Note: Below is an excerpt from a 2018 piece in the Weekly Standard (now hosted on the Washington Examiner’s website) discussing the evolution of the MCAT and other admissions criteria for med schools. More to come soon on the subject of politicized medicine.
In 2015, the Association of American Medical Colleges revised the Medical College Admissions Test (MCAT) for the first time in nearly 25 years, stretching the full exam-day experience from around five hours to eight or more. The test drew attention at the time for its sheer length; less widely noted was the explicitly ideological bent of the new exam.
The AAMC occupies a curious place in the world of medicine. It forms one-half of the only government-approved accrediting entity for U.S. medical schools, and it is solely in charge of administering both the MCAT and the national standardized medical-school application. Unlike the American Medical Association, which represents physician groups without exercising much direct control over doctors, the AAMC has immediate and significant authority over its constituent medical schools and academic health centers. And in recent years, it has used this leverage to fundamentally alter the way medical schools assess applicants.
Dr. Darrell Kirch, president and CEO of the AAMC, expressed his vision in a candid 2011 speech at the University of California, Davis: "I am a man on a mission. I believe it is critical to our future to transform health care. I'm not talking about tweaking it. I'm not talking about some nuanced improvements here and there. I'm talking about true transformation."
In that address and others, he described the AAMC's "Holistic Review Project," which the organization launched in 2007 with the goal of "redefining what makes a good doctor." The project's objectives included revising the MCAT and a wide range of other reforms. A series of new guidelines (some of which have yet to be implemented) called on medical school admissions teams to place less emphasis on applicants' grades, changed the requirements for letters of recommendation, and altered the standardized application by requesting a great deal more information about students' upbringing and life experiences. The AAMC is also planning to add "situational judgment tests"—carefully crafted interviews in which applicants will be presented with a variety of hypothetical scenarios involving ethical conflicts—to the current admissions requirements. Along with the new MCAT, these changes are part of Kirch's plan to shift the focus of medical-school admissions toward a "new excellence," a standard based less on test scores and more on "the attitudes, values, and experiences" of applicants.
Read more at the Washington Examiner.