<p>I know plenty of premeds that had taken all the pre-med classes by the time they got to college. They didn’t take anything extra than they had too, so getting an outstanding GPA at their ivy was not that taxing for them. There are disincentives toward challenging oneself academically. If they were going to work harder, it would be on ECs they could use for med school because they already had ‘enough’ academics.</p>