I like how you all assume he is rolling around with a T shirt on saying he is a 4.0 student or gloating to everyone he sees. The truth is it takes very little slippage on the test-acers part to induce this sort of hatred. For example, people ask you what your score is--are you supposed to tell them or reply with a smug "I did well," even after they've told you their score? That 's even more awkward. Also, if you have actual friends in the class, you may feel comfortable sharing your score with them (esp if they are good students as well) but they may then turn around and tell other people
The bottom line in my opinion is this: our society ridicules academic achievement. If you're serious about not being ridiculed, don't tell ANYONE--not your buddies (they'll brag), not the kid you want to shut up because he constantly asks you your grade. I've caught **** for my 4.0. I've caught **** for my 42R. That's not my fault--these are accomplishments I should have every right to be proud of, and frankly I'm not ashamed to be good at academics.
As a physician, you're going to be dealing with jealousy and resentment for the rest of your life. Get used to it.