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Using Ochem as a standard for medical students isnt about content, its more than that, and i think most of you guys are missing it. Its somewhat about can you memorize a ton of useless ****, but what ochem makes you do is problem solve. Those who excel in Ochem, generally, are pretty decent at problem solving. Problem solving skills are integral in med school and medicine totes obvi. Thats really what they are trying to gauge from you. they dont care about do you know the content, because the content in ochem has relatively little to do with med school content.
I agree, I think many people who get by without a problem in Bio and gen chem, then hit O Chem/ Physics and suddenly have to actually THINK to solve problems and so they struggle. At least that is what I witnessed with a lot of people who started out as premeds until they hit end of sophomore/ junior year. I think the problem solving aspect is exactly what makes it difficult for many people, not just memorizing a bunch of reagents..