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But why do some people who study A LOT still do bad on the tests? I don't think it's all about their work ethic and how well they prepare. For example, for the verbal, why are some people "naturally" good at it, while others struggle, regardless of their scientific capabilities? It just eludes me how diverse people are in their thinking and how it correlates with their test-taking skills.
Our culture values analytical intelligence, which is reflected in all standardized testing. Analytical intelligence is just one of many kinds of intelligence, and common sense will tell you that people who score 40+ do not appear 'intelligent' in all situations. They certainly aren't guaranteed to be good doctors. That said, I don't think analytical intelligence isn't important in medicine, so if you get a 25 you might want to exercise that brain-muscle a bit.
I hate to admit it but I look at people with 40+ score with awe