Evidence map›Paper›PMID 40102003›Full record

ArticleCanadian family physician Medecin de famille canadien2025

How early-career family physicians integrate social accountability into practice: Findings from a multijurisdictional qualitative study.

Lauren Mills, Amanda Gormley, Anneka Sheppard, Catherine Moravac, Ian Scott, M Ruth Lavergne

Abstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Qualitative research in family medicine.Canadian family physician Medecin de famille canadien · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Lauren MillsMedical student at Dalhousie University in Halifax, NS.
Amanda GormleyMedical student at Dalhousie University in Halifax, NS.
Anneka SheppardMedical student at Dalhousie University in Halifax, NS.
Catherine MoravacResearch Associate in the Primary Care Research Unit in the Department of Family Medicine at Dalhousie University.
Ian ScottDirector of the Centre for Health Education Scholarship and Professor in the Department of Family Practice at the University of British Columbia in Vancouver.
M Ruth LavergneAssociate Professor in the Department of Family Medicine at Dalhousie University and holds a Tier II Canada Research Chair in Primary Care.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore how early-career family physicians integrated social accountability into their practices, how it shaped their practice choices, and the challenges they encountered.

designA secondary analysis of qualitative interview data.

settingBritish Columbia, Ontario, and Nova Scotia.

participantsEarly-career family physicians.

methodsInitially a deductive analysis was conducted using a framework for categorizing 3 different levels of social accountability (individual patient [micro], community [meso], and system [macro]). An inductive analysis was then undertaken to explore how social accountability informs practice choice and to understand challenges encountered. A reflexive thematic analysis guided the inductive process. MAIN

findingsSocial accountability was most commonly discussed at individual and community levels, with more limited system-level examples. Many early-career family physicians valued providing holistic care and derived professional satisfaction from meeting patient and community needs. These values, which are consistent with social accountability, informed their choice to pursue medicine and family medicine specifically. Available practice and payment models were described as barriers to socially accountable practice. Participants believed they lacked the knowledge, skills, and power to influence policy.

conclusionThere is a need to support practice environments that are conducive to socially accountable practice and for curricula that can provide physicians with tools to engage with community- and system-level policy issues.

Indexed as

Family PracticePhysicians, FamilySocial ResponsibilityAdultAttitude of Health PersonnelBritish ColumbiaCareer ChoiceFemaleHumansInterviews as TopicMaleNova ScotiaOntarioQualitative Research

Identifiers

PMID40102003
PMCPMC11934647

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.