5 Problems with U.S. Medical Schools & Doctor Training

In an ideal world, the goal of medical education would be to mold students into the best, most competent, and most caring physicians they can be. Curriculums and clinical experiences would be optimized for learning and systems would exist to support students who are struggling. Unfortunately, this is not often the case with medical education in the United States.
It is estimated that nearly half of all medical students suffer from anxiety and nearly a third from depression. Moreover, according to the American Foundation for Suicide Prevention, 28% of residents experience a major depressive episode during training compared to only 7-8% of similar-aged individuals in the U.S. population. Given these unsettling trends, it is clear that there are deeply-rooted problems within medical education that need to be addressed.
Here are 5 ways that medical education is failing students.
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TIME STAMPS:
00:00 - Introduction
01:00 - Culture of Medicine
03:23 - Standardized Tests
04:34 - Research
05:29 - Subjective Evaluations
06:29 - Mistreatment & Discrimination
LINKS FROM VIDEO:
How USMLE Step 1 Pass/Fail is Changing Medical School: • How USMLE Step 1 Pass/...
Affirmative Action & Medical School Admissions | The Uncomfortable Truth: • Affirmative Action & M...
What They Don't Tell You About Med School Admissions Consultants: • What They Don't Tell Y...
#medicalschool #residency #premed
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Disclaimer: Content of this video is my opinion and does not constitute medical advice. The content and associated links provide general information for general educational purposes only. Use of this information is strictly at your own risk. Kevin Jubbal, M.D. and Med School Insiders LLC will not assume any liability for direct or indirect losses or damages that may result from the use of information contained in this video including but not limited to economic loss, injury, illness or death. May include affiliate links to Amazon. As an Amazon Associate, I may earn a commission on qualifying purchases made through them (at no extra cost to you).

[@dominick6131]

It needs to not be abusive. I did 4 year medical school in Europe. They have laws regarding student work hours. I then did rotations in the USA and was shocked that students have to do 24 hour shifts. Just students. Not residents, and unpaid. There is no increase in learning doing 24 hour shifts. They are just used as free Labour by the hospital

[@khalilahd.]

Wow I wish it was like that here in the us 😕

[@raymundogarza5781]

In Mexico we have to do 36 hour shifts as interns. We work more than 80 hours per week and are paid a little under a 100 dlls per month. And still doctors expect us to perform excellent, and make us feel bad for being tired. As you said, I havent learned more for doing more hours, its just plain exploitaition and cheap labor.

[@JSG818]

Residents sure.. but U.S. med students are not doing 24hr shifts

[@dominick6131]

@@JSG818 I personally witnessed medical students at Washington University in missiouri do 24h

[@AishiBhattacharyaOfficial]

In India we have to do at least one 36 hrs continuous shifts every week as interns with a remuneration about 150$ or less per month, making it less than $13 per Day, which is less than an unskilled labourers salary. Also we don't have any day off...

[@Xynlr123]

The horrible anxiety, stress, lack of sleep, and depression caused by medical school caused me to leave my program. I’ve never been happier and I’m living a great life now. The system is set up so horribly - goodluck to everyone continuing with the process!

[@invictuous9222]

How far did you make it? And what was the last straw for you?

[@khalilahd.]

It’s crazy how bad our system is set up here. Something needs to change 😕

[@BedrockPorkchop]

I am one of the few low income students in my school. A large amount of my peers are extremely wealthy. You can do it. It will be a lot harder but you can.

[@murraysolomon4924]

Key reasons why U.S. medical education is broken: 1. Students pay $60,000 a year in tuition yet must pay extra for online superstar lectures. Why the AAMC has not recorded superstar lecturers for all to use is a mystery to me. 2. Because of the volume of material, flashcards (anki) have become critical for learning but lecturers are not providing flashcards to help students learn the material. Again students are forced to go to outside resources. The Step exams are overemphasized yet in house Step preparation is poor or non-existent. Students are forced to pay extra for outside Q banks and review materials. The AAMC provides high quality study materials for the MCAT but not for the Step exams. This makes no sense. The University of Toronto has tried to provide key review materials in the "Toronto notes". With all the resources available to the AAMC it is a mystery to me why they are not providing free review materials and high quality Q banks.

[@palmereldritch_6669]

The problem that you're underlining here, is that it's a racket. A scam. And there is no incentive for them to change it at all, because there's nothing illegal about it. They charge what they want, teach us with a million power point slides by a bunch of semi-clueless PhDs that think we are all going to be as passionate about research as they are. Which we won't be, because most of us want to be clinicians. To make matters worse, I go to DO school with an OMM instructor assumes we will all become OMM wizards in practice, when in reality, only a tiny proportion of us will EVER use it clinically. It's all just horribly fucked up.

[@user-dl8le5cs6t]

The whole poor quality research just to pad cv is very true. Its has no impact on the overall field or microscopic impact

[@redd1417]

Plus, it’s probably something that adds to disparities the most. At least a numerical test score was something of an equalizer no matter where you came from. On the other hand, one place may not have research opportunities compared to another place. I understand there’s a need for genuine research but the shit that’s pumped out by medical students just a pad a CV is hardly needed, unless it simply helps out a legit research lab.

[@ems7623]

This is a serious be design flaw. Putting medical students through a psychologically unhealthy process that includes sleep deprivation overwork and exteme competitiveness is a very bad idea. Rigor does not mean torture. The financial cost is also a problem which had pretty serious knock-on effects on healthcare costs. It's almost as if the system is set up to lock students into a long term commitment to the career, even if they decide at some point along the way that it might not be for them. True nursing career and education ladder is not a perfect model either, but it has the advantage of providing opportunities to "step up" and "step off" the ladder. Many nurses get a two year degree, wirk fit a few years, go back and get a higher degree, get more experience send discover what they love, return to get more qualifications and so on. Why shouldn't medical education be more like this model?

[@nickjungbauer4464]

I agree with many of the concepts of this video- medical school is certainly challenging, and as someone on the cusp of residency applications I'm probably the most stressed/anxious I've ever been in my life, all due to the way the system is designed. However, rather than just presenting 'problems' with U.S. medical schools, why not present some solutions? Airing of grievances has its benefits, but in my opinion it would be more constructive to suggest legitimate and feasible changes to improve the medical system in the U.S.

[@JustineAprilJ]

Agree with this. Would love to see solutions as well.

[@amplemedicallectures]

Subscribe this channel for Latest Medical Lectures.

[@luckyluke2671]

cuz this was just a list video, he didn't even touch on solutions and it was already 11 minutes long, he does go into prospective solutions in his other videos where he goes into depth on specific topics.

[@saralee8996]

As people within the system, these are very clear to see for us, but this video is for the general public to understand why we are struggling

[@alexwyler4570]

How do you overcome American Greed? Do you think the people that prepare your food, barely make above minimum wage and live in their car will get to live in an apartment anytime soon?

[@kelzencobain3962]

Your videos are so infinity, so thank you

[@musiqal333]

Man, if I was to describe medical education to a person not in medicine, I would probably be perceived as crazy! 😂😂😂😂😂😂😂

[@NativeBlackAmericanTv]

...got some things right...glossed over some things that, in end, make a HUGE difference for "patients"(they matter too, right?). High scores and awkward to detached to condescending bedside-REALLY could give a damn-doctor-patient relationship versus someone who pursues the field because of their DETERMINATION/desire(at least in part) to make a difference and CARING about his/her patients--matters. If becoming a doctor is just a prestigious way to make a living--and you're a HARD working ACHIEVER? GO" into other scientific fields where a patient doesn't have to deal with your lack of empathy/compassion or genuine care(or choose a specialty where regular folks don't have to encounter you)--for ALL who need a "Doc". Hard to measure... but a patient who has experienced stiff-robotic-even clearly condescending/disrespectful high-score over-achievers who got through med school but who should be ANYTHING but folks dealing with "others"? Misery. There are DEFINITELY those who can get through med school who should be anything BUT "Doctors" who deal with others. Their hard-work, high scores "attitude"--OR lack of lifelong interaction with all kinds of "Americans/Others"? Make lousy problems for folks who, unfortunately, have to come to them for their most private, personal, serious needs. High scores and really giving a damn can have NOTHING to do with one another. ESPECIALLY when you have someone who foregoes most of "American" life interactive activities for "high score" pursuit. It DOES matter to patients, finally, who the hell is looking after you in your most vulnerable, most intimate, most basic to LIFE ...well-being. An awkward "robotic-deeply disconnected test-passer " can speed a person toward bad outcome faster than the damn disease he/she came into the unfortunate encounter for... The ideal "People Doc" needs to have some--even if small degree--of "cool". Dammit, gotta love the ones who do. The best do... Here's one: Quarterbacks who have absolutely no ability to relate to ANY of their teammates? Suck. AND they don't last. But...they pass the tests per med school?? They could become doctors.

[@blackheartgaming6121]

If so many people are quitting school and the us military is having an extremely hard time getting people to sign up since the 70s I wonder how long it’ll be until mds start falling out pretty hard like I still can’t wait to get to pre med

[@josejoe6399]

Thanks!

[@doc6]

his is so true, i felt as impostor the first 2 years of med school, i also felt this "everyone for themselves" when its like "we are all competitors", also the 0 value of research that students do disappointed me so hard, i tried 2 times and was like "im not dealing with this bullshit again" because it takes time but is completely pointless, its also true that if you dont get along with the examiners they write you bad notes, i have experienced that many times too, im from europe btw, but everything applies here too

[@yyaazz123]

in saudi arabia its 5 years after highschool and pretty much less stressful you have enough time to do your hoppies since its way long of a time we do have a version of usmle but only after 5th year we take it its way better in residency and fellowship its hell but you get paid nicely more than a teacher with 14 years of experience

[@jennifern.5305]

What I can’t wrap my head around is the number of people who go unmatched each year. Each year these students are made to feel that it’s their individual inadequacies that are keeping them from being successful. Logically speaking however, if there are scores of students with the same gripe, it may be indicative of a larger issue.

[@bananau4019]

Do you think you could make a video on ‘so you want to be an oncologist’ im still in high school but I’m considering going into that field

[@ninjason57]

I'm 3 years post residency training for emergency medicine and I would agree that medical school and residency puts you at an increased risk of developing anxiety and depression. BUT the real world is much more difficult in some ways than residency training. If you don't have the ability to work through those anxious and depressive feelings during training you wont be prepared for the real world. Especially during the COVID years I wanted to quit medicine altogether multiple times. The competitiveness is definitely a problem and it continues through to the real world. Many specialties don't play nice with others and should instead adopting the mentality that we are all supposed to work together for the benefit of the patient. Dont even get me started on the tension between clinical staff and administration staff... the two have completely different goals.... Standardized tests will always have their place but shouldn't be weighted as heavily. Extra activities like research should only be necessary if you want to pursue academic medicine. I had average scores on all my tests but excelled in the clinical realm and have been considered competent well beyond my years of training. I believe the test writers have been too far separated from real world medicine that the info we are forced to learn isn't applicable in the real world. Ex. No surgeon has ever taken my patient straight to the OR because I diagnosed acute abdominal perforation based on physical exam and upright CXR showing free air under diaphragm. They all want a CT scan. You'll always battle between "the test answer" vs "real world answer" You're spot on regarding affirmative action. The cost of medical school is definitely a burden but not impossible to deal with. I paid off all my medical school student loans in the first three years outside of residency. The book White Coat Investor was hugely helpful as well as just being financially wise, but they don't teach you that in medical school or residency.

[@luisa_4120]

I am a mom of one and a business owner, the desire I had and still have of becoming a physician is instense. But unfortunately i cannot put my entire life on pause in order to finish my studies. I tried and found myself very damned close to trying the ADHD medication so commonly taken in order to keep up with the rest of my class. Ive given up school because unfortunately it just couldn’t work for me, i had to choose between my family and home which i own or living on the edge with loans. I know many who made it by cheating lol

[@carlosmanrique4945]

Here in Mexico we do 36 hour rotations

[@supermarkethobo9567]

this is why I went into tech instead of medicine

[@itslogannye]

What do you do, if you don't mind sharing? I'm a recent med school grad doing a research year in med tech, would be interested to hear

[@supermarkethobo9567]

@@itslogannye Data Science type stuff

[@itslogannye]

@@supermarkethobo9567 did you study computer science/data science then? Or did you go down the medical path and then pivot afterward?

[@palmereldritch_6669]

One of the most obvious problems is the lack of clinical experience in the first 2 years. That's ridiculous. We should be getting our feet wet right away with that. Testing machines do not make good clinicians necessarily.

[@user-dl8le5cs6t]

All 5 points are spot on

[@faithlesshound5621]

This video leans somewhat to saying, "Sign up for our coaching, or you'll regret it." There's a not-so-fine line between a difficult, or "rigorous" course of education or training and one that's just abusive. That used to be common in "elite" schools all over the world, where the seniors and instructors enjoyed the privilege of being child abusers, and the graduates went away with the misunderstanding that being abused had been good for them, and it was now their privilege too. Hasn't educational research shown that sleep-deprivation gets in the way of learning as well as performance, as does high stress? Back during World War II, it was common for pilots and radar operators to be given amphetamines to stay awake. That led to the post-war boom in stimulant abuse, but we eventually learned that those drugs actually impair performance, and they were outlawed. Yet it appears that drugs for ADHD and even narcolepsy are commonly taken by today's students hoping to gain an "edge" over each other. Maybe The Academy needs to stamp as hard on that as hard as it has taken to doing on plagiarism. Not just the academy, but business and finance too: it could be that our recent stock market and banking crashes have been due to "narco-economics." Meanwhile, what are the military doing? Special forces seem to be much fitter than normal men and women, but compared to the pre-war period very few serving soldiers take part in Olympic level sports. That suggests to me that they are in fact taking performance-enhancing drugs during their service, whatever the long-term effects are going to be. No doubt those effects remain "classified," not least to prevent second thoughts among the recipients.

[@sawyermclachlan5049]

In nz you don’t even have to got to college you just go straight to med school

[@daddy3484]

Let's face it, in most of the world it's like this. But that's because college and medschool in the US is a business model and honestly resembles a pyramid scheme. It's probably never gonna change because some doctors do not want to sacrifice the pay cut, as this would mean a higher influx of physicians.

[@robertmandell526]

Here's a telling correlative: A 2015 public access journal article in The Journal of Surgical Education (principal author on staff at UCLA Medical School. with additional contributors at Harvard, etc

[@robertmandell526]

.), passed by Harvard's Institutional Review Board.. so no Meer piece of fluff, found that a critical and statistically rigorous analysis of approximately 150 postgraduate SURGICAL training programs, as to REPUTATIONAL RANKING, compared against OUTCOMES RANKINGS OF THOSE PROGRAMS BASED UPON THE PATIENT POPULATIONS THOSE PROGRAM GRADUATES SERVED, FOUND SUBSTANTIAL DISCREPANCIES BETWEEN REPUTATIONS AND OUTCOMES, ACROSS NEARLY ALL (MAYBE ALL!) OF THE SCRUTINIZED INSTITUTIONS. SURE, A SELECT GROUP (MASS GENERAL, HOPKINS, UCLA, UCSF, MAYO MEDICAL SCHOOL, ETC.) ALL HAD OUTCOME THAT TRACKED PROGRAM REPUTATIONS. BUT MANY, MANY VERY FAMOUS AND "SNOOTY" PROGRAMS WITH ELITE REPUTATIONS, HAD OUTCOMES RATINGS DEEP DOWN IN THE NETHER RANKINGS! And so, if you can find that kind of distortion and dislocation in approbation afforded SURGICAL EDUCATION by reputation AMONG SURGICAL PROGRAM DIRECTORS (!) vis-a-,vis WHAT OUTCOMES WERE PRODUCE FOR PATIENTS, WHAT DAMNING VERDICT DOES THAT BESPEAK CONCERNING THE SELF-DELUSIONAL "BEAUTY CONTEST" WHICH ALL LEVELS OF MEDICAL EDUCATIONAL ACADEMIES GRASP TIGHTLY TO THEIR BOSOMS? APPARENTLY NOT MUCH HAS CHANGED IN THE FIFTY YEARS SINCE I WAS AT UCLA (BS PHYSICS/BA ENGLISH) AND CALTECH (MS ELECTRICAL ENGINEERING). Just as the host of this series honestly and bravely admits he had to tuck in his wings after an initial 'B' quarter (too much course breadth), pursuing instead a tightly focused course in gradeomania (straight 'A' thereafter). I saw the same thing among 'premed' grade hounds--they were desperate to get top grades; took only those courses where prodigious memorization almost assured 'A's' ; and scrupulously avoided any coursework which called for creative and critical thinking. I knew a bunch of these benighted individuals. One in particular, a nice young fellow whose dad was a prominent LA surgeon. He went through four years of grade hounding. Got hi near 4.0. Then went on to UCLA School of Medicine. Graduated Valectorian. Last I'd heard of him, his Mainspring broke; he jumped off the runaway locomotive; and became a Catholic medical missionary somewhere in Central Africa. Severely disappointed Dad! And finally found a pair of shoes that fit nicely. Thank Goodness I never had to meet family expectations in my academic life. They were all dead, or institutionalized.

[@lordhriley]

We should be looking at the Cuban medical system as a model....

[@kennethlopez6334]

i realized all this along time ago. this is why I switched to computer science. now I am in the application process for software engineer at Google.

[@goarmybeatnavy841]

Thank you Tiger mommas

[@fahimrind9714]

so you enjoy f1? Are you gonna watch spa tomorrow? I can't wait for that race, first it's spa and second, leclerc and max are starting at the back. It should be a banger assuming both get off the line cleanly

[@Vaishnavigangane23]

Hello rn I’m studying Mbbs in Russia but I wanna don’t wanna go for md or ms after my completion of degree can you please suggest what options do I have in us after my Mbbs degree

[@evalunanera6157]

You can pass USMLE and go to residency

[@haristrakic9444]

I love your clips bro can you make a video on molecular biology ?

[@kelzencobain3962]

Hi I am a big fan of you

[@clementomabi]

Pls, how is medical school in Canada? I'd love to study there. Any update/opinion? How much ?

[@SLPtoMD]

It’s less expensive than US schools but much more difficult to get in. Even Canadians with great stats will often spend multiple cycles attempting to get in.

[@clementomabi]

Wow! Thanks for the enlightenment

[@degstoll]

@@SLPtoMD Yes, you basically have no chances of getting into Med School if you're an international student because very few Med Schools there accept internationals.

[@St_r_i_v_e]

The best question I feel like I can ask is why is it that black students have lower scores? Other than thinking lower intelligence because that all in itself is discriminatory. Is it that the systems that are in place have disproportionately affected black students because of the history? How about the idea that black students are overlooked in classrooms and therefore struggle with concepts and standardized testing and even moreso when not having a college educated parent in the home or parents that are not taught formal education(immigrant parents)? That is what I believe research should be focused on when it comes to comparing black students to Asians or any other race.

[@marlonmoncrieffe0728]

African-American students suffer from growing up in a culture of anti-intellectualism. Also, unqualified students were artificially pushed forward through Affirmative Action.

[@kelzencobain3962]

Hiiii

[@IndependentIvy]

You start by saying residencies shouldn't rely on test scores as heavily, then talk about how Asian applicants are unfairly treated since they have higher test scores. Interesting logic. Maybe another way to look at it is that Black applicants and medical students are incredibly important to the medical community. Their relative rarity in application pools and in the Doctoring community makes them more valuable, especially in a country where Black people were enslaved and continue to face unique challenges and prejudice today. Black doctors make up some 6% while black population is 12%, Asian doctors are about 18% while they make up 5% of population. I could go on but wish I saw this video earlier so i could get some actual debate and response boy I tell ya.

[@maxcastro70]

It's very disappointing that he could make such disregarded comments comparing Asian and Black applicants as if the cultural background didn't even matter.

[@moredeltsmorepelts9578]

Bro they just cant do medical school. Every single black student at my school is an African immigrant or citizen. Why? Cause they can do the work. Affirmative action is broken beyond belief and these people who get in from it fail out. All while charging them $70,000. That is actual racism. Why would you want to see a doctor who is inept?

[@dr.junaid-aleem]

Hate those medical years..👍🥂

[@FredriqueIII]

undergrad med cuts out time and cost

[@mwelch94]

Half suffering from anxiety sounds low 😂

[@kelzencobain3962]

I was the first one

[@dannyvandan_]

I hope no elephants were harmed during the production of this video

[@pismobiics825]

Sounds like this is done on purpose to disensitize med students and wipe the last drops of empathy and caring from them, not to mention the capacity to learn and be critical thinkers too. Really sad.

[@user-hq6gt6wr9k]

Great video, though I feel the topic of affirmative action deserved more nuance. The thing about the racial groups you described is that despite the perceived unfairness, Black people continue to be underrepresented is medicine whereas Asian ones are overrepresented. I fear that by comparing stats of Asians vs Blacks like you did, you might inadvertently pit monorities against each other and perpetuate the stigma that already exists in medicine that Black people are only accepted to med school because of affirmative action, and not based off merit. I think just a minor change like discussing side-by-side Asian vs white stats first could've helped.

[@SLPtoMD]

100% agree. Also, numerical stats are not the only metric used to select applicants for the program.

[@KH-xx1rg]

Agreed!

[@ifym5455]

Totally agree and eloquently stated.

[@faithlesshound5621]

Discrimination against minorities has been integral to US medicine for centuries, and got worse in the 20th century. The Flexner Report of about 1910 led to the closure of many sub-standard medical schools: disproportionately those for women and blacks. That came just before the move to throw Jews out of the professions and universities across central Europe, which was picked up by the United States before the Nazis took power. The Ivy League colleges, and almost all medical schools, imposed strict quotas on Jewish students, which led to many Jewish Americans going to Europe to study. Princeton was among the harshest, with a Jewish quota of 4%. One Ivy League Dean told his admission team to accept no more than 10% Jews, two or three Italian Catholics, and no Blacks at all. The General Medical Council in the UK tried to stem the tide, and the principal of Glasgow University spoke of "undesirable aliens." The greatest number of US students in the UK went to the non-university medical schools (which no longer exist) in Edinburgh and Glasgow. They graduated with licentiate diplomas before returning to the US. Among them were the Sackler brothers. Very few many remained there. The Jewish quotas persisted for many years after the war. Black American students usually could not afford to study abroad. The same exclusion applied to other fields. The first black Catholic priest in the US could not obtain admission to any seminary in the US, and had to study for ordination in Rome.

[@ReneeJoan]

This phenomenon of Asian students being “discriminated against” is resting on a fallacy - that GPA’s and MCAT scores are the most important factor in determining who will become the best physician. That simply is not true, as an earlier segment in this very video pointed out. What those numbers really do is indicate who is more likely to pass the standardized USMLE later on. Actually, I found a peer-reviewed journal paper (let’s hear it for research!) at the NIH that showed that while this correlation is GENERALLY true, it is not always true. There was one significant outlier - Mizzou (The University of Missouri, Columbia). They will consider MCAT scores as slow as 494, and GPA’s as low as 3.25 I think. And yet, Mizzou’s medical students consistently scored HIGHER on the USMLE part i than many more “selective” schools requiring premium grades and scores. What made the difference? The authors of the paper concluded it was that Mizzou introduced “problem-based learning” and patient encounters beginning in the first year of medical training, instead of waiting until the third year. Again, the whole foundation of the “Asians are being discriminated against by affirmative action” argument rests on the assumption that GPA and MCAT scores are the true measure of fitness to become a physician. I stay, quadruple the number of students who are allowed into our nation’s medical schools without these phony measures to “screen out” the unqualified. Instead of screening out the unqualified at the MCAT stage, let people earn their degrees and then screen out the unqualified at the USMLE (i and ii) stage. Do you realize that a “passing” scores on the USMLE is 60%? We wouldn’t have an acute shortage of medical doctors if the medical schools would take more students. Even if a student cannot match into a residency, they’ll still be licensed to practice medicine by their states and be able to serve as GP’s and treat common illnesses and do minor, in-office surgical procedures that do not need to be performed in an hospital setting. And an MD who does not become licensed can still do research, or work in Public Health. Look at lawyers! This nation’s law schools graduate way more lawyers than the market can even absorb. Technically, some states (like California) do not even require lawyers to go to law school. If you can pass the state bar exam, you can be licensed to practice (and California’s bar exam is notorious for being one of the toughest in the country). And once you graduate, you don’t HAVE to go work for a big corporate defense firm. You can hang out your shingle and open your own practice. Or, go into public service or run for the state legislature. There are lots of uses for a law degree besides being a lawyer. Likewise with medicine. You don’t have to be a resident to practice medicine, just to practice in an hospital setting. You don’t have to even be a clinical physician. You can be a researcher. Or teach science at a middle school or high school. A medical degree is not going to be wasted. In addition, having more people educated to be doctors, even if they do not practice, has the long range benefit of increasing the level of “health literacy” in society, because educated people influence those around them by directing their family and friends to sources of credible, evidence-based information and best practices. What being so “selective” about who they admit REALLY does is enhance the prestige of the medical school. They get bragging rights to the fact that they only accept the best of the best, the crème de la crème of the nations’ medical school candidates, so if you get accepted there, you’re one of The Chosen, the Few. The truth is, that lowering or abolishing these phony admissions standards will not affect the quality of our nation’s health care physicians. The incompetent will still be screened out by the licensure exams. But lowering or abolishing admissions standards WILL lower the prestige and brag value of the institutions. Going to UCLA or USC will not necessarily make you a better physician than going to SJSM or AUC. It will give you entree into that rarified club of “country club elites.” The question to ask is, why are you going into medicine? To be rich? Then go into real estate. To be famous? Become an instagram influencer. To make this world a better place? Great! Welcome to life in the trenches - be prepared to get your hands and your boots dirty. Lastly, students push what they have to offer in their medical school applications. If all people have to offer is their test scores, that’s what they push. And a great many people have convinced the rest of society that test scores determine who is the “Best” person to be a doctor. But as this video points out, things like compassion, empathy, patience, commitment to service, matter a whole lot more than test scores. As one character in “Patch Adams” says, “I know everything there is to know about medicine. But I can’t make Mrs. Kennedy eat.” You want to make sure we only field the best, most qualified candidates to be medical doctors? Make it a low-wage hourly job - on par with the janitor who keeps the hospital clean. You’d be shocked at how quickly the rats abandon the ship for more lucrative professions. No one will be screaming about discrimination and the dark side of affirmative action then. Instead of hopeful candidates banging on the door to get in, you’ll have disillusioned wannabe billionaires screaming to get out.

[@Tara-rf1re]

Wow! Best reply I think I have ever read. I would vote for you!

[@revieworr]

its not the medical education, its taxation of any for than enabless missalocation of resources

[@KazaiChan]

Probably a good idea to ask WHY black students have average scores that are lower. I don't think it's because they try less hard due to affirmative action existing. Lower expectations leads to a more difficult time getting opportunities and less help available in the environment. Affirmative action did play a role imo.

[@user-vp3vy4cd4i]

Im the second

[@BrianErwin]

sounds like your first argument is more against meritocracy and capitalism, which is the root of competition. however, i do agree with your other points about research and standardized tests and favoritism. but unless we're gonna pay all doctors the same and stop leading society to believe that being a doctor is the pinnacle of human, then that's not gonna change

[@thomasalbright1909]

Kevin, how much did it hurt when you fell from heaven

[@LoveMyAwesomeSwagger]

This makes me not want to go to med school

[@Study3443]

All i keep hearing from physcians and other sources is how theres a massive shortage in doctors however, Medical schools some anyway are reducing seat numbers for some reason...

[@user-wf5je9lb4d]

Can you add an arabic translation

[@captaindesperatehousewife7138]

لح يكون صعب عليه لأنه ما عنده خبره بالغة العربية و ترجمة الأنجليزي للعربي طبيعيا بتعمل مشاكل من ناحية الأعراب و القواعد. اتوقع بتقدر انك انت تبعتله الترجمه و ممكن هو يتقبلها بالفيديو بس لح ياخذ منك وقت كثير و مش مفيد 🤷🏻‍♂️

[@user-wf5je9lb4d]

@@captaindesperatehousewife7138 ok thanks for the help

[@degstoll]

I doubt that's easy.

[@moredeltsmorepelts9578]

The longer I endure medical school, the more I just want to make a lot of money. The whole system is shot. If I’m gonna be treated like shit and a slave to hospitals then I better make a boatload of money.

[@4nthonylol]

I mean, residency was designed by a guy who was strung out on cocaine and morphine all the time and stayed awake weeks at time. William Stewart Halstead, for those curious.

[@mezunakalmamachal1141]

Nice vid, I got questions for viewers, pls help espicially who know info about US and Us citizens Ppl hello! I'm a turkish girl studying in turkey This year I got a bad grade in my university exam I thinked being a nurse (my score was enough for it) but I didnt wanted to be a nurse My dream is to be a doctor of Family Medicine in US. I got a relative that works as a family medicine doctor. Also I love my family med doctor. he was so kind and I think he look like my deceased grandfather. I love him. I know after I study 6 years of med school in turkey, I need to take usmle test and take residency long, and expensive but Its a must to live in US I know this place is not the best but I know most of you are helpful people and living outside turkey (US, Germany,Europe etc) and know more than me I googled and resarched some But I am still curious and dont know which path should I take I wanted study med school in Us but how much it would cost for a foreigner? Its expensive right? 10 20 30 40 k per year? so 6 years would be like 100-200 k dollars? Then I cant do this, and try to get better grades in my uni exam again, and study medicine in turkey, after graduate, I try usmle tests for 10-20 k dollars, and try to get residency. then I would need 20-50 k dollars for my first year find a job etc. Which path should I take? Sorry for my bad english. turkish high school are very bad at teaching us english. I improved myself from netflix shows lol. Thank you so much for reading. btw my name is Melodi, I thought it was a turkish name, we also use it. But it is unniversal I think? Can I change my name to Melody when Im moving? lol.

[@ProAdam]

If any way to lateral entry for MD after bpt in india... If there is a way please do video for it

[@ICantSeeYourRepliesDickhead]

I hope you become the best doctor you ever dreamed of becoming Eesak you awesome person you

[@murraysolomon4924]

Consider working in a medical or surgical lab in a field you are interested in, learn skills, publish papers, make connections .with MDs who can help you get a residency in the US

[@ProAdam]

@@ICantSeeYourRepliesDickhead thank you sir

[@ProAdam]

@@murraysolomon4924 if Am get residency without complete MD.. Or there are lateral entry for MD after BPT (bachelor of physiotherapy)

[@murraysolomon4924]

@@ProAdam Never leave your home country without an MD recognized by the WHO.

[@kennedywilliamsdrums]

I have a lot of respect for your videos and have found them immensely helpful in navigating the pre-med experience. However, I believe your take on affirmative action is insensitive and, frankly, disrespectful of the obstacles that underrepresented minorities often face in order to achieve successful careers as physicians. You emphasize in your videos (including this video) that GPA and test scores do not define the applicant and instead demonstrate a student’s test-taking skills. I acknowledge that scores are important for gauging one’s preparedness for the med school curriculum, and I (a black undergrad) find it necessary to strive for top scores to put myself in the safest position possible in terms of academics alone. However, I think it would be great for future videos if the Med School Insiders team spent more time learning about the prejudices that underrepresented minorities like black, Latinx, and Native American students often (uniquely) face to get into med school, residency, etc., to this day!

[@ifym5455]

I agree. The comments on gpa and MCAT scores seemed unwarranted. It seems like he wants not only to pit the two groups against each other but maybe low key make black students look inferior. I just did not see the point of mentioning that. Is it maybe b/c he too himself is probably Asian?

[@thomasalbright1909]

Hey I think you assume that asian americans don't experience prejudice and discrimination. You're privileged not to have to experience or know any of these. So fortunate.

[@kennedywilliamsdrums]

@@thomasalbright1909 Wasn’t my intention. I’m assuming based on Jubbal’s previous videos that he identifies as Asian American and makes it a priority (at least somewhat) to address the difficulties that pre-meds, med students, etc under his ethnicity may experience. I tried to focus my comment on the experiences that I, personally, could identify with and felt were not communicated to the very broad audience that Med School Insiders reaches. You’re right-I don’t know what it’s like to be an Asian American who wants to become a physician. To some extent, we are all faced with challenges (identity-based or not) that make our respective journeys towards medicine less than ideal. Not trying to compare struggles, but simply giving my opinion about the way the underrepresented minority pre-med experience is being portrayed in this video.

[@MzCelticsChik9]

Serious blind spot on the affirmative action stats…kind of disappointed.

[@thomasjohnson9546]

Your information on AA lacked important nuance and I’m white. In my view, The system is fundamentally broken because of $$$ needed to compete. You also don’t address the abused FMG loophole which takes Drs from developing countries with huge medical need and puts them into a system that bypasses many of the medical student issues you have raised here ie time and money. The FMG is a resource for his or her Nation and should be trained and employed in his or her Nation with huge medical needs. Please juxtapose indigenous American for black and unpack the set of issues that unfold. Lastly, the notion that racial identity is the variable for superior medical outcomes is lacking. I’ve always thought you provided meaningful insight into issues but find your positioning of AA in this topic lacking and misinformed.

[@ReneeJoan]

Actually, training medical students to do research is not a waste of time. Physicians should be encouraged to develop the lifelong habit of critically analyzing and researching knowledge in order to stay current with their profession. Their patients will be combing Wikipedia and Facebook and various dubious “doctor” sites for information. Not only should a wise physician know what the quacks are pushing, but know how to counteract that with fact- and evidence-based credible information. The aura of that “M.D.” does not make you a god, a prophet, a seer, or as infallible as the Pope. An M.D. is still just a person - a person who needs to stay informed and not be led astray himself/herself by “fads” in medicine. Peoples’ Exhibit A: Dr. Oz. The man is an unethical quack. But because he’s still a licensed medical doctor, people don’t question his statements, treatments, or medical opinions. He may have the imprimatur of Oprah!, but he’s still a fallible human being. His real failing is he took the poisoned chalice and began to believe his own propaganda. So, the prudent physician will not fall into the trap of assuming invincibility, omniscience, and omnipotence. They still have to wipe their own butts when they poop. They still have to put their pants on one leg at a time. They really don’t walk on water when no one is looking. They’ve just been trained to see the rocks.

[@fridacalderon649]

Affirmative action isn't a perfect system, and I can absolutely empathize with the frustration that Asian applicants might feel having to work that much harder to be above average to stand out for admissions, since this is many people's dream and passion. However, your take on this issue was in incredibly decontextualized and actually furthers the same exact toxic impostor syndrome-inducing mentality that you yourself point out as an issue in other areas of the video. Rather than celebrating the matriculants who have made the cut despite great difficulties, and who will graduate to become wonderful physicians despite their below-average stats, you are highlghtng the fact that on paper they are less-than. A pretty disappointing segment of the video and a tone-deaf take IMHO.

[@thomasjohnson9546]

Well said, my take too!

[@thomasalbright1909]

And you aren't even considering thousands of asian applicant who don't make it in as real human beings who should have had the celebration you are describing for those who make it in with worse qualifications. A disappointing, apathetic perspective, and a tone-deaf take IMHO.

[@EliB207]

A video so all the non Americans don't throw a fit. Again

[@KAST96]

What do you mean?

[@EliB207]

@@KAST96 go to the video about 5 good thing about US Med Schools and all the non Americans were like "WelL acTuALly"

[@SimonaKhan97]

Exactly, there was so much hate on that other video he posted a few weeks ago about the U.S. having the best medical school system 😂 that triggered every non-American

[@degstoll]

Shut up, let us have our ego's untouched 😭 /s

[@KAST96]

@@EliB207 Weird... Med School insiders highlights the problems a lot so I thought that video was the balancing thing.

[@77.antonia.77]

Come to Romania. U will realise u're doing ok. Just the prices in US are extremly high. Want depression in medical school? Say hi to Romania. 👏🥲🔫

[@murraysolomon4924]

What are the match rates for students in Romanian schools trying to get residencies in the US?

[@77.antonia.77]

@@murraysolomon4924 idk how is in the US when it comes to residency, to enter it but here in Romania u have to pass an exam that is 4h and has 200 questions. It s a single and a multiple choice test combined. Our educational system is so messed up that the students do bad in the test. The maximum score is 900 or 950 and for the minimum score you have to obtain at least 600 if i know corectly (i am currently a student, 1st year so i have to ask someone who experienced it). Students from medical schools, from UK come here in Romania to do their residency due to the low prices they have to pay for education and said our exam is a piece of cake for them. That been said the educational system in the uk is so good that they learn to understand not just to store the information somewhere in the brain. In our country is encourage to memorise the information, not to understand it. From the first grade to university etc. the teachers don't care a bit if u understand what you learnt. They care if you can reproduce all the information like a parrot. Every year 3000 spots are put at disposal for residency. Every city and hospital announce how many spots they offer that year for X specialty. And for what I know, the university diploma and the residency specialty you did in Romania and in other countries in Europe are not recognized in the US. My aunt (she is a nurse) lives in California and said she has a friend that came from Romania to the US to work there. He was a cardio. surgeon. But his medical school wasn't recognized and equated in the US by the "board/comittee of surgeons" or sth so now he is a physician. So he went 6 years in medical school and 6 years in the residency program for nothing. Cause in Romania if you want to be a physician not a surgeon the residency program is just 3 years, same for dermathology.

[@77.antonia.77]

@@murraysolomon4924 you have a great country. I know it has weaknesses, any country does. But i don't think you have the best univeristies in the world for nothing. You are good. Your education system as it is helps kid in life. You can express yourself and say what you think in school. If we said sth, the teacher not only would gave us bad grades until we failed the year, but we could be expelled. If we POLITELY say our opinion, if the teacher is wrong in sth and you correct them you are sooooo screwed.... The student is teacher's puppet. They can do whatever they want with us. They don't care abt our mental health or anything at all. The only chance to pass grades and graduate and do well in your "SAT" (which we call "bacalaureat") is for you to pay and take extra classes with a teacher. So, basically you go to school for nothing cause in the end you have to pay someone, a tutor, outside the classes to explain the subjects and to make you understand what you re teacher just wrote down in class and never ever explained you.

[@murraysolomon4924]

@@77.antonia.77 Matching into residency in the US is very competitive because there are thousands of Americans in foreign medical schools, mostly in the Caribbean, who are also trying to match. The match rate for the American students studying outside the US is only 60%. Every year a 1000 + people do not match. Some foreign students will complete residency in their home country and then repeat the residency in the United States to improve the odds of matching in the US.

[@murraysolomon4924]

@@77.antonia.77 Every foreign trained doctor will have to repeat residency in the US with one exception: If you are an academic superstar your time in a faculty position in a US medical school can count as a residency.