AIDER: A model for social accountability in medical education and practice

Abstract

Background: Social accountability in healthcare requires physicians and medical institutions to direct their research, services and education activities to adequately address health inequities. The need for greater social accountability has been addressed in numerous national and international healthcare reviews of health disparities and medical education.

Aim: The aim of this work is to better understand how to identify underserved populations and address their specific needs and also to provide physicians and medical institutions with a means by which to cultivate social accountability.

Methods: The authors reviewed existing literature and prominent models focusing on social accountability, as well as medical education frameworks, and identified the need to engage underserved stakeholders and incorporate education that includes knowledge translation and reciprocity. The AIDER model was developed to satisfy the need in medical education and practice that is not explicitly addressed in previous models.

Results: The AIDER model (Assess, Inquire, Deliver, Educate, Respond) is a continuous monitoring process that explicitly incorporates reciprocal education and continuous collaboration with underserved stakeholders.

Conclusion: This model is an incremental step forward in helping physicians and medical institutions foster a culture of social accountability both in individual practice and throughout the continuum of medical education.

Acknowledgements

The authors wish to acknowledge the following faculty members for their consultation and feedback: Dr Jennifer Carpenter, Dr Leslie Flynn, Dr Ian Gemmill, Dr Mala Joneja, Dr Adam Newman, Dr Eva Purkey and Dr Joy Wee.

Declarations of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of this article.