true... but in most MD/PhD programs, applicants are also presented for acceptance to the SOM admissions committee or the SOM admissions dean. This is actually a requirement standard for the LCME accreditation of each SOM. Hours in clinical medicine is something that is easily measurable (and 100 hrs is just enough to provide sufficient experience), as compared to "understanding about clinical medicine", which is clearly what we want to show but is more difficult to quantify.