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Average MCAT scores of admitted students indicates the typical MD IQ of ~120 ish- well above average but hardly the "best and brightest".
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I believe that the average IQ of college students is about 110. So 120 isn't much more. In fact, it's lower than the average IQ(130) of a professor. So being smart as in smart enough to make it into a good undergrad already proves the person intelligent enough to hack it in medicine. It all comes down to work ethic and study skills.