The most important W&A entries are about your clinical experiences. Admissions committees need to know: Does this candidate have enough clinical experience to know what they're getting into?
"You have to have clinical exposure," Keith D. Baker, PhD., assistant dean for admissions at Virginia Commonwealth University School of Medicine told US News & World Report. "That's sort of fundamental. That experience lets us and other medical schools know that you have a reasonable expectation of what lies ahead, and if you don't have that, we simply don't have confidence that you're a serious candidate.”
Schools need to know that you have seen medical care in action and gained experience with patients. "If you're not interested in working with patients, we're not going to be interested in working with you," Paul White, assistant dean for admissions at Johns Hopkins University School of Medicine said in a 2019 interview with Case Western Reserve University's All Access: Med School Admissions podcast. In another podcast interview, this one with Admissions Straight Talk, White reiterated that while applicants might assume Johns Hopkins would favor research roles above all other things, the school wants applicants with clinical exposure (though that can be through their research roles). "Most students who are successful in our admissions process have had significant clinical interaction, and that goes well beyond shadowing," he said. "I’m talking about actually interacting with patients…in a position where they interact on a regular basis." The numbers back him up. Matriculation data for the 2018 entering class at Johns Hopkins showed that 91% had medical or clinical volunteer experiences and 24% had some type of paid medical or clinical employment.
Jorge A. Girotti, PhD, MHA, and associate dean at University of Illinois College of Medicine, believes that the impact that clinical experience has on an applicant's career goals is the most compelling part of their application. "I feel that it makes sense to postpone applications until you have accumulated at least one year of clinical experiences," he told the AAMC. Taking a gap year to acquire more clinical experience is not looked down upon by medical schools.
Related:
Your Pre-Med Priorities: Clinical Experiences that Medical Schools Love
Your Pre-Med Priorities: Finding Clinical Experiences as an Undergraduate
Your Pre-Med Priorities: How to Find Clinical Experiences for Your Gap Year(s)