How common is the gunner mentality in medical school?

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At my school, it's a pass/fail system (no honors or letter grades awarded) - therefore, it's pretty collaborative and everybody works together to pass. There is the national honor society (AOA) which instills the desire for "gunning", but it's less prevalent because of the pass/fail system.

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At my school, it's a pass/fail system (no honors or letter grades awarded) - therefore, it's pretty collaborative and everybody works together to pass. There is the national honor society (AOA) which instills the desire for "gunning", but it's less prevalent because of the pass/fail system.
Pass/Fail only in the first 2 years. Even if it's true P/F, then MS-3 grades play a role in class rank. No school (that I know of) is P/F across all 4 years.
 
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At my school, it's a pass/fail system (no honors or letter grades awarded) - therefore, it's pretty collaborative and everybody works together to pass. There is the national honor society (AOA) which instills the desire for "gunning", but it's less prevalent because of the pass/fail system.

Great to know thanks for your post ;). I'm really hoping I can get into school that has a curriculum structured like your school with pass/fail courses. I have a question though, how does AOA work in a pass or fail system? Are you automatically eligible by passing all your courses?
 
Yup, you're definitely a Harvard medical student. Keep up the good work, brah.

lmao tru dat. Harvard also offers osteopathic electives in their medical school, so i'm sure we can see some osteopathic gunners one way or another.
 
Great to know thanks for your post ;). I'm really hoping I can get into school that has a curriculum structured like your school with pass/fail courses. I have a question though, how does AOA work in a pass or fail system? Are you automatically eligible by passing all your courses?
Even with the best scenario, it's "true" P/F in the first 2 years, and then it's some type of interval grading system in MS-3 -- i.e. H/HP/P/F. The top 25 percent of a medical school class is eligible for nomination, and up to 16 percent may be elected.
 
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Even with the best scenario, it's "true" P/F in the first 2 years, and then it's some type of interval grading system in MS-3 -- H/HP/P/F. The top 25 percent of a medical school class is eligible for nomination, and up to 16 percent may be elected.

damn, I was hoping for pure pass or fail all the way, though then it'd probably be based off of step 1 scores and something else. Not sure if they'd be a good thing, especially if you're trying for ROAD specialities (it'd really suck probably).
 
damn, I was hoping for pure pass or fail all the way, though then it'd probably be based off of step 1 scores and something else. Not sure if they'd be a good thing, especially if you're trying for ROAD specialities (it'd really suck probably).
No medical school is "true" P/F in all 4 years. You are ranked in some way -- ordinal rank, which fraction of the class you fall in (i.e. quartiles), or code word used in the Dean's letter sent to residencies. Residencies want to know where you fall in the class, esp. if you're going for something competitive.
 
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Pass/Fail only in the first 2 years. Even if it's true P/F, then MS-3 grades play a role in class rank. No school (that I know of) is P/F across all 4 years.

I'm not sure what it's like during 3-4 year, but you're right that there is an internal ranking system that's used to determine AOA. The point of my post was that the pass/fail system really diminishes the gunner-mentality and competitiveness within the class.
 
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I'm not sure what it's like during 3-4 year, but you're right that there is an internal ranking system that's used to determine AOA. The point of my post was that the pass/fail system really diminishes the gunner-mentality and competitiveness within the class.
Yes, it tamps down competitive feelings at least when it comes to assigning grades within the first 2 years. It comes back, though, during MS-3 when it's no longer Pass/Fail.
 
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Yes, it tamps down competitive feelings at least when it comes to assigning grades within the first 2 years. It comes back, though, during MS-3 when it's no longer Pass/Fail.
Well from what I understand at my school, the third and fourth years are strictly spent at clinical rotations - so you aren't really doing anything collaborative with your classmates anyways. I haven't experienced anything yet, but this is just what I hear.
 
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Well from what I understand at my school, the third and fourth years are strictly spent at clinical rotations - so you aren't really doing anything collaborative with your classmates anyways. I haven't experienced anything yet, but this is just what I hear.
Not true. On your clinical rotations, actually you're functioning as a team, which requires collaboration - medical students/intern/residents to get clinical work done.
 
Not true. On your clinical rotations, actually you're functioning as a team, which requires collaboration - medical students/intern/residents to get clinical work done.
Not what I was told by classmates, but I guess I'll find out lol.
 
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I'm not sure what it's like during 3-4 year, but you're right that there is an internal ranking system that's used to determine AOA. The point of my post was that the pass/fail system really diminishes the gunner-mentality and competitiveness within the class.

There truly is no difference between a school with pass/fail that still internally ranks you and a school that uses grades (without a curve). Either way, you are still being ranked against your classmates, so your performance does matter. The people that want to be towards the top know this, and realize that just shooting to pass isn't gonna get them where they want to be.

Unless the administration doesn't tell the students that they are being ranked against each other during the p/f period (which probably does happen), I can't see there being any difference in the mentalities between students that attend a p/f school and those who attend a school with grades.

Now a "true" p/f school (without internal ranking for the preclinical years) is a different story.
 
Gunner4.jpg
Curious, I know the person who made this must be joking, but is there any instances of the right image happening?
 
Curious, I know the person who made this must be joking, but is there any instances of the right image happening?

I know that someone pulled this at my high school (and heard a story of middle schoolers pulling this) ... And they're not even gunning for stuff. Funny fact, one one the kids who apparently got 3 laxative didn't feel a thing.

Haha. High school is an interesting time.
 
I know that someone pulled this at my high school (and heard a story of middle schoolers pulling this) ... And they're not even gunning for stuff. Funny fact, one one the kids who apparently got 3 laxative didn't feel a thing.

Haha. High school is an interesting time.
Definitely can see this being done in high school as a prank. This is kind of making me want to avoid brownies if I get into med school though haha
 
No medical school is "true" P/F in all 4 years. You are ranked in some way -- ordinal rank, which fraction of the class you fall in (i.e. quartiles), or code word used in the Dean's letter sent to residencies. Residencies want to know where you fall in the class, esp. if you're going for something competitive.
Yale System is as close to true P/F as it gets. No grades, no tests (optional evaluations are available for gunners), no AOA, no official or unofficial rank, no shelves, no written evaluations, etc.
 
Yale System is as close to true P/F as it gets. No grades, no tests (optional evaluations are available for gunners), no AOA, no official or unofficial rank, no shelves, no written evaluations, etc.
My understanding is they are P/F in the first 2 years only as well. They are required to take certain qualifier exams: http://yalemedicine.yale.edu/autumn2002/features/feature/53052

They used to be P/F in the MS-3, but this is no longer the case.
 
My understanding is they are P/F in the first 2 years only as well. They are required to take certain qualifier exams: http://yalemedicine.yale.edu/autumn2002/features/feature/53052

They used to be P/F in the MS-3, but this is no longer the case.
That feature's really old. Required qualifier exams are no longer in place. Anonymous evaluations are optional. They do have H/P/F for clerkships, but 70% get Hs, so it is not a competitive system. No ranking whatsoever, not even in the Dean's Letter. (This is the most important thing imo.) Again, the closest there is in the system today.
 
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That feature's really old. Required qualifier exams are no longer in place. Anonymous evaluations are optional. They do have H/P/F for clerkships, but 70% get Hs, so it is not a competitive system. No ranking whatsoever, not even in the Dean's Letter. Again, the closest there is in the system today.
http://medicine.yale.edu/education/omca/applicants/yalesystem.aspx
All students are required to take an anonymous minimal-proficiency examination given by each basic science department. Students who fail the anonymous course exam are required to make-up the deficiency at a later date.

That's absolutely ridiculous that 70% of a medical school class gets Honors on a rotation. That is statistically impossible for any medical school class to be at that level. Only Yale would be able to get away with that. My guess is certain specialties will look at their Step scores very closely.
 
But everyone at every medical school interview says the student body is laid back.
Hence why as an applicant you don't just speak with the students that medical school administrators push to the front of you on interview days.
 
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That feature's really old. Required qualifier exams are no longer in place. Anonymous evaluations are optional. They do have H/P/F for clerkships, but 70% get Hs, so it is not a competitive system. No ranking whatsoever, not even in the Dean's Letter. (This is the most important thing imo.) Again, the closest there is in the system today.

Wow, I want to go to Yale so badly now. Ivys do education right.
 
Wow, I want to go to Yale so badly now. Ivys do education right.

The only reason that they can do that is because they are so selective with their applicants. A school without a prestigious reputation could never get away with that.
 
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Wow, I want to go to Yale so badly now. Ivys do education right.
Yale can get away with that, bc it's Yale. The barrier to entry for that medical school is enormous. Any other medical school would see their match lists plummet accordingly. Residency program directors want to see how well a medical student did during their clinical clerkships bc it's a good window to look at (in theory) with regards to residency performance.
 
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The only reason that they can do that is because they are so selective with their applicants. A school without a prestigious reputation could never get away with that.
:thumbup::thumbup:
 
I'm not saying I don't believe you. I'm saying that 70% of ANY medical school class being at the Honors level when it comes to clinical evaluations is statistically impossible. It's pretty much grade inflation at its finest (when clerkships in general at any medical school tend to have grade inflation - i.e. people who are "passed" on a rotation when they actually should have failed -- this is demonstrated by the literature).
 
Does anyone have a gunner filled class? Seems like it's pretty rare for there to be a full fledged saboteur-type.
 
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Does anyone have a gunner filled class? Seems like it's pretty rare for there to be a full fledged saboteur-type.
How are you defining gunner? Studies a lot? Competitive? Actively sabotaging? The last one is rare bc if you're caught doing it, you can get in real trouble.
 
That's most top 10 schools, though.
Yes, but they're more of the HYPSM and other Ivy League school variety (vs. if you were to look at WashU's medical school, for example). Thus, many of them tend to be more of affluent backgrounds as well.
 
Yes, but they're more of the HYPSM and other Ivy League school variety (vs. if you were to look at WashU's medical school, for example). Thus, many of them tend to be more of affluent backgrounds as well.
Depends on your definition. HYPMS has taken a big turn in the opposite direction in recent years, and increasingly more so. Sure, 40% of Yale still gets no financial aid and some grew up in the Hamptons (e.g., me, and so I know a ton of other spoiled brats like that), but it's not all pearly gates just because these people are from schools. Most premeds I know here are actually from seriously middle-class, middle level SES families (and I'm not doing the American thing of saying $150 family income is still middle-class). Overall, they're more affluent than other schools, but it's just not like how most perceive it to be.
 
Depends on your definition. HYPMS has taken a big turn in the opposite direction in recent years, and increasingly more so. Sure, 40% of Yale still gets no financial aid and some grew up in the Hamptons (e.g., me, and so I know a ton of other spoiled brats like that), but it's not all pearly gates just because these people are from schools. Most premeds I know here are actually from seriously middle-class, middle level SES families (and I'm not doing the American thing of saying $150 family income is still middle-class). Overall, they're more affluent than other schools, but it's just not like how most perceive it to be.
Yes, bc of bad PR press in looking like an elitist organization who doesn't actually admit students based on merit. Or articles like this by Ms. Sarah Siskind at Harvard (a legacy, mind you): http://www.thecrimson.com/column/the-snollygoster/article/2012/11/2/Siskind-affirmative-action/

The vast majority of those who attend medical schools like Harvard or Yale, are people who are relatively affluent due to their parents (and live in affluent locations), have attended private school all their lives, etc. It's a pipeline. You won't be seeing Johnny from rural Arkansas attending Harvard Medical School as a rule. He'll be the exception, just like Melanie Molina at HMS. Forget premeds. Anyone can label themselves "premed". I'm talking about actual medical school matriculants.
 
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Yes, bc of bad PR press in looking like an elitist organization who doesn't actually admit students based on merit. Or articles like this by Ms. Sarah Siskind at Harvard (a legacy, mind you): http://www.thecrimson.com/column/the-snollygoster/article/2012/11/2/Siskind-affirmative-action/

The vast majority of those who attend medical schools like Harvard or Yale, are people who are relatively affluent due to their parents (and live in affluent locations), have attended private school all their lives, etc. It's a pipeline. You won't be seeing Johnny from rural Arkansas attending Harvard Medical School as a rule. He'll be the exception, just like Melanie Molina at HMS. Forget premeds. Anyone can label themselves "premed". I'm talking about actual medical school matriculants.
That is just not true. I'm telling you – I grew up in that environment, and I can tell you that though we are still in the majority (>50%), it is no longer the vast majority (>80%). Affluent kids from affluent neighborhoods do not all go to private schools. You won't believe me, but those generalizations are breaking apart as we speak. Ivies will always get a bad rep because of their elitist attitudes no so long ago (and justifiably so), but the tide is turning.

P.S. No offense, but the premeds at my school are all going to medical school. Rarely does anyone not get in anywhere, so I do think I can talk about them.
 
That is just not true. I'm telling you – I grew up in that environment, and I can tell you that though we are still in the majority (>50%), it is no longer the vast majority (>80%). Affluent kids from affluent neighborhoods do not all go to private schools. You won't believe me, but those generalizations are breaking apart as we speak.

P.S. No offense, but the premeds at my school are all going to medical school. Rarely does anyone not get in anywhere, so I do think I can talk about them.
I've referring to matriculating students at medical schools like Harvard, Yale, etc. Also, if you think that somehow every hardworking Ivy League premed makes it into medical school, then your bubble is even more closed off than usual.
 
I've referring to matriculating students at medical schools like Harvard, Yale, etc. Also, if you think that somehow every hardworking Ivy League premed makes it into medical school, then your bubble is even more closed off than usual.
I know. And I'm telling you and I am very involved in that group of people, and I am telling you that not everyone came from a background like mine. You can either keep believing what you want to based on random news articles/classic impressions, or take some guidance from the anecdotal evidence I'm offering.
No, I'm not under that impression. Just that your deflection that the premeds at my school (past and present, mind you, so I was referring to some who are currently in med school) can't show at all that the elite med school demographic is changing is ill informed.
 
Affluent kids from affluent neighborhoods do not all go to private schools.
You're right, they attend very good local public schools in their district that are very well funded by local property taxes, after which they then head straight off to private schools.
 
You're right, they attend very good local public schools in their district that are very well funded by local property taxes, after which they then head straight off to private schools.
lol this guy. Lost cause. Believe what you want to.
 
I know. And I'm telling you and I am very involved in that group of people, and I am telling you that not everyone came from a background like mine. You can either keep believing what you want to based on random news articles/classic impressions, or take some guidance from the anecdotal evidence I'm offering.

No, I'm not under that impression. Just that your deflection that the premeds at my school (past and present, mind you, so I was referring to some who are currently in med school) can't show at all that the elite med school demographic is changing is ill informed.
Sorry but when you say, "P.S. No offense, but the premeds at my school are all going to medical school. Rarely does anyone not get in anywhere, so I do think I can talk about them." -- you're very much misinformed if not very blind to the realities of med school admissions. There's a reason that premeds game the system and go to lower caliber universities to get higher GPAs for the purposes of one-upsmanship in medical school admissions.
 
lol this guy. Lost cause. Believe what you want to.
Yes, you're right. A huge segment of the med school populace at a medical school like Yale or Harvard are going to your local state public flagship school. :rolleyes:
 
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Perhaps I am about to say something anti-SDNish, but oh well :rolleyes:

What's wrong with a little (non-sabotage-y) competition?

All the schools I applied to were P/F. When I spoke with some of the students who I stayed with overnight, I was totally thrown off by a recurring theme: students in "true" P/F schools were sometimes purposefully underachieving. On 3 separate occasions (when I stayed overnight), I was asking about how the students approached P/F and 3 different groups of students, at 3 different schools, openly said that they didn't bother studying for the last few tests in a section because they had already done well enough to "pass" the block overall. These were first year students, who knows what kind of sample I got, etc, etc. The point is, while I don't want to spend my whole life obsessing over studying, I do want to have the motivation to try and give all parts of my education equal effort - I don't know that I am going to be in a position to judge what's important.

If, without any sort of inter-classmate competition, the goal shifts to doing well on the Step 1/2/3 exams...is that good enough?Is that enough motivation to produce future physicians who are trying to be the best they can be?

I like to think that I am a good enough student/person to study diligently, keep up research, and volunteer at the student run clinic, and play club squash in my free time for fun and exercise. That said, without seeing my classmates accomplish these things and more, I don't know if I'll get myself moving and accomplish all these things. There is value to seeing a peer role model and thinking, if they can do this then so can I.

What do you all think?
 
Perhaps I am about to say something anti-SDNish, but oh well :rolleyes:

What's wrong with a little (non-sabotage-y) competition?

All the schools I applied to were P/F. When I spoke with some of the students who I stayed with overnight, I was totally thrown off by a recurring theme: students in "true" P/F schools were sometimes purposefully underachieving. On 3 separate occasions (when I stayed overnight), I was asking about how the students approached P/F and 3 different groups of students, at 3 different schools, openly said that they didn't bother studying for the last few tests in a section because they had already done well enough to "pass" the block overall. These were first year students, who knows what kind of sample I got, etc, etc. The point is, while I don't want to spend my whole life obsessing over studying, I do want to have the motivation to try and give all parts of my education equal effort - I don't know that I am going to be in a position to judge what's important.

If, without any sort of inter-classmate competition, the goal shifts to doing well on the Step 1/2/3 exams...is that good enough?Is that enough motivation to produce future physicians who are trying to be the best they can be?

I like to think that I am a good enough student/person to study diligently, keep up research, and volunteer at the student run clinic, and play club squash in my free time for fun and exercise. That said, without seeing my classmates accomplish these things and more, I don't know if I'll get myself moving and accomplish all these things. There is value to seeing a peer role model and thinking, if they can do this then so can I.

What do you all think?
I think that I personally would do better in a graded/ranked (not P/F) environment. As much as I try to be self-motivated, there is an overwhelming part of me which prefers to do the bare minimum possible for the highest reward possible. I'm doing better now in my postbacc than I used to, but it still stands that if I'm aiming for an 'A' and I fall short, I'll have a 'B'. If I'm aiming just for a 'P' and I fall short...bad news bears.
Beyond that, I want to be motivated, to work like crazy, and to learn as much as possible, despite the academic stress that entails. I also know that I will be far more likely to do that in a graded environment than a P/F one.
 
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