<p>I agree the difference between a 41 and a 38 is not so much intelligence as it is a bit of luck and maybe preparation. I also agree that someone with a 38 is not destined to be a worse clinician than someone with a 41. However, the assumption is that medical admissions is purely on the basis of who the adcom thinks is going to be the best clinician. This is not the case. In fact, I’m kind of getting tired saying it so please before I get cranky about it realize this. It isn’t about being a guaranteed better student with 10 more points on the high end of the SAT and it is not about being a better clinician with an extra 2 points on the MCAT on the high end. It doesn’t matter if there have been some crappy, poorly designed studies that are not nearly as well known as they would like to claim to be about high MCAT scores and clinical ability (which I’m not entirely sure is able to be measured in an objective manner), because accepting students with higher MCAT scores that have no real percentile different isn’t about thinking that they are inherently better suited to be clinicians. A person could take the MCAT twice in separate realities and get a 38 and a 41. Same person, same application, but the 41 is more desirable than a 38 hands down. Why? Because it gives the admissions committee 3 more points to their average to play with on the grand scale of things. That means maybe they can take the kid with brilliant research experience but only a 31 without having to worry about altering their desired average. Or maybe they want to make a push up the rankings with a higher MCAT, with a few more 41s instead of 38s they might be able to do that (case and point WashU). And also, to repeat one last time and then I start throwing scalpels, it isn’t about just getting the best clinicians. If someone told me that a kid with a 36 and a 42 are not over their lifetimes statistically likely to be different clinicians, I might be inclined to believe it to an extent. However, there is more to medicine than just clinical medicine. There is teaching, research, business, administration, advocacy, etc. I am quite confident that there has not been a study demonstrating that all of these things do not vary between a 36 and a 42, especially research. </p>
<p>Now to the last page:</p>
<p>My emphasis is that a higher score than what is considered excellent bears significantly less weight as it surpasses this “excellent” level - that is, its weight begins to significantly diminish beyond this point.</p>
<p>Well see now you aren’t describing a threshold, you are describing diminishing returns. The very extreme, which is not the threshold for being competitive in that area, of anything becomes a matter of diminishing returns. 50 volunteer hours versus 1000 is valued differently. 1000 vs 2000 vs 3000… the increasing value clearly will start to be diminished, especially if these increases are at the expense of other areas. Same for research, 1 publication versus 10 is a difference. 10 versus 12 not so much. The effort put in to get additional materials does not necessarily give you the advantage that diverting that time to boosting your volunteering from 50 to 400 hours or whatever. Diminishing returns is not a threshold because value is still obtained from increases and because being below that threshold does not disqualify you from being competitive in that area or in your application as a whole.</p>
<p>“As for MCD’s second paragraph of points, my focus is more on the analysis than the numbers designated for “excellent,” “good,” “average,” etc. Her analysis is that once placing beyond a said medical school’s desired MCAT score, everything else on your application begins to weigh much more. You’ve met their “requirements” (aka what they’re looking for) in terms of MCAT, and now they want to see what else you have to offer. Given two applicants, one with a 39 and another with a 42, I’m sure there is much more emphasis placed on the 39’s incredibly intriguing EC’s than on 42’s additional 3 points. On the other hand, given two applicants, one with a 34 and one with a 38, I would think there is much more emphasis placed on 38’s additional 4 points than 34’s EC’s.”</p>
<p>No one denies the need to be adequate in many areas, but every application has its strong points and you should not underestimate the MCAT as a potential strong point. a 4.0 and 45 with no ECS isn’t going to get you into Harvard, where as a 3.8 and a 38 and good ECS might. Well roundedness is a necessity, but you are mistaken if you don’t think that Harvard would prefer a 4.0 and a 45 and good ECs. There is still value in higher stats and you can obtain better admissions and better financial aid with them in conjunction with a well rounded application. You are also mistaken that a 34 with good ECs couldn’t beat out a 38. It is the full package, but as I said better is always better and it is valuable. I really think that this discussion has reached a point where it is just getting repetitive. I suggest you forget all about the MCAT and worry about being in college. I didn’t even know how the MCAT was scored until I was a junior in college and while you clearly do, I don’t think you will truly understand the value of a given score until you take the MCAT or go through an admissions cycle. Debate with me more then if you feel the need.</p>