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April 1958

Rypins' Medical Licensure Examinations.

AMA Arch Intern Med. 1958;101(4):837. doi:10.1001/archinte.1958.00260160161021

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Some years ago an inconsiderate Egyptian student shot his examiner. And why not? Examinations have been pruned in this country, and we may underestimate their influence elsewhere. In Britain, for instance, where probably a quarter of medical students come down at the intermediate or final fence, these examinations require a very considerable factual knowledge. This is commendable, but the emphasis often seems to be upon possession of the facts rather than the ability to use them, which leads to many ills. The candidate tends to study for the tests rather than for his ultimate medical knowledge, and during the last few months the forthcoming trial tends to snuff out all curiosity and originality of thought. Malleson has written that some ten per cent of students facing the major examinations develop symptoms of strain which bring them to his health center in the University of London. What is less easy to

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