Choosing tomorrow's doctors

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Abstract
The only clear answer was that, with 2.8 applicants for every medical school place in Britain, we do need to select. We currently use academic achievement, in the form of A level grades, as a filter—a requirement of three “A” grades, or two “A”s and a “B”, reduces numbers sufficiently to make individual interviews practicable. Average A level grades among medical school entrants have increased over the past 10 years,1 even though selectors themselves agree that these academic requirements far exceed what is needed to be able to complete the course. Whether driven or followed by selection policy, being good at science is now far more likely to be quoted as a reason for applying to medical school than in 1966.2