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Home Research Research Library Toward Defining and Measuring Social Accountability in Graduate Medical Education: A Stakeholder Study Toward Defining and Measuring Social Accountability in Graduate Medical Education: A Stakeholder Study 2013 Author(s) Reddy, A T, Lazreg, S A, Phillips, Robert L, Bazemore, Andrew W, and Lucan, Sean C Topic(s) Education & Training, and Achieving Health System Goals Keyword(s) Graduate Medical Education Volume Journal of Graduate Medical Education Source Journal of Graduate Medical Education Background: Since 1965, Medicare has publically financed graduate medical education (GME) in the United States. Given public financing, various advisory groups have argued that GME should be more socially accountable. Several efforts are underway to develop accountability measures for GME that could be tied to Medicare payments, but it is not clear how to measure or even define social accountability. Objective: We explored how GME stakeholders perceive, define, and measure social accountability. Methods: Through purposive and snowball sampling, we completed semistructured interviews with 18 GME stakeholders from GME training sites, government agencies, and health care organizations. We analyzed interview field notes and audiorecordings using a flexible, iterative, qualitative group process to identify themes. Results: THREE THEMES EMERGED IN REGARDS TO DEFINING SOCIAL ACCOUNTABILITY: (1) creating a diverse physician workforce to address regional needs and primary care and specialty shortages; (2) ensuring quality in training and care to best serve patients; and (3) providing service to surrounding communities and the general public. All but 1 stakeholder believed GME institutions have a responsibility to be socially accountable. Reported barriers to achieving social accountability included training time constraints, financial limitations, and institutional resistance. Suggestions for measuring social accountability included reviewing graduates’ specialties and practice locations, evaluating curricular content, and reviewing program services to surrounding communities. Conclusions: Most stakeholders endorsed the concept of social accountability in GME, suggesting definitions and possible measures that could inform policy makers calls for increased accountability despite recognized barriers. ABFM Research Read all 2021 Uniting Public Health and Primary Care for Healthy Communities in the COVID-19 Era and Beyond Go to Uniting Public Health and Primary Care for Healthy Communities in the COVID-19 Era and Beyond 2019 A Longitudinal Study of Differences in Canadian and US Medical Student Preparation for Family Medicine Go to A Longitudinal Study of Differences in Canadian and US Medical Student Preparation for Family Medicine 2020 Clinical Quality Measures in a Post-Pandemic World: Measuring What Matters in Family Medicine (ABFM) Go to Clinical Quality Measures in a Post-Pandemic World: Measuring What Matters in Family Medicine (ABFM) 2020 Why Are Early Career Family Physicians Driving Increases in Buprenorphine Prescribing? Go to Why Are Early Career Family Physicians Driving Increases in Buprenorphine Prescribing?
Author(s) Reddy, A T, Lazreg, S A, Phillips, Robert L, Bazemore, Andrew W, and Lucan, Sean C Topic(s) Education & Training, and Achieving Health System Goals Keyword(s) Graduate Medical Education Volume Journal of Graduate Medical Education Source Journal of Graduate Medical Education
ABFM Research Read all 2021 Uniting Public Health and Primary Care for Healthy Communities in the COVID-19 Era and Beyond Go to Uniting Public Health and Primary Care for Healthy Communities in the COVID-19 Era and Beyond 2019 A Longitudinal Study of Differences in Canadian and US Medical Student Preparation for Family Medicine Go to A Longitudinal Study of Differences in Canadian and US Medical Student Preparation for Family Medicine 2020 Clinical Quality Measures in a Post-Pandemic World: Measuring What Matters in Family Medicine (ABFM) Go to Clinical Quality Measures in a Post-Pandemic World: Measuring What Matters in Family Medicine (ABFM) 2020 Why Are Early Career Family Physicians Driving Increases in Buprenorphine Prescribing? Go to Why Are Early Career Family Physicians Driving Increases in Buprenorphine Prescribing?
2021 Uniting Public Health and Primary Care for Healthy Communities in the COVID-19 Era and Beyond Go to Uniting Public Health and Primary Care for Healthy Communities in the COVID-19 Era and Beyond
2019 A Longitudinal Study of Differences in Canadian and US Medical Student Preparation for Family Medicine Go to A Longitudinal Study of Differences in Canadian and US Medical Student Preparation for Family Medicine
2020 Clinical Quality Measures in a Post-Pandemic World: Measuring What Matters in Family Medicine (ABFM) Go to Clinical Quality Measures in a Post-Pandemic World: Measuring What Matters in Family Medicine (ABFM)
2020 Why Are Early Career Family Physicians Driving Increases in Buprenorphine Prescribing? Go to Why Are Early Career Family Physicians Driving Increases in Buprenorphine Prescribing?