For example, in my
original book I disparaged the premedical society. Smugly, I
quoted Marx (Groucho) who said that he would not belong to
any club that would accept him as a member. I felt that
whatever~ advantages a college premedical club offered were
outweighed by the competitive atmosphere it fostered.
Several years ago I was challenged by a premed student from
the University of Southwestern Louisiana:
July 5, 1982
Dear Dr. Brown
A couple of days ago, I was browsing
through the reference section of a local bookstore when I
found your Getting into Medical School. Being the typical
premed awaiting the MCAT, I bought the book immediately and
started reading. I especially appreciate your advice to
premeds about their major and elective choices. Though I am
majoring in biology-chemistry, I am also minoring in English
and French. When I took comparative anatomy last fall, I
also took poetry-writing and found myself published in the
University of Southwestern Louisiana's literary magazine. I
wouldn't trade the English, French, psych, and music courses
I plan to take for any science electives. I i~tend to
graduate with a well-rounded education in biology, English,
chemistry, philosophy, microbiology, language, physical
education and history.
Despite my general satisfaction with your
book, however, I do feel obliged to take exception to one of
your opinions. As far as I'm concerned, whether medical
schools do or don't care about premedical society membership
is unimportant (except, of course, for the Dedicated Dannys
who don't bother to join any other society or organization
for fear membership might interfere with studying). A
premedical society provides members with information about
taking the MCAT, taking the "killer courses at their
particular institution, applying to medical schools, and
exploring various fields of medicine usually not considered.
A premedical society is especially important in a university
such as mine, in which computer science majors interested in
medicine have computer science advisors who don't know much
about medical schools. The premedical committee, the premed
society advisor, and the premedical society fill the
void.
As perhaps you've guessed, I am president
of my school's premed society. I think you'd be pleasantly
surprised at the lack of the "killer instinct" in our
members (which you seemed to suggest when you said
membership in a society with the people one competes with in
class may cause the member to be "uptight"). I've been told
the lack of what our advisor calls the" premed syndrome" is
related to the geographic, social and religious factors in
our location. The University of Southwestern Louisiana is a
public university (approximately 15,000 students) in
Catholic, southern Louisiana; the major ethnic groups are
Cajun and Black and the influence of these family-oriented
groups is great. In particular, the Cajuns (or Acadians,
descendants of French exiles from eighteenth century Canada)
have a lifestyle that accents cooperation, hospitality and
celebration. The USL premed society ends each semester with
a day-long crawfish and shrimp-bait barbecue celebrating in
one event the sophomores' survival of comparative anatomy
and the seniors' acceptance to medical school. If you're
ever going to be in Louisiana in mid-November or early May,
please write the USL premedical society; we'd be glad to
share the joie de vivre with you.
Thanks for a valuable "guide to the
ropes" and also for hearing me out on my conflicting
opinion.
Ellen Lancon
As a physician I often appreciate a
second opinion. Clearly, Ms. Lancon's experience with premed
societies was different from my own; had I attended her
university I might have become a member. At least, I would
have crashed the crawfish barbecue. Interestingly, I
received a follow-up from Ellen this year. Did she get into
a medical school? Two of them! Here's her letter:
January 24, 1984
Dear Dr. Brown,
I'm happy to respond to your request for
an update on my pursuit of the physician's life. During the
summer and fall of 1983, I applied to and was accepted by
LSU-New Orleans and LSU-Shreveport. After serious
consideration of both schools, I have elected to attend
LSU-Shreveport. Tours and conversations with friends already
there have led me to believe I've made the right decision.
I'm looking forward to the day I can affix that hard-earned
"M.D." to my signature.
Now that I've been accepted to medical
school, I'm enjoying what remains of my senior year. I agree
with you about choosing courses and majors. I've majored in
biology-chemistry, but I've amassed about 60 hours of
electives, including ballet, counseling, sign language,
creative writing, ethics, history, language and computer
science courses. Those electives, coupled with the biology
courses I took as electives (histology and immunology), have
made my four years of college delightful. Happily, my premed
brother has also adopted this philosophy and recently
enjoyed a semester of English, French, Greek and organic
chemistry.
Remember if you're ever in Lafayette, LA,
in early May, drop by USL for the premedical society
crawfish boil!
Ellen Lancon
Well, I won't be needing to come
uninvited to that crawfish party after all. What a relief. A
second critical letter comes from a student at San Francisco
State University:
Dear Dr. Brown,
A couple of thoughts:
1. Do you really want to encourage people
who don't get into a U.S. med school to go to a foreign med
school? Statistics on tiny numbers of these grads who get
U.S. residencies are awfully discouraging, and how can an
average person finance this without guaranteed student loans
or access to part-time work? The latest AAMC guidebook is
very discouraging on this subject.
2. Regarding your advice to take those
"difficult" courses in summer school-here at State, summer
school is much more competitive than regular session. The
hotshots who sacrifice their summer vacation to study
science are highly motivated.
Alan Steel
Mr. Steel makes several
informative points. I did not mean to imply that chemistry
courses should be taken in summer school to avoid their
academic difficulty; they should be taken in summer school
to avoid spending your time with them during the school
year. Coincidentally, they need not be taken at especially
competitive schools, which apparently include San Francisco
State. Having pre-pharmacy, pre-nursing and other
science-type majors in the class ought to be a fair handicap
for a premed. As for attending a foreign medical school, I
was not aware I was promoting them as an alternative for
rejected applicants. Rather, I make the realistic
observations that they are expensive, culturally alienating,
academically questionable, and offer no guarantee of
matriculation to a U.S. medical school or training program.
Nevertheless, going to a foreign medical school may be
better than going to none at all; the risks may be worth
taking.