We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Books, Journals, New Media |


Robert C. Davidson, MD, MPH; Ernest L. Lewis
JAMA. 1998;279(7):508-510. doi:10-1001/pubs.JAMA-ISSN-0098-7484-279-7-jbk0218.
Text Size: A A A
Published online


In Reply.— These letters address 3 common issues with which we agree. The first can be summarized as concluding that criteria other than the GPA and MCAT scores of the applicant can or should be used in accepting entrants to medical school. Unfortunately, the records of the admissions committees over the 20 years of the study did not record the factors that prompted the committee to offer admission despite lower objective measures. Traditional race-based affirmative action preferences were an obvious factor. Dr Stryer suggests outcome measures that could be validated and then used as admissions criteria. We would be delighted to have such proven criteria. This leads to the second common issue. The selection of medical students should reflect the type of physicians society needs in the future. We intuitively feel that this was the major factor in many of the decisions made by admissions committees at this school. Unfortunately, there does not seem to be a consensus as to what society needs for its future physicians. The third issue relates to the concept that affirmative action lowers the quality of students and ultimately the quality of our physician graduates. This was the major issue prompting our study. We are comfortable in defending our findings that we could identify no objective evidence of producing an inferior product by our special consideration admissions process.


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview




Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.