My point regarding "deserve to be in medicine" addressed an attitude to learning that seems far to prevalent in the pre-med world, rather than the actual collection of knowledge that PHSL 231 has to offer. Everyone accepts that the relevant concepts from PHSL 231 will be taught in medicine again. But if you choose to not do a paper because the biomedical concepts within that paper are too hard (they are really not, and I am comparing this to what Auckland MB ChB contains) then you are showing an attitude that is inconsistent with any good doctor or medical student.
I think gg's found the key issue here. I think the reason we don't agree is that you're referring to "oh I won't take that paper because it's too hard", and I'm referring to "oh I'll take the other paper with the more lenient marking". The former would suggest that they are perhaps a bit lazy and don't enjoy the challenge of learning advanced content, while the latter is, as I see it, simply a logical solution to achieve a goal, with no implications on the person's character.
Yes, I admit that in HSFY I stuck with "the hard way" and didn't take the easy marks that is an 8th paper and actively encouraged others with similarly high first semester marks not to waste the money, but I also recognized that it's a valid strategy, and didn't look down upon people who took advantage of these provisions in the rules.
If the provisions are there in the rules, then obviously people making the admission rules would have decided what they deem to be "worthy" (for instance Otago only looks at 200- and 300-level papers in the 3rd year of a degree), and even if I did frown upon people who took papers that give high marks more liberally (which I don't), I personally don't see myself as being in a position to pass judgement on them.
If we are going by what our professors are telling us then learning new research will be a constant part of your day. If a GP or a consultant told me that they don't keep up with new biomedical concepts in their field, I would run so very far from their very incompetent hands.
That is
not what I meant
at all.
In my interpretation, "keeping up to date" (what you've just described) is not the same as "understanding difficult biomedical concepts" (what you were saying before) - my interpretation of "understanding difficult biomedical concepts" is something along the lines of knowing the details of the exact mechanisms of conditions, and the exact mechanisms of drugs and their adverse reactions. My tutor was specifically referring to "you just know that when you give antibiotics the patient will probably have diarrhoea (and you tell them that and reassure them it's normal), but you start to forget exactly why and how it happens".
I was referring to the fact that my tutor's comment would suggest that knowing what to give and what to look out for may be a more important part of a doctor's day than knowing exactly how the drugs being prescribed would work.
My current knowledge of EBP would suggest that "diving into journal articles and understanding exactly what's going on" isn't the only way to keep up to date - there are people who work very hard to produce up-to-date guidelines for specific conditions, and reading those guidelines is a concise way to get up to date. From what I've seen some of these guidelines are fairly to-the-point - "do this, check this, look out for this", and if we were in a hurry we'd be able to just take that onboard and use it without needing to have a full knowledge of exactly what's going on and exactly why we look for these things. Obviously the full knowledge and understanding would be ideal, but life's not always perfect.