Medical School Admissions

Alternative Routes to Becoming a Physician: Podiatry School

We’re exploring alternatives to the MD. Check back throughout the week as we provide some facts and figures and guidance on osteopathic, Caribbean, and podiatry programs.

Podiatry School

A podiatrist is a physician or surgeon who treats the feet. Podiatric programs cost less than MD and DO programs, and the surgical residencies are not as long. After graduation, you'd be entering a secure, lucrative field that usually has a humane number of work hours per week.

The average GPA and MCAT requirements for Doctor of Podiatric Medicine (DPM) programs are lower than U.S. MD and DO programs. In 2024, the American Association of Colleges of Podiatric Medicine (AACPM) reported that the mean overall GPA for matriculants was 3.4 (Science: 3.3, Non-Science: 3.6), and the mean MCAT was 495.4

When You Should Apply:

If you’re applying to podiatry school, you want to apply the August before or early fall of your senior year. (If you plan on going to podiatry school right after undergrad.) The American Association of Colleges of Podiatric Medicine Application Service (AACPMAS) begins processing primary applications in August for fall admission the following year. For priority consideration, the AACPMAS says you should submit before March. The final application deadline date is June 30th for fall admission of the same year. But don’t be on this last train out of town!

Where You Should Apply:

The AACPM website is an incredible resource for information on podiatry schools. We're talking breakdowns of each accredited school's mission, cost, special programs and services, demographics, and social media handles. If you're interested in podiatry, check out the info on all 11 accredited schools.

Alternative Routes to Becoming a Physician: Caribbean MD programs

We’re exploring alternatives to the MD. Check back throughout the week as we provide some facts and figures and guidance on osteopathic, Caribbean, and podiatry programs.

Caribbean MD Programs

Students with lower MCAT scores and GPAs are more likely to be accepted to allopathic schools abroad than in the U.S. Schools in the Caribbean are especially interested in students from the U.S., Puerto Rico, and Canada.

It's likely that way more doctors than you think graduated from international schools. In 2023, the number of active physicians who graduated from international medical schools totaled 24.7 percent, according to the Association of American Medical Colleges.

When You Should Apply:

Off-shore schools have rolling admissions (and have multiple start dates). We think you should start submitting applications to these programs with your U.S.-based allopathic applications in June.

Where You Should Apply:

Of the 80 Caribbean medical schools, we recommend "The Big Four" to clients. All have key international accreditations; they are recognized by the World Federation for Medical Education/Foundation for Advancement of International Medical Education and Research (WFME/ FAIMER). They are also recognized by stricter state medical boards (like California's). These top Caribbean schools also have competitive residency placement rates and other boast-worthy qualities.

St. George's University / Grenada, West Indies: As of December 2020, the average MCAT score of matriculants was 498. Their average undergraduate GPA was 3.3. St. George's has a strong reputation for students passing the USMLE Step 1 (95%), USMLE Step 2 (91%), and for residency placement. SGU secured more than 990 U.S. residencies in 2022. The Grenada-based program has been the largest provider of doctors into first-year U.S. residencies for the last eight years.

Saba University School of Medicine / Saba: Saba told us that as of April 2022, the average GPA of matriculants was 3.19 and the average MCAT was 497. Saba is smaller than SGU, so it has fewer graduates becoming residents—but their stats are strong. Between 2019 and 2021, 94% of graduates obtained residencies. The average first-time pass rate for the USMLE between 2015 and 2020 was 99%.

American University of the Caribbean School of Medicine / St. Maarten: In January 2022, the average GPA for matriculants was 3.27; the average MCAT score was 496. AUC has a 93.2% pass rate for the USMLE Step 1, a 92.8% pass rate for the USMLE Step 2 CK, and 96% of 20212022 graduates attained residencies. AUC's clinical rotations take place at Accreditation Council for Graduate Medical Education-approved hospitals. It has clinical teaching affiliates in the U.S. and the U.K., and students can take global health electives in the Dominican Republic, Russia, Uganda, Vietnam, and Zimbabwe.

Ross University School of Medicine / Bridgetown, Barbados: RUSM emphasizes remedying systemic bias in healthcare in their curriculum—and on campus. Diversity in the student body and faculty is highly valued. They have rolling admissions; prospective students can apply anytime. Matriculants can start school in January, May, or September. The majority of clinical training takes place in the United States. 2022 graduates had a residency match rate of 96% and the school has consistently had a 91% first-time pass rate for the USMLE Step 1 and Step 2.

Alternative Routes to Becoming a Physician: Osteopathic Programs

If your GPA or MCAT is low-ish, it's time to consider all of your options. Osteopathic schools, off-shore MD programs, and podiatry schools are all roads that lead to you becoming a physician. And they are open to folks with lower GPAs and MCAT scores. It's not that these programs aren't competitive—they are—they're just not as competitive as many allopathic schools in the U.S.

This week, we’ll provide some facts and figures and guidance on osteopathic, Caribbean, and podiatry programs.

Osteopathic Programs

Plenty of applicants apply to osteopathic programs because they know they want to be DOs. You may have visions of that MD after your name. But if you're interested in holistic medical practices and primary care especially, one of the 42 accredited DO programs in the United States might be right for you.

In May 2021, the American Osteopathic Association's Physician Masterfile reported that 56.5% of osteopathic doctors practiced primary care. That covers a broad set of opportunities, including becoming an OB/GYN and a pediatrician. In 2022, nine Colleges of Osteopathic Medicine were in U.S. News & World Report's list of the top 10 schools with the most graduates practicing primary care. (Yep, them and one allopathic school.)

There is no shame in the DO game. One in four medical students in the United States attends an osteopathic program, according to the AOA. Much of an osteopathic classroom and clinical medical education is like an allopathic one. Additionally, osteopathic programs involve 200 hours of osteopathic manipulative medicine (OMM) training, which focuses on the spine, bones, and muscles.

You can find out more about osteopathic programs by attending an American Association of Colleges of Osteopathic Medicine (AACOM) virtual fair. Their ChooseDo.org website for prospective students can also give you valuable info on programs, tuition, application deadlines, etc.

Shadowing an osteopathic doctor will give you an idea of their day-to-day practice. And you'll have plenty of DOs to choose from: The 2025 Osteopathic Medical Profession (OMP) Report stated that there were 167,216 osteopathic physicians in America in 2025. DOs make up 11% of physicians and over 25 percent of medical students in the country. And according to the American Association of Colleges of Osteopathic Medicine, 99.1 percent of 2025 DO graduates were placed in residencies.

If you're applying to an osteopathic program, you should have shadowed a DO or better yet worked with one. You'll also need a recommendation letter from an osteopathic physician—and we mean need—you must show a real interest here.

When You Should Apply:

The AACOM application opens in May. Deadlines for osteopathic programs are in February and March. You can check out the AACOM Choose DO Explorer for exact dates for each school. But we’d like to see you apply to these programs in October, just as allopathic schools start getting back to applicants.

Where You Should Apply:

No exaggeration: All U.S. osteopathic programs are good. The Commission on Osteopathic College Accreditation (COCA)'s standards are strict. Check out the AACOM site for more information on the 42 accredited colleges of osteopathic medicine, which have 67 teaching locations in 36 states.

Laying the Foundation for Your Med School Application: Build a Brainstorm Document

Before you begin work on your medical school application, we recommend that you create a brainstorm document where you will explore your formative experiences—what you thought, felt, said, and did. This brainstorm will be your touchstone for everything about this application process. It will help you discover what meaningful experiences and qualities you want to highlight in your Work and Activities, Personal Statement, and Secondary essays, and discuss during your interviews.

This brainstorm could end up being seven pages or 25—you want to be free and generous in your writing. While your brainstorm text does not need to be polished, your unfinished thoughts should be organized for greater ease when writing. Putting meaningful experiences into different "buckets" helps a lot. You might have some crossover with experiences technically fitting into two buckets or more—don't worry about that; put them in one bucket, for now, to keep things grouped. Maybe write: "This is also a leadership experience" or "Integrity/Critical Thinking" in your notes.

An important note: Eighty percent of these experiences should be from adulthood (college and beyond). Twenty percent can be from before then if they established foundational skills or led to evolutions in perspective. For example, if you taught wilderness first aid as an Eagle Scout. If your interest in medicine sprung from your prolonged childhood illness, that is relevant information.

Bucket 1: A-ha Moments: What meaningful experiences changed your mind about or expanded your perspective on something? Some could be spectacular successes, others, catastrophic failures. Have you learned from a mistake? What skills of yours did you discover in a challenging time? What did you think about these things at the time? How did you feel? (Prepare yourself, we're going to ask those last two repeatedly.) 

Bucket 2: Critical Thinking and Problem-Solving: In what meaningful experiences did you utilize critical thinking and problem-solving skills? How did you determine the best course of action? Did you approach something one way at first and then correct yourself? What did you think about these things at the time? How did you feel? 

Bucket 3: Leadership Abilities: In what meaningful experiences did you show your leadership abilities? Did leadership come naturally to you, or did you work to get to this place? (Both things are great!) How did you support your team? Did you encourage collaboration or independence? Did you feel supported by your team? Did you experience any pushback, and how did you handle that if you did? What did you think about these things at the time? How did you feel? 

Bucket 4: Teamwork and Collaboration: During what meaningful experiences did you work with a team or collaborate with others? Were you working with people unlike yourself? Was there a struggle for balance in the beginning? Any confusion? What did you appreciate about your team members? How did they influence and impact you and your actions? Did one or two team members step up in a way you admired? What did you think about these things at the time? How did you feel? 

Bucket 5: Empathy and Connection: Fill this bucket. You must have multiple experiences that touch on empathy and connection somewhere in your application. In what meaningful experiences did you empathize and connect with others? What effect did you have on others? What effect did they have on you? What did you think about these things at the time? How did you feel? 

Bucket 6: Experiences that Reinforced Your Commitment to Medicine: What meaningful experiences reinforced your commitment to studying medicine? You've probably known that you've wanted to be a doctor for some time—what let you know you were on the right track? Was it meeting a doctor you admired? Was it accomplishing something academically or in research work? While volunteering abroad? What did you think of these things at the time? How did you feel?

Bucket 7: Miscellaneous: What experiences have you had that you can't quite categorize? What else should we know about you? What do you think we don't necessarily have to know? Don’t be afraid to expose some vulnerability and use everything you’ve got. You should even include things about yourself and what you care about that you don't imagine will be a factor in an essay. You might be able to weave aspects of your personality or some fun facts into your Personal Statement, Work and Activities, or Secondaries to add some color—or something even better.

Are You a Pre-Med Struggling With a “Should-I” Question? We’re Here to Help. (Part 3)

If you’re planning to apply to medical school, you likely have a few “Should-I” questions on your mind. Stay tuned, as this week we’ll review the three most common pre-med questions and provide guidance and related resources.

Should I Take a Gap Year?

Maybe. In 2023, 73.2 percent of matriculating medical students had taken a gap year or more before medical school, according to the AAMC 2023 Matriculating Student Questionnaire. Fun fact: The average age of a 2025 Perelman School of Medicine at University of Pennsylvania matriculant was 23—ranging between 21 and 28. 

So, why might you want to take some time between undergrad and med school? You can use a gap year to beef up your transcript with a post-bacc or master's degree. Or you might take a break from academics to immerse yourself in a clinical or research experience. 

If you're light on clinical or research experience, we highly recommend a gap year. Longer-term clinical and research roles will teach you things a short stint cannot. And, if you work full-time in a clinical or research environment, that will further enhance your candidacy. 

Maybe you want to put away more money before attending medical school. Never a bad idea. Whatever work you do—it doesn’t have to be medical, you could be a bond trader or consultant—should challenge you in the areas of leadership, critical and creative thinking, and problem-solving. This is a transferable skill set to medical school and residency. What a gap year cannot be: A year of nothing but MCAT prep and vacation. Schools need to know you can handle multiple priorities and that you value learning and helping others.

Related:

Blog Series: Earning Another Degree or Certification Before Med School

Clinical Experiences that Medical Schools Love

How to Find Clinical Experiences for Your Gap Year(s)

Are You a Pre-Med Struggling With a “Should-I” Question? We’re Here to Help. (Part 2)

If you’re planning to apply to medical school, you likely have a few “Should-I” questions on your mind. Stay tuned, as this week we’ll review the three most common pre-med questions and provide guidance and related resources.

Should I Apply Early Decision? 

We rarely advise clients to apply early decision. Not only do you have to be 100% ready to commit to the school where you apply early if admitted, but you must be an absolute all-star. If you’re an average applicant, you will not improve your chances of admission. If you want to apply for early decision, August 1st is the Early Decision Program (EDP) deadline for all medical schools that use the AMCAS submission system. (And most do.) The EDP will tell you if you were accepted or not by October 1st, so you will still have time to apply to other medical schools if you’re rejected.

Are You a Pre-Med Struggling With a “Should-I” Question? We’re Here to Help. (Part 1)

If you’re planning to apply to medical school, you likely have a few “Should-I” questions on your mind. Stay tuned, as this week we’ll review the three most common pre-med questions and provide guidance and related resources.

Should I Take the MCAT again? 

We recommend taking the MCAT a maximum of three times—really, you should aim for two. (Medical schools prefer it.) "Since this exam’s introduction in 2015, the vast majority of examinees (just under 95%) have tested at most once or twice," reported the AAMC. "About 5% have tested three times.”

Data from the AAMC suggests that the longer the time between your first and second exam, the bigger the point gain. Many factors likely play into this, one of them is as simple as completing helpful college courses. 

You can take the MCAT seven times in your lifetime. The cap is three times in one calendar year and four times across two calendar years. There is no uniform way that schools handle multiple MCAT scores. Some will take your highest, others your most recent, others an average of your scores. So, if you scored really well on test one, you might do better to leave that score alone. But generally, we do recommend taking the test twice because it’s very likely that you’ll be able to improve your score by at least a couple of points.

Related: 

Key Considerations Before Retaking the MCAT 

Preparing for the MCAT: Tips and Advice from an Expert

Earning Another Degree or Certification Before Med School: Linkage Programs

As we’ve mentioned in this blog series, some post-bacc programs and SMPs offer linkage programs. These allow students to skip their “glide year” between their post-bacc program or SMP and medical school, and matriculate into an affiliated med school the fall after their current program ends. Linkage students’ applications to affiliated schools essentially go to the top of the pile. 

Here’s the rub, though: You can only apply to one of the affiliated schools, and if admitted, you’re expected not to apply to more schools within that year and commit to attending the school that accepted you. So, you really only want to do linkage if you are dead set on a certain medical school

If this still sounds good to you: Linkage programs can be sweet back door entrances into a university's medical school (or an affiliated university's medical school), provided you do well in them. Students who absolutely nail their linkage SMP or post-bacc courses might automatically be offered conditional acceptance to their medical school if they meet certain criteria. Notice the words “conditional” and “certain” here, they’re doing a lot of work. Schools don’t like to say the word “guaranteed,” even if you rocked the house. 

We know of a non-client who completed his linkage SMP with the required GPA and thus earned his interview at his school’s medical program…but he was then waitlisted. He ended up getting in, but for a minute there, there was a real possibility that he was going to have to apply the following year. That wouldn’t have been the end of the world, though. Schools like to point out that “most” SMP graduates do get into medical school if not during their program, soon afterwards.

If this has spiked your curiosity, find out if your top school has a linkage program, what affiliates it has, and what unique benefits it offers. Here is a little info on just a few linkage programs we like:

  • Bryn Mawr’s post-baccalaureate premedical program connects to one dental school and 16 medical schools, including the Alpert Medical School of Brown University, Boston University’s School of Medicine, Case Western Reserve University’s School of Medicine, and the Geisel School of Medicine at Dartmouth. The school reports that the post-bacc program’s linkage option is quite popular—and successful. “Bryn Mawr has early acceptance arrangements with more medical schools than any other [post-bacc] program, and we have the longest-standing relationships with many of these consortial/linkage schools,” writes Glenn Cummings, Director of the Bryn Mawr Postbaccalaureate Premedical Program. As for the program overall, the school boasts that “over 98% [of students] are accepted to medical school.”

  • University of Virginia's pre-med post-bacc graduates have a 95% acceptance rate to medical schools across the country. In addition to teaching the sciences, the program requires students to take a course on the U.S. healthcare system and facilitates volunteering and shadowing experiences. Their linkage program connects to George Washington University’s School of Medicine and Health Sciences and University of Pittsburgh’s School of Medicine.

  • Columbia’s post-bacc premed program is housed in its School of General Studies and offers linkage to New York University’s Medical School, the Icahn School of Medicine at Mount Sinai, Weill Cornell’s Medical College, and eight other programs. If you want to find out more about their various linkage opportunities, Columbia regularly hosts online events.

  • Tufts MBS program is a SMP that offers a MS in Biomedical Sciences—and linkage to Tufts School of Medicine’s MD Program. (That’s a lot of acronyms!) On average, 54 linkage applicants from the MBS program get an interview at Tufts each year. Thirty-seven of those students are typically accepted into the school of medicine. Says the school, “MBS students who apply to the School of Medicine's MD program get preferred consideration for interviews and will be carefully and holistically reviewed. This is regardless of if they meet the specific MBS Linkage criteria.” Linkage aside, according to Tufts, most of the MBS class can expect a leg up into medical school. They report an “80+% admit rate to medical school (vs. the 7% national average)” and a “60% interview rate at Tufts University’s School of Medicine for the MD program (vs. 10% from the general applicant pool).” MBS requires a thesis and “in lieu of a traditional thesis defense, MBS students must have their thesis formally approved by their mentor and identified readers,” according to the school. Students can complete the program in one year or two, if they want to extend their clinical work in the community or complete a lab-based thesis.

  • Some DO programs offer linkage too. Barry University’s Master of Science in Biomedical Sciences is a non-thesis SMP meant to prepare students for medical or dental school or Biomedical Sciences PhD programs. You can earn acceptance into the program even if you don’t have all your premedical requirements yet. In the program, you might find yourself doing research work with the Environmental Protection Agency (EPA), National Institute of Health (NIH), or the Center for Disease Control (CDC). Successful completion guarantees an interview at Barry University’s School of Podiatric Medicine (POD) or an affiliate school, which are: the Philadelphia College of Osteopathic Medicine (PCOM), the Idaho College of Osteopathic Medicine (ICOM), and the Orlando College of Osteopathic Medicine (OCOM).

Earning Another Degree or Certification Before Med School: Special Master’s Programs

Like an undergraduate post-bacc program, Special Master’s Programs (SMPs) are one or two-year programs (typically one-year) designed to help you prepare for medical school. 

SMPs are for people who completed the pre-medical curriculum...but maybe could have done better. We also know of SMP applicants who had fine grades but were bad test takers and had low MCAT scores. Attending a SMP can show commitment to studying medicine and serve as proof that you’re a capable student. 

These programs are also great for folks who simply feel underprepared for the medical school environment because SMPs offer a med school-esque experience. You might even take courses alongside medical students and be able to pick their brains. 

There’s more than just science courses to SMPs too: Morehouse has a one- and two-year Master of Science in Medical Sciences (MSMS), which offers an MCAT prep course (not every SMP does), scribe training, and courses covering systemic racism to prepare underrepresented students for what they may encounter in med school and the medical field. The MSMS programs also provide matriculants with both a faculty and student advisor. Notes Morehouse: “As of the 2021 graduating class, the Post-Baccalaureate and MSMS degree programs have graduated 160 students with 88% of them entering health professional schools (134 to MD, three to DO, two to PA, one to DDS, and one to PhD programs).”

You might choose your SMP because it is under the same metaphorical or actual roof as your ideal medical school. You’ll have the chance to do some strong on-campus networking, always a plus when interviewing. And SMP students’ med school applications get special notice at the school they’re attending.

Georgetown has the oldest one-year Master of Physiology program built for aspiring medical students in the country; 50% of its students are accepted to medical school while still in the program. And 85% of its graduates are accepted to medical school within two years of completing their Master's degree. SMP students at Georgetown have an advantage when applying to Georgetown School of Medicine (GUSOM). “Many SMP students apply to [GUSOM] while in the program,” notes the school. “The SMPs are pulled out of the general applicant pool and are reviewed separately. GUSOM highly values students from the program and typically interviews half of the class. Of those interviewed, typically half are offered acceptance.”

The AAMC has a detailed list of 311 post-baccalaureate and SMP programs, and if they have linkage affiliations, it notes the schools they’re affiliated with. You can search by school, state, and public or private institution.

Earning Another Degree or Certification Before Med School: Master’s Programs

A Master's program, like one of Chemistry, Physiology, or Public Health, can bolster a weaker transcript. And because some Master’s programs involve research and a thesis, a strong performance shows your ability to thrive in an in-depth program. Of note, your Master's GPA counts separately from your undergraduate GPA. 

A client of ours pursued an MS in Human Nutrition. Her goal was to learn more about public health nutrition and use that experience to apply to medical school with not only a stronger transcript but deeper knowledge of an area of great interest to her.

If, like our client, you're eager to expand your knowledge of a specific area or better prepare for a competitive and collaborative environment, earning an advanced degree might be for you. A Master's program can also hook you up with a helpful mentor. 

As mentioned in the post-bacc blog, Princeton University offers a short list of post-bacc and master’s programs that highlights elite schools

This Year Create Resolutions Based in Love

By February, around 80 percent of people have left behind their New Year’s resolutions. The reason? It’s hard to stick to a program structured on “fixing” yourself. If January was a wash for you, this month, let’s explore a new paradigm for change, one based on celebrating what you love about yourself. 

Stanford psychology professor and author of The Willpower Instinct Kelly McGonigal told TedTalks that most resolutions go awry because we resolve to do something we think we should do, and in fact, we don’t actually want to follow through on the resolutions. 

“I did this New Year’s resolution makeover once with this woman who had made the same resolution year after year to become a better cook, because she thought that’s what good moms and good wives did,” she explained. “She was a terrible cook, and she didn’t want to learn how to cook. That’s a mistake people make, is they think they’re just going to fundamentally change who they are with a resolution. ‘I’m going to become a morning person.’ ‘I’m going to become a health nut.’ ‘I’m going to become organized.’ The best resolutions are ones that strengthen something you already are, but you may not have been fully investing in.”

Below we’ve rounded up some tips to help you do just that.

First, take stock. Our subconscious, McGonigal warns, tends to drive our resolution-setting, using the exact wrong questions: “What should I be doing that I’m not?” or “What do I need to change about myself?” Avoid this trap – consider your life both as it is and as it could be

“What is it that you want to offer the world?,” asks McGonigal. “Who do you want to be, what do you want more of in your life? And then [ask]: ‘How might I get there? What would create that as a consequence?’ When you start from that point of view…resolutions can be incredibly effective.”

To turn your attention to what matters most, Tim Ferriss, tech investor, author, and podcaster, offered a system via his blog that he uses called the Past Year Review. Ferriss recommends looking back at your calendar month-by-month and considering the people, commitments, and activities you engaged with; then, ask yourself: Which of these elicited strong positive or negative emotions for me at the time? Consider the patterns, what people, activities, and commitments most consistently brought positive (or negative) feelings? Use those findings to drive your future decision-making. Plan to spend more time doing what brought positivity and minimize what was negative. And show some urgency. “Get the positive things on the calendar ASAP, lest they get crowded out by the noise that will otherwise fill your days.” Ferriss wrote.

Don’t underestimate “friction.” Wendy Wood, a Psychologist at USC, refers to the “tiny barriers” you face daily to reach your goals as “friction” and she discussed its impact on habit-formation in a Q&A for Wharton professor Katy Milkman’s (excellent!) newsletter. Specifically, she wrote about our tendency to underestimate friction’s impact on our choices. 

In 2020, Wood conducted a study on voting behaviors during the Presidential election. She asked respondents about their intention to vote and the factors they believed would promote or prevent them from doing so. Most responses alluded to the respondent’s beliefs, values, and candidate preferences. Very few mentioned the factors we would call “friction,” which includes things like childcare, lines at the polls, time away from work, parking, weather, etc. Post-election, researchers found that in actuality, values and friction were equally likely to have impacted the person’s voting decision. 

Wood wrote, “All of this speaks to the fact that we tend to overvalue agency and underestimate the influence of difficulties in our environment, like barriers that can stop us from doing things.” The lesson here is to maintain your awareness of how friction can impede or, if proactively negated, aid you in following up on your resolution. 

Consider the logistics around what you want to do for the rest of 2026 and create a plan to promote your own success. Start by noticing what gets in the way of your goals and then create a workaround: sleep in your workout clothes, purchase only the healthy snacks for home, or block out time on your calendar to pursue a hobby.

Activate your learning mode. Eduardo Briceño, Author of The Performance Paradox, gave a TedTalk titled “How to Get Better at the Things You Care About.” In it, he shared his research, which showed that the most effective people across disciplines share a commonality: they regularly alternate between performance and learning modes

Performance mode is about execution. It is doing the thing and doing it as well as possible. Whatever it may be, playing tennis, giving a persuasive sales pitch, or performing a surgery. Learning mode, on the other hand, is about proactively dissecting your performance to identify areas for improvement. He cites Beyoncé as an example. She runs her concerts in performance mode, seeking the best experience for her audience. However, post-concert, she activates learning mode, watching tapes of the show and seeking ways to improve. She keeps notes for herself and shares feedback with the other performers and technicians. 

Briceño notes that after an initial couple of years in a role, most a person’s performance plateaus because of their sole focus on performance mode. For improvement, we must seek out time to learn and develop. It sounds simple, but it requires a willingness to make room for mistakes and subsequent growth, the vulnerability to ask for feedback, and ultimately the ability to let go of perfection. 

At the conclusion of his talk, he asked, “What if, instead of spending our lives doing, doing, doing, performing, performing, performing, we spent more time exploring, asking, listening, experimenting, reflecting, striving, and becoming? What if we each always had something we were working to improve?”

Be kind to yourself. As you embark upon any change or resolution-strategy, it behooves you to do so with self-compassion and openness to missteps. Which, in addition to sounding really nice, is a strategy backed by science. Research shows that self-kindness is more effective than shame. 

In The Willpower Instinct, McGonigal wrote, “If you think that the key to greater willpower is being harder on yourself, you are not alone. But you are wrong. Study after study shows that self-criticism is consistently associated with less motivation and worse self-control... In contrast, self-compassion—being supportive and kind to yourself, especially in the face of stress and failure—is associated with more motivation and better self-control. Consider, for example, a study at Carleton University in Ottawa, Canada, that tracked the procrastination of students over an entire semester. Lots of students put off studying for the first exam, but not every student made it a habit. Students who were harder on themselves for procrastinating on their first exam were more likely to procrastinate on later exams than students who forgave themselves. The harder they were on themselves about procrastinating the first time, the longer they procrastinated for the next exam! Forgiveness – not guilt – helped them get back on track.”

As you continue into 2026, do so focused on what you want more of in your life. Pursue those things with an eye for “friction,” a dedication to learning and improvement, and self-compassion for the inevitable moments when you miss the mark. 

We’ll wrap things up with some inspiring words from Nike Running’s global head coach Chris Bennett: “Love is a much better fuel than hate.” We think that’s a perfect reason to use Valentine’s Day as the kick-off to your updated 2026 resolutions. 

Earning Another Degree or Certification Before Med School: Post-Baccalaureate Certification

Post-bacc programs are one- and two-year certification programs (you don’t earn a degree, but rather a certificate) and are ideal for folks who are making a career change or need to enhance their academic record. 

If you have not satisfied the course requirements for medical school, you must earn a post-bacc. (Or at least do a self-styled post-bacc experience, in which you take the courses missing from your undergrad transcript.) Career changers typically lack multiple med school course requirements; the clients who we’ve worked with who have attended post-bacc programs were all career changers. Post-bacc programs are also an option for those who tanked some classes early on in their college career or re-applicants who have some room for academic improvement. A post-bacc counts towards your undergraduate GPA like a fifth year of college. Some post-bacc programs offer MCAT prep too.

There are post-bacc programs that are full-time or part-time and/or offer night classes, making it easy to continue to gain clinical experiences between now and when you matriculate to med school (a must no matter what else you do). 

You can get briefed on the details of many-a-post-bacc-program by using the AAMC's Postbaccalaureate Premedical Programs database. Some post-bacc programs (and Special Master’s Programs) offer linkage programs—we’ll explain that further in a bit—and this database will tell you what schools those programs are affiliated with, if any. Princeton University offers a shorter list of strong post-bacc and master’s programs that is tremendously helpful.

Earning Another Degree or Certification Before Med School: An Overview

If you don’t think you’re ready to apply to medical school (or you’ve been rejected), you may be considering a post-baccalaureate certification, a Master’s program, or a Special Master’s Program (SMP). Maybe you’re even specifically looking for a post-bacc or SMP that offers a linkage program. Or you might not know why you’d pursue any of that! No matter the case, read on, because, in this blog series, we’ll explain the difference between these offerings and what you should think about before pursuing them. 

Before we get into the nitty-gritty, let us say this: If your undergrad GPA is strong, you have done enough science coursework, and you feel ready for medical school, you don't need to take on the added expense of another program before med school. They are cash- and time-consuming. 

Cost is just one of the reasons that these programs are known as “high risk, high reward.” They can give you an advantage in getting into medical school, especially at the one that houses the program. But not doing well in such a program is a devastating look. These programs are challenging, so if you’re not ready for med school, you might not be ready for them, either. 

The value of pursuing a post-bacc certification or an advanced degree before medical school is subjective. These programs offer a great way to mature and expand your knowledge—but they are definitely not a guarantee that you will get into a medical school.

Follow along with us over the next week as we review the various degree/certification options many pre-meds consider, along with the pros and cons of each.

You Received a Medical School Acceptance... Now What? Part 5

In this series, we’ll prompt you on how to consider your medical school offers and make a decision. (If you got into only one school and therefore are going there, still do this because it will prepare you for attending that school.) Check back daily for insights.

Remember: You're Admitted, You're Not "Done"

You must continue to get clinical and research experience even after you're admitted to a school. This stuff has never been about having a great resume line or two—it's what prepares you for your future.

Celebrate! Take a moment to relish in this moment. Feel proud of yourself. Celebrate! We're so happy for you!

You Received a Medical School Acceptance... Now What? Part 4

In this series, we’ll prompt you on how to consider your medical school offers and make a decision. (If you got into only one school and therefore are going there, still do this because it will prepare you for attending that school.) Check back daily for insights.

Don't Forget About the Money

You should also be thinking about financial aid right now if that applies to you. (And get used to thinking about it— you'll have to reapply every year.)

Each school's financial aid application process is different. Their financial aid office should direct you to resources and keep you apprised of their deadlines. If something in their materials is unclear, call them before your head spins backward. Don't feel uncomfortable or dumb for reaching out—even the most academically impressive mind can be baffled by financial aid. Plus, helping you, a beloved, accepted applicant, is their job. They want to do it.

As for where we'd say you should start with financial aid: The Free Application for Federal Student Aid (FAFSA). Next, we'd advise you to make an account with the AAMC and access their consumer and federal financial aid resources list. (You'll find a secondary link to that info and links to pages explaining potential cash sources, including the National Health Service Corps (NHSC) Scholarship and Loan Repayment Programs, here.)

You Received a Medical School Acceptance... Now What? Part 3

In this series, we’ll prompt you on how to consider your medical school offers and make a decision. (If you got into only one school and therefore are going there, still do this because it will prepare you for attending that school.) Check back daily for insights.

Send More Thank You Notes

Your recommenders wrote you a letter, it's your turn to write them another one. (Ideally, you already sent them one right after they agreed to write you a recommendation letter.) Let them know that you were accepted into a program and that you appreciate the role that they played in getting you to this point. It's the classy thing to do, and it might foster longer-term relationships that will help you network.

You Received a Medical School Acceptance... Now What? Part 2

In this series, we’ll prompt you on how to consider your medical school offers and make a decision. (If you got into only one school and therefore are going there, still do this because it will prepare you for attending that school.) Check back daily for insights.

How to Withdraw

As mentioned yesterday, you can only hold three acceptances by April 15th and one by April 30th. You might even withdraw an application before you receive a rejection or acceptance, if you have already been accepted to your dream school. You can just send a "thanks but no thanks" email. Keep it short and formal. Here's an example:

“Dear Admissions Committee [Or Appropriate Dean],

I am withdrawing my application for Great-But-Not-For-Me School of Medicine. Thank you for your consideration.

Best regards,

Your Name”

OR

“Dear Admissions Committee [Or Appropriate Dean],

It means so much to me to have been accepted into your prestigious program. However, I am withdrawing my application for Great-But-Not-For-Me School of Medicine.

Best regards,

Your Name”

You Received a Medical School Acceptance... Now What?

Congratulations! This is a huge deal. You put in the work, and it worked out—the ideal end to the arduous application process and the years of hard work you did before it.

If you're holding acceptances for more than one school, that’s amazing—and you have a decision to make. The deadline for holding three schools is April 15th. The deadline for holding one is April 30th. (You can still accept any late waitlist offers before matriculation; you have five business days to respond to those acceptance offers.) So, who will you say yes to?

In this series, we’ll prompt you on how to do some more digging before you decide. (If you got into only one school and therefore are going there, still do this because it will prepare you for attending that school.) Check back daily for insights.

Before Accepting an Offer

Schools will have accepted student materials ready for you. Don't rely on their info alone. Delve deeper into available opportunities and affiliations, investigate campus life and the area surrounding the school, and talk to current students about the coursework, student-run clinics, and what they love and hate about the program. (Current students are more likely to talk to you now because you're basically one of the crew.) If you didn't connect with a current student during your interview season, etc., ask the admissions office if they can hook you up with someone.

After Your Med School Interview: FAQs on Follow-Up Strategy

Check out our earlier posts on writing Update Letters and Letters of Intent.

Frequently Asked Questions

Can I send more than one Letter of Intent?

You can send a couple of quasi-Letters of Intent. You can tell up to two schools: "I will likely attend" or "X school is one of my top choices." But only send an "I will attend" letter to your top choice school.

What should I do when I get notified I’ve been put on the waitlist?

Send a Letter of Intent ASAP. If you want to turn your waitlist slot into an acceptance, sending a Letter of Intent to your top choice school is extremely important. We already highlighted what such a letter should generally entail, but waitlistees may also want to do a little more. When you update a school on a major accomplishment, a new Letter of Recommendation based on it by a professor or supervisor adds a little oomph. (Adding a random recommendation that isn't about something that has happened since your application is less likely to have an impact on a school's view of you.)

How do I decide where to send my Letter of Intent?

Be strategic about your note: You only get one, so shoot your letter of intent at a likely target, a safe bet. Of course, you should love the school, but choose a school you have a reasonable chance of getting into.

After Your Med School Interview: Send a Letter of Intent

If a school is a top contender for you, go a step beyond an Update Letter, and send a Letter of Intent. You’ll want to send a Letter of Intent one or two weeks after your interview or the instant you have been waitlisted. Your letter should include relevant updates since you submitted your application (what you'd put in an Update Letter). Plus, a reiteration of your interest in the program with shoutouts to favorite offerings. Be specific about why you are interested in the medical school and try to relate those interests to your background, accomplishments, and goals. Have you worked on a study that relates to something happening in one of their labs? Do you want to be a pediatric surgeon and they are affiliated with one of the best children's hospitals in the country? Tell ‘em.

And finally—and this is what makes a Letter of Intent different from an Update Letter—include the yield protection statement: "If admitted I will attend." Keep it tight. No more than one page. Three paragraphs, max.

Medical schools have several reasons for wanting to accept people whom they know will attend. First, they want enthusiastic students who will add to the morale of the student body. They also like to know, especially as the date of matriculation nears, that the applicant they accept will attend because no medical school wants an open seat on the first day of classes. Finally, medical schools like the percentage of accepted applicants who matriculate to be as high as possible since this reflects the desirability of the medical school. (That's their "yield percentage" stat.)

Check back tomorrow for our final post on how to follow-up after your Med School Interview.