Warm Hello Fish,Why not view applications of ploepe who have acheived excellence organically, by following their interests, instead of only considering those who have acheived excellence by doing precisely what they are told? The current system of prereqs snuffs that possibility in many cases.We have to understand that Mt Sinais thing is to modify their applicant pool this does not entail lower standards for admission. This policy change allows them to think more flexibly about who is truly exceptional the current system restricts them. I think that Mt Sinai's approach is much more grounded than the dominant admission system, which is epistemologically arrogant. Mt Sinai wants to cast a wider net, and view the applications of ploepe who have the charachteristics of a good doctor. Its a sensibly humble approach the alternative (our current system) arrogantly claims that a baroque, rigid web of premed requirements (official and unofficial) will generate a good pool of applicants. It puts a bunch of formal prereqs in place that, through some intricate sociological calculus (which these med schools, implicitly [and outrageously], purport to understand) will give us the right ploepe like any well-behaved equation. It seems much more reasonable to allow us to look at ploepe who have excellent resumes that don't fulfill all prereqs. We have a choice between rigid calculation and trusting the judgement of docs on adcoms. I don't want to do either, but the costs of the former are manifest.The problem is that current prereqs screen for the wrong ploepe. Our current system screens for narrow ploepe who can blast through basic science courses, shrewdly manicure their resumes, and not question the point of it all. (questioning, after all, will likely lead to slightly less efficiency-and in this tough premed game, that little gap can end someones dreams right quick) We end up with a very eccentric group of ploepe who are jumpy, neurotic, and ruthless. I like your website and I really like the last posters comment about medicine as ascientific. Medicine gets a lot of its authority from its mysterious relationship with science (whatever science means). The mystery itself is a great PR tool for the profession.