When my child attend the HGC at CCES only a few years ago, the teachers were very flexible. Kids turned in all kinds of projects to get credit for assignments. One kid was into doing stop motion video for her assignments. My kid, who was quite far ahead in one area, was allowed to skip sections of material she knew and make up her own projects and do her own research and present them to the kids. Sometimes she made videos, sometimes she made quiz shows, sometimes she did oral presentations. I can't imagine saying that the HGC is "cookie cutter" and "teaching to the test". In fact, most of these kids are years beyond the "test". Because of this, it is true that they get a review before the MSAs, like the rest of the school, but theirs is general pretty brief. If you are taking 7th grade math, it does help to go back and review what MCPS says about which kinds of graphs are best for which kinds of data displays, for example. Or review probability, which doesn't appear often in the curriculum over the years.
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