However, we noted, with some concern, several methodological limitations that we believe are important to highlight. The article used a modified version of the Medical Condition Regard Scale (MCRS) as a tool to compare medical student attitudes toward several medical and psychiatric presentations. We were somewhat surprised that the main medical comparator to the psychiatric conditions was “pneumococcal pneumonia.” Pneumococcal pneumonia is recognized as the most common cause of community-acquired pneumonia (5). In the majority of cases, outpatient treatment with a short course of antibiotics will lead to disease resolution (5). This condition was compared with several presentations that were suggestive of severe psychiatric disorders, including “long-standing auditory hallucinations and paranoid delusions” and “depression with intermittent suicidal thoughts.” Severe psychiatric disorders differ from pneumococcal pneumonia as they are characteristically chronic in nature, following a relapsing–remitting pattern, and are disorders where symptom-reduction is more often the goal, rather than complete cure. Furthermore, the adjectives used in describing these psychiatric conditions, such as “long-standing” and with “intermittent suicidal thoughts” may suggest they are particularly severe or complex. The description of these active and poorly-controlled symptoms may also suggest that the underlying psychiatric disorder is poorly treated or treatment-resistant.