PDF(Pubmed)
Abstract：
BACKGROUND: Social accountability (SA) within medical education signifies a commitment to address critical regional, societal, and national issues through educational, research, and service activities. In resource-limited regions, marginalized communities face barriers to accessing quality healthcare, and the concept of SA is often poorly understood by students. This study aims to investigate the perspectives, awareness, and comprehension of Syrian medical students regarding the concepts and principles of SA.
METHODS: This cross-sectional online study was conducted in Syria from June 1st to July 25th, 2023, to assess the perspectives on SA among medical students enrolled in pre-clinical and clinical phases from the 3rd to the 6th year, encompassing both stream I and stream II. The questionnaire included three parts: consent and introduction, socio-demographic data, and a 12-item survey assessing social accountability. Data were analyzed using Statistical Package for the Social Sciences software version 24 (SPSS 24).
RESULTS: A total of 1312 medical students (62.3% females vs. 37.7% males) participated in our analysis. Less than half of the participants (45.7%) reported that their institution had a limited social mission statement regarding the communities they serve. However, only 39.6% reported that their curriculum partially reflected the needs of the population they serve. A mere 7.5% and 6.8% of respondents indicated that their school had excellent community partners and stakeholders shaping their institution, and they learned significantly about other cultures and social circumstances in the medical context through their curriculum. About 24.1% reported that their institution required them to engage in a substantial amount of community-based learning, and 37.4% believed that their class reflected a good representation of socio-demographic characteristics of the reference population. A significant portion of the participants (44.3%) stated that their school did not encourage them to pursue generalist specialties, and 12.7% felt that their institution did not have a positive impact on the community. Among the included participants, 45.8% had some level of SA status, while 37.7% indicated good SA status. Age, gender, and the phase of study were the only sociodemographic characteristics statistically associated with SA status (p-value < 0.05). The association between the 12 items determining SA and the year of study was statistically significant for seven items (p-value < 0.05). However, adjusted logistic regression revealed no significant correlation between predicting SA status and sociodemographic factors (p-value > 0.05).
CONCLUSIONS: This study underscores the significant influence of clinical experience and gender on Syrian medical students\' perceptions of SA. To enhance these perceptions, medical institutions should tailor support services for different stages of training and target initiatives to engage male students.
METHODS: This cross-sectional online study was conducted in Syria from June 1st to July 25th, 2023, to assess the perspectives on SA among medical students enrolled in pre-clinical and clinical phases from the 3rd to the 6th year, encompassing both stream I and stream II. The questionnaire included three parts: consent and introduction, socio-demographic data, and a 12-item survey assessing social accountability. Data were analyzed using Statistical Package for the Social Sciences software version 24 (SPSS 24).
RESULTS: A total of 1312 medical students (62.3% females vs. 37.7% males) participated in our analysis. Less than half of the participants (45.7%) reported that their institution had a limited social mission statement regarding the communities they serve. However, only 39.6% reported that their curriculum partially reflected the needs of the population they serve. A mere 7.5% and 6.8% of respondents indicated that their school had excellent community partners and stakeholders shaping their institution, and they learned significantly about other cultures and social circumstances in the medical context through their curriculum. About 24.1% reported that their institution required them to engage in a substantial amount of community-based learning, and 37.4% believed that their class reflected a good representation of socio-demographic characteristics of the reference population. A significant portion of the participants (44.3%) stated that their school did not encourage them to pursue generalist specialties, and 12.7% felt that their institution did not have a positive impact on the community. Among the included participants, 45.8% had some level of SA status, while 37.7% indicated good SA status. Age, gender, and the phase of study were the only sociodemographic characteristics statistically associated with SA status (p-value < 0.05). The association between the 12 items determining SA and the year of study was statistically significant for seven items (p-value < 0.05). However, adjusted logistic regression revealed no significant correlation between predicting SA status and sociodemographic factors (p-value > 0.05).
CONCLUSIONS: This study underscores the significant influence of clinical experience and gender on Syrian medical students\' perceptions of SA. To enhance these perceptions, medical institutions should tailor support services for different stages of training and target initiatives to engage male students.
摘要：
背景：医学教育中的社会责任（SA）意味着致力于解决关键的地区，社会,通过教育和国家问题，研究,和服务活动。在资源有限的地区，边缘化社区在获得优质医疗保健方面面临障碍，学生对SA的概念往往知之甚少。本研究旨在探讨这些观点，意识,以及叙利亚医学生对SA概念和原则的理解。
方法：这项横断面在线研究于6月1日至7月25日在叙利亚进行，2023年，以评估从第3到第6年在临床前和临床阶段注册的医学生对SA的看法，包括流I和流II。问卷包括三个部分:同意和介绍,社会人口统计数据,以及评估社会责任的12项调查。使用社会科学软件版本24（SPSS24）的统计软件包分析数据。
结果：共有1312名医学生（62.3％的女生与37.7%的男性）参与了我们的分析。不到一半的参与者(45.7%)报告说，他们的机构对他们所服务的社区有有限的社会使命感。然而,只有39.6%的人报告说，他们的课程部分反映了他们所服务人群的需求。只有7.5％和6.8％的受访者表示，他们的学校有优秀的社区合作伙伴和利益相关者塑造他们的机构，通过他们的课程，他们在医学背景下了解了其他文化和社会环境。大约24.1%的人报告说，他们的机构要求他们从事大量的社区学习，37.4%的人认为他们的班级反映了参考人群的社会人口特征。很大一部分参与者（44.3％）表示他们的学校不鼓励他们追求通才专业，12.7%认为他们的机构对社区没有积极影响。在包括的参与者中，45.8%有一定程度的SA状态，37.7%表示SA状态良好。年龄,性别,研究阶段是与SA状态统计学相关的唯一社会人口统计学特征（p值<0.05）。确定SA的12个项目与研究年份之间的关联在7个项目中具有统计学意义（p值<0.05）。然而,调整Logistic回归分析显示预测SA状况与社会人口统计学因素之间无显著相关性(p值>0.05)。
结论：这项研究强调了临床经验和性别对叙利亚医学生对SA的看法的重大影响。为了增强这些感知，医疗机构应针对不同的培训阶段和目标举措定制支持服务，以吸引男生。
方法：这项横断面在线研究于6月1日至7月25日在叙利亚进行，2023年，以评估从第3到第6年在临床前和临床阶段注册的医学生对SA的看法，包括流I和流II。问卷包括三个部分:同意和介绍,社会人口统计数据,以及评估社会责任的12项调查。使用社会科学软件版本24（SPSS24）的统计软件包分析数据。
结果：共有1312名医学生（62.3％的女生与37.7%的男性）参与了我们的分析。不到一半的参与者(45.7%)报告说，他们的机构对他们所服务的社区有有限的社会使命感。然而,只有39.6%的人报告说，他们的课程部分反映了他们所服务人群的需求。只有7.5％和6.8％的受访者表示，他们的学校有优秀的社区合作伙伴和利益相关者塑造他们的机构，通过他们的课程，他们在医学背景下了解了其他文化和社会环境。大约24.1%的人报告说，他们的机构要求他们从事大量的社区学习，37.4%的人认为他们的班级反映了参考人群的社会人口特征。很大一部分参与者（44.3％）表示他们的学校不鼓励他们追求通才专业，12.7%认为他们的机构对社区没有积极影响。在包括的参与者中，45.8%有一定程度的SA状态，37.7%表示SA状态良好。年龄,性别,研究阶段是与SA状态统计学相关的唯一社会人口统计学特征（p值<0.05）。确定SA的12个项目与研究年份之间的关联在7个项目中具有统计学意义（p值<0.05）。然而,调整Logistic回归分析显示预测SA状况与社会人口统计学因素之间无显著相关性(p值>0.05)。
结论：这项研究强调了临床经验和性别对叙利亚医学生对SA的看法的重大影响。为了增强这些感知，医疗机构应针对不同的培训阶段和目标举措定制支持服务，以吸引男生。
