Are You a Pre-Med Struggling With a “Should-I” Question? We’re Here to Help.

If you’re planning to apply to medical school, you might be wondering one or more of these things right now. Check out our guidance and related resources below.

Should I Take the MCAT again? 

We recommend taking the MCAT a maximum of three times—really, you should aim for two. (Medical schools prefer it.) "Since this exam’s introduction in 2015, the vast majority of examinees (just under 95%) have tested at most once or twice," reported the AAMC. "About 5% have tested three times.”

Data from the AAMC suggests that the longer the time between your first and second exam, the bigger the point gain. Many factors likely play into this, one of them is as simple as completing helpful college courses. 

You can take the MCAT seven times in your lifetime. The cap is three times in one calendar year and four times across two calendar years. There is no uniform way that schools handle multiple MCAT scores. Some will take your highest, others your most recent, others an average of your scores. So, if you scored really well on test one, you might do better to leave that score alone. But generally, we do recommend taking the test twice because it’s very likely that you’ll be able to improve your score by at least a couple of points.

Related: 

Key Considerations Before Retaking the MCAT 

Preparing for the MCAT: Tips and Advice from an Expert

Should I Apply Early Decision? 

We rarely advise clients to apply early decision. Not only do you have to be 100% ready to commit to the school where you apply early if admitted, but you must be an absolute all-star. If you’re an average applicant, you will not improve your chances of admission. If you want to apply for early decision, August 1st is the Early Decision Program (EDP) deadline for all medical schools that use the AMCAS submission system. (And most do.) The EDP will tell you if you were accepted or not by October 1st, so you will still have time to apply to other medical schools if you’re rejected.

Should I Take a Gap Year?

Maybe. In 2019, 43.9% of matriculating medical students had taken a gap year or two before medical school, according to the AAMC. You might even take a longer pause. Fun fact: The average age of a 2021 Perelman School of Medicine at University of Pennsylvania matriculant was 24—ranging between 21 and 30. 

So, why might you want to take some time between undergrad and med school? You can use a gap year to beef up your transcript with a post-bacc or master's degree. Or you might take a break from academics to immerse yourself in a clinical or research experience. 

If you're light on clinical or research experience, we highly recommend a gap year. Longer-term clinical and research roles will teach you things a short stint cannot. And, if you work full-time in a clinical or research environment, that will further enhance your candidacy. 

Maybe you want to put away more money before attending medical school. Never a bad idea. Whatever work you do—it doesn’t have to be medical, you could be a bond trader or consultant—should challenge you in the areas of leadership, critical and creative thinking, and problem-solving. This is a transferable skill set to medical school and residency. What a gap year cannot be: A year of nothing but MCAT prep and vacation. Schools need to know you can handle multiple priorities and that you value learning and helping others.

Related:

Blog Series: Earning Another Degree or Certification Before Med School

Clinical Experiences that Medical Schools Love

How to Find Clinical Experiences for Your Gap Year(s)

Earning Another Degree or Certification Before Med School: Linkage Programs

As we’ve mentioned in this blog series, some post-bacc programs and SMPs offer linkage programs. These allow students to skip their “glide year” between their post-bacc program or SMP and medical school, and matriculate into an affiliated med school the fall after their current program ends. Linkage students’ applications to affiliated schools essentially go to the top of the pile. 

Here’s the rub, though: You can only apply to one of the affiliated schools, and if admitted, you’re expected not to apply to more schools within that year and commit to attending the school that accepted you. So, you really only want to do linkage if you are dead set on a certain medical school. 

If this still sounds good to you: Linkage programs can be sweet back door entrances into a university's medical school (or an affiliated university's medical school), provided you do well in them. Students who absolutely nail their linkage SMP or post-bacc courses might automatically be offered conditional acceptance to their medical school if they meet certain criteria. Notice the words “conditional” and “certain” here, they’re doing a lot of work. Schools don’t like to say the word “guaranteed,” even if you rocked the house. 

We know of a non-client who completed his linkage SMP with the required GPA and thus earned his interview at his school’s medical program…but he was then waitlisted. He ended up getting in, but for a minute there, there was a real possibility that he was going to have to apply the following year. That wouldn’t have been the end of the world, though. Schools like to point out that “most” SMP graduates do get into medical school if not during their program, soon afterwards.

If this has spiked your curiosity, find out if your top school has a linkage program, what affiliates it has, and what unique benefits it offers. Here is a little info on just a few linkage programs we like:

• Bryn Mawr’s post-baccalaureate premedical program connects to one dental school and 16 medical schools, including the Alpert Medical School of Brown University, Boston University’s School of Medicine, Case Western Reserve University’s School of Medicine, and the Geisel School of Medicine at Dartmouth. The school reports that the post-bacc program’s linkage option is quite popular—and successful. “Bryn Mawr has early acceptance arrangements with more medical schools than any other [post-bacc] program, and we have the longest-standing relationships with many of these consortial/linkage schools,” writes Glenn Cummings, Director of the Bryn Mawr Postbaccalaureate Premedical Program. As for the program overall, the school boasts that “over 98% [of students] are accepted to medical school.”

• University of Virginia's pre-med post-bacc graduates have a 95% acceptance rate to medical schools across the country. In addition to teaching the sciences, the program requires students to take a course on the U.S. healthcare system and facilitates volunteering and shadowing experiences. Their linkage program connects to George Washington University’s School of Medicine and Health Sciences and University of Pittsburgh’s School of Medicine.

• Columbia’s post-bacc premed program is housed in its School of General Studies and offers linkage to New York University’s Medical School, the Icahn School of Medicine at Mount Sinai, Weill Cornell’s Medical College, and eight other programs. If you want to find out more about their various linkage opportunities, Columbia regularly hosts online events.

• Tufts MBS program is a SMP that offers a MS in Biomedical Sciences—and linkage to Tufts School of Medicine’s MD Program. (That’s a lot of acronyms!) On average, 54 linkage applicants from the MBS program get an interview at Tufts each year. Thirty-seven of those students are typically accepted into the school of medicine. Says the school, “MBS students who apply to the School of Medicine's MD program get preferred consideration for interviews and will be carefully and holistically reviewed. This is regardless of if they meet the specific MBS Linkage criteria.” Linkage aside, according to Tufts, most of the MBS class can expect a leg up into medical school. They report an “80+% admit rate to medical school (vs. the 7% national average)” and a “60% interview rate at Tufts University’s School of Medicine for the MD program (vs. 10% from the general applicant pool).” MBS requires a thesis and “in lieu of a traditional thesis defense, MBS students must have their thesis formally approved by their mentor and identified readers,” according to the school. Students can complete the program in one year or two, if they want to extend their clinical work in the community or complete a lab-based thesis.

• Some DO programs offer linkage too. Barry University’s Master of Science in Biomedical Sciences is a non-thesis SMP meant to prepare students for medical or dental school or Biomedical Sciences PhD programs. You can earn acceptance into the program even if you don’t have all your premedical requirements yet. In the program, you might find yourself doing research work with the Environmental Protection Agency (EPA), National Institute of Health (NIH), or the Center for Disease Control (CDC). Successful completion guarantees an interview at Barry University’s School of Podiatric Medicine (POD) or an affiliate school, which are: the Philadelphia College of Osteopathic Medicine (PCOM), the Idaho College of Osteopathic Medicine (ICOM), and the Orlando College of Osteopathic Medicine (OCOM).

Related:

Earning Another Degree or Certification Before Med School: An Overview

Earning Another Degree or Certification Before Med School: Post-Baccalaureate Certification

Earning Another Degree or Certification Before Med School: Master’s Programs

Earning Another Degree or Certification Before Med School: Special Master’s Programs

Earning Another Degree or Certification Before Med School: Special Master’s Programs

Like an undergraduate post-bacc program, Special Master’s Programs (SMPs) are one or two-year programs (typically one-year) designed to help you prepare for medical school. 

SMPs are for people who completed the pre-medical curriculum...but maybe could have done better. We also know of SMP applicants who had fine grades but were bad test takers and had low MCAT scores. Attending a SMP can show commitment to studying medicine and serve as proof that you’re a capable student. 

These programs are also great for folks who simply feel underprepared for the medical school environment because SMPs offer a med school-esque experience. You might even take courses alongside medical students and be able to pick their brains. 

There’s more than just science courses to SMPs too: Morehouse has a one- and two-year Master of Science in Medical Sciences (MSMS), which offers an MCAT prep course (not every SMP does), scribe training, and courses covering systemic racism to prepare underrepresented students for what they may encounter in med school and the medical field. The MSMS programs also provide matriculants with both a faculty and student advisor. Notes Morehouse: “As of the 2021 graduating class, the Post-Baccalaureate and MSMS degree programs have graduated 160 students with 88% of them entering health professional schools (134 to MD, three to DO, two to PA, one to DDS, and one to PhD programs).”

You might choose your SMP because it is under the same metaphorical or actual roof as your ideal medical school. You’ll have the chance to do some strong on-campus networking, always a plus when interviewing. And SMP students’ med school applications get special notice at the school they’re attending.

Georgetown has the oldest one-year Master of Physiology program built for aspiring medical students in the country; 50% of its students are accepted to medical school while still in the program. And 85% of its graduates are accepted to medical school within two years of completing their Master's degree. SMP students at Georgetown have an advantage when applying to Georgetown School of Medicine (GUSOM). “Many SMP students apply to [GUSOM] while in the program,” notes the school. “The SMPs are pulled out of the general applicant pool and are reviewed separately. GUSOM highly values students from the program and typically interviews half of the class. Of those interviewed, typically half are offered acceptance.”

The AAMC has a detailed list of 311 post-baccalaureate and SMP programs, and if they have linkage affiliations, it notes the schools they’re affiliated with. You can search by school, state, and public or private institution.

Related:

Earning Another Degree or Certification Before Med School: An Overview

Earning Another Degree or Certification Before Med School: Post-Baccalaureate Certification

Earning Another Degree or Certification Before Med School: Master’s Programs

Earning Another Degree or Certification Before Med School: Linkage Programs

Earning Another Degree or Certification Before Med School: Master’s Programs

A Master's program, like one of Chemistry, Physiology, or Public Health, can bolster a weaker transcript. And because some Master’s programs involve research and a thesis, a strong performance shows your ability to thrive in an in-depth program. Of note, your Master's GPA counts separately from your undergraduate GPA. 

A client of ours pursued an MS in Human Nutrition. Her goal was to learn more about public health nutrition and use that experience to apply to medical school with not only a stronger transcript but deeper knowledge of an area of great interest to her.

If, like our client, you're eager to expand your knowledge of a specific area or better prepare for a competitive and collaborative environment, earning an advanced degree might be for you. A Master's program can also hook you up with a helpful mentor. 

As mentioned in the post-bacc blog, Princeton University offers a short list of post-bacc and master’s programs that highlights elite schools. 

Related:

Earning Another Degree or Certification Before Med School: An Overview

Earning Another Degree or Certification Before Med School: Post-Baccalaureate Certification

Earning Another Degree or Certification Before Med School: Special Master’s Programs

Earning Another Degree or Certification Before Med School: Post-Baccalaureate Certification

Post-bacc programs are one- and two-year certification programs (you don’t earn a degree, but rather a certificate) and are ideal for folks who are making a career change or need to enhance their academic record. 

If you have not satisfied the course requirements for medical school, you must earn a post-bacc. (Or at least do a self-styled post-bacc experience, in which you take the courses missing from your undergrad transcript.) Career changers typically lack multiple med school course requirements; the clients who we’ve worked with who have attended post-bacc programs were all career changers. Post-bacc programs are also an option for those who tanked some classes early on in their college career or re-applicants who have some room for academic improvement. A post-bacc counts towards your undergraduate GPA like a fifth year of college. Some post-bacc programs offer MCAT prep too.

There are post-bacc programs that are full-time or part-time and/or offer night classes, making it easy to continue to gain clinical experiences between now and when you matriculate to med school (a must no matter what else you do). 

You can get briefed on the details of many-a-post-bacc-program by using the AAMC's Postbaccalaureate Premedical Programs database. Some post-bacc programs (and Special Master’s Programs) offer linkage programs—we’ll explain that further in a bit—and this database will tell you what schools those programs are affiliated with, if any. Princeton University offers a shorter list of strong post-bacc and master’s programs that is tremendously helpful.

Related:

Earning Another Degree or Certification Before Med School: An Overview

Earning Another Degree or Certification Before Med School: Master’s Programs

Earning Another Degree or Certification Before Med School: Special Master’s Programs

Earning Another Degree or Certification Before Med School: Linkage Programs

Earning Another Degree or Certification Before Med School: An Overview

If you don’t think you’re ready to apply to medical school (or you’ve been rejected), you may be considering a post-baccalaureate certification, a Master’s program, or a Special Master’s Program (SMP). Maybe you’re even specifically looking for a post-bacc or SMP that offers a linkage program. Or you might not know why you’d pursue any of that! No matter the case, read on, because, in this blog series, we’ll explain the difference between these offerings and what you should think about before pursuing them. 

Before we get into the nitty-gritty, let us say this: If your undergrad GPA is strong, you have done enough science coursework, and you feel ready for medical school, you don't need to take on the added expense of another program before med school. They are cash- and time-consuming. 

Cost is just one of the reasons that these programs are known as “high risk, high reward.” They can give you an advantage in getting into medical school, especially at the one that houses the program. But not doing well in such a program is a devastating look. These programs are challenging, so if you’re not ready for med school, you might not be ready for them, either. 

The value of pursuing a post-bacc certification or an advanced degree before medical school is subjective. These programs offer a great way to mature and expand your knowledge—but they are definitely not a guarantee that you will get into a medical school.

Related:

Earning Another Degree or Certification Before Med School: Post-Baccalaureate Certification

Earning Another Degree or Certification Before Med School: Master’s Programs

Earning Another Degree or Certification Before Med School: Special Master’s Programs

Earning Another Degree or Certification Before Med School: Linkage Programs