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Medical students oppose bill requiring letter grades and changes to admissions rules, warn of residency and workforce impacts
Summary
Dozens of medical students, recent graduates and medical‑school representatives told the Committee on Education K–16 they oppose House Bill 52 94, a measure that would require Texas medical schools to grade required coursework on a traditional A–F scale and to consider standardized test scores in admissions decisions.
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Dozens of medical students, recent graduates and medical‑school representatives told the Committee on Education K–16 they oppose House Bill 52 94, a measure that would require Texas medical schools to grade required coursework on a traditional A–F scale and to consider standardized test scores (such as the MCAT) in admissions decisions.
Medical students told the committee the pass/fail components used at many schools reduce unhealthy competition, preserve student mental health and encourage the teamwork required in clinical care. Philip Swigon, a Texas medical student, told senators that pass/fail “reduces unnecessary stress and unhealthy competition, encourages collaboration, and allows students to focus on truly mastering the material.”
Witnesses said national evidence does not show that pass/fail curricula produce less competent physicians. Several speakers pointed to licensing exam scores and residency match outcomes as evidence that pass/fail schools perform as well as tiered‑grading schools. Gracie Deason, a pre‑med student and researcher, told the committee that “since the early 2000s when medical schools nationwide began moving towards pass/fail curricula, there’s been no decline in the quality of care rendered by physicians or in any metric of their competency.”
Students warned that mandating A–F grading in Texas while many national programs retain pass/fail arrangements could disadvantage Texas applicants in the national residency match. Multiple witnesses also described pass/fail first‑year programs that still provide numeric exam data or honors distinctions for clinical clerkships and said the bill would remove discretion from medical educators to design curricula that balance competency assessment with student well‑being.
Sen. Creighton explained other bill components that would require consideration of standardized test scores and bar preference based on race, color, ethnicity or national origin in admissions decisions; senators asked procedural and legal questions about those provisions and whether they align with recent court precedent. Sen. West asked a clarifying question about Section 3, which states that race, color, ethnicity and national origin may not be used to grant preference in admissions or employment.
The committee heard both personal and research‑based objections and no organized proponent panel appeared during the public‑comment period. After hearing testimony from medical students and school representatives, public testimony on House Bill 52 94 was closed and the bill was left pending subject to the call of the chair.
The committee did not take a final vote. Members asked for further information about how specialty honors and national honor societies (for example, Alpha Omega Alpha) evaluate candidates from pass/fail schools and flagged possible unintended consequences for Texas’s physician pipeline if the state uniquely alters grading policy mid‑cycle.
