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.

AMCAS, Round 2

AMCAS (the medical school application) opened up on Wednesday and since I currently don't hold any acceptances to a medical school, I've begun filling it out to be ready to submit on June 4th as a reapplicant.

For the most part, it's so much easier than last time around. All the fields are pre-filled with last year's information, including my personal statement. I'm going to do some editing on that so it won't be identical, but it's kind of great that I don't have to add in any of my grades again. I'm old; I've attended a lot of schools and taken a fair amount of classes.

There are only two major differences between this year's application and last year's:

1. A more specific estimation of my parents' income growing up is required. Last year the upper cut-off was low enough so I didn't need to be specific because we were above it. But this year there are categories of income in increments of $25,000 that go up to half a million or something ridiculous like that. So the parents have had to go through their finances to figure out a good average since their salary varied widely from my birth to my adulthood.


2. The activities section now asks for total hours per activity instead of hours per week. For some things like clinical volunteering or shadowing, this method is preferable to give the admissions committee a good sum of hours. But for other activities like sports or jobs, it doesn't really work out because it's highly inaccurate to approximate 10 years of playing rugby.
   
   Also, the upper limit for total hours is 999 per activity so anything over 1000 cannot be entered accurately. I've started putting in the hours per week in the activity description if I haven't exhausted the character limit, which kind of makes up for that deficiency.

So that's that. The deadline for applicants from last cycle to decide on a single school and thus withdraw from all other schools they've been accepted to is quickly approaching (May 15th) so there should be "significant" waitlist movement in the coming weeks. And that means I can start getting anxious about checking my email really soon.

Since I wrote the really long "I love you" update letter to my dream school at the end of March, I'm going to go for a simple "Remember that I still love you" email this time around. If I still don't hear anything by early/mid-June, I'll send them another love letter but right now I can't think of anything of substance to add to that letter. So it'll have to wait.

Also, I've started planning my summer as if I was matriculating in the fall, at least with my big trip that involves international air travel. I've been saying that I'd visit my family abroad (I'm foreign) for the past four years and each summer something has come up so that I haven't been able to make it. This year I've promised myself that nothing is going to get in the way of my visit so even though July is not the best time for them, it is the only guaranteed month I'll be able to go regardless of what happens with school.

Everything else summer-wise, like music festivals and races, can be booked/bought in June/July when I have a better idea of what the next year will bring for me. Overall, I've come to terms with having to wing most of my summer activities, which is not ideal but such is life.

Limbo is not conducive to life planning

I still don't know if I'll be attending medical school in the fall or if I will be reapplying and thus will have another year of relative freedom/little structure. While I've become accustomed to the waiting aspect of the application cycle, I'm still adjusting to having to hold off on making any concrete plans past mid-July.

I've always been a planner so the huge question mark where my future should be is mildly irritating. There are a few things coming up in late August through mid-September that I would really like to do. So although I know I'll be in the area for sure because I'll either be attending the local medical school or staying put to reapply, I have no idea if I'll have the time to do them due to a little time-sucking thing known as anatomy. And I can't imagine I'll be able to go out of town for a whole weekend in the midst of that block.

Mostly, I like to pay early bird prices for things and although it's not the end of the world that I have to wait a few months to figure out what I'll be doing in September, the added cost of indecision hurts my soul.

But more seriously, I can't give my boss concrete dates for when I'll be available for the deployment to Alaska this summer, which messes with his trip-planning and budgeting as well. I'm also going to visit my family across the pond in June/July/August (I'm foreign) so making any sort of camping plans with them and finding time between the deployment and a wedding to go over there is nearly impossible right now. Since they have kids and jobs and other vacation plans that don't include me, it'd be nice to give them some advance warning regarding my arrival.

Yes, these are all frivolous and trivial concerns compared to the big unknown regarding my future, but I've been trying to stop thinking about that and instead focus on the things that make me happy, which usually require planning and thus the problem of limbo.

I also have nothing to report medicine-wise since not much is happening in that department, so you get these kinds of posts instead.

Exciting non-medical school news

The dream school is still stringing me along like a bad relationship so I have no news on that front. I've been avoiding the school-specific thread on SDN until I hear back from them, which should be any day now, because reading other people's results just stresses me out and gives me no information on my particular application. And I don't really need any more stress in my life.

Instead of thinking about medical school admissions, I've been getting on with my life. I have a ridiculous amount of things planned between now and July and I'm getting pretty excited about what the next few months have to offer. I've become more serious about refereeing (my first big match is tomorrow...I'm terrified) and I've started to take care of myself by learning new recipes and getting outside more often.

But most excitingly, the group with which I work is planning a deployment to northern Alaska this summer and my boss recently asked me if I'd like to go because they could really use my help on-site. Prior to getting this invitation, I had planned on quitting my job before this expedition and enjoying the summer on my own terms if I was matriculating in the fall, or providing remote support from our home office if I had to reapply and keep the job for another year.

Obviously the first option was more appealing on so many levels, but the opportunity to go on this trip throws a very interesting wrench in the plans. A deployment to Alaska is not something I can just pass up, so regardless of my medical school situation it looks like I'll be spending at least part of the summer in a hangar above the Arctic Circle.

The only pseudo-problem with this trip is that the dates could overlap with my hypothetical medical school orientation and I would only be able to make it for two weeks or so before having to get back to the real world. But everything is still up in the air so there's no reason to worry about things I can't control. For all I know, the dates could work out in my favor and I will have stressed for nothing. Or I could not go at all.

So, as with most things lately, I'm cautiously optimistic about this deployment. But if I don't get into medical school this cycle, there is a very fun silver lining to spending another year reapplying. So there's that.

Emergencies on airplanes

I've slowly been writing about my experiences over the summer and the following occurred on one of my flights. This post was originally written in response to a thread about helping in medical emergencies as a doctor and if such interventions make a difference in patient outcomes:

About half an hour into the flight they asked for a doctor, nurse, or anyone with medical experience. A little while later the plane took a hard left to divert for "an unexpected landing" as they called it.

(This was a foreign airline so most announcements were in a language I didn't understand with English translations lasting a fraction of the original announcement. So I only have a bare-bones understanding of what really occurred.)

Either no one was available to help or no one volunteered because the flight attendants were the only ones providing medical care to the passenger. I was asleep and awoke to the sudden turn and "unexpected landing" announcement, which scared the crap out of me because I thought we were going down, until I saw the oxygen tank attached to an unconscious dude being carried down the aisle.

All in all, I don't think a doctor or medical professional would've changed the outcome for the passenger since the guy was hooked up to an AED ("No shock advised" numerous times) and CPR was being performed with an hour still left to our emergency landing (we were over water). At that point, the flight attendants were doing all that could be done with the limited resources found aboard an airplane and more training on their end wouldn't have made a difference.

I'm applying to med school now thus I'm not a doctor but I've been in EMS for 6 years so I'm familiar with emergencies in weird places. I like to think I would've volunteered had I been awake and no one else had been available. But I don't know.

What's worse is that the guy didn't suddenly die. He had some sort of medical emergency that eventually led to cardiac arrest so maybe even my basic assessment could've helped him in some way. And had this happened on land, with the 30 minute lag between the first signs of medical trouble and cardiac arrest, he maybe would've made it.

But since we were airborne, there's really not much anyone could've done in that situation with such few supplies and such a long transit/landing time to higher level care.

In short, a plane over water is most definitely the worst place to have any kind of medical emergency.

The last month in a nutshell

I bet you're wondering about what's been going on in my life the last month or so. Well, a lot.

Here's a bullet-point list of my goings on since then.

• May 19 Morning - Took my MCAT.
• May 19 Afternoon - Hit up a baby shower and moped.
• May 19 Evening - Moped some more while getting my butt kicked at nerdy board games.
• May 20 - Tried to pick up the pieces after a disastrous MCAT experience.
• May 21 - Met with my boss to get a letter of recommendation, got a haircut, and got a professional-looking portrait done for applications.
• May 22 Ass-Crack of Dawn - Began a series of flights to Guam.
• May 23 Evening - Boarded the USNS Mercy at U.S. Navy base in Guam.
• May 24 - June 18 - Hung out aboard the USNS Mercy.
• June 3 - 9 - Camped out in an Indonesian village of <1000 inhabitants providing basic medical care as part of a humanitarian mission with the U.S. Navy.
• June 19 Morning - Boarded first of many planes to get home from a tiny town in the Philippines.
• June 19 Evening - Took an unexpected visit to a small island due to a very serious medical emergency aboard our flight.
• June 19 Morning - Found out my MCAT score at the Honolulu airport. Massive sense of relief followed.
• June 19 Evening - Finally arrived home after visits to way too many airports for my liking.
• June 19 - Present - I've done absolutely nothing during this time.

The problem with that last point is that I need to get my medical school application submitted ASAP, but I'm having trouble finding the motivation to do it by some imaginary deadline. I'm a major procrastinator and have found that rolling deadlines are my Achilles' heel. Well, one of my Achilles' heels, at least.

I will go into much more detail about the happenings of the last month in the coming weeks, but for now I wanted to provide a quick summary as another way of putting off working on my personal statement.

It hasn't sunk in yet

In 25 days, I will be somewhere above the Pacific on a flight headed to Southeast Asia to volunteer aboard a Navy hospital ship and serve as part of an international medical relief mission. Even though my plane tickets are bought, my immunizations are scheduled, and I have a packing list in my head, it still hasn't sunk in that this is happening so soon, or even at all.

I have yet to accept the fact that I will be spending six weeks working...

1. as a medical team member,
2. on a boat, and
3. in a foreign country.

I am not exaggerating when I say that this is a dream come true.

And because it has been my dream for so long, I just can't believe that it's happening so soon in my medical "career". It just seems way too good to be true.

Two years ago I re-began the journey towards being a doctor by signing up for a few pre-med prerequisites. At the time, applying to medical school seemed so far away and I couldn't wait to be done with all of it. I just wanted to be in medical school then and not wait the years it would take me to finish up everything.

Instead of the expected long, hard slog, these last two years have flown by and I'm much closer to my goal of being a doctor. Even with all the work I've already put in, I still have a lot to do before I leave.

But when I get on that plane on May 22nd, my MCAT will have been taken, my medical school application will be finished, and I will have decided on which schools to apply to. That is a very scary thought.

!!!

Received tonight at 11:44 pm*:

Looks like Option 1 from my previous post is actually going to happen. Happy days!

*Pardon the stars and redactions. One of the forms we have to sign deals with not releasing the location of the ship until we have left the area. And another one says we need to run everything we plan to write about the trip by the coordinator. The details omitted from the copied email aren't pertinent to this blog post and thus have been removed.

Summer abroad

Originally I had planned to apply to only one summer program abroad and leave it at that. If I didn't get in, then I'd enjoy the peace and freedom of this summer here in town. But, a friend of mine has forwarded another opportunity on to me about a group leader position in a huge number of countries that would last about 5 weeks. It'd be a great reason for me to go back to Europe and visit my family, because it doesn't look like the sailing trip is going to happen the way I had hoped.

So here are the two programs I'm applying or have applied to:

1. A humanitarian mission aboard the USNS Mercy, run by the UCSD Pre-Dental Society
   This organization partners with the U.S. Navy to provide medical staff and volunteer assistants for missions abroad aboard a hospital ship. This summer they will be traveling to Southeast Asia, visiting Indonesia, Philippines, Vietnam, and Cambodia for about 4 months total (2 weeks at each site plus a few days of transit between countries). I've applied for the whole summer but if I am chosen for only two sites then I requested Vietnam and Cambodia because it would give me more time and lee-way for MCAT studying (in case I have to push it back...again), AMCAS submission, and writing secondaries. I've been told by someone who does these kinds of missions regularly that I should go for the duration of whole thing if I have the opportunity because it's a once in a lifetime experience, but I would also like to have some time to be at home during the summer. It's fun over here. As of a week ago, they had received my application and now it's a waiting game. If I don't hear back within the next 2 - 3 weeks then I'll email them for an update but for now, I sit and wait and fret. I REALLY want to do this. It's right up my alley!
2. The Experiment in International Living, as a group leader for high school students
   This group plans homestays for high school students in countries around the world, and is in need of group leaders to be the contacts for these students when they're abroad. It would be the perfect opportunity to go back to Europe (or maybe even Australia) and live with a family and experience the international life I've been missing since I moved back to the States. I wish my Italian was better because then I could go to Florence, too!

Those are the plans, at least the international ones, for the summer. If I do end up staying here in town, I may volunteer at a summer camp for cancer kids, which is something I've been wanting to do since undergrad but just haven't had the time to do. Or, I may take an Italian summer course so I can take the more advanced language classes during fall and spring. Or I may just go camping a lot. Man, I'm already dreaming of the freedom I'll have once my MCAT and AMCAS are done!

Plans for the "Gap Year"

Because I'm a planner, I'm already thinking of ways to spend the year between the time I submit my medical school application in early June and the day I (hopefully) matriculate in August of the following year. And right now I'm torn.

Part of me wants to do something clinical or medical just because. But another part of me wants to say "Screw it!" and mess around during that time. I'm already planning a month-long trip abroad for next February or March, but I'm also thinking of extending that and making it more of a 6-month trip. All of this is obviously dependent on the success of my application cycle, but for once I'm leaning towards the optimistic side of things and thinking I'll get in somewhere and won't have to spend the year building up my application for another cycle.

For example, if I don't get into my local medical school, I am less likely to move abroad for the 6 months that I'm dreaming of. Even though I haven't hung out with my brother much lately (and by that I mean, at all), I still would like to maximize the time I see him if I have to move. And that means hanging around here until I go away to school elsewhere.

I love where I live and life is becoming pretty awesome lately, so this wouldn't be too bad of an option, but I still would like to get away if I'm going to be bogged down with school come late summer. I need a vacation like crazy and this would be the perfect time.

But, if I were to have an acceptance to the school here, I could go away for a long time and not feel guilty about missing out on bonding time with family. Most likely, though, I will have to make this decision in a year's time when more of these things are clear. And that means having plenty of back-up options and multiple planned vacations so once I know what's going on, I can get on with whichever idea sounds the best.