Letters to the Editor
I am grateful to Dr. Sandroni for bringing to our attention once again the need to reform premedical education. He highlights the idea that I raised in my May 2008 editorial: that explicit and implicit requirements for admission to medical school, along with the way in which we use grades and test scores, are a strong—perhaps the strongest—influences on the choices students make during their premedical education. Although there are better forums in which to debate implementation details, I applaud his plea to explore innovative approaches to this formative stage of education.
Steven L. Kanter, MD
Editor, Academic Medicine, and vice dean, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania; (firstname.lastname@example.org).