Medical education in Iran has witnessed important reforms within the last three decades. Among them was the formation of the Ministry of Health and Medical Education and a sudden rise in medical student admissions. This reform took place in a specific time period and was aimed to meet the country’s requirement of training more physicians. Other reforms have aimed to improve the quality and outcomes of physician training. This is possible through two measures: a change in medical education procedures, or a change in the ‘input’ of medical education (i.e. students) or both. Graduate admission to medical schools is a step toward changing the ‘input’. In 2008, twenty one bachelor students were admitted in Tehran University of Medical Sciences through a series of prerequisites, tough scientific exams and structured interviews. This move had three objectives: strengthening the links between basic and clinical sciences, selecting the students on the basis of a wider range of criteria (instead of strictly academic ones), and providing a chance for applicants to make a more informed choice of medicine (considering that the graduate applicants are older and have previous academic experience). Further areas of education reform are also being followed: a change in medical students’ educational content and procedures, and considerations and development of joint degrees such as MD-MPH and MD-PhD.