Comment by mothballed
7 hours ago
Medical schools require a lot of volunteering and things like 'slinging hot dogs to pay tuition' don't count unless you grew up without clothes surviving on rabid dogs in the holler of W Virginia working the coal mines from age 8. We all know who has time to volunteer or do minimum wage healthcare instead of work the best paying shitty side job they can get: the rich.
It's set up heavily tilted so you have to be rich, or dirt poor enough for a sob story, or a desired minority. Even if you do volunteer a lot and are middle class, you probably didnt know anyone that could help you into the most prestigious positions. A middle class person of equal aptitude would likely go into something like engineering or law which have fewer class-signalling non-academic purity tests.
That gating on medical training has always been there (at least for 40 years, if not more). But the number of doctors from doctor families has increased.
And just generally, socioeconomic mobility has decreased in the US across the population.
Always been gated. But the slider has been dragged even further in the purity test direction. The intelligent un-pure now tend to become NP or PA, those programs still let you practice independently and slide more towards academics and less at whether a rich person set you up to be taken care of while you play mother Teresa until the switch flips the day you are accepted.
> Medical schools require a lot of volunteering
But...why? Why not just let in the applicants that have the best grades?
Because there are so many applicants that have good grades.
A more cynical view is that the governing boards want a way to pick and choose who they let in. So they create "holistic" application systems to get "360 degree view of the candidate".
No matter how many have good grades, you can always pick the top n by grades—unless there's a ceiling that the top m > n have all hit. Which, if you're talking about "grades" as in GPA, is plausible.
MCAT seems more relevant, though. According to Claude: "Roughly 0.1% or fewer of test-takers score a perfect 528 in any given year — typically only a few dozen individuals out of the ~120,000 or so who sit for the exam annually." So it should work fairly well for them to sort by MCAT and take however many they have (or expect to have) room for.
3 replies →
> Because there are so many applicants that have good grades.
So train more doctors.
4 replies →
> Because there are so many applicants that have good grades.
Sounds like we need more spots for these people to go
Because everybody has the same gamified, inflated high grades