p-0.003). Conclusions Medical students evaluated the medical school favorably forsocial accountability despite lacking a clear understanding of social accountability. Receiving career guidance in secondary school was significantly associated with a positive evaluation of social accountability.
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spelling doaj.art-3df3d02d65c34aa6b0435c93ad32fbc02024-04-14T11:19:42ZengBMCBMC Medical Education1472-69202024-04-012411710.1186/s12909-024-05412-3Perceptions and experiences of undergraduate medical students regarding social accountability: a cross-sectional study at a Subsaharan African medical schoolLorraine Oriokot0Ian Guyton Munabi1Sarah Kiguli2Aloysius Gonzaga Mubuuke3Department of Pediatrics and Child Health, Makerere University College of Health SciencesDepartment of Anatomy, Makerere University College of Health SciencesDepartment of Pediatrics and Child Health, Makerere University College of Health SciencesDepartment of Radiology, Makerere University College of Health SciencesAbstract Background Medical schools are called to be socially accountable by medical education and healthcare system stakeholders. Social accountability is a feature of excellent medical education. Medical students are essential to the development of socially accountable medical schools. Therefore, understanding the perceptions and experiences of medical students regarding social accountability is critical for efforts to improve social accountability practices and outcomes. Methods This cross-sectional online questionnaire-based survey used Google Forms and involved medical students in their fourth and fifth years of study at the Makerere University School of Medicine. The survey was conducted between September 2022 and October 2023. We used a study questionnaire and a validated toolkit designed by students as part of The Training for Health Equity Collaborative to gauge a school’s progress towards social accountability in medical schools to collect data on demographics, perceptions and experiences and evaluate social accountability. Results Out of 555 eligible medical students, 426 responded to the online questionnaire. The response rate was 77%. The mean age of the students was 25.24 ± 4.4 years. Almost three fourths of the students were male (71.3%), and slightly less than two thirds were in their fourth year of study (65%). Almost half of the students (48.1%%) evaluated the school as doing well with regard to social accountability. The evaluation items referring to community-based research and positive impact on the community had the highest mean scores. Only 6 (3.6%) students who reported hearing of social accountability had a clear understanding of social accountability. Students receiving career guidance in secondary school was associated with evaluating social accountability in the medical school as strong (p-0.003). Conclusions Medical students evaluated the medical school favorably forsocial accountability despite lacking a clear understanding of social accountability. Receiving career guidance in secondary school was significantly associated with a positive evaluation of social accountability.https://doi.org/10.1186/s12909-024-05412-3Social accountabilityMedical schoolMedical educationMedical studentsCommunity-based education research and service
spellingShingle Lorraine Oriokot
Ian Guyton Munabi
Sarah Kiguli
Aloysius Gonzaga Mubuuke
Perceptions and experiences of undergraduate medical students regarding social accountability: a cross-sectional study at a Subsaharan African medical school
BMC Medical Education
Social accountability
Medical school
Medical education
Medical students
Community-based education research and service
title Perceptions and experiences of undergraduate medical students regarding social accountability: a cross-sectional study at a Subsaharan African medical school
title_full Perceptions and experiences of undergraduate medical students regarding social accountability: a cross-sectional study at a Subsaharan African medical school
title_fullStr Perceptions and experiences of undergraduate medical students regarding social accountability: a cross-sectional study at a Subsaharan African medical school
title_full_unstemmed Perceptions and experiences of undergraduate medical students regarding social accountability: a cross-sectional study at a Subsaharan African medical school
title_short Perceptions and experiences of undergraduate medical students regarding social accountability: a cross-sectional study at a Subsaharan African medical school
title_sort perceptions and experiences of undergraduate medical students regarding social accountability a cross sectional study at a subsaharan african medical school
topic Social accountability
Medical school
Medical education
Medical students
Community-based education research and service
url https://doi.org/10.1186/s12909-024-05412-3
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