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Using medical education as a tool to train doctors as social innovators

Khan, Nagina, Rogers, Anne, Melville, Colin, Shankar, Rohit, Gilliar, Wolfgang, Byrne, Peter, Serafimov, Alex, Mahalingappa, Sridevi Sira, Sehdev, Simran, Sri, Anna, and others. (2022) Using medical education as a tool to train doctors as social innovators. BMJ Innovations, 22 (8). 190- 198. ISSN 2055-8074. (doi:10.1136/BMJINNOV-2021-000910) (KAR id:103812)


Introduction Current medical education prepares doctors to diagnose, assess and treat individual patients yet lacks the expectation to be responsible for the care of the wider community. Learning the skills to recognise and redress the social determinants of health are increasingly being recognised as an essential part of medical education. Objectives The goal of this research was (1) to investigate how medical education can be leveraged to reduce health inequalities through the role and practice of doctors and (2) to elucidate how key innovations in medical education are a necessity that can support doctors as 'change agents.' Methods Two international multidisciplinary roundtable focus groups with 23 healthcare leaders from various backgrounds were facilitated. The discussions were audio recorded, transcribed and then thematically analysed with the qualitative analysis software QDA Miner. Results Eight themes emerged: (1) Social innovation training in medical education; (2) Linking community working with social innovation; (3) Future curricula development; (4) Settings, context, environment and leaving the classroom; (5) Developing links with third sector organisations and community, including low-income and middle-income countries; (6) Including learners' perspectives and lived experience; (7) Medical roles are political and need political support and (8) The need to address power imbalances and impact of discrimination. Conclusions Medical education needs to fundamentally widen its focus from the individual doctor patient relationship to the doctor community relationship. Doctors' training needs to help them become social innovators who can balance interventions with prevention, promote good health on a community and societal scale and tailor their treatments to the individuals' contexts. Data are available on reasonable request.

Item Type: Article
DOI/Identification number: 10.1136/BMJINNOV-2021-000910
Subjects: L Education
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Centre for Health Services Studies
Depositing User: Rosalyn Bass
Date Deposited: 10 Nov 2023 16:27 UTC
Last Modified: 12 Jan 2024 02:35 UTC
Resource URI: (The current URI for this page, for reference purposes)

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