There was no cost-benefit analysis on offer, you are correct. This is not the same as there being none, though. Weed-out courses are a classic example implemented at the institutional level - they exist to find as early as possible who is likely to be compatible with the educational program to come. Like any system working on messy humans (who like to defy neatly delineated categories), there are marginal cases who just need a little help to flip from one category to the other. The author calculated that they were such a marginal student and invested accordingly. This should not be confused for assuming that every passionate, driven student is a marginal case who just needs a little help.The author is essentially arguing at length for a greater emphasis on benefit and less on cost. Not just in o-chem, but at every stage of medical training.
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