Your Medical School Application: Approaching Optional Secondary Essays

In this blog series we will be covering all aspects of Secondary Essays. Stay tuned over the coming weeks for guidance on writing compelling essays that will earn you a coveted interview spot. 

There are two optional secondary questions that are common to most applications, one that you can always answer and one that you should only answer if it is appropriate. Let us explain.

Is there anything else we should know about your candidacy? If you have no issues to address and the prompt is this open-ended, you could recycle a Secondary Essay from another school to highlight an experience that didn't fit into your W&A. Or, if they didn't ask in another Secondary, talk about why you love this program. 

But the secret purpose of this prompt is to give you a chance to take down some red flags. It is the school's nice way of saying: "What not-so-great thing did you do? Explain why we shouldn't be concerned about it." 

Some schools will ask about it more explicitly: Please explain any inconsistencies in your college or graduate school academic performance and/or MCAT scores. 

So, did you tank a class your freshman year? Does your lowish MCAT score not reflect your ability to thrive in a challenging academic environment? Don't make excuses. Instead, after you share your misstep, explain how you excelled in later courses or rigorous academic or work environments. You want to keep any answer concise: This is the issue. These are my accomplishments that mitigate that issue. 

Test scores and grades aside, is there something else in your school record that needs to be addressed? Did you get a citation for underage drinking at a campus music festival two years ago? For topics like this, keep your answer very brief. Going on and on about every circumstance and how this is not really your fault, etc. is weak. Go to the pain: This is the situation. This is the action I took afterward. This is the result of that action and what I learned. 

You do not have to max out this word count. And much like the adversity question that might pop up in your Secondary application, you want to avoid appearing too negative or overly critical of others here. 

Have you experienced any hardships? 

If you have experienced hardships regarding your health, family, finances, or any significant interruptions to your education, share them here. 

If you have not experienced such hardships, don't exaggerate a small hurdle or massage any facts to answer this question. A hardship prompt is different from an adversity prompt. We've all faced adversity in our own way. But an optional secondary question about hardships is exactly that —optional. 

We once had a client who considered writing about living in a medically underserved area. Her home state was in the top 10 medically underserved states, but this description applied to rural parts of the state and areas of her city deeply affected by poverty—not where she lived. 

She had access to a local primary care physician and was less than an hour away by reliable public transportation from a specialist she saw. Including this obvious exaggeration of affiliation in her submitted application might have led to an awkward interview moment (best case) or an immediate rejection (worst case). We cautioned our client then, as we caution you now: avoid using embellished responses to prompts and interview questions.

Your Medical School Application: Secondary Essay Tips for Applicants on a Gap Year and/or Re-Applicants

In this blog series we will be covering all aspects of Secondary Essays. Stay tuned over the coming weeks for guidance on writing compelling essays that will earn you a coveted interview spot. 

Here are some questions you can expect to encounter.

If you will not be enrolled as a full-time student, what will you be doing until matriculation? OR What have you done since graduating from college? You will have mentioned some of this information elsewhere in the application. While you don't have to max out the word or character count, it is important to account for all of your time, especially if you're not working or volunteering full-time. You want to detail exactly what your role entails and your experiences and takeaways.

Now for the "ifs":

• If you're working full-time in a non-medical field, that's a-okay. Explain how the work has and will help you build skills that will prepare you for medical school. And plan to volunteer at health events or a free clinic with whatever time you do have. You want to show dedication to the field, even if you must make your money elsewhere.

• If you haven't started the role you'll be working in until matriculation, give a detailed description of your duties and what you hope to get out of your experience.

• If you have no idea what you'll be doing until matriculation, oh goodness, get one.

• If you have some room left in your response, you can include a detail about something fun you're doing or plan to do.

Check out this example; it's perfect for a response with a 150-word limit:

"Since graduating from Private University, I have been a clinical research coordinator at Near-My-Hometown Children's Hospital, working on 10 studies. I will continue in this role until matriculation. Each day, I have patient-facing experiences and regularly explain key study processes in easy-to-understand ways to both children and their families. I hope to work in pediatrics as a physician, so honing this skill is very important to me. 

Last year, I collected and analyzed study data for an academic paper on pediatric asthma and was asked to draft a section of it. It will be published this fall in Impressive Kiddo Journal, and I will be credited as a co-author. Pediatric pulmonology is now a special area of interest for me, one I hope to explore in medical school. 

Besides this work, on Saturdays this summer, I'll be volunteering at a community farm. Spending time outdoors is my go-to stress reliever."

This answer is loaded with impressive, detailed info about the applicant's activities after college, what they'll do until matriculation, and the relevant skills and goals they've developed. That's the most important stuff for you to include. So, if you don't have any "fun" plans to close the response out, don't sweat it.

Have you applied to our program before? If so, how has your candidacy improved since your last application? This one is self-explanatory. Even if you have no idea why you were rejected last time, you do know that you've gained more clinical or research experience, other work experience, or a Master's degree. You have matured and deepened your interest in medicine. If none of those things are true, then perhaps you should be applying next year instead. 

Your Medical School Application: School-Specific Secondary Essays

In this blog series we will be covering all aspects of Secondary Essays. Stay tuned over the coming weeks for guidance on writing compelling essays that will earn you a coveted interview spot. 

Medical schools use school-specific questions to assess an applicant’s fit with the program. Use these common prompts to get a head start on brainstorming and drafting your responses.

Why our school? This is a place to mention courses you're excited to take, potential mentors you'd seek out, clubs you'd join, what the school's hospital affiliations and research opportunities mean to you, etc. And you want to share how those offerings are relevant to your past experiences and/or passions. If you've spent the last two years volunteering at a free clinic and doing community health outreach and the school has a brand-new mobile clinic serving the unhoused, you want to be working on it. If you aim to become an OB/GYN and Professor So-And-So just published a 10-year study on geriatric pregnancy, you want her as a mentor and to become involved in her current research. 

You also might share how the school's location will set you up for the kind of career you want. Say, for example, the school is in a city, and you ultimately want to practice in an urban area. If true, you could take your reasoning one step further, saying that you want to work in the school's city or state when you're a physician. State schools love applicants who are committed to practicing in their state post-residency. 

Mentioning that you find other aspects of the town or city appealing or that it is located near friends and relatives is also relevant here. Schools want to know if you have a local support system. 

Similar Q: Tell us about your special interest in the campus you selected. If a school has multiple campuses, à la The Lewis Katz School of Medicine at Temple University, they will likely ask you to choose a favorite. 

Again, you should share your interest in the local clinical opportunities and how the campus location relates to your career aspirations. A personal affinity for a larger or smaller city or rural campus is noteworthy too.

What about our mission statement resonates with you? How do or will you embody it? A version of this question might be phrased in several long-winded ways (you'll see what we mean), but this is what they are all asking. Mission alignment matters to schools. They want to know that you share their values and will be a proactive member of their community. 

Schools often hit similar themes: innovation, collaboration, and servant leadership. Health equity and social justice also frequently appear in mission statements. (Some schools have a separate question related to those topics.) Even if you're not drafting this answer yet, think about experiences you've had that involve those themes and jot down some notes. Hit up your brainstorm and find the times where you utilized critical thinking. When were you a leader? How have you been involved in social justice or what's a critical topic that you are making an effort to learn more about? 

If a question like this isn't in a school's Secondaries mix, you should be looking to reflect the mission statement back to the school in your other essay responses. For example, if a school especially values collegiality, you might include a story about how you collaborated on a class project in one of your answers. (This is another example of show don't tell.) 

While you should be researching schools individually to learn other specifics, AAMC has a tremendously convenient document that rounds up all allopathic schools' mission statements in one place.

Your Medical School Application: Common Secondary Essay Prompts (Part 2)

In this blog series we will be covering all aspects of Secondary Essays. Stay tuned over the coming weeks for guidance on writing compelling essays that will earn you a coveted interview spot. 

Use these common prompts to get a head start on brainstorming and drafting your responses.

What disparities in health will you try to address as a medical student and physician? A question about health disparities and inequity could be direct like this or the topics could come up in a question about your alignment with a program's mission statement. Many schools' statements tout their commitment to addressing these issues. There are plenty of health disparities to write about; explain why you're passionate about one or two and show your knowledge of them, preferably through previous experiences. Share the steps you have already taken regarding inequities and plot out the steps you plan on taking in the future. 

We had a client who went to college where Black maternal healthcare was ranked the worst in the country. While this was attributable to multiple factors, physician bias certainly played a role, she wrote. After college, she participated in several unconscious bias trainings. Discussing implicit bias raised her awareness of how dangerous it is in a healthcare setting and caused her to pause and consider where beliefs she had originated. She's going to take that practice with her throughout her career. And on campus and in her future practice, she plans to organize implicit bias training sessions. 

Describe a time where you worked on a team. Teamwork is a huge part of working in medicine, so make this example count. Choose the best anecdote from your Teamwork and Collaboration Bucket in your brainstorm. Be detailed: What was your team's goal? What problem did you solve together? If the team was small, include everyone's first name. (It shows that you valued these people as collaborators.) What did each bring to the table? How did you delegate tasks? When did you choose to lead and when did you choose to follow? Did a conflict arise? How did you solve it? If you didn't, is there anything you would do differently if faced with that situation today? 

What are the most important attributes a physician should possess? Which one do you embody? This question is self-explanatory, but again, don't just tell, show. Share a story (or, better yet, more than one instance) where you exemplified an attribute that means a lot to you. 

Your Medical School Application: Common Secondary Essay Prompts (Part 1)

In this blog series we will be covering all aspects of Secondary Essays. Stay tuned over the coming weeks for guidance on writing compelling essays that will earn you a coveted interview spot. 

Use these common prompts to get a head start on brainstorming and drafting your responses.

How will you add to the diversity of our student population? Your response doesn't have to be about race, sexuality, or religion. (Of course, it can be.) What unique experiences and perspectives can you share? And how have you thrived in and learned from diverse environments in the past? 

We had one client write about how she chose to spend her gap years between graduating college and matriculating to med school in a corporate setting. Working at a consulting firm that advised biotech and pharmaceutical companies gave her a better understanding of disease etiology and product pipelines and insights into healthcare inequity. Part of her job involved speaking with doctors and researchers from around the world; between this and working in a hectic office environment, she improved her communication skills—vital to contributing to a medical school community, never mind in her career. And her atypical premed job meant she'd bring unique knowledge and experiences to her medical school class. 

Tell us about a time you faced adversity. This prompt can be a trap because it tempts you to be very negative. Obviously, you don't have to be all sunshine and smiles in your essay about facing adversity. But be careful not to paint yourself as pitiable or overly criticize others, even those who deserve it—let their actions speak for themselves. Present the event in detail, but you want about 80% of your answer to focus on the actions you took, lessons you learned, and how you grew through facing adversity. How did this incident affect your long-term view of something? How will it affect your future actions? How will having navigated this experience make you a better healthcare provider? 

This tone to strike and structure to follow applies to other common questions, such as, "Describe a conflict you've had. How did you resolve it?" and "Reflect on a time when you had to show resilience.” 

Tell us about a time you failed. Talking about a failure or weakness can make you feel vulnerable—good. To get a little Brené Brown: Vulnerability leads to bravery. When you share a failure, you want to spend about 20% of your answer explaining what happened and 80% on what you learned and what you've done since to improve. Lastly, how are you feeling now? Hit these beats: Situation. Action. Result. You don't need to seem ever-resilient and impervious to future failure, just like you've grown. 

Related: Your Medical School Application: Getting Ready for Secondary Essays