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Aspire to excellence

Making health systems socially accountable

Bibliographic Data

ID21448701
AuthorsTomáš Petras (0009-0005-7187-8368, University of Pavol Jozef Šafárik, corresponding author), Robert Woollard (0000-0002-9537-1052, University of British Columbia), Suzanne Pitama (0000-0002-1664-0518, University of Otago), Debra L Klamen (0000-0001-5471-6635, Southern Illinois University School of Medicine), Alex Anawati (0000-0001-5767-3781, NOSM University), Rui Amaral Mendes (0000-0001-7628-8598, Universidade do Porto), Charles Boelen (0000-0002-0134-4994, Réseau international francophone pour la responsabilité sociale en santé), Madalena Patricio (0000-0002-1314-0999, University of Lisbon)
Year2026
Volume48
Issue2
Pages218-225
Publication date2026-02-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Teacher (JOURNAL)
Journal identifiersISSN: 0142-159X • E-ISSN: 1466-187X
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/0142159x.2025.2582647
PMID41329530
OpenAlexW4416920987
LanguageEN
Citations received1
References cited18

This article explores the evolving landscape of social accountability in medical education through the lens of the AMEE ASPIRE-to-Excellence initiative. Social accountability has become increasingly recognized as a fundamental principle in health professional education, requiring health professional education and training programs to align their teaching, research, and service activities with the priority health concerns, namely those of the communities they serve. Drawing on the ASPIRE Social Accountability criteria, this paper outlines how these elements function not only as assessment tools but as building blocks for embedding social accountability into curricula and institutional missions. Essential elements include mission-driven leadership and governance, community co-design, equitable student recruitment, socially responsive curricula, community-engaged research, contribution to health services, impact measurement, and continuous quality improvement. The paper illustrates this through examples of excellence in different contexts and identifies key challenges and strategies for expanding social accountability in health professional education and training programs. The discussion emphasizes that social accountability is a dynamic, context-sensitive endeavor grounded in authentic partnerships, continuous quality improvement, and an inclusive approach to health, equity and diversity. The conclusion highlights the call to action: to embrace these criteria as living elements that can guide institutions in fostering socially accountable, environmentally sustainable, and technologically responsive health professionals

Accountability · Curriculum · Equity (law) · Excellence · Quality (philosophy) · Social accounting · Social responsibility · Cultural Competency in Health Care · Innovations in Medical Education · Interprofessional Education and Collaboration

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Unique citing works1
Citations per year1
Citation span2026 - 2026 (1)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 1

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