I don't disagree, however, there needs to be some reasonable process and mechanism for selecting proper/the best applicants. The entire med school application process became this way many years ago (probably before even the current ad coms were born) when they found that folks getting accepted, weren't capable of handling the rigors of medical school. This was way before it was even remotely competitive like today. Yet they still needed some way to weed out folks who couldn't handle medical school.
So when a process requires an investment of 4-8 years to complete, you would rather err on the side of being too cautious yet still having a few folks who get remediated or fail out, than being like the Caribbean schools where 75% fail out.
So short of some newly created test that does a better job, the MCAT along with GPA are the only reliable ways to predict performance in medical school.
Having to apply to 20+ schools, even with a high MCAT, etc. isn't exactly good either. Schools interviewing 1000+ applicants for 150 seats is pure madness. It would be far better if folks could apply to 5 schools and not have to take up acceptance spots on 10+ schools. Sadly, the "holistic" process and whatever black magic is used, means someone even with a 528 a 4.0 and a great application, might not even get an interview if they only applied to 5 schools.
If you had to design the process from scratch, how would you do it?
To avoid getting too off-topic, the idea that selection aspires for "the best" or even "proper" is already presumptuous, right? Because the only thing a 528 makes you the best at is taking the MCAT on your test date, given your test version. You would still be very far from being "the best" at any of its content. This fetishization of a test score to serve as the ultimate test of both academic and non-academic qualities (like reliability over time) is an intellectual stretch verging on dishonesty.
I never claimed to have all the answers, but I can say that the incrementalism of the remedy only breeds resentment from both sides: the majority will feel progressively cheated of their dominance; and the growing minority will feel each step is twice—
thrice more deserved than the individual they replaced. And honestly, they would be right: to even compete at this level while belonging to certain groups, even getting an education verges on a political act. The kinds of things a person is capable of doing just to receive an education (and the things that can be enacted on them in prevention of that outcome) is truly staggering.
The subtext of this entire conversation is really: Who deserves to be socioeconomically protected from (gestures broadly)
all of this, happening out in the world, right now? Physicians, with high compensation and job security, receive substantial investment from institutions to train them, and through their extended education, social capital, and prestige—do, at least through licensure, protect themselves from ever being in any reasonable risk of poverty ever again. Conversely, if you have two doctor parents, your chances increase both directly and indirectly: directly, because they will assist with their knowledge of the process, connections, and professional experiences; and indirectly because their extended education already demonstrates that they value academic quality and are therefore more likely to cultivate those qualities in their children.
I mean, a trucker is not going to teach his kid that they should really care about IUPAC nomenclature; and a doctor is not going to teach his kid to stare directly at the sun for long periods of time while focusing a magnifying glass to their retinas. It's a really "duh" concept but it bears repeating.
Because of that, medicine, like many other lucrative fields, attract students from diverse populations—importantly, students from populations that really do not have life circumstances conducive with the protracted academic timeline of physicians, but whom, through sheer persistence, sacrifice (and usually their better judgment), insist on putting forth an application. When history has been this tilted and unfair, of course scores will reflect that generational heritage.
But you're right, it's getting more competitive, it's becoming undeniable that the people on the margins are no less intelligent, meritorious, or deserving. And you're right again, that once you max out, once enough people are able to max out the scale, it might not be feasible to depend on the current system and still insist that those who have success deserve it. That is why you can insist on "the best" and still agree that the competition is not fair if you can be the best and still not have a guarantee.
What I'm saying is that the majority can only have a corner on this for so long, until that threshold is met and parity in proportion to our actual population is achieved.
When that happens (and considering aspiring medical students must have 5 years of curing cancer prior to applying these days),
everyone, not just the minorities, will start raising pitchforks.
That's why I think we should fight against this 517 vs 520 discourse and really talk about why this idea that we can have a medical school student population composed singularly of students with perfect metrics is not only statistically impossible, but also sort of defeats the purpose of having metrics at all. We are just making things so rigid that unless you have a personal assistant, tutor, and consultant to manage and guide your experiences, only one kind of person could really aspire to reach for the profession
de facto, not necessarily by policy (although very
that, too).