Non Pre-Med Courses That Impress Med Schools

Going beyond the expected premedical curriculum shows schools that broader learning is important to you. And, perhaps counterintuitively, that you are serious about medicine. We’ve compiled a number of courses below that will enhance your medical school application. 

• Calculus: Most schools want you to take a college-level math course—and this is a strong one to choose. (If you took a calculus course in high school, go for Calculus II in undergrad.) Calculus improves your comprehension of physics and chemistry. "Given that these subjects constitute a significant portion of the MCAT, it would benefit any pre-med student to learn calculus," according to an article published in Inquiro, The University of Alabama's Undergraduate Research Journal. 

• Statistics: If you strengthen your understanding of data, clinical studies will make much more sense. All prospective medical students would benefit from this course. If you hope to do research in medical school and beyond, definitely sign up for stats. 

• Behavioral Sciences: Anthropology, psychology, and sociology teach you about human beings. You'll learn to observe behaviors and extrapolate potential influences on them. That will help any student or physician in clinical work. 

• Languages: The number of languages spoken in a free clinic each day is mind-blowing. Having a second language on the tip of your tongue or your fingers—American Sign Language is great to know—will make you a more appealing med school candidate.

• Creative writing or other non-required English courses: Powerful writing will aid you during the application process. Becoming a better reader and writer improves your communication skills overall, as does giving feedback to, and receiving it from, classmates. 

• Other Liberal Arts courses: Whether you take art history, philosophy, or civics, it'll teach you to apply critical thinking to everything you do. And not for nothing, these courses are interesting.

Related:

Narrative Medicine Helps Physicians Gain Empathy, Make Connections, and Accept Difficult Experiences

Covid Crisis Brings Attention to the Need for Humanities in Medical School Curriculum

Need Clinical Experience? Consider a Medical Scribe Position.

If you’re a pre-med on the hunt for some high-quality clinical experiences, medical scribing could be an excellent fit. This paid position can help you to develop a strong network of provider relationships, gain an excellent foundation in medical terminology, observe clinical decision-making first-hand, and learn about the daily work and challenges of life as a physician. 

The work. Medical scribes serve as assistants to a physician (or multiple physicians) taking notes and charting patient encounters, inputting documentation into the Electronic Health Record (EHR), responding to patient questions and messages as directed by the physician, locating health records, and even researching information as requested by the physician. Scribes play a key role on a medical team as they free up the physician to focus on patient interactions while the scribe takes responsibility for administrative tasks. Scribes work closely under the supervision of a physician and do not have independent decision-making responsibilities. They work across a variety of specialties, including but not limited to: Emergency Medicine, Oncology, Dermatology, Gastroenterology, Family Practice, Pediatrics, Internal Medicine, and Pain Management.

The training. After obtaining the position, medical scribes receive between a few weeks to a month of training in preparation for the position. This training is typically paired with a period of shadowing a fellow medical scribe. Even with this onboarding, most scribes feel overwhelmed early on in the role due to the steep learning curve. Scribes need to learn the styles and preferences of the physicians that they work alongside, including their preferred charting methods, as well as the EHR system and the new terminology. 

The benefits. 

• Medical school admissions committees view scribing favorably. A scribe’s work demonstrates their commitment to a career in medicine by showing that they have an intimate understanding of the work of a medical provider. They will gain foundational medical knowledge and experience that will be useful throughout medical school and may ease the transition between their undergraduate and medical studies, and inform their future career path.

• Scribes can gain experience within a specialty, including a more thorough understanding of the challenges that physicians in those roles face. 

• Scribes will have the opportunity to develop a wide network of provider relationships, some of whom may be willing, and able to write detailed recommendations based on their work alongside of them.  

• Scribes will demonstrate their ability to thrive on a team. Scribes must learn to work well with a variety of physicians who will each have a different style. They will also learn to deal with stress and be proactive in asking questions and picking up information quickly, which will benefit them as a medical student, resident, fellow, and attending physician.

Related: The Must-Knows if You’re a Premed Considering EMT Training

Learn How to Accept Critical Feedback Before Starting Medical School

This blog is the first in a new series that we are publishing on the soft skills that all premedical students should develop prior to starting medical school. While your academic preparation has been underway for many years, we don’t want you to forget about those skills we believe will be vital to your success in medical school (and beyond).

Many pre-medical students have spent the majority of their lives receiving praise and playing starring roles both inside and outside of the classroom. Your commitment to success is part of why you made it into medical school, but it can also make the transition particularly tough. Medical school is not only a challenging academic environment, it is a time filled with new experiences and, accordingly, a lot of mistakes. You will get critical feedback in large doses. 

“My first piece of written feedback during my clinical year was ripe with criticism. I regrettably reacted to it by reading and re-reading it, allowing discouragement and imposter’s syndrome to slowly infiltrate my psyche. My voice began quivering during my presentations on rounds. My thoughts quickly became consumed with what every attending might be thinking of me at any given moment. It became harder to concentrate and learn. I stood in my own way, allowing my dependence on external validation to hamper my professional growth,” said Nabeel Salka, a third-year medical student at the University of Michigan, in a personal essay.  

In preparation for medical school, we want you to gain some comfort with the discomfort. We urge you to practice requesting and receiving negative feedback because feedback plays a critical role in performance and leadership effectiveness. Dr. Sheila Heen, a lecturer at Harvard Law School and author of Thanks for the Feedback: The Science and Art of Receiving Feedback Well, regularly references research that says those who regularly seek critical feedback report higher job satisfaction, adapt better into new roles, and receive higher performance reviews than those who do not seek out feedback. 

But it’s not always easy. Dr. Heen points out that feedback can cause various “trigger” responses, such as truth triggers, relationship triggers, and identity triggers that make it difficult to productively receive the provider’s message. 

--Truth triggers: When we question the veracity of the feedback. We may feel misunderstood, wronged, or indignant, and we are more likely to reject the feedback or go on the defensive.

--Relationship triggers: When the person providing the feedback colors how we receive it. We may feel targeted or bullied. 

--Identity triggers: When feedback hits at how we see ourselves. We may feel shaken, confused, and particularly sensitive. 

So, once you identify your triggers, what’s the next step? Tasha Eurich, organizational psychologist and executive coach, provides guidelines for overcoming the initial emotional reaction, and accepting critical feedback for the useful tool that it is. 

--Don’t rush it. Negative feedback is inherently uncomfortable and emotional. Sit with the discomfort, feel the emotions, and don’t feel compelled to respond to feedback immediately. While researching for her book, Insight, Eurich interviewed a group of people who dramatically improved in self-awareness. Within this group, two clear patterns emerged: First, she found that they made a habit of seeking out critical feedback (although many agreed it was “unpleasant”). Second, after receiving feedback, they took their time, days or even weeks, to respond. During this reflection period, some worked to transform their view of the feedback from an emotional reaction (e.g, “upsetting”) to a rational one (e.g, “helpful and productive data”). Others used “self-affirmation” techniques such as considering their many good qualities (“I am a committed medical student.'') to contextualize the feedback into a broader picture, thus making it feel less threatening.  

--Gather more data. Request additional data points via feedback from others to understand the situation more completely. Is this feedback relevant to many interactions or is it an outlier? Find out if others agree and what additional context they can provide. In addition to providing a more complete picture and reducing personal blind spots, the additional data can help inform an improvement strategy. 

--Don’t choose isolation. There is a real tendency for people to cut off relationships with those who provide negative feedback, to their own detriment. Eurich references research by Marshall Goldsmith and Howard Morgan, who tracked 11,000 leaders within a leadership development program; the contingent who received critical feedback and continued to engage with their coworkers made dramatic behavioral improvements, while those who didn’t were much less likely to see improvement. Maintaining relationships with those who provide difficult feedback drives better progression over time. 

Within medicine, particularly in the clinical setting, there are additional barriers to feedback beyond our own emotional responses. An article in the NEJM Resident 360 identifies the following: not enough time, conflicting priorities, lack of physical/private space to provide feedback, power differentials (particularly for upward feedback), lack of (enough) observations, and a lack of a growth mindset (receiver). Understanding these barriers can help you to create structures to overcome them, such as seeking out feedback on a routine basis, learning to identify feedback in whatever form it may come, gaining comfort in hearing feedback publicly, and accepting that some feedback may not be valid due to a lack of observations. 

Nabeel Salka ended his personal essay by describing the power he felt when he learned to accept negative feedback for what it is, a growth opportunity rather than an indictment of his abilities as a physician. He wrote, “Nearly a year after receiving my first piece of written feedback, I read it again. This time I didn’t feel hurt or ashamed. In fact, I felt like I understood the actual content of the criticism for the first time. Rather than concerning myself with the grade and how much the resident disapproved of my performance, I learned that I could be more organized when presenting.” 

Starting medical school with an ability to see criticism as a learning moment, and nothing more, will allow you to enjoy and take advantage of challenging opportunities in this unique period of your life.

AMCAS Work & Activities Section: Hobbies

Hobbies. They are not a make or break component of the medical school (and later, residency) application, but they are an opportunity to provide the admissions committee with a view of the person beyond the test scores. Hobbies are also an effective way to demonstrate how you will add to the diversity of the incoming class, showcase qualities you will need as a medical student/physician, and/or provide insight into how you may relieve stress during medical school. 

Within the AMCAS application, hobbies belong in the Work & Activities section under the extracurriculars category. Applicants can provide up to four experiences under each category type, with a 700 character (with spaces) count, unless the experience is designated “most meaningful” (requires an additional 1,325 characters with spaces). 

Below are our guidelines for adding hobbies to your AMCAS application:

• Be current. If you played the trumpet in the high school band, but haven’t picked it up since then, consider what hobbies are more relevant to your life now. What do you turn to for fun, and what do you see yourself doing for stress relief in medical school?

• Be specific in your description. Provide a sense of how often, and how long you have been pursuing the hobby, as well as what the hobby entails. It’s great that you love to read, do yoga, and travel, but so do many others. In what unique ways have you engaged with your interests? Did you launch a monthly book club for discussing the NYT best sellers? Write book reviews for the school paper? Did you gain a yoga teaching certification or take part in a unique yoga retreat? Do you travel to particular destinations or participate in medical experiences abroad?

• State how your hobby has impacted your personal growth. Did an experience within your hobby contribute to a change in your perspective or influence your decision to apply to medical school? What attributes have you developed through your hobby that will benefit you as a medical student and physician (resilience, effective communication and collaboration skills, empathy, the ability to thrive in a diverse environment, etc.)? 

• When possible, provide an experience or milestone that differentiates your involvement in the hobby. Many people play an instrument, but fewer start a quartet or play in the university band. Many people enjoy running or fitness, fewer run the NY marathon to support a favorite cause/organization or start a running club. Providing the specific way(s) that you’ve engaged with your hobby will demonstrate to the admissions committee what you may offer to your incoming class. 

The Must-Knows if You’re a Premed Considering EMT Training

Many premedical students consider EMT training and certification because it can provide excellent clinical experience and patient interactions. Could it be the right fit for you? 

There are a lot of benefits that medical school admissions committees view favorably.

• As an EMT, you will develop your leadership skills and understanding of some of the work and challenges physicians may face. 

• You will gain foundational medical knowledge and clinical experience that will be useful throughout medical school and may ease the transition between your undergraduate and medical studies. In a recent study at the University of South Carolina School of Medicine Greenville, which added EMT certification into the first-year curriculum, most students agreed that the certification eased the transition into medical school (82 percent) and “increased awareness of patient’s lives and circumstances” (91 percent). 

• You will hone your ability to stay calm and clear-headed under duress, which will certainly benefit you as a medical student, resident, fellow, and attending physician.

EMT Certification Process. To become a certified EMT, you must take the equivalent of about six college credits at an accredited school, which includes CPR, controlling blood flow, and patient communication and interactions. You will then take the NREMT exam which is made up of two components: a written, cognitive section that measures your medical knowledge and a psychomotor skills assessment that measures practical skills in patient assessment and emergency response skills. After passing the test, you can apply for EMT certification through your local EMS agency. 

After certification, you will want to consider paid versus volunteer opportunities. Paid employment generally takes shift structures. Volunteer work is more flexible. If you consider paid employment, you will want to look for emergency response or ambulatory work, rather than interfacility transfers. Emergency work will provide you with the most opportunities for meaningful clinical experiences. To understand the opportunities available, check with your local EMS agency, fire departments or hospitals. 

Is it the right fit?:

• What types of clinical and/or research experiences have you already had? In what areas might your future medical school application benefit most?  

• Do you have the time… really? If you want to gain EMT certification, consider it earlier in your undergraduate career or as an activity during a gap year. You won’t want to combine EMT certification with studying for the MCAT, coursework, and medical school applications and interviews.

• What volunteer or employment opportunities are available for you locally? Are they a good fit with your schedule and interests? Gaining the certification without the associated patient experiences from working or volunteering will not provide you with any meaningful benefit as an applicant or medical student.

Are you a Pre-Med in Need of Summer Research or Clinical Experiences? Check out the SDN Activity Finder.

If you are a premedical student looking to supplement your learning and enhance your medical school application this summer, check out the Student Doctor Network (SDN) activity-finder. The activity-finder allows you to sort through summer or next-term experiences, organized into the following categories: medical/clinical work experiences, volunteer/community service experiences, research experiences, and shadowing experiences. Then it provides a list of organizations and resources for you to consider by location.  

Post-MCAT Survey Shows Prospective Medical Students are Increasingly Interested in Schools that Provide Academic and Social Support

Earlier this year the AAMC released its 2020 Post-MCAT Survey results. This survey, administered annually, provides insight into the individuals who take the MCAT—their backgrounds, preparation strategies, career plans, and interests. In 2020, 39.2 percent of test-takers responded to the online survey, which equates to over 30,000 people. The survey is provided after the MCAT is submitted, but prior to the test-taker receiving results. This year’s findings show slight, but persistent shifts in the socioeconomic background of MCAT test-takers, an increased interest in the academic and social support provided by medical schools, and growing concern about the cost of applying to and attending medical school. 

Below, we provide selected findings from the latest survey:

Premedical Life and Experiences

To gauge socioeconomic status, the AAMC uses the Education Occupation (EO) indicator, which classifies test-takers as EO-1 through EO-5 based on a parent’s highest educational level and occupation. Every year since 2016, the largest proportions of MCAT test-takers have come from those categorized as EO-5 (a parent obtained a doctoral degree and/or is employed in an executive, managerial, or professional occupation) and EO-1 (a parent obtained less than a college degree and/or is employed in any occupation) at 25.4 percent and 24.1 percent, respectively. It is important to note, however, that the percentage of MCAT test-takers classified EO-1 has declined slightly each year since 2016, with a 2.6 percentage point decline over the last five years.

Most respondents, 61.9 percent, decided that they wanted to study medicine prior to entering college. And a large number reported having spent time volunteering in a healthcare setting (84.9 percent), shadowing a physician or other healthcare professional (80.9 percent), and just over half (50.7 percent) participated in a laboratory research internship program for college students. 

More respondents graduated from college prior to taking the exam (53 percent) than not (47 percent). But this percentage has shifted annually, with the exact opposite occurring in 2016 (53 percent taking the test pre-graduation and 47 percent taking it post). Most of those who had graduated did so recently: 42 percent within the last year and 31.9 percent within the last one to two years. Just 12 percent had taken five or more years between graduation and the MCAT. About 60 percent reported taking courses at a college or university in the three months prior to the MCAT, while just over a quarter (27.6 percent) said that they had not attended school in the past three months. 

MCAT Preparation Strategies

Most respondents reported that they started their preparation by reviewing the scope of topics that the MCAT covers (81.4 percent) and assessed their progress throughout their study period using practice exams (82.4). Over three-quarters of respondents created a study plan to fit their schedule (75.2 percent), identified their strengths and weaknesses using practice exams (78.3 percent), and assessed their readiness by taking a final practice exam (78.4 percent).

In terms of the concepts, most prepared by answering practice questions while studying each topic (87.8 percent), consistently reviewing content they had previously studied throughout their preparation (82.6 percent), and testing their understanding of concepts studied (80.7 percent). Slightly fewer made sure to review each answer choice in the practice questions to determine why they were correct or incorrect (74.7 percent) and mixed in their review of different topics throughout their studying (74.9 percent).

The most used resources were the Official MCAT Practice Exams (85.4 percent) and commercially published MCAT prep books (72.6 percent). In terms of utility, 73.1 percent of those who used the Official MCAT practice exams described them as “very useful,” and 61.7 percent of those who used the Official MCAT Section Bank found it “very useful”. While just 45 percent of those who used commercially published MCAT prep books called them “very useful,” another 38.4 percent labeled them “useful.”

Almost all (89.7 percent) respondents said that they prepped for the day of the test by taking a timed, online practice test with scheduled breaks to “mimic the exam day.” A large number also practiced pacing so that they could get through all the questions in each section in a timely manner (85 percent), and most (79 percent) made sure to get plenty of sleep the night before the exam. 

When asked to name their biggest challenges in preparing for the MCAT, over two-thirds said that they struggled with maintaining confidence in their ability to succeed on the MCAT (67.6 percent) and 60 percent noted their difficulty with getting through the large amount of material they needed to learn for the test. 

Career Plans and Interests

Most respondents noted that they are “very likely” to apply to an MD-granting medical program (86.8 percent), while just under one-third said that they are “very likely” to apply to a DO-granting program (32.4 percent). Both percentages have been relatively stable since 2016. 

When asked what would encourage their application to medical school, students were most likely to select: finding a school where I will feel comfortable (88.9) and a fit between my interests and a school’s mission (83.4). However, the number of students who selected availability of academic support in medical school (71 percent) and availability of social support in medical school (63.9 percent) both increased significantly from 2016 (+7.8 percentage points, +11.5 percentage points respectively).

When test-takers were asked to describe what would discourage them from applying, most students selected grades, MCAT Scores, and other academic qualifications (72.5 percent). The number of those who selected the cost of applying to medical school (53.1 percent) and the cost of medical school (68.9 percent) as deterrents has increased by 6.5 and 6.1 percentage points respectively since 2016.

For full survey results visit https://www.aamc.org/media/51241/download