Its Med school. Handholding is not routine at any institution. For those that are having difficulty with a particular subject tutoring and TAs are readily available at Ross. I know. I tutored biochemistry for two semesters and both of my students did very well in the subject. The idea that the majority of students need "one on one" time to learn is proposterous, particularly as we are at the graduate school level. Many, many students at Ross don't even go to lecture. They rely on solid sources such as Robbins. Yes, some students will need some more help, but there is help available. For whatever reason ( ego, denial, poor insight, laziness etc.) some students do not seek help. However, this is hardly institution dependent and is a reflection of the individual and their knowledge ( or lack thereof ) of themselves.