i wouldn't call it grade deflation here at hopkins. instead, it's just not lollipops and rainbows as it is at schools like stanford and brown.
to me, grade deflation is a college saying: "... ok usually we get 40% A's but we are trimming the fat and will only allow 15% A's"
that is not hopkins. work hard and you have a shot for an A, but profs dont give them out like it's a birthright.
there is no premed program here, really. hopkins doesn't breed pre-meds in a special program. you still have to go out and take advantage of resources, do well in class, etc. i think our strength is the wealth of resources available from research to clinical to clubs and ECs to advising. many of our peers have these things, but i dont think any institution can match jhmi (school of medicine, the hospital, bayview campus and sinai campus... and soon, science and technology park:
http://www.scienceparkjohnshopkins.net/) in terms of wealth of resources in all things medically related. the only thing that is on the same level may be the texas medical center.
at the end of the day, you need to do well academically and you need to find the experiences that will make you competitive for med. be proactive, do things you love, and forge good relationships with peers and faculty/staff along the way...
oh.. yea.. and nail the mcat. you NEED to nail the mcat, but at the same time grades and stats wont guarantee you a med seat. you need to have a balanced app and hopkins does a great job of giving great advising and providing the resources to do just that:
JHU Pre-Professional Advising
our advising is one of the best in the country. no question about it. im sure you can ask around med school adcom and you would hear the same thing. dr. verrier and co. know their stuff!