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How to Get Into Medical School: A Step-by-Step Guide for Premeds

Post By

Ryan Brownlee

– Founder of AspireMD

Learn how to get into medical school with a step-by-step premed guide covering prerequisites, GPA, MCAT, clinical experience, shadowing, service, research, applications, and interviews.

What Do You Need to Do to Get Into Medical School?

What Do You Need to Do to Get Into Medical School?

When I first decided that I wanted to become a doctor, I understood the general idea of what I needed to do. I knew I had to take difficult science classes, earn good grades, take the MCAT, and eventually apply to medical school. What I did not understand was how many smaller pieces had to come together along the way.

How much clinical experience did I need? Did I have to conduct research? How many physicians should I shadow? Which prerequisite classes were actually required? When should I take the MCAT? How was I supposed to balance all of this while also protecting my GPA?

Those questions can make the premed path feel much more complicated than it really is. There are a lot of moving parts, but you do not have to accomplish everything at once, and there is no single perfect medical school applicant.

To get into medical school, you generally need to:

  • Complete a bachelor’s degree and each school’s prerequisite coursework
  • Build a competitive cumulative and science GPA
  • Take the MCAT
  • Gain meaningful clinical experience
  • Shadow physicians so you understand the profession
  • Participate in sustained service outside the classroom
  • Develop relationships with potential letter writers
  • Consider research, leadership, teaching, or other experiences that fit your interests
  • Submit a thoughtful and timely primary application
  • Complete secondary applications and any required situational judgment tests
  • Prepare well for medical school interviews

The goal is not to collect as many hours or activities as possible. The goal is to show that you can succeed academically, understand what physicians actually do, care about serving other people, and have developed a thoughtful reason for pursuing medicine.

The Medical School Admissions Process at a Glance

Before breaking down each requirement, it helps to understand the overall process.

Most students complete their premedical coursework during college, although you can choose any major that interests you. During that time, you will also build clinical, service, shadowing, research, leadership, and other extracurricular experiences.

You will usually take the MCAT before the application cycle in which you plan to apply. Applicants to most MD programs use the American Medical College Application Service, better known as AMCAS. Applicants to osteopathic medical schools generally apply through AACOMAS, while applicants to public medical schools in Texas may use TMDSAS.

AMCAS is the centralized application service for participating U.S. MD programs, while AACOMAS serves osteopathic medical schools.

After submitting your primary application, you may receive secondary applications from individual schools. Once your application is complete, medical schools decide whether to invite you for an interview. An acceptance may then follow directly, or you may be placed on a waitlist while the school continues building its class.

That sounds like a lot, but each part builds on the work you completed before it.

1. Complete Your Premed Prerequisite Courses

Most medical schools expect you to complete a bachelor’s degree before matriculating, but the exact prerequisite courses vary among schools. The AAMC specifically advises applicants to review the requirements of each school because some schools use traditional course requirements while others place greater emphasis on demonstrated competencies.

A typical premed course plan may include:

  • Two semesters of biology with laboratories
  • Two semesters of general chemistry with laboratories
  • Two semesters of organic chemistry with laboratories
  • One semester of biochemistry
  • Two semesters of physics with laboratories
  • Mathematics, statistics, or both
  • English or writing-intensive coursework
  • Psychology and sociology

This list is a useful starting point, but it should not replace checking individual medical schools. One school may require two semesters of organic chemistry, while another may allow biochemistry to replace part of that requirement. Requirements for calculus, statistics, English, laboratory courses, and advanced biology also differ.

The safest approach is to use the AAMC’s Medical School Admission Requirements database for MD schools and the official admissions websites for every program on your list. MSAR allows you to compare admissions requirements and other school-specific information in one place.

You should also confirm how your target schools treat:

  • Advanced Placement credit
  • Dual-enrollment coursework
  • Community college courses
  • Online laboratories
  • Pass/fail grades
  • Prerequisites completed after applying
  • International coursework

Do not assume that a course accepted by your college will automatically satisfy every medical school’s requirement.

Does Your Premed Major Matter?

Premed is not a major. You can major in biology, chemistry, psychology, engineering, history, business, music, or almost any other subject as long as you complete the required coursework.

I generally recommend choosing a major that you genuinely enjoy and can perform well in rather than choosing biology simply because it appears to be the traditional premed major. Medical schools admit students from many academic backgrounds, and the name of your major will not compensate for a weak GPA.

Your major should allow you to stay intellectually engaged, maintain a strong academic record, and complete your prerequisites without making your schedule unnecessarily difficult.

You can read my full guide to choosing the best premed major for a more detailed comparison.

2. Build a Competitive GPA

Your academic record is one of the foundations of your medical school application. Admissions committees need evidence that you can manage a demanding curriculum with a large amount of scientific material.

Medical schools commonly consider both your:

  • Overall cumulative GPA
  • Biology, chemistry, physics, and mathematics GPA, commonly called the science or BCPM GPA for AMCAS

Your GPA does not have to be perfect, but stronger grades generally give you more flexibility when building a school list. For the 2025 entering class at U.S. MD-granting schools, the mean GPA was 3.67 among applicants and 3.81 among matriculants.

These averages are not universal cutoffs. Applicants are admitted with GPAs above and below them, and admissions committees also consider trends, course rigor, life circumstances, MCAT performance, experiences, and school fit.

Still, it is much easier to protect a strong GPA than to repair one later. I would rather see a premed take a manageable schedule and earn strong grades than overload every semester with difficult science classes, multiple jobs, research, and several organizations.

If you are struggling academically, your first priority should be identifying why. That may mean changing how you study, reducing your extracurricular commitments, using office hours, joining a study group, obtaining tutoring, or meeting with an academic advisor. Adding more activities will not compensate for academic problems if those activities cause your grades to fall further.

An upward trend can help if you had a difficult start, but the improvement needs to be sustained. One strong semester is encouraging, while several strong semesters provide much better evidence that your academic habits have changed.

3. Take the MCAT When You Are Ready

The MCAT assesses your knowledge of the sciences, understanding of behavioral and social concepts, scientific reasoning, and reading comprehension.

Its four scored sections are:

  • Chemical and Physical Foundations of Biological Systems
  • Critical Analysis and Reasoning Skills
  • Biological and Biochemical Foundations of Living Systems
  • Psychological, Social, and Biological Foundations of Behavior

Most students should complete the foundational courses tested on the exam before beginning serious MCAT preparation. You do not necessarily need every recommended class, but it is much easier to study when you have already encountered most of the content in college.

For students applying without a gap year, the MCAT is commonly taken during junior year or in the months before the application opens. Students taking one or more gap years have more flexibility.

For 2025 U.S. MD matriculants, the mean MCAT score was 512.1. The mean among all applicants was 506.3.

As with GPA, these numbers are reference points rather than universal requirements. Your target score should depend on your state residency, overall application, and the schools you plan to apply to.

A 510 may be competitive at some schools and substantially below the median at others. Rather than choosing a score based on a general national number, compare your eventual result with the recent ranges for the schools on your list.

When Should You Take the MCAT?

The best date is not simply the earliest available date. It is the earliest date by which you can be adequately prepared.

Ideally, you should:

  1. Complete most of the prerequisite content.
  2. Set aside a focused study period.
  3. Take several official full-length practice exams.
  4. Reach a score range you would be comfortable receiving on test day.
  5. Receive your score early enough to build a realistic medical school list.

Taking the exam too early can produce a score that does not represent your potential. Taking it very late may delay your application or leave little room for a retake.

Most students should plan for approximately three to six months of preparation, depending on their academic foundation, weekly availability, and starting score. My guide to when you should begin studying for the MCAT can help you work backward from your intended application year.

You can also use my collection of free MCAT resources, study schedules, Anki decks, and tracking tools as you build your plan.

4. Gain Meaningful Clinical Experience

Clinical experience helps answer one of the most important questions in your application: Do you understand what caring for patients is actually like?

It is difficult to make a convincing case that you want to become a physician if you have spent very little time around patients. You do not need to perform advanced medical procedures, but you should have enough exposure to understand the human side of healthcare.

Examples of clinical experience may include working or volunteering as a:

  • Medical assistant
  • Certified nursing assistant
  • Emergency medical technician
  • Patient care technician
  • Phlebotomist
  • Hospice volunteer
  • Hospital volunteer with direct patient contact
  • Free-clinic volunteer
  • Clinical research assistant who regularly interacts with patients
  • Scribe who works closely with physicians and patients

The quality of a position depends more on what you actually do than its title. A hospital volunteer who regularly speaks with patients and helps meet their needs may gain more meaningful exposure than someone with an impressive clinical title who spends most of the day completing administrative work away from patients.

A helpful question is: Am I close enough to patients to understand their experiences, needs, fears, and challenges?

How Many Clinical Hours Do You Need?

There is no universal number of clinical hours required for medical school.

You may see applicants online claiming that everyone needs 500, 1,000, or even several thousand hours. Those numbers are not formal national requirements.

Instead, you need enough sustained experience to:

  • Understand the realities of patient care
  • Confirm that you enjoy working with patients
  • Develop examples you can discuss in your essays and interviews
  • Show that your interest in medicine has been tested through experience
  • Reflect meaningfully on what you learned

A few isolated shifts completed immediately before applying will usually be less convincing than a consistent experience maintained over several semesters. At the same time, you do not need to chase thousands of hours at the expense of your grades, health, or other important parts of your life.

Continuity, patient contact, reflection, and growth matter more than reaching an arbitrary total.

My premed clinical jobs comparison guide can help you compare scribing, medical assisting, CNA work, EMT work, phlebotomy, and other common options.

5. Shadow Physicians

Clinical experience and shadowing are related, but they serve different purposes.

Clinical experience teaches you what it feels like to interact with patients and participate in healthcare. Shadowing allows you to observe the physician’s specific responsibilities, decisions, schedule, workflow, and place on the healthcare team.

While shadowing, pay attention to more than the interesting diagnoses. Observe how the physician:

  • Communicates difficult information
  • Builds trust with patients
  • Works with nurses and other healthcare professionals
  • Handles uncertainty
  • Balances documentation with patient care
  • Manages a busy schedule
  • Makes clinical decisions
  • Responds when a patient disagrees with a recommendation

You do not need to shadow every specialty. A few thoughtful experiences are usually more valuable than briefly visiting ten different specialties simply to build a list.

Primary care exposure can be particularly helpful because it gives you a broad view of medicine, continuity, prevention, and long-term patient relationships. You may then add one or two other specialties that genuinely interest you.

There is no universal shadowing-hour requirement, although individual programs may establish their own expectations. The goal is to accumulate enough exposure that you can explain what physicians do and why the physician role fits your goals better than another healthcare career.

Read my guide on how to find your first physician shadowing opportunity when you are ready to begin.

6. Participate in Nonclinical Community Service

Medicine is a service profession, and admissions committees want to see evidence that you care about people outside of situations that directly benefit your application.

Nonclinical service can include:

  • Tutoring students from underserved schools
  • Working in a food pantry
  • Volunteering with people experiencing homelessness
  • Supporting refugees or newly arrived immigrants
  • Mentoring children or teenagers
  • Helping at a crisis shelter
  • Delivering meals to older adults
  • Participating in disability advocacy
  • Working with a community nonprofit
  • Supporting environmental or animal-welfare organizations

Your service does not have to involve medicine. In many cases, nonclinical service helps you understand populations and life experiences that you may not encounter in a hospital.

Choose something you care about enough to continue doing. Long-term involvement will usually teach you more than repeatedly changing organizations to make your résumé appear more varied.

The strongest service experiences often include a progression from showing up, to becoming reliable, to accepting greater responsibility, and eventually helping improve the organization or program.

Avoid treating the people you serve as material for an application essay. The purpose is to contribute to a community and develop a deeper understanding of people whose experiences may differ from your own.

7. Consider Research

Research is valuable, but it is not a universal requirement for every medical school applicant.

It becomes especially important when you are applying to research-intensive medical schools or MD-PhD programs. It may be less central at schools whose missions place greater emphasis on primary care, rural medicine, community engagement, or service.

Research can occur in many fields, including:

  • Basic science
  • Clinical research
  • Public health
  • Psychology
  • Sociology
  • Health policy
  • Education
  • Engineering
  • Humanities
  • Computational science

What matters is that you engage with the research process. You should learn how questions are developed, evidence is evaluated, methods are chosen, setbacks are handled, and conclusions are limited by the available data.

I worked in two basic science laboratories for several years during college, and research became one of the most valuable parts of my premed experience. It taught me how to design experiments, work through repeated failure, troubleshoot unexpected results, collaborate with students and scientists at different training levels, and communicate scientific findings.

It also gave me mentors who helped me think through my career choices. Through those experiences, I attended conferences, gave poster and oral presentations, contributed to a publication, and explored whether an MD-PhD path was right for me.

You do not need a publication to benefit from research or to apply successfully to medical school. Publications depend on the project, laboratory, funding, timeline, and your role. Admissions committees should not expect every undergraduate researcher to control those factors.

Your ability to explain your contribution and what you learned matters more than attaching your name to a project you barely understand.

Read my guide on how to find a research mentor as a premed or my guide to emailing a professor about research to begin looking for a position.

8. Develop Leadership, Teaching, or Other Meaningful Interests

Leadership can strengthen your application, but leadership is not limited to becoming the president of a student organization.

You can demonstrate leadership by:

  • Training new employees or volunteers
  • Coordinating a community project
  • Leading a research team
  • Mentoring younger students
  • Teaching or tutoring
  • Organizing an event
  • Improving a process at work
  • Starting a new initiative
  • Advocating for a group or community
  • Taking responsibility during a difficult situation

A title can help explain your role, but the title itself is not the accomplishment. Medical schools will care more about what changed because of your leadership.

The same principle applies to extracurricular activities generally. You do not need to join every premed organization on campus. It is better to develop several meaningful commitments than to become a passive member of ten clubs.

Your application should still leave room for parts of your life that make you feel like yourself. Athletics, music, writing, art, faith communities, family responsibilities, employment, cultural organizations, and hobbies can all contribute to a more complete picture of who you are.

9. Build Relationships for Letters of Recommendation

Strong recommendation letters are developed over time.

Depending on the school, you may need letters from:

  • Science faculty members
  • A nonscience professor
  • A research mentor
  • A physician or clinical supervisor
  • An employer
  • A service or extracurricular supervisor
  • A prehealth committee

Requirements vary considerably, so review the policies of each school before finalizing your letters.

Some universities offer a committee letter or letter packet through a prehealth advising office. These processes may have internal deadlines, required interviews, or preparation assignments that occur months before the medical school application opens.

Ask about your institution’s process early. Waiting until the spring of your application year may be too late for some committee-letter timelines.

To earn strong letters, give potential writers opportunities to know you beyond a final grade. Attend office hours, ask thoughtful questions, participate consistently, take additional courses with the same professor when appropriate, and keep mentors updated on your progress.

When you request a letter, ask whether the person feels comfortable writing you a strong recommendation. This gives them an opportunity to decline if they cannot support you enthusiastically.

10. Understand the Premed Competencies

Medical schools are not only reviewing a list of activities. They are evaluating the qualities you developed through those experiences.

The AAMC’s premed competencies include areas related to:

  • Commitment to learning and growth
  • Cultural awareness
  • Empathy and compassion
  • Ethical responsibility
  • Interpersonal skills
  • Oral and written communication
  • Reliability and dependability
  • Resilience and adaptability
  • Service orientation
  • Teamwork
  • Critical thinking
  • Quantitative reasoning
  • Scientific inquiry
  • Understanding human behavior and living systems

This is why two students can complete similar activities but create very different applications. One applicant may describe only duties and hours. The other may show how the experience changed their understanding of patients, teamwork, inequality, responsibility, or medicine.

Reflection is what turns an activity into evidence of growth.

Keep notes as you move through college. Write down meaningful interactions, challenges, mistakes, feedback, ethical questions, and moments that changed your thinking. Those notes will make writing your AMCAS activities and secondary essays much easier later.

11. Decide Whether You Are Ready to Apply

One of the most important premed decisions is not simply where to apply. It is whether you should apply during a particular cycle at all.

You may be ready when you have:

  • Completed or scheduled the necessary prerequisites
  • Established a competitive academic record
  • Earned an MCAT score that supports a realistic school list
  • Gained sustained clinical exposure
  • Shadowed physicians
  • Participated in meaningful service
  • Developed relationships with letter writers
  • Reflected carefully on why you want to become a physician
  • Prepared financially and logistically for the application cycle

You may benefit from waiting when you have:

  • Very limited clinical exposure
  • No meaningful service
  • An MCAT score that does not support your intended school list
  • An unresolved academic decline
  • Weak or rushed recommendation letters
  • Little understanding of the physician’s role
  • No time to prepare strong application essays
  • Significant personal circumstances that would prevent you from completing secondaries or interviews

A gap year is not a failure or a sign that you fell behind. It is often the most responsible way to strengthen an application, gain experience, save money, or complete the process without rushing.

It is much better to apply once with a thoughtful and competitive application than to apply early simply because you feel pressured to follow a traditional timeline.

12. Build a Balanced Medical School List

A strong application can still produce disappointing results if the school list is poorly designed.

Your list should consider:

  • GPA and MCAT ranges
  • State residency preferences
  • School mission
  • Geographic ties
  • Clinical training opportunities
  • Research interests
  • Service orientation
  • Urban, suburban, or rural setting
  • Tuition and cost of attendance
  • MD versus DO programs
  • Prerequisite and letter requirements
  • Whether you would genuinely attend the school

The AAMC recommends applying only to schools you would actually attend if accepted.

Do not build a list based only on rankings or national median statistics. Public medical schools may strongly favor residents of their own states, and mission-focused schools may prioritize applicants with particular service, regional, rural, or research backgrounds.

Use MSAR for MD programs, Choose DO Explorer and official school websites for osteopathic programs, and each institution’s admissions pages to verify current information.

13. Complete the Primary Application

Most applicants to U.S. MD programs apply through AMCAS. The application typically includes information about your:

  • Background and identifying information
  • Colleges attended
  • Coursework and grades
  • MCAT scores
  • Work and activities
  • Most meaningful experiences
  • Personal statement
  • Letters of evaluation
  • Medical schools selected

Applicants to osteopathic medical schools generally use AACOMAS, which collects and verifies materials before distributing the application to the selected programs.

Texas applicants may also need to use TMDSAS depending on the schools to which they apply.

The personal statement should explain why you want to become a physician rather than merely repeat your résumé. Your activities section should show what you did, what you contributed, what you learned, and how the experience influenced your development.

You do not need to submit the first minute the application becomes available. You should, however, prepare early enough that you can submit a polished application near the beginning of the cycle rather than spending the summer writing everything from scratch.

14. Complete Secondary Applications and Additional Assessments

After receiving your primary application, schools may send a secondary application containing additional essays and questions.

Common secondary topics include:

  • Why you are interested in that medical school
  • How your experiences align with its mission
  • A challenge or failure
  • Diversity and perspective
  • Service
  • Leadership
  • Teamwork
  • A gap year
  • Academic difficulties
  • Your future goals in medicine

A good secondary response should be specific to the question and, when appropriate, specific to the school. You do not need to turn every answer into a dramatic story. Clear, reflective writing is usually more effective than forcing flowery language into a limited character count.

Some medical schools also require situational judgment assessments such as the AAMC PREview exam or Casper. Requirements differ among schools and may change from one cycle to the next.

Casper currently includes typed and video-response sections and takes approximately 65 to 85 minutes, according to Acuity Insights.

Do not assume that submitting your secondary means your application is complete. A school may still be waiting for:

  • Letters of recommendation
  • An MCAT score
  • A PREview score
  • A Casper result
  • A secondary fee
  • A photograph
  • Residency documentation
  • Another school-specific requirement

Track each school carefully so that a missing item does not delay review.

15. Prepare for Medical School Interviews

An interview means the school sees enough potential in your written application to consider you seriously. Your job is to help the interviewers understand who you are, how you think, and whether you fit the school’s community and mission.

Medical school interviews may include:

  • Traditional one-on-one interviews
  • Panel interviews
  • Multiple mini interviews
  • Group activities
  • Student interviews
  • Open-file or closed-file interviews
  • Virtual or in-person formats

You should be prepared to discuss:

  • Why you want to become a physician
  • Why you applied to that school
  • Your most meaningful experiences
  • Clinical interactions
  • Research
  • Service
  • Academic challenges
  • Ethical scenarios
  • Healthcare issues
  • Teamwork and conflict
  • Strengths and weaknesses
  • Your future goals

The best interview preparation is not memorizing a perfect script. It is becoming comfortable explaining your experiences clearly and reflectively.

Practice enough that you can organize your thoughts without sounding rehearsed. Record yourself, complete mock interviews, and ask for feedback on whether your answers actually address the question.

How Many Premed Activities Do You Really Need?

You do not need one activity in every possible category.

A balanced application commonly includes some combination of:

  • Clinical experience
  • Physician shadowing
  • Nonclinical service
  • Research
  • Leadership
  • Teaching or mentoring
  • Employment
  • Campus or community involvement
  • Personal interests

Some applicants will be research-heavy. Others will have extensive clinical employment, service, teaching, military experience, athletics, or family responsibilities.

You should cover the essential areas while allowing your individual strengths to develop naturally.

The goal is not to resemble every successful applicant at once. The goal is to build an application that makes sense when someone reads it from beginning to end.

A Realistic Premed Timeline

First Year of College

Focus on adjusting to college-level coursework and establishing strong study habits. Begin exploring medicine through volunteering, shadowing, campus organizations, or introductory clinical opportunities, but do not overload yourself during your first semester.

Second Year of College

Continue prerequisites, deepen one or two activities, begin clinical experience if you have not already, and explore research or service opportunities that genuinely interest you. Start developing stronger relationships with professors and mentors.

Third Year of College

Complete important MCAT content courses, prepare for and take the MCAT when ready, maintain your meaningful activities, identify letter writers, and begin learning about the application process.

Applicants planning to apply without a gap year will also work on their personal statement, activities section, school list, and application materials during this period.

Fourth Year or Gap Year

Complete any remaining coursework, continue your experiences, submit primary and secondary applications, attend interviews, provide updates when appropriate, and prepare financially and personally for medical school.

This timeline is only a model. Transfer students, career changers, nontraditional students, parents, students who work full time, and people taking gap years will have different timelines. That does not make their paths less valid.

Common Premed Mistakes to Avoid

Treating Everything Like an Hour Requirement

Hours provide context, but they are not the purpose of an experience. Admissions committees care about what you did, how consistently you participated, and what you learned.

Sacrificing Your GPA for Too Many Activities

Extracurriculars matter, but they cannot undo academic damage caused by chronic overcommitment. Protect your academic foundation first.

Choosing Activities Only Because They “Look Good”

It is difficult to write or speak convincingly about an activity you never cared about. Choose experiences that let you contribute, grow, and remain involved over time.

Waiting Too Long to Gain Clinical Exposure

You do not want to reach your application year and realize that you have barely interacted with patients. Begin exploring clinical settings early enough to determine whether medicine is truly right for you.

Assuming Research Is Mandatory Everywhere

Research is highly valuable for some goals and schools, but it should not automatically replace clinical exposure, service, or academic preparation.

Applying Before You Are Ready

Submitting an incomplete or rushed application simply to stay on a traditional timeline can lead to an expensive and discouraging cycle.

Ignoring School Mission and Residency Preferences

A school is not a realistic choice based only on its median GPA and MCAT. Mission, state residency, regional connections, service history, and career interests can all influence fit.

What Actually Makes a Strong Medical School Applicant?

A strong applicant usually demonstrates four broad qualities.

First, the applicant has shown academic readiness through coursework, grades, and the MCAT.

Second, the applicant understands medicine through meaningful exposure to patients and physicians.

Third, the applicant has shown a genuine commitment to other people through service, teamwork, dependability, and compassion.

Fourth, the applicant can explain why medicine fits their experiences, abilities, and long-term goals.

You do not have to be perfect in every category. You do need to show that your interest in medicine is informed, sustained, and supported by your actions.

Frequently Asked Questions

What is the most important thing you need to get into medical school?

There is no single activity or score that guarantees admission. Academic readiness, clinical exposure, service, a strong reason for pursuing medicine, and an appropriately selected school list all work together.

A high MCAT cannot fully replace a lack of clinical understanding, and extensive extracurriculars cannot erase an academic record that raises serious concerns about readiness.

Do you need research to get into medical school?

Research is not required by every medical school, but it is common among successful applicants and becomes particularly important for research-intensive schools and MD-PhD programs.

Applicants who do not conduct research should still demonstrate intellectual curiosity and critical thinking through other academic, professional, or service experiences.

Do you need clinical experience to get into medical school?

Meaningful exposure to patients is one of the most important parts of a competitive application. Medical schools want evidence that you understand patient care and have tested your interest in medicine in real clinical environments.

How many clinical hours do you need for medical school?

There is no universal minimum. Sustained, meaningful patient exposure is more important than reaching a particular number. You should have enough experience to understand patient care and discuss what you learned with specificity.

How many shadowing hours do you need?

There is no national hour requirement. Shadow enough to understand the physician’s role, daily responsibilities, and relationship with the healthcare team. Some individual schools or programs may have their own expectations.

Do you need a perfect GPA to get into medical school?

No. Medical schools admit applicants with a range of GPAs. However, stronger grades generally improve your options, and admissions committees need evidence that you can manage rigorous scientific coursework.

What MCAT score do you need to get into medical school?

There is no single score required by every school. For the 2025 entering MD class, the national mean among matriculants was 512.1, but individual school medians and ranges vary.

Your target should be based on your overall application and the schools you are realistically considering.

Is a gap year bad for medical school?

No. A gap year can provide time to improve your application, gain experience, work, conduct research, strengthen your academic record, or simply approach the process with greater maturity and preparation.

Can you get into medical school without being a science major?

Yes. You can major in almost any field as long as you complete the required or recommended premedical coursework and demonstrate academic readiness.

Should you apply to both MD and DO medical schools?

That depends on your career goals, academic profile, experiences, and interest in osteopathic medicine. Both MD and DO graduates are physicians, but you should understand the philosophy, curriculum, training opportunities, cost, and application process before choosing where to apply.

Final Thoughts

Getting into medical school is not about becoming the busiest student on campus or building an application that looks impressive from a distance.

It is about developing the academic foundation, practical understanding, maturity, and commitment needed to begin training as a physician.

Take the process one stage at a time. Protect your grades, spend meaningful time with patients, observe physicians carefully, serve people consistently, and choose experiences that help you grow rather than activities you believe you are supposed to collect.

My own premed journey was not valuable because I checked every box perfectly. It was valuable because my experiences gradually helped me understand what I enjoyed, how I responded to challenges, what kind of work felt meaningful, and why I wanted to become a physician.

You do not need to have every part of your application figured out during your first semester of college. You need to keep moving forward thoughtfully, reflect on what you are learning, and adjust your plan as you gain more experience.

For a structured overview of what to work on during each year of college, visit my Premed Guides Start Here page. You can also download my free premed spreadsheets, timelines, trackers, MCAT resources, and application tools to keep the entire process organized.

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