A qualitative study of enablers and barriers influencing the incorporation of social accountability values into organisational culture: a perspective from two medical schools

Background: Definitions of social accountability describe the obligation of medical schools to direct education, research and service activities towards addressing the priority health concerns of the population they serve. While such statements give some direction as to how the goal might be reached, it does not identify what factors might facilitate or hinder its achievement. This study set out to identify and explore enablers and barriers influencing the incorporation of social accountability values into medical schools. Methods: Semi structured interviews of fourteen senior staff in Bar Ilan and Leeds medical schools were undertaken following a literature review. Participants were recruited by purposive sampling in order to identify factors perceived to play a part in the workings of each institution. Results: Academic prestige was seen as a key barrier that was dependent on research priorities and student selection. The role of champions was considered to be vital to tackle staff perceptions and facilitate progress. Including practical community experience for students was felt to be a relevant way in which the curriculum could be designed through engagement with local partners. Conclusions: Successful adoption of social accountability values requires addressing concerns around potential negative impacts on academic prestige and standards. Identifying and supporting credible social accountability champions to disseminate the values throughout research and education departments in medical and other faculties is also necessary, including mapping onto existing work streams and research agendas. Demonstrating the contribution the institution can make to local health improvement and regional development by a consideration of its economic footprint may also be valuable

Características de carcaça e dos componentes não-carcaça de cabritos Moxotó e Canindé submetidos a dois níveis de alimentação Characteristics of carcass and non-carcass components of Moxotó and Canindé male kids under two feeding levels

Foram utilizados 22 cabritos não-castrados (10 Moxotó e 12 Canindé com peso médio inicial de 15 kg) confinados em baias individuais. Os animais foram distribuídos em um delineamento inteiramente casualizado, em arranjo fatorial 2 x 2 (duas raças e dois níveis de alimentação: AV = à vontade e AR = 30% de restrição). Foram avaliados os rendimentos de carcaça quente (RCQ), verdadeiro (RV) e comercial (RC), os cortes da carcaça e o rendimento dos componentes não-carcaça em relação ao peso do corpo vazio (PCV). Cabritos alimentados à vontade apresentaram maiores RCQ e RC e porções comestíveis da carcaça. O rendimento verdadeiro não foi influenciado pelo maior nível de alimentação. Após o abate e resfriamento da carcaça, foram feitos os seguintes cortes: pescoço, paleta, costelas (1ª-5ª), costelas (6ª-13ª), lombo, perna e baixo. Apesar do maior peso (kg) dos cortes dos animais alimentados AV, não foi observada diferença entre seus rendimentos em relação ao peso da carcaça fria. O rendimento da perna foi afetado pelo nível de alimentação, sendo menor para os grupos com nível de alimentação AV. Os rendimentos do fígado, da cabeça e do trato gastrintestinal foram influenciados pelo nível de alimentação. A raça não foi determinante de diferenças nas características de carcaça e dos componentes não-carcaça, assim como no rendimento dos cortes quando o peso e o tamanho à maturidade foram semelhantes. A restrição alimentar afetou o desenvolvimento e a deposição de tecidos nos animais, resultando em menores rendimentos e quilogramas de carcaça fria a ser comercializada.<br>Twenty-two non-castrated male kids (10 Moxotó and 12 Canindé) averaging 15 kg of initial body weight and housed in individual pens were used in this trial. Animals were assigned to a completely randomized design in a 2 x 2 factorial arrangement of treatments [two breeds and two feeding levels: ad libitum (AL) or 30% of feed restriction (FR). Animals fed AL had greater yields of hot carcass, cold carcass, and carcass edible parts compared to those fed FR. It was not observed a significant feeding level effect on true carcass yield. After slaughter and cooling of the carcasses the following cuts were done: neck, shoulder clod, ribs (1st-5th and 6th-13th), loin, leg and breast. Although animals fed AL had greater body weights than FR kids, no significant differences were found between treatments for the different carcass cuts when expressed as percentage of cold carcass weight. Hind leg yield was affected by feeding level being lower in animals fed AL. Yields of liver, head, and gut, as percentage of empty body weight, were also affected by feeding level. Feed restriction had a negative effect on development and tissue deposition leading to lower cold carcass yield and weight. It can be concluded that when size and mature weight were similar, breed was not responsible for the differences on carcass characteristics, non-carcass components, and commercial cuts