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chromatin | 5 months ago

The belief is -- and it is one that I share -- that this makes for more well rounded, human physicians.

Additionally, a greater depth of thinking leads to better diagnosticians, and physician-scientists as well (IMO).

Now, all of this is predicated on the traditional model of the University education, not the glorified jobs training program that it has slowly become.

discuss

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hnfong|5 months ago

Cynically, it's also a way for the US system to gatekeep "poor" people from entering professions like medicine and law because of the extra tuition fees (and opportunity time-cost) needed to complete their studies.

chromatin|5 months ago

I am a natural skeptic, but in this case I think it is just an accident of history how different systems developed.

FWIW, although this is not well known, many medical schools offer combined BA/MD degrees, ranging from 4-8 years:

https://students-residents.aamc.org/medical-school-admission...

When I went 20 years ago, my school did not require a bachelor's degree and would admit exceptional students after 2 years of undergraduate coursework. However I think this has now gone away everywhere due to AAMC criteria

FireBeyond|5 months ago

When I was in Australia and applying to study medicine (late 90s):

Course acceptance is initially driven by academic performance, and ranked scoring.

To get into Medicine at Monash and Melbourne Universities, you'd need a TER (Tertiary Entrance Ranking) of 99.8 (i.e. top 0.2% of students). This number was derived by course demand and capacity.

But, during my time, Monash was known for having a supplementary interview process with panel and individual interviews - the interview group was composed of faculty, practicing physicians not affiliated with the university, psychologists, and lay community members - specifically with the goal of looking for those well-rounded individuals.

It should also be noted that though "undergrad", there's little difference in the roadmap. Indeed when I was applying, the MBBS degree (Bachelor of Medicine and Surgery) was a six-year undergrad (soon revised to five), with similar post grad residency and other requirements for licensure and unrestricted practice.