Secondary Logo

Journal Logo

Letters to the Editor

In Reply to Petersen

Ritter, E. Matthew MD; Yudkowsky, Rachel MD, MHPE

Author Information
doi: 10.1097/ACM.0000000000001194
  • Free

We appreciate Dr. Petersen’s letter regarding our article “Setting Mastery Learning Standards.”1 We agree that intrinsic factors such as motivation, self-determination, and grit greatly influence both achievement and the rapidity of achieving standards. Thoughtful standard setting in the mastery learning model will help to ensure that those who lack the motivation to achieve acceptable levels of performance will be identified earlier in the learning process to foster either increased motivation or redirection into other areas of study that are better aligned with their personal goals.

E. Matthew Ritter, MD
Associate professor and vice chairman for education, Norman M. Rich Department of Surgery, Uniformed Services University of the Health Sciences F. Edward Hébert School of Medicine/Walter Reed National Military Medical Center, Bethesda, Maryland.

Rachel Yudkowsky, MD, MHPE
Associate professor, Department of Medical Education, University of Illinois at Chicago College of Medicine, Chicago, Illinois;


1. Yudkowsky R, Park YS, Lineberry M, Knox A, Ritter EM. Setting mastery learning standards. Acad Med. 2015;90:14951500.
Copyright © 2016 by the Association of American Medical Colleges