In reply: Marley makes an important point about the conclusions that can be drawn from our study on the effectiveness of medical school admissions tests. As acknowledged in our article, the size of the study and the restriction of range to which he refers do limit the strength of the findings. Nevertheless, it is precisely because admissions tests elicit such an emotional response from the general community, as well as being costly and stressful for both aspiring students and medical schools, that there is an urgent need for a large-scale multi-institutional evaluation of the process — a need that our results highlight.
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