This chapter delves into the intersection of social accountability and accreditation in medical schools, emphasizing the vital role of accreditation standards in fostering socially accountable education. Social accountability ensures medical graduates are equipped to meet the health needs of diverse communities, particularly underserved populations. Accreditation acts as a quality assurance mechanism, holding institutions accountable for aligning their education, research, and service missions with societal needs. The chapter highlights the evolution of accreditation systems globally, examining how frameworks like those from the World Federation for Medical Education (WFME), Liaison Committee on Medical Education (LCME), and Australian Medical Council (AMC) embed social accountability principles. Key recommendations focus on emphasizing measurable outcomes, engaging stakeholders, and fostering transparency in accreditation processes. The chapter concludes with a discussion of challenges and potential solutions for integrating social accountability into accreditation systems, outlining a path forward to build more equitable healthcare systems.