One professor at the Medical Academy taught that the brain had a "spark of life" that couldn't be replicated. Bashir recalled this comment when facing the question of replacing parts of Bareil Antos' brain with artificial implants. (DS9: "Life Support")
Final exams and graduation
The final graduation exams for Starfleet Medical Academy included an oral exam. Julian Bashir mistook a preganglionic fiber for a postganglianic nerve during his oral exam. As a result, the valedictorian of his class was Elizabeth Lense. (DS9: "Explorers")
In the late 24th century, Starfleet Medical Academy graduates entered the fleet with the rank of lieutenant junior grade.