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Against Intelligence: Rethinking Criteria for Medical School Admissions
Published online by Cambridge University Press: 28 February 2023
Abstract
Intelligence, as measured by grades and/or standardized test scores, plays a principal role in the medical school admissions process in most nations. Yet while sufficient intelligence is necessary to practice medicine effectively, no evidence suggests that surplus intelligence beyond that threshold is correlated with providing higher quality medical care. This paper argues that using perceived measures of intelligence to distinguish between applicants, at levels that exceed the level of intelligence required to practice medicine, is both unfair to applicants and fails to serve the interests of patients.
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- © The Author(s), 2023. Published by Cambridge University Press
References
Notes
1. Holistic Review; 2021; available at https://www.aamc.org/initiatives/holisticreview/about/ (last accessed 20 Jan 2023).
2. Great Courses and Professor Arnold Weinstein Gets His Essay 37 Years Later; 2021; available at https://talkerofthetown.com/2020/12/28/36-years-later-professor-arnold-weinstein-gets-his-essay/ (last accessed 20 Jan 2023).
3. Walton, HJ. Personality assessment of future doctors: Discussion paper. Journal of the Royal Society of Medicine 1987;80(1):27–30 CrossRefGoogle ScholarPubMed.
4. See note 3, Walton 1987.
5. Gardner, H. The theory of multiple intelligences. Annals of Dyslexia 1987;37(1):19–35 CrossRefGoogle ScholarPubMed.
6. Lievens, F. Adjusting medical school admission: Assessing interpersonal skills using situational judgement tests. Medical Education 2013;47(2):182–9CrossRefGoogle ScholarPubMed.
7. Patterson, F, Zibarras, L, Ashworth, V. Situational judgement tests in medical education and training: Research, theory and practice: AMEE Guide No. 100. Medical Teacher 2016;38(1):3–17 CrossRefGoogle Scholar.
8. New Admission Test Flawed, Won’t Produce Better Doctors; 2021; available at https://www.medscape.com/viewarticle/924833 (last accessed 20 Jan 2023).
9. Powis, D. Selecting medical students: An unresolved challenge. Medical Teacher 2015;37(3):252–60CrossRefGoogle ScholarPubMed.
10. Appel, JM. Medical school: The wrong applicant pool? Hastings Center Report 2019;49(2):6–8 Google Scholar.
11. Kennedy, D. Legal education and the reproduction of hierarchy. Journal of Legal Education 1982;32(4):591–615 Google Scholar.
12. Hohan WH. Roman L. Hruska dies at 94; leading senate conservative. The New York Times 1999 Apr 27.
13. Harris, D. Factors affecting college grades: A review of the literature, 1930–1937. Psychological Bulletin 1940;37(3):125–66CrossRefGoogle Scholar.
14. Frey, MC. What we know, are still getting wrong, and have yet to learn about the relationships among the SAT, intelligence and achievement. Journal of Intelligence 2019;7(4):26 CrossRefGoogle ScholarPubMed.
15. Emanuel, EJ, Gudbranson, E. Does medicine overemphasize IQ? JAMA 2018;319(7):651–2CrossRefGoogle ScholarPubMed.
16. Gray, ME, Holyoak, KJ. Individual differences in relational reasoning. Memory & Cognition 2020;48(1):96–110 CrossRefGoogle ScholarPubMed.
17. Plomin, R, Deary, IJ. Genetics and intelligence differences: Five special findings. Molecular Psychiatry 2015;20(1):98–108 CrossRefGoogle ScholarPubMed.
18. Sternberg, RJ. Intelligence. Dialogues in Clinical Neuroscience 2012;14(1):19–27 CrossRefGoogle ScholarPubMed.
19. Finkel, D, Pedersen, NL, McGue, M, McClearn, GE. Heritability of cognitive abilities in adult twins: comparison of Minnesota and Swedish data. Behav Genet. 1995;25(5):421–431.CrossRefGoogle ScholarPubMed
20. Houdé, O. Beyond IQ comparisons: intra-individual training differences. Nat Rev Neurosci. 2010;11(5):370.CrossRefGoogle ScholarPubMed
21. See note 17, Plomin 2015.
22. Davies, G, Tenesa, A, Payton, A, Yang, J, Harris, SE, Liewald, D, et al. Genome-wide association studies establish that human intelligence is highly heritable and polygenic. Molecular Psychiatry 2011;16(10):996–1005 CrossRefGoogle ScholarPubMed.
23. Hauser RM. Meritocracy, Cognitive Ability, and the Sources of Occupational Success. CDE Working Paper No. 98-07. Madison: Center for Demography and Ecology, University of Wisconsin-Madison; 2020.
24. Steiner-Hofbauer, V, Schrank, B, Holzinger, A. What is a good doctor? Wiener Medizinische Wochensschrift 2018;168:398–405 CrossRefGoogle Scholar.
25. See note 24, Steiner-Hofbauer et al. 2018.
26. Broyard A. Doctor talk to me. New York Times 1990 Aug 26.
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