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However, it remains unclear whether, and to what extent, such misalignments actually occur. Both formal reports (e.g., NRC, 2003 blue right-pointing triangle) and informal perceptions of undergraduate science faculty suggest that these three legs of the medical education system are not in alignment. Etienne (2003b) reported that a survey of undergraduate faculty found that topics that medical school faculty deem important as prerequisites are being covered sufficiently in undergraduate introductory science courses. However, Etienne commented that some undergraduate faculty contend that the reverse does not hold true (i.e., not all topics that undergraduate faculty believe are important are viewed as being so by medical schools). These faculty argue that this disparity “… may inadvertently result in introductory science curricula based solely on the needs of students intending to take the MCAT rather than on the goal of thorough content coverage to meet the needs of the general introductory science student population.” (Etienne, 2002b blue right-pointing triangle, p. 5). In contrast, other respondents pointed out that “… the MCAT, in addition to being a good predictor of success in medical school, is built from specifications based on undergraduate introductory science curricula.” (Etienne, 2002b blue right-pointing triangle, p. 5).

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