Details of a non-traditional medical school application

I'm a non-traditional medical school applicant ("non-trad" in med speak) in that I have spent some time in the real world between graduating from college and applying to medical school. It's been nearly 7 years at this point and I have done a wide variety of things in that time, some of them medicine-related but most of them not at all.

A commenter asked me to elaborate on my activities and what I put on my AMCAS, so here it goes. I don't particularly like lists so instead you get an abridged version of my adult life story, even though it may not seem very abridged. Everything I mention below is in one way or another presented in my primary application. So you're getting essentially what the adcoms got when they received my application, with some flowery commentary thrown in for good measure.

Bright College Years:
My major was in the natural sciences, so a lot of the requirements for my B.S. overlapped with those required for medical school. At the time, it was great to knock out both sets of requirements but in retrospect, I wish I had stayed far away from any BCPM classes during undergrad. I would've had a much easier time getting into medical school that way. But alas, I don't have a time machine so the past remains unchanged as much as I wish otherwise.

As a natural extension of my academic interest in medicine, I began getting involved clinically my freshman year. I volunteered as an EMT at a 911-only ambulance service a couple of towns away from my undergrad campus. Since I was never cleared to drive the ambulance, all of my hours were spent providing direct patient care. Over the course of the three years I spent in EMS, I acquired something like 1,700 hours of clinical community service. It was awesome and is one of the major reasons I am pursuing medicine as a career. I listed it as a meaningful activity and elaborated further on the previous statement.

Other extracurriculars included rugby, which I also listed as a most meaningful activity on my AMCAS, sailing, and Habitat for Humanity, which I had been involved with in high school and continued to work with in college.

Gap Year(s):
I went abroad after graduation and spent the next year and a half sailing the high seas, working in a café, playing rugby, moving to another country whose language I didn't speak, working for food and wine, all before finally coming back stateside to work at a summer camp. Again, this all went into my AMCAS application.

For those ~18 months, I did nothing that went anywhere near medicine. I simply had fun. I learned a lot about myself during that time and a lot of those experiences led me to apply to medical school, all of which I discussed in my personal statement.

I came back to the U.S. because my money ran out (working for food and wine doesn't go far with regard to savings) and because I was tired of living out of a suitcase. I wanted my own sofa and I couldn't have that with my nomadic lifestyle. This part was not in my application, for obvious reasons. I don't think I actually told med schools why I moved back. Only one interviewer has ever asked and I gave her a more eloquent and mature answer, one which didn't involve a sofa.

The Real World:
Unbeknownst to me, the town I moved to after the summer camp experience was a Mecca for the career I had planned to pursue at the time. I hadn't come around to medicine quite yet and was instead focused on working in the industry of my undergrad major.

I got a job in research full-time at the local university and have been here ever since. While the experiences I have had as a member of this research group have been incredible (see the trip to Alaska and other deployments to equally exotic locations), I have ultimately realized that this career is not for me and that I needed to find something else to do.

As soon as I began thinking about medical school again, I started volunteering at the hospital where I've been lucky enough to have direct contact with both patients and physicians. I also enrolled in pre-med classes at the same university I work at since I had to take or retake nearly all of the med school pre-requisites.

I have continued to be heavily involved in rugby as well as with Habitat for Humanity.

Lastly, I went on a medical mission trip with the U.S. Navy to Southeast Asia for a month about a year ago. I have a well-documented interest in international outreach so this wasn't simply a box-checking activity. Instead, it was the perfect combination of the things I'm passionate about: international missions, boats, and medicine. It opened my eyes to how international medicine is really done and somewhat changed what I had envisioned as my future career in medicine.

How all of this is perceived by adcoms (people that matter):
Like I've mentioned before, my application is either loved or hated by the powers that be. I have yet to get a neutral reaction to my experiences and journey to med school. One interviewer has grilled me on why now, how I know I won't quit again, and the like, while a pre-med advisor (Ms. D) simply doesn't like me for reasons I can't explain.

For the most part, though, interviewers were curious and excited to discuss the reasons behind my adventures and wanted to know why I finally came back to medicine after so many years pursuing vastly different things.

I don't think there are any "required" extracurriculars or activities for non-trads. I've known people who got in with very little recent volunteering or practically no research. However, it seems like you need to have one or the other, or a very valid reason for being light in those areas such as family, job, or other pressures. I happened to have both research and volunteering, although I didn't have any publications even though I worked for ~5 years as a research assistant, which I know hurt me at some schools.

My advice to other non-traditional applicants is to first and foremost focus on your grades and MCAT. Those are the most important things in your application. Then, do clinical volunteering/work and shadowing, and maybe get some research in if that's your thing. Primarily, you need to show that you can handle the academic workload. Secondly, you need to be able to show that you know what you're getting yourself into and having those activities on your application will go far in convincing adcoms that you're making an educated decision to pursue medicine.

Generally, activities of non-trads are not more heavily scrutinized per se but rather the reasons behind those decisions are questioned more intensely. It's a lot harder to quit another career to pursue medicine than it is to apply to med school as a junior in college so adcoms want to know why, why, why. In your applications, but more importantly in your interviews, make sure you can convincingly communicate why you switched to medicine and have some evidence/stories to back that up.

Be prepared to discuss any deficiencies you may have in your application, even if the reason that your undergrad grades sucked was because you were young and stupid. Own up to your mistakes and let interviewers know that you've learned from them and that you're better for it.

I'm not an expert on medical school admissions for traditional or non-traditional students by any means. After-all, I've been placed on 5 waitlists and only accepted to one school after applying twice. So take everything I say with a grain of salt.

However, the above "advice" is based on a lot of research on the subject both from SDN (there really is some good stuff there if you wade through the bullshit) and from talking with a lot of people. I haven't always heeded my own advice but now I know better and hope that this helps you, dear commenter.

If you have any other questions, don't hesitate to write below and I'll try to elaborate further.

Why I didn't get accepted last cycle

A commenter asked today why I think I didn't get in last cycle so here is my very long-winded (as always) explanation.

I believe there are several reasons for my many rejections, in order of effect on my application:

1. Late submission of secondary essays
2. Bombing interviews
3. Low GPA, both cumulative and science
4. Insufficient activities (up for debate)

Late submission of secondary essays:
The most significant one is the first: my applications were complete very, very late. I was verified by AMCAS by the first week of August, which is actually still fine. However, I took my time submitting my secondary essays and that's what really cost me.

Most of them were submitted in mid-September, meaning my application wasn't complete until October or even November. By that point, many interview invitations had already been given out and I was competing with more applicants for fewer spots. Not good odds with my numbers.

Bombing interviews:
I did receive two interview invitations and both of them resulted in waitlist positions. These were the two schools at which I submitted my secondary applications relatively early (within two weeks of receipt of them and complete by mid- to late August). That supports my theory that as long as you submit before Labor Day, you have a decent chance of getting interview invitations.

As for why they resulted in waitlists, the reasons differ for each school. I bombed the first interview at which I actually had a very good chance of getting accepted had it gone well (2 in 1 odds). It was my first interview, I hadn't gotten much sleep the night before, and I had a lot riding on it (it was and still is my dream school).

As a result, I was off my game. I expressed excitement at the wrong moments, such as when talking about my hobbies instead of describing my passion for medicine; some of my answers weren't phrased well and thus either weren't convincing or came off as naive; and I just didn't lay on enough charm.

I thought my second interview went really well, given the interviewers I was paired with. But the school doesn't take many out-of-state applicants as it is, had over-accepted people the year before (they had to give a few students incentives to defer for one year) and as a result accepted fewer people in general. Thus, it was a perfect storm for placing me on the waitlist.

Low GPA, both cumulative and science
Now onto my actual application. I didn't take school seriously as an undergraduate and my transcript reflects that. I literally have every grade my school offered, from A to F (including +s and -s), a W here and there, as well as a Pass for Pass/Fail courses. This resulted in sub-3.00 cumulative and science GPAs. Yeah, I did a number on my future during those four years.

I went back to school a couple of years ago to take pre-requisite classes since I had only completed a few of them in undergrad (thank God!) before dropping the pre-med thing back then. I managed to do a fair amount of GPA repair because I rocked them.

Unfortunately, I was a science major in undergrad but fortunately most of my major classes weren't classified as BCPM (Biology, Chemistry, Physics, Math) by AMCAS. This resulted in me being able to raise my science GPA nearly to 3.50.

My cumulative GPA remains at ~3.10, which is well below the 10th percentile at most schools. There is no amount of classes I can take to make my cumulative GPA competitive so I've stopped trying to raise it. Instead, I've applied mostly to schools that take a holistic approach to applicants and I hope they see past my immaturity from nearly a decade ago.

It also helps that I have a high MCAT score (36R) and have performed extremely well in upper-division biology and chemistry classes. It definitely eases the concerns of admissions committees about my ability to perform in medical school. So this may not be that big of a factor as long as a human lays eyes on my application.

Insufficient activities (up for debate)

This is where the answer isn't very clear-cut. I either have a really strong application or I shouldn't bother applying until I strengthen it. Depends on whom you ask.

Luckily, my committee letter writers are in the first boat otherwise I wouldn't have been offered any interviews last cycle. On the other hand, other well-respected people said they wouldn't have given me an interview even if I was the first application they saw. In their minds, my activities are too old, too impersonal, and I'm not productive enough with my spare time.

There is some merit to these concerns, especially now that I'm a reapplicant, so I'm fixing those areas in case I have to reapply yet again. I really hope it doesn't come to that but from some discussions with people, it's a legitimate concern.

And the Bs start pouring in

Grades are starting to trickle in and I just broke my 4.0 from post-bacc classes. Sadness. I've been preparing myself for this for the past week so I'm not too upset about it, but I didn't expect a solid B in biochem. I had a pretty decent chance at the A, so I must've really bombed the final to drop myself all the way down to a B, even though I thought I had totally killed it. Oh well, nothing I can do about it now.

Since I'm pretty convinced I got the B in physio (grades aren't up yet so no proof), my post-bacc is going to go down to 3.88, which is dangerously close to not having a 3.8+ post-bacc GPA. And apparently that's the ultimate goal.

With Biochem II grading being harder and more intense than Biochem I, I'm kind of worried I will drop below that threshold. Ay, the stress!

But, what I have learned this semester is to keep up with the work and not leave it to the last minute. Duh, right? But I've managed to get by every other semester, and this time just bit me in the butt. So lesson learned.

Only way to go is up!

Edit: I caved and looked to see the breakdown of finals for all my classes. I managed to squeak by with an A in physiology (!), and did indeed bomb the biochem final (a whopping 68%). I have no idea how I did so poorly in biochem, as I came out of that exam feeling awesome. But since I know I studied my butt off and felt like I couldn't study any more than I already had, I'm ok with the B because I gave it my all. If I had gotten a B in physio or bio, I would've been pissed because the only reason for that grade would've been burnout and complete laziness. So although I'm still mourning the loss of my 4.0, I'm totally okay with it and will probably sleep better tonight knowing all my grades from this semester are finally decided.