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Hospitals should follow suit by withdrawing from the hospital ranking system. It's another list that incentivizes bad behavior, and wastes the time of administrators tasked with constantly dunning their staff to vote for their hospital.

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Jan 29, 2023Liked by Adam Cifu, MD

But looking at that differential, and the resources assigned directly to Med student teaching, along with ranking debt load in there (as described but with even LARGER weight), would make the rankings revolve around whether more knowledgeable physicians are being produced. It’s not just whether you attracted the top 10%-did you then help them get even better?

If students could track the ratio of improvement in knowledge against cost- now that would be good for them to know. It matters little if they have $10 billion in grants, if the physicians teaching at daily medicine and surgery rounds are terrible teachers and not inspiring as clinicians.

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Very well put! I only have one concern, regarding this:

“ 23%: Differential between mean MCAT scores and mean USMLE Step II CK scores.”

My understanding, and I am not alone, is that the deranking move is a way to get away from mcats and usmle and standardized testing in general (the way McGill has done up north). Seems like traditional merit based admissions is on the way out… which I guarantee won’t hurt the kids of wealthy donors but will devastate bright, hard working students without connections… just my fear, likely I’m misunderstanding the whole thing

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