Blog Archives

For Pre-Meds Applying in the Next Cycle, What IS Solid Clinical Experience Anyway?

Getting into medical school has gotten so competitive that it’s increasingly important to have a strong candidacy with excellent grades and robust extracurricular activities. As I’ve mentioned in previous blog entries, one mistake I see pre-meds make is that they are so focused on leadership and research, they forget a critical component – clinical experience. To prove you want to be a doctor, it’s essential you obtain clinical experience for a significant period of time – not just a health fair or two. Good grades will not make up for a lack of clinical experience. Here are some ideas for obtaining strong clinical experience:

EMT (some universities have EMT classes and/or jobs on campus)
Participate in a good hospital clinical care extender program
Work at a low-income clinic
Certified Medical Assistant
Certified Phlebotomist
Certified Nursing Assistant
Work at a hospice
Scribe (usually a full-time job)
Veterinarian’s Assistant (a great way to get hands-on procedural experience)
Volunteer for a crisis text/phone line (might need to be paired with an in-person clinical experience)

Shadowing is a mixed bag: Medical schools don’t know whether you’re second-assisting in the operating room or just standing in a corner being ignored :(. If you choose to shadow, make sure you strategically delineate your clinical experience in your written materials.

If you’re not excited about getting clinical experience, it’s time to question your interest in a career in medicine… which is exactly what admissions committees will do if they don’t see that experience.

Do your research before accepting a “clinical” job so you ensure you’ll really get a satisfying experience and show admissions committees you can handle the heat.

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The AAMC Will Expand the FAP to Include Some Residency Applicants

The American Association of Medical Colleges has announced that they will expand their Fee Assistance Program to certain residency applicants starting with the 2024-5 ERAS application season. At that time, the FAP will include residency candidates who were previously approved for the program during their medical school application process. The qualifying candidates will receive a 60% fee discount on up to 50 ERAS applications. This is great news for medical students who have severe financial needs. The AAMC reports that it will be providing more information in the following months.

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Is Getting into Medical School Harder than It Was Before or Does It Just Feel Like It?

Last cycle, over 52,000 brave candidates applied to medical school, with just under 23,000 matriculating. While getting into medical school is extremely competitive, the number of applicants has actually decreased from two years ago when over 62,000 individuals applied to medical school (and the number of matriculants/spots has stayed almost the same). People attributed that peak in applications to the Fauci Effect, a trend that motivated individuals to simulate medical leaders and contribute to the health of society in the setting of the pandemic. In reality, it’s unclear why numbers rose significantly that year. But since, applications have declined. The problem for candidates is that the number has decreased only to levels that are about equal to those pre-pandemic and still higher than the 2014 cycle when there were under 50,000 applicants. 

Having said that, there are more open medical school slots than there were in the past. In the 2014 cycle, 20,343 individuals matriculated out of 49,480 (41.1%). This past year 22,981 matriculated out of 52,577 applicants (43.7%).

None of these statistics take into account the fact that a more competitive applicant pool may have emerged over the course of the last decade. In other words, the whole achievement level of the application cohort may be stronger than it was in the past.

Bottom line: Looking at numbers alone, it is easier to get into medical school than it was during the anomalous cycle two years ago. Furthermore, although there were more applicants, it is slightly easier to get into medical school now that it was about a decade ago because there are more spots. 

That conclusion is likely reassuring for upcoming applicants, while at the same time, maddening for any of this year’s candidates who have received a recent rejection. 

Either way, getting into medical school is extremely competitive.

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AAMC MCAT Prep Workshop – November 8

The AAMC is offering a free webinar “Preparing for the MCAT® Exam” on November 8 at noon PST/3 PM EST. They’re publicizing that the session will include tips for creating a study plan, low-cost prep resources, a demo of their free MCAT Contact Outline Course, and time to ask questions. You can register here. (You will need to create a free AAMC account if you don’t have one.)

As an aside, if you believe you qualify for the AAMC Fee Assistance Program (FAP), make sure to apply for it early. This year’s deadline is December 8. The FAP covers the MCAT, but the grant is not retroactive.

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Congratulations and Congratulations

I’ve heard from several clients who have already been accepted to medical school this cycle. Congratulations! I’ve also heard from several clients who have been waitlisted. Congratulations! The waitlist can feel like a disappointment, but it’s important to see it for what it is – a potential acceptance.

One of the hard parts of being on a waitlist is the uncertainty. We humans like to be in control! One way to alleviate this discomfort is to do something. Assuming the school you’re waitlisted at allows communication through their portal, email, or snail mail, I recommend sending a letter of interest (LOI).

When writing your LOI, you should have the following goals:

  1. Restating your strong enthusiasm for the institution
  2. Positioning yourself as a distinctive candidate who can contribute fully to the school
  3. Showcasing any updates to your candidacy. (If you don’t have updates, you should still write the LOI.)

LOI errors to avoid:

  1. Don’t include generic content about the institution’s advantages, meaning don’t waste valuable “geography” telling a medical school admissions officer what makes his/her institution special. Using precious space this way is an opportunity cost, keeping you from fully showcasing what makes you a compelling applicant. Instead, a good technique is to link one of your particular accomplishments with a distinctive opportunity at the institution. For example if you’ve done cancer research, make sure to showcase it and point out that you’ll contribute to the renowned oncology center the institution is associated with.
  2. Don’t focus on how the school will help you. (“Your medical school will assist me in reaching my career goals.”) Your angle instead, should be on how you will be a contributor to their institution. For example, you can detail how one of your leadership experiences has given you the tools to make you a future leader at this institution. (It’s the “What have you done for me lately?” Janet Jackson principle.)

Finally, let me say that I find the term “letter of interest” to be better than the old jargon “letter of intent” because, generally, I don’t recommend you let institutions know what your intent is (since it might change). Note that with a letter of interest you can create one general letter that you modify and send to multiple institutions with different goals (i.e. if you are placed on another waitlist, to request an interview, or to demonstrate your interest post-interview at another medical school). You can also modify the letter and send it to your top choices because, if you are not making a commitment to one school, then you can honestly use it for multiple institutions. 

For those of you interested in LOI assistance for medical school, please contact me.

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About Dr. Michelle Finkel

Dr. Michelle Finkel

Dr. Finkel is a graduate of Stanford University and Harvard Medical School. On completing her residency at Harvard, she was asked to
stay on as faculty at Harvard Medical School and spent five years teaching at the world-renowned Massachusetts General Hospital.
She was appointed to the Assistant Residency Director position for the Harvard Affiliated
Emergency Medicine Residency where she reviewed countless applications, personal statements and resumes. Read more

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