A colleague has recently been consulted regarding a 26-year-old first-year medical student who is having significant academic difficulties. The student was diagnosed with dyslexia and attention deficit disorder in early grade school. With parent advocacy he received early intervention and remediation services, and did well in school and college. Before medical school he successfully earned a masters degree in the humanities. Your colleague is wondering if medical school studies are surpassing his abilities, and whether the student should be advised to reconsider his course of study.