College of Medicine and Medical Education Center, University of Sharjah , Sharjah, United Arab Emirates.
Department of Clinical Sciences, College of Medicine, University of Sharjah , Sharjah, United Arab Emirates.
Med Educ Online. 2021 Dec;26(1):1847243. doi: 10.1080/10872981.2020.1847243.
Social accountability (SA) is an obligation for medical schools in meeting the priority health concerns of the communities they serve. To measure the integration of SA principles into medical curricula, suitable tools are needed. This study developed and validated an inventory to assess SA values within the existing case scenarios used in problem-based learning (PBL) curricula. The Delphi technique was employed to develop and validate the new inventory. The validation used expert opinion and calculated the content validity using content validity indices (CVIs). The initial draft (Draft 0) was formulated with 25 open-ended questions. Following expert evaluation, Draft 1 had 22 closed-ended questions and the mean ratings, according to the experts, were as follows: relevance, 3.33-4.83; importance (3.5-4.8); clarity (3.33-4.83); and simplicity (3:00-4.67). Draft 2 had 19 questions. After a further round of rating and analysis, a final draft was prepared, consisting of 17 items, with CVI scores ≥ 0.8 and 100% overall satisfaction. Using this inventory tool will help health professions schools to translate SA indicators into curricular activities by identifying the gaps in their PBL curricula. Deficiencies can be either in the type of case scenarios used or the triggers embedded in the individual case scenarios, subsequently leading to the development of PBL case scenarios that address real health social needs. A revision and rewriting of the problem case scenarios to incorporate SA will be the next step.
社会问责制（SA）是医学院满足其服务社区优先健康关注的义务。为了衡量 SA 原则融入医学课程的程度，需要合适的工具。本研究开发并验证了一个评估基于问题学习（PBL）课程中 SA 价值观的清单。采用德尔菲技术来开发和验证新的清单。使用专家意见进行验证，并使用内容有效性指数（CVIs）计算内容有效性。初始草案（草案 0）由 25 个开放式问题组成。经过专家评估，草案 1 有 22 个封闭式问题，专家的平均评分如下：相关性，3.33-4.83；重要性（3.5-4.8）；清晰度（3.33-4.83）；以及简单性（3:00-4.67）。草案 2 有 19 个问题。经过进一步的评分和分析，准备了最终草案，包含 17 个项目，CVIs 得分≥0.8，总体满意度为 100%。使用此清单工具将帮助健康专业学校通过识别其 PBL 课程中的差距，将 SA 指标转化为课程活动。缺陷可能存在于使用的案例情景类型或嵌入在单个案例情景中的触发因素中，随后导致开发解决实际健康社会需求的 PBL 案例情景。下一步将是修订和重写问题案例情景以纳入 SA。
