I was having a chat on a sunbed last week with my Dd - newly graduated from med school, about to start F1. She's taken the UKMLA this year and was saying that about 99% of her cohort passed. She felt that although there is a lot of content to cover to pass, that none of it is particularly difficult. She said that the big drop off comes in the postgrad exams. Her view is that it should be harder to pass the UKMLA, and that there should be a merit based element to F1 allocations as this would encourage and promote excellence. Also the people who are going to fall by the wayside due to not getting through the postgrad exams would find out earlier, to allow them to adjust their lives, and also resources and training could be focussed on the people remaining. She talked a lot about how she had talked with US med students and residents during a recent trip and felt left behind, although in the context of her cohort she's been in the top decile as a minimum for the whole of her 6 years
I know this is the view of one young person, and that there'll be comments incoming about people developing at different rates and Oxbridge/London students being academically bright but socially 'less', but I thought it might counter the view that 'everyone here thinks UK grads should walk straight into a job' - not all UK grads even think that...