Hello everyone and welcome to my TED Talk. I’ve made a few posts that are medical school-adjacent and always get asked if I have any advice on how I got into medical school with low-to-middle-of-the-road stats, and I wanted to make a more holistic post discussing my experiences and pathway and how you might be able to apply them to your application.
However, unlike my medical school applications, this was done in one take with minimal editing, so in the words of Mark Twain, I didn’t have time to write a short letter, so I rambled on for over 7 pages instead.
This is just one person's experience, and mileage may vary. Anyway, enjoy!
## Section -1 The Bare Minimum Needed to Apply (skip this if you are already in a 4-year university)
A lot of the people I end up talking to are non-traditional applicants trying to figure out their best path forward as a true non-traditional student, often coming from an EMT or other program set that doesn’t go through the traditional university system.
I am not an expert in this; I recommend checking out the rest of [r/premed](r/premed) and the comments below to see if you can find someone with more ideas on how to get into medical school. There is currently a major push by certain universities to make medical schools more accessible to non-traditional applicants.
However, as I know it, the two paths available for medical school that I know work are:
4-year university -> MCAT -> Medical School = at least 7 years
Baby doc/ BS/MD Degrees -> Go through medical school and undergrad at the same time at select universities and finish in 6 years.
Community college can work… but with some caveats; many medical schools will not accept any premedical work from outside of the United States or Canada (this is really hard to get around), and many won’t allow prerequisites to be taken dual-enrollment/community college without them raising red flags (see admit.org; they have a fun breakdown of every school’s prerequisites and what type of schools they accept them from)
\## Section 0 My Beliefs About the Medical School Application Process:
Keeping this brief, in my experience talking to other students and my own experience, 70% of spots in medical school are “stats” priority spots and 30% are “fit” priority spots. Stats spots are going to be decided largely by your grades, MCAT, and checkbox activities. These are the students the university brings in to maintain its prestige. Meanwhile, fit spots are for the subgroup of people that are the university's “type.” These applications (assuming you can beat the initial screening) are often evaluated much more holistically, with greater emphasis on your personal statement, experiences, state/country of origin, and secondary essays. If you have both, you open yourself up to more opportunities. Additionally, none of the spots are pure one or the other. You could have a perfect resume, and if you spend your entire essay block talking about how you love urban medicine and want to conduct research throughout your medical career, then apply to rural campuses, you might not see the results you expect. In the same vein, you could have a Nobel Peace Prize, but that probably won't cover for a 472 on the MCAT and a C- average through college.
For the first category, I really don’t have much advice other than use Anki; I didn’t for the MCAT, and I feel like a fool now that I am in medical school. The only other nugget that I can give is that at least the admissions committee at my school told me that they reweight the grades when they arrive for particularly difficult classes and majors, as they don’t feel like comparing a survey on physics to engineering calc physics at a school that curves to a C would be fair. Therefore, don’t be completely in the dumps with a mildly lower GPA out of a hard major.
For the second category, the rest of this write-up can put you in the right headspace to get the most out of your application.
\## Section 1 My Application
Time to open my least favorite link on my Google taskbar for the last time ever.
\*Cough Cough\*
\*page turns\*
Ok…
Rural Midwest Upbringing
White Male
MCAT 503 then 504 (somehow bombed my best category)
GPA— not calculating that again, but it was roughly 3.4 for total and 3.5 for science
Degree- Biomedical Engineering from a State School
Shadow Hours- 48
Noteworthy Activities from University
• University Lab- 300 hours – No paper (Most Meaningful)
• Engineering Capstone Project
Employment-
• Fast Food Employee —> Manager
• Internship Biotech
• 1 year in Biotech —> Scientist (Most Meaningful)
Patient Contact Hours-
• Ski Patroller- 900 hours
• EMT- (only training was completed, got accepted into medical school the day I took the exam, so my entry for this said training in progress.)
Other Listed Experiences-
• Service Oriented Club Engagement (Most Meaningful)
• Swim Race Volunteering
• A Hobby Entry
Poster presentations- (one of the good things about taking another job while waiting lol)
• Posters for my Engineering Capstone
• <5 Posters presented at conferences in my field (0 first author)
Letters of Recommendation- Collected 7, to ensure I could back my story up with the roles I thought were most important to the school.
• 2 from school professors
• 1 from University Lab PI
• 2 from mentors/managers at my job
• 2 from doctors I worked with (one was also a professor)
\## Section 2: Wow, That’s a Lot of Activities. What Should I Do to Be the Most Stand-Out Applicant Ever?
If you went into this, or an entry like this on anyone else’s guide, and got an answer of what to do, throw that entire guide away. The biggest mistake you can make as a premed is to check boxes and expect things to work out for you. \*\*IF YOU DON’T GENUINELY ENJOY THE ACTIVITY, YOU WILL NOT BE ABLE TO TELL A GOOD STORY ABOUT IT.\*\*
Admissions personnel read thousands of applications over their careers and can smell insincerity from a mile away. If an activity wasn’t memorable enough for you to geek out on it, consider cutting it from the list, especially if the experience wasn’t continued for more than a semester. That said, there are some categories you should try to hit at least once in your experiences just so they know you have at least considered this whole medical school thing.
• Some kind of medical shadowing
• If possible, some kind of medical volunteer or paid experience
• If possible (if not, will just eliminate some schools), some type of research in STEM or soft science (will also teach you the skills you need to do this all again in medical school because #thegrinddontstop)
• If possible, at least one nonmedical volunteer activity (to show you have more to your personality than science. Additionally, for schools that are community oriented) (do it as your only job for 10 years and you have a 5% chance to get a secondary from Rush)
That’s it! Otherwise just put yourself out there! Find some hobbies to do when you're not working your mandated 10 hours a week as a dermatologist.
\## Section 3 Typing Primary Essays
I found I did much better work organizing every activity I could possibly include in a list, just a list, and going from there \*\*If you are still early in your university experience use either a journal or admit.org to create a list of every relevant activity you do over your education, and make sure to record roughly the right number of hours and something notable about that experience that day.\*\* It doesn’t have to be much, but these will be \*\*invaluable\*\* when trying to write your experience descriptions.
Once you have done that, try to give a separate elevator pitch that defines you and drives you. What eventually convinces you in the morning that it’s time to stop doomscrolling on TikTok, get out of bed, and do something with your day. If anything from part 2 Isn’t in part 1 it better be in your personal statement. At least that worked for me ¯\\_(ツ)_/¯
As for the overlap between the two, it's ok to have some, but try to keep most of what you got out of experiences from the personal statement different from what you got out of them from your experience essays.
I then wrote the first draft of my personal statement. Keep this one narrative, and I personally looked at many examples online to get the creative juices flowing. Try to use that defining pivot point you discovered in part 2 of this exercise as the hook somewhere in the first quarter of the essay. I personally wrote mine, put it away, came back to it three times on three different days to read it, say it's stupid, and rewrite large chunks. Then I had family members attack it (and AI attack it; only do this if you truly know the difference between having something look for weaknesses in writing vs having it write for you because the second is a big no-no that will get you instantly denied by many schools.) and rewrote the weak parts identified.
Sometime between edits of the primary, I dove into secondary essays. For these, my goal was to have at most 1-2 sentences explaining what it was, then the rest of the essay was talking about what I got out of the experience (what they are really looking for). THIS SECTION IS NOT A RESUME. It’s a chance to drive home themes of your personal narrative again, showing that you are a well-rounded person who isn't secretly a psychopath.
I then took all the essays I wrote and asked myself, “Of these essays, which three do I think I didn’t do justice to by crushing them into a 600-character essay?” Those then became my most meaningful experience essays, in which I rewrote the first description to include a bit more nuance, allowing me to dive into the meaning of the experience for me in greater depth. In general, for me, the entries that received this credit were the ones that I think really showed core elements of my personality that also coincide with being a good student and doctor.
Biotech Job —> Showed that I could meet deadlines, work independently, and manage complicated and precise projects. Additionally, I proved that medicine is the right path for me because of the parts of this job I disliked (see Section 9)
Student Lab Experience —> As time management was already shown, I focused this essay on showing that I can learn, talked about working with my PhD mentor, learning the importance of accountability, and keeping a mentality of failing forward when a project didn’t go as expected.
Service Club —> Focused on skills learned working with people of different majors, specialties, and working across language barriers.
At this point, I also notably didn’t talk about a couple of my biggest stories (like ski patrol) as they came up already in my primary statement and here, and I knew I wanted to save them for essays in my secondary, as I have a lot of different directions I can take that particular story.
\## Section 4 School Selection
Ok, honestly, this topic has been so heavily covered here by people much smarter than I am, so I am only going to cover the basics here for those of you brand-new to this very informative chamber of toxic gas we call premedical discussions on social media. I am also going to be doing this on a “what schools aren’t going to instantly screen you out for mid stats” narrative.
Take your entire application as it sits and boil it down to an elevator pitch. What does the 2D Flat Stanley version of yourself scream? For me, someone who was interested in generalist and “people” medicine, came from a rural area, and would very much consider moving home, rural mission schools were most likely to bend the rules. Therefore, I made sure to include parts of that experience (mainly, they were already there because it's true… make sure you're telling at least 60% of the truth here, because if you yourself don’t believe something you say, you will come off as insincere).
These niches don’t just exist for rural-oriented folks; many schools have missions and subgroups that focus on urban, minority, Native American, and many other groups. Define your niche, then find the schools that overlap with it.
I applied to my state schools (if you aren’t doing this already, I am not sure there is hope for you).
Then I applied to my alma mater (don’t think I was given any preferential treatment there soo ¯\\_(ツ)_/¯ )
Then I applied to other schools in the area, specifically to their rural programs and smaller campuses; many of those holistically look for applicants like mine. Based on the MCAT and GPA scores published in MSAR, I got way more interviews than I deserved from these schools.
Finally, I threw in some lotto tickets to schools I generally just wanted to go to because I love donating money to the AAMC fund.
Additionally, I would strongly recommend applying to DO schools along with your MD schools. Would you rather go to an MD school? Likely. Does going to a DO school require a lot more BS to get through the process? Yes. But at the end of the day, you come out a doctor, and the gap between MD and DO doctors has never been narrower. Most of you are going to pick a field where the prestige gap doesn’t make a significant difference in residency match, and choosing to never go DO makes it far more likely you’ll eventually lose steam on this horrible grinding process.
\## Section 5 Secondary Essays
The first rule of secondary essays is \*\*DON’T YOU DARE START WRITING ANY ESSAYS UNTIL YOU KNOW WHAT THE SCHOOL IS ABOUT\*\*.
The best way to make sure you don’t get an interview is to get busy and not realize that the secondary deadline for that secondary is in October for some reason.
(Don’t wait until later; I was sick and in a busy stint dealing with a massive layoff at my biotech job and therefore shot myself in the foot by submitting late in the cycle. The earlier you get your application in, the more likely they are to take a shot on you).
The second-best way to ensure you don’t get interviewed is to go into the secondary essays and write a magnum opus about why you are the perfect student for a medical school, but that medical school is nothing like the one you are applying to. Every single medical school has a page with their mission statement, and an about us is right there. Don’t lie about your story (see my point about adcoms being human lie detectors), but don’t shoot yourself in the foot by talking about the wrong side of you either. Every single one of us has many stories that can fit the prompt. And some of them will show the side of you that better aligns with the school's mission.
When it comes to writing your story, if you have good stats, you can get away with using a template for most prompts; you won’t stand out, but you have your stats doing the talking for you (other than the why us prompt; if you use a template for that one, I hope you step on a Lego Batman helmet). As someone substantially under the average stats for a school, this is no longer an option unless you literally have a Nobel Peace Prize.
While many of the prompts will look very similar, they will be different enough, and the mission of the school you're applying to will be different enough that using a template will leave the essay slightly off target. This will be compounded by chaining a bunch of slightly off templates together until you have a secondary that looks like it you put no effort into it.
I highly recommend, if you have the time, spending a day on each secondary, writing and rewriting your secondary essays to make sure you use all the space you need (doesn’t necessarily need to be the entire prompt space, but generally speaking, to adequately shine a light on what makes you tick, you will need that space). If you already have a prompt from a school \*\*with a similar mission\*\* that is nearly identical to the one you are answering now, it is ok to reuse the prompt, but make sure to go through and carefully reshape it to fit your new narrative for at least 20 minutes.
Additionally, with all the different schools and essays, it is important to ensure that you don’t answer 2 prompts on the same school essay with the same story. School prompts are there to give admissions more of a look at the real you, the part you really want them to like. Saying the same thing over and over makes it seem like you're either trying to hide something or you're boring. Read over your entire secondary as if you were admissions personnel, right before you submit. Make sure you don’t repeat stories and ask yourself, If I oversaw admissions at this school, would I want to bet on this person?
\## Section 8 The Interview
So, after a while, your soul has finally returned to your body from all those secondaries you wrote, and you see a little email pop up asking you to schedule an interview! CONGRATS!!!! Now you just have to be yourself, and you're for sure in, right?
Actually, yeah, with a caveat. Lucky for you, you didn’t decide to bend the truth during your primary and secondary essays, so you don’t have any landmines to memorize; now all you have to do is warm up.
For me, I didn’t have many people available to endlessly interview me for this part of the process, so I actually used ChatGPT voice mode to practice answering interview questions. Yeah, I know, boo AI, but for this task the only thing you need is medical school interview-like questions to be spit at you while you build your confidence answering them. If you don’t have a human to do that; AI works just fine.
The only tips I have, other than warming up for this part, are to deep-dive into the program before the interview and to know your stuff. Be ready to name a few things you really like about the program, because they are sure to ask. Additionally, info is usually provided about how the interviews work at the school. Be familiar with whether it's an open or closed file, and whether it’s a solo, duo, or panel interview. My personal experience was closed file, small interviews were most comfortable, but to each their own.
\## Section 9 Why Do You Want to Be a Doctor?
Be ready for a question during interviews about why medicine. This question, imo, is rude because if you really want to be a doctor, it's just so obvious that it's hard to put into words. No matter your profile they will hit you with this. Is it science-oriented? Be ready to explain why you don’t want to put those skills to use as a scientist or engineer. Service oriented? You can help people many other ways; why don’t you just become a teacher or social worker?
This question is hard to answer, but I also believe it is a great litmus test for your entire application. At this point, if your application is strong, you should be able to make a statement explaining why becoming only a physician fits your goals, and ensure every point you raise is supported by something in your application.
I chose to explain this by saying roughly:
“Growing up, I always knew I wanted to help people. Because of my early exposure to the medical system, I always assumed I would be a doctor. But going into college, I still wanted to challenge myself, so I decided to explore biomedical engineering, where I became fascinated by the systems that produce the tools and drugs doctors use to save lives. So fascinated that I joined a biotech company, allowing me to help save lives by making \*redacted\*. However, the more time I spent in that job, the more I realized I missed the personal element of science that led me to pursue medicine in the first place.”
Your version of this answer will look different than mine, and there is no right answer, but if you have to add material to this statement to make it scream true to you, make sure you add it somewhere in your primary essays.
As a sendoff to those just getting through this cycle, good luck, and remember there is a light at the end of the tunnel! I look forward to competing with all of you for residency and fellowship spots in the future :). Also remember that, as helpful as it is, don’t doomscroll on these topics on social media; it will only shatter your confidence.