Submission ID 77860
| Code | OD-4-1 |
|---|---|
| At the end of this workshop, participants will be able to: | |
| Category | Medical Education |
| Type | Oral |
| Will the presenter be a: | Other |
| Presenter Other | Clinical Faculty/Doctoral Candidate |
| Title | Can the Public Speak? the Effects of Social Accountability Policies in Canadian Medical Education |
| Background/Purpose | Social accountability is a central discourse in contemporary Canadian medical education. As per the World Health Organization's 1995 Defining and Measuring the Social Accountability of Medical Schools policy statement, faculties of medicine need direct their activities towards "addressing priority health concerns", which are to be identified in part by the public. Despite this obligation, however, public consultation and engagement by these faculties has been limited. |
| Methods | This work is part of a larger Foucauldian genealogy that examines whether and to which degree physicians are educated to work for health equity. It uses critical discourse analysis to explore how Health Canada's 2001 policy Social Accountability--A Vision for Canadian Medical Schools adapts the WHO statement to the Canadian context, paying specific attention to how the relationship between medical schools and the public is elaborated through language. |
| Results | The Canadian adaptation elides the public from its role as a major stakeholder in the identification of priority health needs. Further, it claims an explicit role for medical schools, positioning the social accountability discourse to maintain their privileged status in response to perceived health care system shifts related to the 2002 Romanow Report. |
| Discussion | These discursive shifts are two decades old, yet their effects on public marginalization with respect to the identification of priority health needs reach into our present. For a medical education system that recurrently invokes its fundamental orientation to social accountability, novel strategies that more robustly engage the public are required to ensure our systems of training indeed align with meeting societal needs. |
| Keyword 1 | Social Accountability |
| Keyword 2 | Policy Analysis |
| Keyword 3 | Public Engagement |
| Abstract content most relevant to: (check all that apply) | Residency Education
Undergraduate Medical Education |
| Abstract Track - First Choice | Social Accountability |
| Authors | Brett Schrewe Brett Schrewe |
