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Medical School Application Process  
     

This page is for juniors, seniors, and recent alumni who are definitely going to apply to medical school. This page is divided into the following sections:

  • The different types of medical schools
    • Public vs. Private
    • State residency concerns
  • The number of schools to which you should apply
  • The application process
    • Is it realistic for you to apply now?
    • MCAT timing and preparation
    • Mandatory meetings and forms
    • The composite letter of evaluation
    • The AMCAS application and personal statement
    • Secondary applications
    • Early admission
  • Studying Abroad and Applying to Medical School
  • The medical school interview
    • Types of interviews
    • Interview etiquette
  • What should I do if I get wait-listed or rejected?
  • Medical school deferment

The different types of medical schools

There are essentially two types of medical schools which differ in cost and philosophy. Public medical schools are funded by state taxpayers and are usually affiliated with state universities. UK, UofL, University of Cincinnati, and UNC-Chapel Hill are all public medical schools. Vanderbilt, Duke, Stanford, and Harvard are all private medical schools. The biggest difference between public and private is cost. The annual tuition at UK is ~$14,000 (for Kentucky residents) and at Vanderbilt it is ~$30,000 (no residency difference). You should note that the UK tuition for non-residents is ~$31,000. The reason that there is such a large difference for residents vs. non-residents at a state public medical school is that taxpayers are paying a significant amount of money to educate a medical student. Statistics show that most students will practice medicine in their state of residence. Therefore, UK is not going to accept a lot of out of state students since they probably will not stick around and practice in Kentucky. The Kentucky state legislature mandates that 90% of the UK class must be Kentucky residents. Most out of state students who get into UK have some tie to the state (for instance, they went to college in Kentucky). If you are a Kentucky resident, you will have a better chance at getting into a Kentucky medical school. All public medical schools are similar to UK in this regard. Private medical schools do not have residency concerns and everyone pays the same tuition. Besides cost, the other difference in public vs. private is the emphasis on research. Private medical schools tend to be more research oriented and want to attract students who have more of an interest in doing research. This statement is not to imply that public medical schools do not do research because there is a lot of excellent research at places like UK. Public medical schools tend to attract more people who are interested in becoming practicing physicians, while private medical schools attract more people who want a career in research medicine. If you want to get into one of the big name private medical schools you will need to have some research experience in addition to a higher GPA and MCAT score. In recent years, most Centre students have attended medical schools in their states of residence. You cannot establish residency in a state by going to college there. Centre students who are not Kentucky residents have a good chance of getting into UK and Louisville because they have Kentucky ties by virtue of their choice of college. Otherwise, medical schools are not very concerned if the college you went to is in or out of state. There are foreign medical schools, but no Centre student has applied to one in the last 10 years. If you are interested you should check their websites and talk to Dr. Workman.

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The number of schools to which you should apply

A common question is "How many medical schools should I apply to?" Most Centre students will apply to the public medical schools in their state of residence at a minimum. Kentucky residents are lucky because there are two public medical schools. Ohio residents have five public medical schools. Apart from the public medical schools, you will need to think about applying to some private schools. There is no point in spending money applying to private schools if you are not interested in attending them. If you are not sure, go ahead and apply to a few if you are qualified. Do not apply to Harvard if you do not have the GPA or MCATs. You can check websites to find averages. It is also very difficult to get into public schools out of your state of residence. In fact, some public medical schools will only accept residents. Once again, you can check their websites or talk to Dr. Workman.

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The Application Process

Is it realistic for me to start the application process now?

The application process outlined below starts two years before you matriculate at a medical school. In other words, if you plan on starting medical school in the fall of the year you graduate, you would begin the application process in the fall of your junior year. The process is an enormous time commitment and you need to decide IF you should be applying to medical school before you start. It is very important for you to schedule an appointment with the pre-med advisor early in the fall of your junior year. You need a realistic assessment of your chances based on your GPA and experience in medicine (you probably will not have taken the MCAT yet). If your GPA is below a 3.2 and/or you have little or no experience in medicine, then you probably should not start the application process.

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MCAT Timing and...

The MCAT is computer-based and there are multiple dates when you will be able to take the MCAT, but seating is limited. Registration is on a first come-first served basis. Therefore, it is very important that you register as soon as registration opens for that particular test date (usually six months ahead of time). Register for the MCAT here. If you look at the 2009 the test dates you will see that they are not evenly spaced throughout the year. It is important that you take the MCAT early enough so that the medical schools will have your scores to make a decision on your application. For the most timely consideration of your application, you should take the MCAT no later than the mid-July test date, but earlier would be better. The last test dates which would be considered in any application cycle will probably be the September dates. In other words, if you are planning to be in the 2009 entering medical school class, you should take the MCAT between January and July. If you need to retake the test, you can take it in August or September.

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...Preparation

Some of you may be wondering about the best ways to prepare for the MCAT, the Medical College Admissions Test. This test lasts around 4 hours and it has three sections of multiple choice questions (Verbal Reasoning, Biological Sciences, and Physical Sciences) and two essay questions ("writing sample"). This test is a very important factor in your candidacy for medical school. It is an exam that you need to prepare for as early as possible and as often as possible. There are two major questions that students normally ask: How much should I study for the MCAT? and Should I take a review course? The answers to these questions are related. The best way to figure out how much you need to review is to take a practice test as soon as possible. There are several places where you can get practice tests:

  • www.kaptest.com and www.princetonreview.com are the commercial test preparation sites and both have free MCATs; they will also come to campus and administer free practice tests if there is enough interest
  • www.aamc.org/students/mcat/practicetests.htm is the official MCAT site and has practice MCATs for a fee ($40-60)
  • MCAT (e-mcat.com) has practice MCATs for a fee ($40). This site offers a variety of options, including taking only portions of the test, timed or not timed, solutions to problems, different levels of difficulty, etc.

To get the most accurate picture of your abilities you need to make sure that you take a FULL practice test which will last about 4 hours. You need to score a minimum of around a 25 (with no scores below 7 in the three sections) to have a good shot at getting into legitimate medical schools. Obviously, the higher your score, the better chance you will have.

What Are the MCAT Preparation Courses Like?

If you decide that you need more preparation you can do it on your own or pay for a course at Princeton Review or Kaplan. You can get a good idea how much time you should prepare on your own by looking at how much you would do if you were enrolled in one of the test prep courses. A typical Kaplan course is 24 sessions: nineteen 3-hour evening review sessions, three 7-hour practice MCATs, and two 8-hour practice MCATs. The review sessions are led by instructors and you take periodic practice MCATs where your strengths and weaknesses are identified. The total cost is $1899 for the classroom course and $1749 for the online course. The first course starts September 6 and runs to January 17 (there are other start and end times). There are 18 3-hour classroom sessions and you take five practice tests. Both companies have homework for you to do to prepare for each review session. Disregarding the homework and practice exam times, you would be paying for a minimum of 54 hours. You can access all of the instructional materials at both Kaplan and Princeton at other times and they have online materials. Both companies also offer online versions of their courses. You can also get 35 hours of private tutoring for $5000 (!).

How Should I Prepare on My Own?

If you decide to prepare on your own, you should use the 54 hours as a goal and mid-November or earlier as a good starting date. Princeton Review and Kaplan have review books that you can buy for about $60 in any good bookstore or online. The AAMC has eight or nine practice MCATs and some other practice materials that you can purchase for a total of about $170. Students who have already taken the MCATs may have practice materials for sale or free and you can share costs with other students. DO NOT study for the MCAT by going over old notes or looking at textbooks. The vast majority of material you have learned in your courses is not covered on the MCAT. If there is a concept you do not understand from reading the review books, then you might want to look at a textbook or talk to a professor. Otherwise, only look at the Kaplan, Princeton, or Exam Crackers (the best in my opinion) review books to see what will be on the test. Other MCAT preparation books are not very good. You should pay careful attention to the math review in the prep books because you do not get calculators on the test.

 

Advantages of Test Preparation Courses

  • They know what material is covered on the test and will only teach you about that
  • They have a tremendous amount of practice material for you
  • They have a lot of experience preparing students and a good record of success
  • If you are paying all that money, you are more likely to be motivated to stick to a schedule
  • If you are not satisfied with your scores, you can retake the course for free

Disadvantages of Test Preparation Courses

  • They are expensive: do you have to pay someone else $1899 to motivate you?
  • The level of instruction is generally poor. The instructors are usually graduate students who are just in it for the money and have no experience teaching
  • They generally do not spend a lot of time teaching about strategy
  • The courses are in Lexington (in the evening or on Saturdays) so you will have to commute

Advantages of Preparing on Your Own

  • It is much cheaper: to purchase all of the necessary materials will cost you less than $250, much less if you share with other students
  • You can set your own schedule-the CentreTerm is ideal for intensive study
  • You can focus on the areas that you are weak in instead of wasting your time going to review sessions on stuff you know well
  • You will be more likely to interact with your peers at Centre to discuss strategy and share information
  • You can start preparing early, instead of cramming your preparation into a few months

Disadvantages of Preparing on Your Own

  • You must motivate yourself to set an early schedule and stick to it
  • It will take time and effort to locate all of the materials you will need

Final Thoughts

The MCAT is a half-day test that can have a profound impact on acceptance or rejection to medical school. Centre students tend to do well on the test. Some take the test prep courses and others study on their own. Only a few students in the 2008 graduating class from Centre took a prep course. You should talk to students who have taken the MCAT and find out how they prepared. Remember that what works for you may be different than what worked for them.

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Mandatory Meetings and Forms

If you are starting the application process, it is vital that you inform Dr. Workman. All of his communication with applicants will be by email. He needs a list of students applying to medical school since there are some important meetings and forms that you need to fill out. The first meeting you will have with him is usually the first pre-med society meeting of the year. At that meeting he will discuss the application timeline. There will be a MANDATORY meeting on Tuesday February 10 to fill out forms, talk about the composite letter of evaluation, and note summer deadlines. If you are going to be abroad in the spring of 2009 you need to fill out the forms in the fall or CentreTerm. The Student Information and Waiver forms must be turned in by March 18, 2009 by students who will be applying to medical school. The general timeline is as follows (specific dates/times will be announced by email during the year):

  • September: First Pre-med Society meeting to talk about application timeline
  • October: Start weekly MCAT review sessions with Dr. Workman and review on your own
  • November: Start periodice workshops on writing the personal comments section and other essays commonly found on secondary applications
  • December: Complete a first draft of personal comments for the AMCAS application (or have a complete essay by then)
  • January: Continue MCAT preparation
  • February: Mandatory meeting to talk about application process; MCAT in April to July.
  • April: Complete Student Information form and Waiver by March 18; complete personal comments and resume by May 1; interview with HPAG
  • June: Access AMCAS application and start filling it out; MCAT scores back at some point; inform Dr. Workman by email if you are definitely applying to medical school
  • July: The AMCAS application should be complete by July 1st at the absolute latest! Await secondary applications. Dr. Workman will see which medical schools you are applying to on the AMCAS website and send your Centre composite to the medical schools via the VirtualEvals.
  • August: Complete secondary applications as soon as possible and then check with the medical school to make sure your application is complete. Await interviews.

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The HPAG Interview

In order to more accurately present you as a candidate the HPAG will interview you in the spring. Interviews are 30 minutes and are done by Dr. Workman and one other member of the committee.

The Composite Letter of Evaluation

You are probably wondering what the composite letter of evaluation is. The HPAG solicits evaluations from up to five science professors and up to three non-science professors, administrators, or staff members. You indicate to the HPAG which professors know you the best and the HPAG sends them the evaluations. Your professors will evaluate you on academic abilities, personal attributes, and professional promise. You can see a copy of the evaluation form here. Your professors will check the appropriate boxes and write as many comments as they want. The HPAG collects all evaluations for applicants and compiles them into one composite form. The HPAG will also include a brief paragraph comparing you to other applicants from Centre in the last few years. You can see an example here (note that two professors wrote extensive letters for the applicant that were also sent to the medical school). There are a few details of the composite that you need to understand:

  1. Medical schools prefer composite evaluations if the college has a health professions advising committee (like Centre's). Medical schools also prefer that the letter is confidential. You can see on the evaluation form and final composite where the HPAG indicates that the letter is confidential.
  2. There are a lot of categories your professors will be evaluating you on (not just what grades you got in their classes), so it is essential for you to get to know your professors well and tell them about your motivations for medicine.
  3. The composite evaluation only contains evaluations from Centre people. You can have other letters from people you worked with in the medical field sent directly to the medical school after you complete your secondary applications.
  4. Centre professors will try to be as accurate as possible in their evaluation of you. Do not expect to get a glowing recommendation if you did not perform well in a class or if the professor does not know you well. You can get better evaluations by getting to know your professors better.

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The AMCAS Application and Personal Statement

AMCAS is the abbreviation for American Medical College Application Service. You will apply to most medical schools in the US through AMCAS (the Texas medical schools have their own service). The way AMCAS works is that you fill out their application and indicate which medical schools you want that application sent to (it acts like a common application). The medical schools then look at the AMCAS application (which includes MCAT scores) and decide whether they want to reject you or get more information from you. If it's the latter, they send you a secondary application which you must complete. It takes AMCAS and the medical schools some time to process applications, so IT IS VITAL THAT YOU SUBMIT YOUR APPLICATIONS AS SOON AS POSSIBLE. You should plan on submitting your AMCAS application in early June. Every year there are a few Centre students who get rejected at medical schools because they failed to submit their applications early. Medical schools have rolling admissions. Thus, the longer you wait, the worse your chances. If you submit materials on the deadlines, you probably will not get into medical school. The AMCAS application is web-based (you need access to the internet!) and a little time consuming. The only difficult part is the Personal Comments section. You must write a 5300 characters + spaces essay about anything you want, although it is best to write it on why you want to be a physician and what qualities you have/things you have done that make you a good candidate. You should start trying to write this essay long before you even fill out the AMCAS application. Dr. Workman will help you edit your essay and it is much easier to do that if you are on campus. Some general pieces of advice are:

  1. It must be personal! Do not have abstract statements in there about what it takes to make a good physician.
  2. It should not be a laundry list of things you have done. Pick the four or five things that you are or which you have done that have motivated you to become a physician or that show qualities that would make you a good physician. For instance, you can write about your experience in a medical setting, a research project you have done, a study abroad experience, or leadership roles you have had. Make sure you write how these things have affected your desire to be a physician.
  3. Avoid writing about things like GPA which will appear on your transcript or somewhere else in your application.
  4. Be sure to take up all of the space you are given. If your essay is significantly short, that means you are not that interesting a person. It is much easier for Dr. Workman to help you cut things than it is for him to help you add things. As a general rule your first draft should be signficantly longer than the 5300 characters with spaces. Do not try to make it perfect before you show it to Dr. Workman. Many students spend a lot of time trying to perfect an essay that is not appropriate.
  5. There is no reason that you cannot have versions that you write as a freshman, sophomore, junior, and senior.

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Secondary Applications

Unfortunately, after you have submitted your primary application to AMCAS, some schools want you to give them even more material in a secondary application. Most secondary applications just have some short essays for you to do, but it is vital to turn these in as soon as possible. You may want to have non-Centre people submit a letter of evaluation to the medical school. For instance, if you have worked with a physician or done research off-campus, those supervisors or principal investigators may be good evaluators. Medical schools will not schedule you for an interview without a completed secondary.

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Early Decision

Most medical schools have an early decision option. The way this option works is that you apply to only one school and opt for the early decision option. The deadline is August 1st and you are guaranteed a decision by October 1st. You may not apply to any other medical schools until you are rejected by your early decision school. If you are accepted early decision, you must attend that medical school. The important message here is that you must be sure that you want to go to a medical school and reasonably confident that you will get in before you try the early decision option. If you do not get in early decision you will be at a huge disadvantage at other schools because you will need to fill out their secondary applications and probably will not get an interview until very late in the cycle. In the last 10 years only two Centre students have applied early decision and both at UK. UK takes quite a few students early, but UL does not. Be sure to consult with Dr. Workman before applying early decision. The best option is to apply normally, but get your materials in as early as possible!

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Studying Abroad and Applying to Medical School

Studying abroad is one of the best opportunities you can have at Centre. Many students who apply to medical school have studied abroad. The medical school entering class of 2008 from Centre had 13 of 14 students who studied abroad for at least one term. If you plan to study abroad in a long term, scheduling classes, the MCAT, and interviews can be tricky. Do NOT plan to take the MCAT abroad since it is a hassle and you will be having too much fun traveling. Quite a few students over the years have delayed their application to medical school in order to participate in a long term study abroad experience (or some other opportunity). None of them regretted their decision. You may have enough time to study for the MCAT after you return in the spring since it is offered in May, June and July. Taking the MCAT in August is an option, but you will be behind in interview scheduling. Most medical schools will try to schedule interviews when you will be in the country, so a fall or spring term abroad in your senior year is no problem. Be sure to work with Dr. Workman if you plan to study abroad. Some of your terms may be difficult, but you should not have to resort to summer school to get all of your medical school prerequisites completed on time.

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The Medical School Interview

If a medical school decides you are an acceptable candidate based on everything it sees about you on paper, you will be invited for an interview. Interviews differ in format from school to school. Most schools will have at least one individual interview and some may have a group interview. The interviewers are normally members of the admissions committee. They can be clinical faculty, basic science faculty, residents or medical students. Sometimes the interviews are blind which means that the interviewer does not look at your file. No matter how good you look on paper, a bad interview can keep you from being accepted. A few things you should keep in mind:

  • You should research the school before your visit. Study it like you would study for a test.
  • You need to have good communication etiquette in all of your dealings with the medical school. Make sure that any emails you send them use correct grammar and punctuation. All of your voice mail greetings should be inoffensive. If you have a personal webpage or a Facebook page, make sure it does not contain any offensive material. Be sure to treat anyone (including receptionists) you speak to on the phone with courtesy and respect.
  • From the minute you get on campus you will be scrutinized very closely. You must treat everyone with respect, from the secretaries to the medical school students to the other students interviewing that day. The admissions people will even look to see how well you interact with the other interviewees at lunch.
  • Most of the interviews are just conversations. Interviewers will seldom have a long list of tough questions to ask you. You need to be familiar with your AMCAS and secondary applications since they will often ask questions about things you have written. Be sure you review both before your interview.
  • Some common things that you could end up discussing are why you want to be a physician, interesting things you have done, the current state of health care in the US, and current affairs. You can get some idea about health care in the US by reading any of the weekly news magazines or major newspapers.
  • There is a website that has listings of common questions from all of the different medical schools.
  • Often the interviewer will ask you if you have any questions. You need to have a list of good questions to ask! Do not ask questions which have answers you could have gotten from the medical school website.
  • You need to dress conservatively. Men need to wear a dark suit with a conservative tie. Women need to wear a business suit or conservative long dress. Conservative shoes should be worn. Men should remove all visible piercings, get a short haircut, and remove any facial hair. Women can wear one pair of earrings (not long dangle ones), but should remove all other visible piercings and have a conservative hair style. Perfume, cologne, and aftershave should be kept to a minimum. The medical establishment is still pretty conservative. You can be yourself once you get accepted to medical school. At the interview, you should be what they expect.
  • At the end of an interview ask for a business card from the interviewer. A few days after the interview, you should send formal thank you letters to the individual interviewers.

You will interview with the HPAG in the spring and they will give you some feedback on the answers you are giving. Centre students who have been rejected on the basis of the interview usually came across as too arrogant or too shy. On very rare occasions a Centre student has had trouble with one of the interviewers (the interviewer asked inappropriate questions or was not paying attention to the student). If that happens, tell Dr. Workman and he will contact the medical school.

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Options for the Wait Listed or Rejected Applicant

If you interview before October (and are not an early decision applicant) you will hear a decision on October 15, otherwise you should hear a decision a few weeks after your interview. If you are wait listed there is a real possibility that you can be accepted as late as a few days before medical school classes start. In the past five years some Centre students have been accepted off the wait list in July and even August. If you are rejected the best option for you is to wait a few days to calm down and be sure to avoid saying anything drastic to the medical school. They will understand that you are upset, but you do not want to jeopardize your future chances. You should discuss things with Dr. Workman first. The most obvious reasons that you could be rejected are because your grades and scores are too low. If the MCAT is the problem you will need to prepare better for it, perhaps even taking an MCAT preparation course. If grades are the problem you may be able to take some graduate level courses, enroll in a post-baccalaureate program, or enroll in a graduate (masters or Ph.D.) program. There is a searchable database of these types of programs located on the AAMC webpage. Usually, the lower your GPA, the longer the program that you will need to enroll in. Be aware that if you enroll in a masters or Ph.D. level program, the medical school will expect you to finish that program before they will accept you. You may have too little experience in medicine, but that is a straightforward deficiency to rectify. It should be relatively easy to get a job in the health care field. If the problem is not grades, scores, or experience then you have some sort of a personality problem. Perhaps you came across as too arrogant or too shy. Personality problems are the hardest to change. The medical school admissions people will never come right out and tell you that your personality was the problem, but you can infer that from what they do tell you. They will tell you if your grades or scores are too low or if you have insufficient experience. When shyness is the problem then you will have to find a job or volunteer position where you are forced to interact with other people. Arrogance is harder to cure, but you could do volunteer work in an under-served area. Of course, the next time you interview would be crucial. Shy people need to be more aggressive than they think is necessary and arrogant people need to tone things down. Dr. Workman will work with you to improve your re-application to medical schools. The medical school admissions people are also very willing to advise you, provided you approach them in a mature fashion. It is essential for you to improve your application in the ways that are suggested by the medical school. Just re-applying will not help you.

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Medical School Deferment

If you are accepted at a medical school, you may defer your matriculation for a year. The medical school will want a valid reason for the deferment. Valid reasons include work, a travel opportunity associated with medicine, or research (including such things as Fulbrights). Individual medical schools have their own policies so get in touch with them if you are thinking about deferment.