To the Editor: Frederick S. Sierles, M.D., et al. (1) showed that future psychiatrists score higher than other medical students on measures of psychiatric knowledge and verbal reasoning and lower on other topics. They then concluded that more attention should be paid to the general medical education of psychiatrists. We question how the authors interpreted their data. The scores on the measures of learning were standardized. Therefore, if some people do better, then some must do worse. Given this obvious situation, isn’t it better for future surgeons to perform above the mean on surgical subjects, future internists in general medicine, and future psychiatrists in psychiatry? Much, if not all, of the differences in Medical College Admission Test and U.S. Medical Licensing Examinations scores most likely can be attributed to student preferences and interests at baseline and the clinical content of the first postgraduate year.