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However, the science that underlies medicine has changed dramatically since such requirements were established. For example, in 2001 the Association of American Medical Colleges conducted a survey of medical school faculty (Etienne, 2002a blue right-pointing triangle); the results suggest that respondents viewed organic chemistry as being less important to current medical study than did the respondents of a similar survey undertaken in 1988.2 In addition, results of the 2001 survey indicated that undergraduate education in biology was considered a more important prerequisite for admission to medical school when compared with results of the 1988 survey.

According to Etienne (2002a blue right-pointing triangle, b blue right-pointing triangle), subject areas included on the MCAT are based on knowledge that medical school faculty deem an important prerequisite for medical education and on data that undergraduate science faculty provide regarding particular topics that are included in a premedical curriculum. However, medical schools do not (and cannot) specify the content of those prerequisite courses, and most MCAT examination questions are not made public.3 Thus, it remains unclear whether individual undergraduate faculty align their courses to what is tested by the MCAT or to what is expected of students who eventually matriculate in medical schools.

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