you are not getting my points, i am talking globally, not in the specifics of exceptional cases you mentioned.......
spm is the last common exam for the vast majority of msian students, after which the pathway diverges into so many different directions, and it is different to compare.......so the last yardstick to benchmark a student's position amongst his peers is the spm result......of course NOBODY should be admitted into med school on the basis of spm, but on a bridging matriculation (not to be confused with matrik), which unfortunately is so varied....but baring the exceptions, the vast majority will get a result in their matriculation commensurate with their spm results........
that fact established, again looking globally at the training of the country's future doctors, it is to the best interest of the country and the people, that the best, brightest and most suitable be chosen.........and in the majority of well managed advanced countries, this is the case, they do go at great length to ensure the best amd most suitable student is selected........
except msia has NO system to do this, and with the abundance of backdoor pathways in many other countries, as well as compliance with the nep locally, this results in many students being admitted who are NOT the best available.........i was using the example of the spm results to highlight this fact.......that MANY STUDENTS WITH VERY POOR RESULTS ARE ADMITTED INTO MED SCHOOLS, usually in countries like india and indonesia and russia, and ipta as well........students with better results but no money/wrong colour are denied entry........
that is my point.......
of course, once you are in, by working hard, and being conscientious, you can still come out as a good doctor.....or you may not.........as a consumer who needs health care in future, i don't want to have to doubt the competency of my doctor in future......which i do now knowing the real situation on intake into med schools........
understand?
Yes, I got your point but i still disagree with using SPM as benchmark to measure one's capability, even though it is the common pathway for most of the msian students. What matters the most is the clinical performance of a doctor, which, sadly, cannot be judged properly due to the lack of a common exam for all medical graduates in Msia, both local and foreign alike. And i too, am saddened by the fact that many students enter this course through back door (NEP mostly), while i had to struggle hard to enter this course.
Therefore, i sincerely hope that there is a Malaysian Medical Licensing Exam for better control of the quality of the doctors in Msia.