Anonymous wrote:
Anonymous wrote:
Anonymous wrote:Okay let's make this more concrete
You are the admissions committee. Your state is in need of more doctors willing to go into primary care to serve patients in underserved/rural areas. Here are your applicant potentials.
-Applicant 99% percentile MCAT, junior in college, has always wanted to be a doctor, did all of their pre-reqs with As. Joined the typical pre-med courses
-Applicant with 80% percentile MCAT. A nurse. did all her pre-reqs over the course of 3 years while working in a busy trauma center. Speaks fluent Spanish. Has won awards for patient-centered care. Has a family in the area and plans to stay to serve the community
-Applicant with 70% percentile MCAT. served in the military (thank you for your service). has a heart to serve the Veteran population. Wants to be a surgeon. has already done surgical training while serving (did EMS training).
And let me tell you... this is truly what the applicant pool looks like (if not more impressive).
You know based on historical data that anyone with >70% MCAT will pass all boards and succeed. Who will you pick?
DP. Great thought-provoking post.
I have no idea who I’d pick—legitimate and compelling reasons for each of them. I think (hope) most of us would agree.
Worth noting that these are race-neutral choices. My sense is that opponents’ primary objection is using race as a proxy for (and in lieu of) the kids of substantive differences listed in your hypothetical.
Thought provoking I agree. Suppose, for the sake of argument, that MCAT is highly predictive of quality of doctor (measured by medical outcomes, say, I know that's hard). This is a hypothetical, bear with me.
Under that hypothetical, if you deliberately choose lower-scoring applicants (by a lot, in your hypo) to match the population, then this is not a harmless choice. You are actually saddling that population with worse doctors, compounding the medical challenges they already face.
So what this means is that you'd better be darn sure that the "unmeasurables" in your formulation really do add up to better care. The rub, of course, is that these are always unmeasurables. And in general Mr./Ms. 99%, who always wanted to be a doctor, while perhaps short on life experience, has been honing their ability to assimilate and analyze data from the cradle (if we are going to buy into stereotypes here) and reads med journals for fun. So they get some unmeasurables too.