The role of medical schools as stakeholder for health improvement is well recognized. Medical schools are responsible of producing competent doctors who are capable to meet the society health needs and expectations. Other functions of medical schools are its participation in service and conduction of research. The concept of social accountability is introduced to strengthen the role of medical schools in health, the concept has been defined by WHO as "The obligation of medical schools to direct its education, service and research towards addressing the priority health concerns of the community, region, and/or nation they have a mandate to serve. Priority health concerns are to be jointly identified by governments, health care organizations, health professionals and the public". The compliance of medical schools with the expected functions varies from country to country or within the same country. The objective of this work is to promote the principles of social accountability within the medical schools by developing standards and procedures that can be used by the existing accreditation systems. This research is qualitative based on the phenomenological type of research and grounded research theory. It concludes the importance of accreditation systems as a lever of improvement and power to change the practice towards the expectations of the society.