Basically, I'm not taking kiddy classes anymore. I'm going into clinical rotations in my major and rarely will I get A's except in two or three sites that don't require effort. A-'s will bring my GPA down quite a bit, especially 30 credits worth (1 year). YES, I KNOW GETTING A-' OR B+'S (OR B'S, I GUESS) AREN'T THE END OF THE WORLD. Obviously I will try for the A. So how would you explain this besides "it's hard to go from textbooks to the patient's bedside", considering this is what we'll be doing in med school?