Extending social accountability mandates to biomedical research in Canadian faculties of medicine

Authors

  • Nadine Wiper-Bergeron University of Ottawa
  • Holly L Adam University of Ottawa
  • Kaylee Eady University of Ottawa
  • Katherine A Moreau University of Ottawa
  • Christopher RJ Kennedy University of Ottawa
  • Claire E Kendall University of Ottawa

DOI:

https://doi.org/10.36834/cmej.75425

Abstract

Background: Social accountability (SA), as defined by Boelen and Heck, is the obligation of medical schools to address the needs of communities through education, research and service activities. While SA is embedded within health profession education frameworks in medicine, they are rarely taught within graduate-level (MSc/PhD) education.

Methods: As these programs train future medical researchers, we invited first-year graduate students enrolled in a mandatory professionalism class at our institution (n = 111) to complete a survey on their perceptions of the importance of SA in their research, training, and future careers.

Results: Over 80% (n = 87) of respondents agreed that SA is relevant and felt committed to integrating it into their future research activities, only a limited number of students felt confident and/or supported in their abilities to integrate SA into their research.

Conclusions: Specific SA training in graduate education is necessary for students to effectively incorporate elements of SA into their research, and as such support the SA mandates of their training institutions. We posit that awareness of SA principles formalizes the professional standards for biomedical researchers and is thus foundational for developing a professionalism curriculum in graduate education programs in medicine. We propose an expansion of the World Health Organization (WHO) partnership pentagon to include partners within the research ecosystem (funding partners, certification bodies) that collaborate with biomedical researchers to make research socially accountable.

Author Biographies

Christopher RJ Kennedy, University of Ottawa

Senior Scientist, Chronic Disease Program, Kidney Research Center, Ottawa Hospital Research Institute

Full Professor, Department of Medicine, Department of Cellular and Molecular Medicine, University of Ottawa

Claire E Kendall, University of Ottawa

Associate Dean, Social Accountability, Faculty of Medicine, University of Ottawa

Bruyère Research Institute, Ottawa, Canada

Department of Family Medicine, Faculty of Medicine, University of Ottawa

Institut du Savoir Montfort, Ottawa, Canada

Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada

References

Responsible Conduct of Research. Tri-agency framework. 2021 Available from: https://rcr.ethics.gc.ca/eng/framework-cadre-2021.html [Accessed on Jan 12, 2023].

European Commission DG for R and I. Horizon Europe, open science: early knowledge and data sharing, and open collaboration. Publications Office of the European Union; 2021.

Novitzky P, Bernstein MJ, Blok V, et al. Improve alignment of research policy and societal values the EU promotes Responsible Research and Innovation in principle, but implementation leaves much to be desired. Science. 1979. 2020 Jul 3;369(6499):39-41. https://doi.org/10.1126/science.abb3415 DOI: https://doi.org/10.1126/science.abb3415

Dzau VJ, Laitner MH, Balatbat CA. Has traditional medicine had its day? The need to redefine academic medicine. The Lancet. 2022 Oct 22;400(10361):1481-6. https://doi.org/10.1016/S0140-6736(22)01603-8 DOI: https://doi.org/10.1016/S0140-6736(22)01603-8

Boelen C, Heck JE. Defining and measuring the social accountability of medical schools. Available from: https://apps.who.int/iris/handle/10665/59441 [Accessed on Dec 9, 2021].

Committee on Accreditation of Canadian Medical Schools. CACMS standards and elements. 2023. https://cacms-cafmc.ca/wp-content/uploads/2023/02/CACMS-Standards-and-Elements-AY-2024-2025.pdf.

Strategic Plan. NOSM's strategic plan 2020-2025. Available from: https://strategicplan.nosm.ca/ [Accessed on Jul 23, 2023].

Toronto Metropolitan University School of Medicine. School of Medicine. https://www.torontomu.ca/school-of-medicine.

Boelen C. Towards unity for health: challenges and opportunities for partnership in health development. A working paper. Available from: https://apps.who.int/iris/handle/10665/66566. [Accessed on Mar 25, 2022].

Canadian Medical Education Statistics 2020.

Canadian Association for Neuroscience. Science funding in Canada – Statistics. Available from: https://can-acn.org/science-funding-in-canada-statistics/. [Accessed on Jan 17, 2022].

Whitley CT, Yoder SD. Developing social responsibility and political engagement: Assessing the aggregate impacts of university civic engagement on associated attitudes and behaviors. 2015 Oct 11;10(3):217-33. https://doi.org/10.1177/1746197915583941 DOI: https://doi.org/10.1177/1746197915583941

Mnguni L. A theoretical framework for training socially accountable science teachers. J Educ Gifted Young Sci. 2019 Jun 27;7(2):159-75. https://doi.org/10.17478/jegys.529459 DOI: https://doi.org/10.17478/jegys.529459

Schultz M. Teaching and assessing ethics and social responsibility in undergraduate science: a position paper. J Learn Design. 2014 Sep 9;7(2):136-47. https://doi.org/10.5204/jld.v7i2.203 DOI: https://doi.org/10.5204/jld.v7i2.203

Izgar G. An opportunity for values education in higher education: social responsibility and healthy living course. IJERE. 2018 Dec 1;7(4):331-40. https://doi.org/10.11591/ijere.v7i4.14768 DOI: https://doi.org/10.11591/ijere.v7i4.14768

The Kirkpatrick Model. Available from: https://www.kirkpatrickpartners.com/the-kirkpatrick-model/ [Accessed on Mar 25, 2022].

Mejlgaard N, Woolley R, Bloch C, et al. Europe's plans for responsible science. Science. 1979. 2018 Aug 24;361(6404):761-2. https://doi.org/10.1126/science.aav0400 DOI: https://doi.org/10.1126/science.aav0400

Neusy AJ, Kaufman A, Dantas G, Paul T, Francisco J, Gutierrez G. Title faculty development for social accountability in health profession education type TUFH oral presentation building the capacity of future leaders in a socially accountable world. Presenting Author Ruy Souza Co-Authors.

Social Accountability Health. Institutional guide. Available from: https://socialaccountabilityhealth.org/self-assessment/. [Accessed on Jul 23, 2023].

Ross BM, Cameron E. Socially accountable medical education: our story might not be yours. Higher Educ Studies. 2021 Jan 6;11(1):114. https://doi.org/10.5539/hes.v11n1p114 DOI: https://doi.org/10.5539/hes.v11n1p114

Nguyen T, Graham ID, Mrklas KJ, et al. How does integrated knowledge translation (IKT) compare to other collaborative research approaches to generating and translating knowledge? Learning from experts in the field. Health Res Policy Syst. 2020 Dec 30;18(1):35. https://doi.org/10.1186/s12961-020-0539-6 DOI: https://doi.org/10.1186/s12961-020-0539-6

Gill SV, Vessali M, Pratt JA, et al. The importance of interdisciplinary research training and community dissemination. Clin Transl Sci. 2015 Oct 1;8(5):611-4. https://doi.org/10.1111/cts.12330 DOI: https://doi.org/10.1111/cts.12330

Jones NL, Peiffer AM, Lambros A, et al. Developing a problem-based learning (PBL) curriculum for professionalism and scientific integrity training for biomedical graduate students. J Med Ethics. 2010 Oct 1;36(10):614-9. https://doi.org/10.1136/jme.2009.035220 DOI: https://doi.org/10.1136/jme.2009.035220

Flicker S, Mawani FN, Dellavilla M. Reflections on teaching, learning and doing participatory research in a graduate seminar. Prog Community Health Partnersh . 2019 Sep 1;13(3):293-302. https://doi.org/10.1353/cpr.2019.0057 DOI: https://doi.org/10.1353/cpr.2019.0057

Kreutzberg GW. The rules of good science. EMBO Rep. 2004 Apr;5(4):330. https://doi.org/10.1038/sj.embor.7400136 DOI: https://doi.org/10.1038/sj.embor.7400136

Carter-Edwards L, Grewe ME, Fair AM, et al. Recognizing cross-institutional fiscal and administrative barriers and facilitators to conducting community-engaged clinical and translational Research. Acad Med. 2021;558-67. https://doi.org/10.1097/ACM.0000000000003893 DOI: https://doi.org/10.1097/ACM.0000000000003893

Pearson D, Walpole S, Barna S. Challenges to professionalism: Social accountability and global environmental change. Med Teach. 2015 Sep 2;37(9):825-30. https://doi.org/10.3109/0142159X.2015.1044955 DOI: https://doi.org/10.3109/0142159X.2015.1044955

NOSM U. Planetary health is human health. NOSM University is taking action on climate change. Available from: https://www.nosm.ca/2023/04/12/planetary-health-is-human-health-nosm-university-is-taking-action-on-climate-change/ [Accessed on Jul 23, 2023].

University of Ottawa Faculty of Medicine. Planetary Health - IGHO. Available from: https://www.uottawa.ca/faculty-medicine/international-global-health-office/planetary-health [Accessed on Jul 23, 2023].

Tufts Boston Insight. Green Labs: how to be environmentally sustainable in biomedical research. Available from: https://sites.tufts.edu/insight/2018/10/18/green-labs-how-to-be-environmentally-sustainable-in-biomedical-research/ [Accessed on Jul 23, 2023].

Manzoor J, Sharma M. Impact of biomedical waste on environment and human health. 2019 Oct 2;31(4):311-34. https://doi.org/10.1080/10406026.2019.1619265 DOI: https://doi.org/10.1080/10406026.2019.1619265

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Published

2024-01-31

How to Cite

1.
Wiper-Bergeron N, Adam HL, Eady K, Moreau KA, Kennedy CR, Kendall CE. Extending social accountability mandates to biomedical research in Canadian faculties of medicine. Can. Med. Ed. J [Internet]. 2024 Jan. 31 [cited 2024 Dec. 21];15(1):56-61. Available from: https://journalhosting.ucalgary.ca/index.php/cmej/article/view/75425

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