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서던 일리노이 의과대학의 사회적 책무성 사례: 입학정책을 중심으로

Social Accountability at Southern Illinois University School of Medicine: A Focus on Admission Policy

  • 한희영 (서던일리노이대학교 의과대학 의학교육학과) ;
  • Heeyoung Han (Department of Medical Education, Southern Illinois University School of Medicine) ;
  • Debra Klamen (Department of Medical Education, Southern Illinois University School of Medicine)
  • 투고 : 2024.08.01
  • 심사 : 2024.09.23
  • 발행 : 2024.10.31

초록

Given the increasing health disparities across regions and populations, social accountability is not an option but an obligation for health professions schools, including medical schools. In this short communication, the authors report the case of Southern Illinois University School of Medicine (SIU SOM), which has been an exemplary medical school for social accountability, receiving the 2013 AMEE ASPIRE Award in social accountability and the 2018 Josiah Macy Jr. Foundation Award for Institutional Excellence in Social Mission in Health Professions Education. This paper focuses on the school's admission policies in the discussion of its social accountability. It starts with the background of central and southern Illinois, where the school is located to address the shortage of healthcare professionals in the areas. It discusses the school's holistic admission policies and two pipeline programs-namely, MEDPREP and McNeese Physician Preparatory Pipeline Program (P4)-that are strategically designed as a long-term physician workforce development plan to address health disparities in rural areas. As of January 30, 2024, 3,233 students have earned the MD (Doctor of Medicine) degree at SIU SOM. In total, 770 alumni (33%) are practicing in primary care. Among 901 graduates practicing in Illinois, 484 (54%) are practicing in SIU SOM service area counties (i.e., central and southern Illinois). Social accountability is the core value and organizational identity of SIU SOM and the guiding principle of the school's innovation and excellence.

키워드

참고문헌

  1. Gil YM, Jeon WT. Social accountability of medical schools: concept and implementation strategies. Korean Med Educ Rev. 2019;21(3):127-36. https://doi.org/10.17496/kmer.2019.21.3.127 
  2. Boelen C, Heck JE. Defining and measuring the social accountability of medical schools [Internet]. Geneva: World Health Organization; 1995 [cited 2024 Jul 20]. Available from: https://www.who.int/publications/i/item/defining-and-measuring-the-social-accountability-of-medical-schools 
  3. Boelen C, Dharamsi S, Gibbs T. The social accountability of medical schools and its indicators. Educ Health (Abingdon). 2012;25(3):180-94. https://doi.org/10.4103/1357-6283.109785 
  4. Parlier AB, Galvin SL, Thach S, Kruidenier D, Fagan EB. The road to rural primary care: a narrative review of factors that help develop, recruit, and retain rural primary care physicians. Acad Med. 2018;93(1):130-40. https://doi.org/10.1097/ACM.0000000000001839
  5. Grbic D, Jones DJ, Case ST. The role of socioeconomic status in medical school admissions: validation of a socioeconomic indicator for use in medical school admissions. Acad Med. 2015;90(7):953-60. https://doi.org/10.1097/ACM.0000000000000653 
  6. Jackson EW, McGlinn S, Rainey M, Bardo HR. MEDPREP: 30 years of making a difference. Acad Med. 2003;78(5):448-53. https://doi.org/10.1097/00001888-200305000-00005 
  7. Metz AM. Medical school outcomes, primary care specialty choice, and practice in medically underserved areas by physician alumni of MEDPREP, a postbaccalaureate premedical program for underrepresented and disadvantaged students. Teach Learn Med. 2017;29(3):351-9. https://doi.org/10.1080/10401334.2016.1275970 
  8. Mullan F, Chen C, Petterson S, Kolsky G, Spagnola M. The social mission of medical education: ranking the schools. Ann Intern Med. 2010;152(12):804-11. https://doi.org/10.7326/0003-4819-152-12-201006150-00009 
  9. O'Sullivan BG, McGrail MR. Effective dimensions of rural undergraduate training and the value of training policies for encouraging rural work . Med Educ. 2020;54(4):364-74. https://doi.org/10.1111/medu.14069
  10. Au W. Unequal by design: high-stakes testing and the standardization of inequality. 2nd ed. New York (NY): Routledge; 2022.
  11. McNeil LM. Contradictions of school reform: educational costs of standardized testing. New York (NY): Routledge; 2000. 
  12. Ferguson E, James D, Madeley L. Factors associated with success in medical school: systematic review of the literature. BMJ. 2002;324(7343):952-7. https://doi.org/10.1136/bmj.324.7343.952.