Document Type: Original Article


1 Islamic Azad University, Bandar Abbas Branch, Iran

2 Department of Educational Management, Islamic Azad University, Bandar Abbas Branch, Iran

3 Department of Educational Management, Islamic Azad University, Science and Research Branch, Tehran, Iran

4 Clinical Education Research Canter, Shiraz University of Medical Sciences, Shiraz, Iran



Introduction: As health professionals, physicians are accountable
for their professional practice. The aim of this study was to explain
the medical students’ motivation to attain social accountability in
medical schools, based on the experience of both students and
Methods: We conducted a qualitative conventional content
analysis research in Shiraz University of medical sciences in Iran
since 2018 through purposive, snowball sampling. The data were
collected through semi-structured interviews with 35 participants
i.e., medical students and teachers. Coding was carried out by
conventional content analysis.
Results: We drew four themes and ten related subthemes and the
central variable explains the motivation of medical students toward
social accountability and makes a link among the subthemes,
was purposeful beliefs and behavior. The key dimensions during
motivational process which generated the social accountability
development in medical students consisted of social culture of
medicine, medical school reality, teaching and learning strategy
and creating purposeful beliefs and behavior. Also, eight subthemes
of individual motivation, content motivation process motivation,
attending to the outcomes of the curriculum, traditional routine
centered curriculum, observational learning, role modeling,
hidden curriculum, respect for social values and norms and
benefitting the society emerged which explain the process of
motivate for social accountability by creating purposeful beliefs
and behavior in medical students.
Conclusions: The core variable of motivation toward social
accountability must be reflected in future developmental
programs, curriculum planning and training general physicians.
In other words, the best efforts for purposeful beliefs and behavior
in medical students, must be made to improve motivation toward
social accountability.