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Why are there so many requirements for getting into medical school now? So many hours of extra stuff?? Why spend 4 yrs on undergrad classes but still need a gap year to do all the requirements and apply?
On the other end, there is a growing shortage of every doctor specialty, even in urban areas. Smart kids who are qualified and interested are turned off by all the stupid requirements and the immense time it takes to do them. The system should make it easier for these kids to pursue medicine, not harder. It’s already a long grueling expensive road as it is. Why is the system making it even that much more difficult and more expensive?? As a society, this makes no sense at all. Thoughts? |
| All I can say is I agree with you! So many doctors educated abroad, but American kids with the academic qualifications for American medical schools are pushed aside because their college wasn’t physically located close enough to a hospital for them to get the volunteer hours. Absolutely insane choices by the medical profession. And then they wonder why they’re losing public trust. |
| We should follow the European model, with a 3-year premedicine track. It’s technical training, that’s all it is. |
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My kid did not take a gap year, just did one crazy summer of internship and also working at nursing home to get hours. Graduating college in May 2026.
She just got her first admit. It can be done without the gap year. |
AMA lobbies to restrict the number of residencies and fellowships to protect salaries. Spouse is a physician. |
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These volunteer/research/clinical hours as undergrad are just plain dumb.
Maybe a few to make sure this is really what you want to do as a career but hundreds of each is just…. Well, unhealthy. So ironic. As a physician trying to hire an associate in the DMV, all I want is someone who can treat patients competently and efficiently and who is nice and well liked. All the ECs and volunteer work are completely irrelevant for actually working as a clinician. I would make undergrad 2-3 yrs and med school a little longer so they aren’t cramming so much info into such a short time. And no gap years. Get the kids into med school while their brains are still young and at their peaks to learn all the info. |
Agree. And no gap year. The kids with the highest grades/MCAT and who are personable then move on to med school. |
"who are personable" - how do you figure that out? |
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Also, in much of Europe, Medicine is direct admission from HS. None of this "pre med" delay and silliness in such countries.
Thank the AMA for the current state of things. |
You have to do tests called the Preview and the Casper that judge situational and professional ethics. That being said, I work for a med school and we require a communications course and foundations in patient centered care course. Even after admission they still need a lot of work before facing patients. |
At this point the AMA is basically a pro-immigration lobby actively working to prevent Americans from entering a field that’s in high demand. |
Gap years are chosen, not needed. I am a physician, I co-own a premed-advising consultant group, and have three premeds in among my kids or neice/nephews currently, one at UVA, one at ivy, one at another ivy. None are taking gap years. The ivies have data showing 35-40% of med school applicants each year have zero gap years. A specific large southern public in the overall top 65 has 85% taking a gap. Their advising from what I see with applicants is terrible. The culture on campus is gaps are needed. They often do not use their first two summers for premed requirements, huge mistake. Uva to my knowledge does not release the percent that gap, but they remain an excellent premed program which advises well and prepares well for the MCAT. Of the 65% who chose a gap year at the ivies, most are a choice in order to spread out the coursework slightly, typically move biochem to senior year and physics to junior, to help with maximizing grades. Others are 3.9+ kids who easily have the grades but get accepted to prestigious 1-year fellowship programs such as paid-for MPH, NIH fellow, Fulbright, others. The ivy my kid attends is very clear that gap years are not necessary, as there are plenty of resources for clinical experience, research, volunteering, right on campus. Premed advising meets with students and advises planned gaps when the grades are not ideal after the first 1-2 years. No one is gatekept from applying though some are strongly encouraged to gap. Look on the AMCAS website, read on premed advising sites at the top schools with med schools on or near campus. The non-academic requirements can easily be completed as an extra EC during the semester(5-8 hrs a week is plenty) as well as the first three summers (over 400 hours each summer available to fill with research, clinical experience, and more). As long as the courses are rigorous, MCAT studying should not take more than 6-8 weeks of part time study on the weekends and on evenings during the semester or during the summer, many can get 515+ with much less. A student suited for medicine will be able to get at least a 508+ with that diligent schedule. Those who do not want to put in evening or weekend work to study for the most important test they will take do not belong in medicine. What non-MD parents do not understand is that the non-academic requirements were suggestions in the late 90s when my cohort applied. There were multiple years in a row that were harder to get in (33-35% of all US med applicants got in to at least one school vs 38-41% currently). AMCAS added "requirements" because it was clear back then that top schools were strongly pushing science research, volunteering in clinical settings and more for their premeds, while students applying from lesser schools were just doing the basics listed on AMCAS. Furthermore, these schools strongly pushed the "recommended" classes (biochem, cell bio, psych, stats in addition to 2 sem calc): if you wanted a glowing letter in the 90s you had better have taken all the recommended ones, and these schools told their students that upfront. The result back then: Med admissions skewed heavily toward these in-the-know undergrad programs (ivies, Duke, WashU,+ 20-30 other usual suspects) because these programs had applicants with resumes that are like all applicants have to have today. The fair solution was to up the official requirements so anyone from any undergrad would be on an even playing field. My peers and I, from the same ivy as my kid attends today, did the same things they recommend now. At my top med school about 3/4 were from T30 unis/top 10 SLACs which does not happen anymore. I served on med school admissions years ago and have a premed advising consultancy now, with other docs from top schools. It is more equitable now, and based on the raw math is slightly easier to gain acceptance to a US medical school now versus the mid to late 90s. |
Medicine is not the right career for these kids. |
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Easily done in the summer. There are numerous summer clinical and/or research programs for college kids. Use their network: live at home, live with family, live with friends at schools that have med schools nearby. |