Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking

End medical school grades

Adam Lieber
Education
January 19, 2021
Share
Tweet
Share

There should be no grades in medical school. Forty-something percent of applicants get accepted to one or more medical schools. To even apply to medical school, one needs to have not only graduated or be on track to graduate college, but also needs to have passed the MCAT and have the support of a pre-medical application committee. I am no mathematician, but I do not think that it is a stretch to say that less than 10 percent of those who wanted to go to medical school on their first day of college do, in fact, end up matriculating into medical school.

From Day 1 of medical school, students must be made to feel that their classmates and professors are on their side. For the cynical folks who doubt they’d be able to approach medical school as anything other than a zero-sum game, a Hunger Games-esque fight for the top residency program, these people should either not be admitted in the first place, or at least should get help. Grades feed competition which feeds students’ lack of self-worth, which threatens future doctors’ compassion for patients, and so on.

Most importantly, the patients get hurt. I do not consider myself a competitive person by medical school standards, but when I was a third-year student completing core clerkships, I found myself approaching each of my patients as a determinant in “how I would do” (i.e., what grade I would receive) in a given clerkship. Imagine you are a patient, and your medical student front-line provider is sticking you with a butterfly needle three, maybe four times in desperate search for a flash because they want their resident to know how “competent” they are. This example may only cause a minor inconvenience to the patient, but imagine this medical student graduating AOA, going to their first choice surgical residency, and carrying the same mindset into the OR. Patient safety always must come first, and an environment where asking for help must be encouraged, not viewed as a sign of incompetence or weakness. Because the current environment we are currently in fosters nervousness, which leads to medical errors.

Over the last year, we have experienced the deadliest pandemic in recent memory, a president who refused to admit wrongdoing, and a violent event in the Capitol. When I was texted about the loss of a family member, I was on rounds with my medicine team. Afraid to show weakness, I stayed the entire day, only mentioning that I was not okay when it was time to sign out to the night team. I was overly concerned with how I would be perceived if I left in the middle of rounds. Medical school hardened me significantly, in some ways good, but if 2020 has taught us anything, it is that we must remember that we and our patients are all just imperfect people doing our best. We must end the endless competition in what should be a collaborative field, and that starts with doing away with grades in medical school.

Adam Lieber is a medical student.

Image credit: Shutterstock.com

Prev

The lungs and the common good

January 19, 2021 Kevin 0
…
Next

My Dragon versus my fingers: A weak dictator's struggles in communication

January 19, 2021 Kevin 5
…

Tagged as: Medical school

Post navigation

< Previous Post
The lungs and the common good
Next Post >
My Dragon versus my fingers: A weak dictator's struggles in communication

ADVERTISEMENT

Related Posts

  • The medical school personal statement struggle

    Sheindel Ifrah
  • Why medical school is like playing defense

    Jamie Katuna
  • Promote a culture of medical school peer education

    Albert Jang, MD
  • The unintended consequences of free medical school

    Anonymous
  • A meditation in medical school

    Orly Farber
  • Is apathy needed to survive medical school?

    Anonymous

More in Education

  • Why medical schools must ditch lectures and embrace active learning

    Arlen Meyers, MD, MBA
  • Why helping people means more than getting an MD

    Vaishali Jha
  • Residency match tips: Building mentorship, research, and community

    Simran Kaur, MD and Eva Shelton, MD
  • How I learned to stop worrying and love AI

    Rajeev Dutta
  • Why medical student debt is killing primary care in America

    Alexander Camp
  • Why the pre-med path is pushing future doctors to the brink

    Jordan Williamson, MEd
  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How New Mexico became a malpractice lawsuit hotspot

      Patrick Hudson, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • Why medical schools must ditch lectures and embrace active learning

      Arlen Meyers, MD, MBA | Education
    • Why public health must be included in AI development

      Laura E. Scudiere, RN, MPH | Tech
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why flashy AI tools won’t fix health care without real infrastructure

      David Carmouche, MD | Tech
  • Recent Posts

    • Why medical schools must ditch lectures and embrace active learning

      Arlen Meyers, MD, MBA | Education
    • Why helping people means more than getting an MD

      Vaishali Jha | Education
    • How digital tools are reshaping the doctor-patient relationship

      Vineet Vishwanath | Tech
    • Why evidence-based management may be an effective strategy for stronger health care leadership and equity

      Olumuyiwa Bamgbade, MD | Physician
    • Why health care leaders fail at execution—and how to fix it

      Dave Cummings, RN | Policy
    • Residency match tips: Building mentorship, research, and community

      Simran Kaur, MD and Eva Shelton, MD | Education

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 17 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • How New Mexico became a malpractice lawsuit hotspot

      Patrick Hudson, MD | Physician
    • Why doctors are reclaiming control from burnout culture

      Maureen Gibbons, MD | Physician
    • Why medical schools must ditch lectures and embrace active learning

      Arlen Meyers, MD, MBA | Education
    • Why public health must be included in AI development

      Laura E. Scudiere, RN, MPH | Tech
  • Past 6 Months

    • Why tracking cognitive load could save doctors and patients

      Hiba Fatima Hamid | Education
    • Why are medical students turning away from primary care? [PODCAST]

      The Podcast by KevinMD | Podcast
    • What the world must learn from the life and death of Hind Rajab

      Saba Qaiser, RN | Conditions
    • Why “do no harm” might be harming modern medicine

      Sabooh S. Mubbashar, MD | Physician
    • Here’s what providers really need in a modern EHR

      Laura Kohlhagen, MD, MBA | Tech
    • Why flashy AI tools won’t fix health care without real infrastructure

      David Carmouche, MD | Tech
  • Recent Posts

    • Why medical schools must ditch lectures and embrace active learning

      Arlen Meyers, MD, MBA | Education
    • Why helping people means more than getting an MD

      Vaishali Jha | Education
    • How digital tools are reshaping the doctor-patient relationship

      Vineet Vishwanath | Tech
    • Why evidence-based management may be an effective strategy for stronger health care leadership and equity

      Olumuyiwa Bamgbade, MD | Physician
    • Why health care leaders fail at execution—and how to fix it

      Dave Cummings, RN | Policy
    • Residency match tips: Building mentorship, research, and community

      Simran Kaur, MD and Eva Shelton, MD | Education

MedPage Today Professional

An Everyday Health Property Medpage Today
  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

End medical school grades
17 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...