So much anger in this thread. This conversation needs to get a lot more civil, and I'm not just saying that to the two obvious culprits. They're being unnecessarily nasty, true, but many of you responding to them are being equally discourteous. Clean it up, people. We can be better than this.
I acknowledge and respect the points being made by both sides. As a former applicant, I can personally attest to how badly it sucks when your whole professional future depends on whether a handful of individuals like you and think you fit their mold. I'm a very agreeable person IRL and converse easily with nearly everyone, but I sometimes run into folks with whom I just don't gel. Should I have been denied the opportunity to practice medicine simply because a single interviewer and I had a challenging twenty-minute interaction? On the other hand, does my ability to charm many people necessarily mean I'm going to be a great doctor? Should a single test score determine my future? Or my brief description of a single extracurricular activity?
The problem is that there isn't any single infallible predictor of future success in medicine, so we're forced to use a collection of various data points as surrogates as we decide whom to admit. GPA and MCAT are predictors of an applicant's future academic success, although studies vary in how useful they find these numbers to be (for example, compare
this and
this). But they
are predictors, and they're a quick and objective way for us to decrease the 10,000 applications we receive to a more manageable number.
There are two obvious objections to the use of GPA and MCAT as initial application screens. First, they're fallible: some people with great scores perform poorly in med school; others with lesser stats may perform exceedingly well. Second, we don't adjust GPAs according to undergrad school or program of study. The first point can be answered simply enough by referring to the above-linked studies: they're positively predictive to some degree, and anecdotes about some student doing well/poorly despite bad/good numerical stats are invalid in a logical argument. As to the second point, there were 5,300 postsecondary institutions in the United States as
reported by the Washington Post in 2015. How should we go about standardizing GPA between that many schools? Even if we just developed a rubric that standardized things for the 500 most active premed undergrad programs, each student's GPA will vary based on the specific mix of professors they had, the major they were in, and any number of other factors, and such a rubric would exclude applicants from any other US or international institution. There's no way adcoms could standardize GPA in any kind of fair or consistent way, which is why we also have the MCAT. (Additionally, if we made some kind of standardization formula to compare GPAs across schools, I guarantee you we'd get sued so fast it would set our hair on fire.)
Obviously, GPA and MCAT don't tell the whole story, so we read essays and evaluate extracurriculars. And you might be surprised at how important those are in the application review process. On several occasions this year, I've been so impressed either positively or negatively that I've e-mailed our dean of admissions to say, "My numerical rankings should get my point across, but I want to be clear: we definitely should/shouldn't interview applicant X for the following reasons." I've seen some essays that seemed so grossly immature, naïve, or inappropriate that I didn't want to interview the applicant even if they had a perfect MCAT and GPA. I've seen others that were jaw-droppingly impressive in a positive way.
And then there's the interview. I'll be honest: I'm not a huge fan of the traditional interview format. People can predict many of those questions, polish their answers, and hide many of their deficiencies. That's why I'm a fan of the multiple mini interview, which is the way quite a few schools have started to go. By having the same interviewer evaluate all of that day's applicants on a single question and combining the scores given by 8-10 different interviewers, the MMI format helps reduce variability and bias; by forcing applicants to think on their feet and answer questions for which they haven't rehearsed, we uncover interpersonal shortcomings and get a better sense for people's adaptability.
In short, I don't think the medical school admissions process is as arbitrary as its detractors would have you believe, nor do I believe we adcoms are above reproach. The process generally works pretty well as it is, but it has ample room for improvement. The AAMC has encouraged schools to increase the objectivity of the admissions process and that's what we're trying to do. We're not perfect at predicting who'll make the best doctors years in advance of them earning that distinction, but we don't exactly suck at it, either.
To those who disagree with my opinions, I'm happy to engage in a polite debate. I request that you maintain a respectful tone, though, and I reserve the right to ignore anyone who elects to be an ass.
P.S. Sorry if this post wanders a bit. I wrote it on my phone.