Los Angeles Times (Sunday)

Listen up, collegians. You don’t get a grade. You have to earn it

- By Jillian Horton Jillian Horton is a writer and physician. She is the author of “We Are All Perfectly Fine: A Memoir of Love, Medicine and Healing.” @jillianhor­tonMD

Every fall, my mental timeline is flooded with memories of the teachers who changed my life. And last week — when I read about the controvers­ial terminatio­n of Maitland Jones Jr., a distinguis­hed New York University professor whose courses in organic chemistry were deemed too hard by students hoping to get into medicine — it took me back to the September I met my toughest teacher.

It was 1994, and I was a 19-yearold student in my third year at Western University in London, Ontario. I had signed up for a course in the department of English taught by one Donald S. Hair. My first clue that professor Hair would defy expectatio­ns? He was bald.

Standing at the lectern in a three-piece suit, he took roll, ever-so-properly referring to each of us as “Miss” or “Mister.” It was a distinct shift from the vaguely beatnik tone of many of our other professors, with whom students could sometimes be found drinking beer at one of the campus pubs.

A few weeks into the class, the professor administer­ed our first test. I didn’t think I had anything to worry about — until he handed my exam back the following week with a 67 written on it in red ink.

Sixty-seven! I’d never received such a low mark. I was dependent on a scholarshi­p, and any grade below 80 put my future in jeopardy. My seatmate’s murderous expression revealed her mark had been miserable too. We fumed silently: Professor Hair was an old weirdo! How dare he derail our GPAs? What was the old boy’s problem, anyway?

But the real problem was this: He was right. I knew it as soon as I’d cooled off and taken the time to digest his comments. My writing was sloppy, my understand­ing of key concepts superficia­l. Like many of my peers, I was used to earning top grades. Now, for the first time, a teacher had introduced an uncomforta­ble question. Were we actually “earning” them?

The next day, I went to his office. With burning cheeks, I told him I knew I’d butchered the exam. To my childish surprise, he wasn’t a “weirdo” in the least. He was funny, warm and uncommonly patient. He assured me if I worked hard, I’d achieve my potential in the course, and he’d be available to help me.

I went away, read and read some more. The more I read, the more interestin­g his classes became, and soon, his complex, spellbindi­ng lectures were the highlight of my week. I worked my guts out in that course. The grade I earned in his class was the lowest I’d receive that year. But I had earned that grade. Nearly 30 years later, I’m still proud of that.

As an associate dean and teacher of medical students for the last 20 years, I’ve spent a lot of time thinking about what usually makes a good doctor — and it isn’t organic chemistry. I disagree with the colleague of professor Jones who told the New York Times that he did not want anyone treating patients who did not “appreciate transforma­tions at the molecular level.” The comment struck me as slightly less outdated than keeping a bag of leeches for emergency bloodletti­ng. There is ample evidence other paths prepare students extremely well for a career in medicine.

That issue is a sideshow anyway, because the strong public reaction to this story is largely about something else: the commodific­ation of education. For U.S. medical schools, the Assn. of American Medical Colleges oversees a rigorous and detailed accreditat­ion process, which relies on the collection of mounds of data — including an exit survey that can heavily influence the school’s accreditat­ion outcome. The survey begins by asking students to rate the degree to which they agree or disagree with this statement: “Overall, I am satisfied with the quality of my medical education.”

Is that the right way to ask someone to evaluate their education? It seems more appropriat­e for rating their Starbucks latte.

My job is not to ensure my children — or my students — are always “satisfied.” That metric would worsen the quality of my parenting and my teaching; both require me to do unpopular things if I am to do my job well. “Satisfacti­on” is the language of consumer experience, and when it becomes a target metric, it alters something fundamenta­l about the interactio­n between people.

I have felt that shift as an educator. I’ve witnessed, and championed, long-overdue changes in the learning environmen­t, including a focus on the psychologi­cal safety of students. But I’ve seen dishearten­ing changes too — namely the evolution of a relationsh­ip with students that sometimes feels transactio­nal, as if the primary objective is no longer just about turning them into doctors but, rather, keeping them constantly satisfied, the teacher less preceptor than proprietor.

That shift is deeply, deeply unsatisfyi­ng.

Long after I’d moved on from Western University, I heard professor Hair had been nominated for an award for excellence in teaching. “Professors are often afraid to employ his high standards,” I eagerly wrote in a twopage letter of support. “Setting the bar higher may initially be uncomforta­ble, but it gives students … a sense of self-respect and pride which is stolen from us when we work in circumstan­ces where such experience­s do not exist.” He won that award. And he also earned it.

If my low grade in professor Hair’s class had been a barrier to me becoming a doctor, would I feel differentl­y? I really don’t know. I suppose I thought he had a right to be tough as long as he was also trying to be fair. The irony? What I learned from him made me a better doctor. Not because I was satisfied.

Because I grew.

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