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November 19, 1973

In Search of an Explanation

Author Affiliations

Assistant Director AMA Department of Undergraduate Medical Education, Chicago

JAMA. 1973;226(8):991. doi:10.1001/jama.1973.03230080133019

This fall, as another and larger freshman class matriculated in US medical schools, the number of rejected applicants also increased. By the standards that governed admission to medical school a few years ago, large numbers of applicants (perhaps almost as many as entered medical school) were qualified but now have been "rejected" by the profession they wished to follow. Not only these rejected applicants but also their parents, friends, and the public deserve an explanation.

Some of those who were rejected will find other satisfying occupations. Some will pursue with perseverance, at considerable cost, a usually inferior education at one of the few foreign schools that accepts "foreigners." After attending a foreign school they will often have difficulty returning to US medicine. Some will, with their friends, parents, and others, criticize the AMA, alleging that it restricts educational opportunity for the selfish interests of its members. Some will resent vociferously