#plus my AP (basically a college class) and intro to sociology

[kings-favorite-courtjester]

OMFG THE EPISODE LAST NIGHT FUCK ITS OVER THERES NOTHING LEFT FOR ME FUCK I LOVE THEM I LOVE THEM SO MUCH GODS DAM IT FUCK

anyway here's a wip of popstar fem Lance Im going to fix the feet and shit later

Also I just realized I never introduced myself so I'ma do that at some point too 👍🏽 I might do the whole gang as a band but also I'm tired burnt out and too young for this :( death is a mercy atp. Just as a personal update life fuckin sucks bc I got all As and Bs except my bitch ass crusty ass AP human geo teacher gave me a fucking 79 so my parents are going to murder me haha anyways that's it. Enjoy.

[byologee]

an actually practical guide to being premed and getting into med school by someone who did it successfully

Majors and Classes:

Personally I feel you should choose a major that will be complementary to your premed studies-- something STEM or social science based that overlaps with your premed classes and will allow you to take upper level science classes that relate to physiology, disease and illness, pharmacology, etc. HOWEVER do not let this deter you from majoring in a non-bio STEM area like biochem or from pursuing a different science or liberal arts major.

That being said, consider double majoring in Public Health because it is very relevant to premed and going into medicine.

Make sure you take the correct order of bio and chem classes. This is important so that you take classes at the appropriate time when you have the appropriate skill level and so that you do not have any gaps in your premed education or major classes.

Be aware of what upper level bio and chem classes require prereqs that are not a part of your major requirements or premed requirements; for example some upper level bio classes require microbio which is not a premed requirement at all schools NOR always a major requirement. Plan your underclassmen years accordingly to allow you to fit in certain prereqs for upper level classes.

If you plan on taking lower level lab intensive courses, take them as an underclassman-- they will prepare you with basic lab skills you can apply to upper level classes and to irl lab work, plus most of your classmates will be underclassmen. You do not want to take these lower level lab intensive courses as an upperclassman. You will be bored and probably annoyed.

Take an intro level public health class as an underclassmen to see if you are interested in public health; this will also be relevant to your med school apps.

Gen chem 1 and orgo 1 are weedout classes. Many people will switch from premed and/or bio to public health or prePA after taking gen chem 1 and orgo 1. This is normal; don’t be judgemental. If you’re the one switching to public health or prePA, don’t feel bad or ashamed.

Do not take orgo 1 or 2 with super hard progressors. It’s just not worth it. Many people say that harder orgo progressors prepare you better for the MCAT, but this is false as the MCAT does not have a lot of orgo on it. Many people will fail out of orgo even without super hard professors. Set yourself up for success by taking orgo profs with good reputations, not profs with reputations for failing everyone, being purposefully difficult, or just nasty.

If you take a (relatively) “easy” professor for orgo 1, under no circumstances should you take a hard prof for orgo 2. You will suffer.

The best way to study orgo 1 and 2 is to memorize all the reactions. Copy reactions until you have them memorized. Then you can simply apply what you’ve memorized to synthesis reactions. This works for NMR too, just memorize what NMR specs look like and apply.

Always go to TA office hours for gen chem 1, 2 lab and orgo 1, 2 lab. The lab reports are very difficult and the TAs can help you more than professors can. Professors will be mostly absent for labs. TAs will know what’s up.

You do not need to take biochem 2 for the MCAT, biochem 1 will suffice as it generally covers amino acids and proteins and not respiration and metabolism. Most of the biochem on the MCAT is about amino acids and proteins; all metabolism can be self-studied. (This is my opinion to save you time, if your advisors tell you otherwise LISTEN TO THEM and not me).

If you take AP psychology you do not need to take intro psych.

You need to take a sociology course for the MCAT and premed reqs. You should take The Sociology of Deviance if offered at your college as this is more relevant to the MCAT than intro socy.

If you have to take a professional writing class for Gen Eds, try to take a science writing or health professions writing course as these will be relevant to you.

Take stats even if you don’t have to as it is very relevant for understanding papers.

If you switch to another pre-health path like prePA or prepharm you will generally have to take different prereqs. Clear this with your advisors and come up with a plan.

Med schools like to see a diversity in courses and not just science courses, so you need to take at least 8 humanities credit hours. Diversify your college education and take interesting and relevant humanities courses; this will also help with CARS on the MCAT.

Research

Many medical schools want you to have research experience. You can do clinical research or bench research.

You should start research early, either 2nd semester freshman year or summer before sophomore year.

The best advice is to research professors and PIs in the BSCI and public health departments and email ones you are interested in about working in their lab. You can do this before 2nd semester freshman year or during that semester. Email example: Hi Dr. X, I am an undergraduate freshman at UMD and am looking for research opportunities in X field. I discovered your lab and read your paper, “X,” and am very interested in this subject! Elaborate on what interested you I was wondering if there are any open positions in your lab for an undergraduate researcher. I have taken X, X, X, courses. I would be interested in working in your lab for 2 years. Please let me know if you have any openings! Best, X

PIs generally look for undergrads to commit to 2 years of research, but you can quit earlier if you feel like it. This is also why you should do research earlier-- that way you are not cramming it in during your upperclassman years.

The goal is to get some abstracts, posters, presentations, and maybe a pub out of it, but these things aren’t absolutely necessary.

Clinical Experience

Med schools like to see 10 months of continuous clinical experience, which translates to about 200 hours. However, this number is too low and to be really competitive for med school apps you should aim for 1000 hours if not more.

The best way to gain clinical experience is to work part time as a scribe, CNA, MA, or tech. You can take CNA and MA courses the summer before sophomore or junior year and apply to positions online. CNA/MA gives you a lot of experience working with patients. Scribing gives you a lot of experience working with doctors and seeing what they do. It’s best to start clinical experience sophomore year or junior year so you can gain enough hours prior to applying.

You should also have clinical volunteering hours which you can get by volunteering at hospitals such as Children’s or Shady Grove or any other local hospital. Other clinics also accept volunteers, you just have to look around. Check your health professions advising office (hereon abbreviated as HPAO) for their recommendations and job listings if available.

You can also shadow doctors. Your HPAO may have a continuously updating list of physicians in your area who are available to shadow. You can also genuinely just email local providers. Note that you will need to shadow a DO if applying DO.

Check your HPAO listserv for job openings and clinical volunteering opportunities.

You can find jobs by googling “CNA job near me” or “scribe job near me” and browsing postings on Indeed and other job sites, or alternatively postings on hospital sites.

Community Service

Med schools like to see 10-12 months of continuous community service, or around 200 hours. This is too low, and you should aim for around 600 to be a competitive applicant.

Join school listservs and look for volunteer postings. Go to your school’s First Look Fair or college organization fair (usually held at the beginning of each semester) and sign up for emails from clubs that do volunteering or other various organizations. There are many organizations on campus that do volunteering and service.

Ideally you want to work with marginalized communities off campus. This sounds shitty but you want to work with communities who need it. You should also aim for a sustained service opportunity, not a once a month thing but a weekly, continuous experience. Volunteering through clubs and societies like the women’s premed organization are not valid experiences.

Google local homeless shelters, women’s shelters, STD testing clinics, and food banks-- these are all really good places to volunteer at. You can also volunteer at crisis hotlines.

You can also utilize clinical experience for community service, so volunteering at a hospital, clinic, urgent care, etc. But you also need non-clinical community service, so make sure to prioritize both.

Consistency is key. Doing an experience for a longer period of time (ex. 4 hours every week for 10 months- year) is very valuable. Even doing an hour of volunteering at the same place every week for two years is great. Building relationships, gaining experience, understanding consistency-- med schools value this. Long term experience is very important.

Extracurriculars

You should also be involved in extraneous, non-community service based organizations and extracurriculars. It’s ok if these organizations include some aspect of community service. This can also include paid-positions that are not clinical.

Examples include campus ministries, sports, dance, art clubs, music/choir, social, restorative, and environmental justice organizations, interest groups, tutoring, co-ed frats, etc.

Joining societies, like the American Women’s Medical Association or your college’s namesake Pre-Med Society is a great way to do extracurriculars, build your resume, and get leadership experience. You can also join major-specific societies.

Check with your HPAO for a list of pre-health societies you can join. Your college will also have a website or list of clubs and orgs you can investigate.

Med schools like to see that you are well-rounded, so having a variety of experiences is important.

Advising

It is extremely important that you build a relationship with your advisors. It is very important that you outline all the classes you want to take with them and when AND that you meet with them every semester. Discuss your plans with them, ask questions, ask for suggestions and tips. If you make any major or minor changes you need to speak with them too. They are a resource; use them.

You will also need to build a relationship with your pre-med advisors at your HPAO. You may need to do an intro workshop to be able to meet with an advisor at your HPAO.

Meet with an HPAO advisor every semester to outline your courseload, volunteering, clinical work, extracurriculars, and application plan. Your HPAO advisor will help you craft a narrative for med school apps and can help advise you with regards to coursework and what opportunities to pursue. They can help you decide when to take the MCAT, when to apply, devise a school list, etc. so it’s best to start meeting with them early. The better your relationship with your HPAO advisor, the stronger the recommendation letter you’ll get from them.

If your grades drop you NEED to speak with an HPAO advisor. You should be checking in with them every semester to go over your grades and course history and make sure you are on the right track to apply. This is really really crucial.

If your HPAO offers workshops for applying to med school, crafting a school list, financing med school, writing a personal statement, etc. then GO TO THEM. Utilize the resources that are available to you.

Make sure you are on your HPAO listserv.

If your HPAO offers peer to peer advising consider using this resource to speak with current college students who are going through the application process.

2 Areas Med Schools Look At: Leadership + Diversity and Inclusion

These are two hot topics med schools care about. Here is how to address them.

Leadership: there are numerous ways to gain leadership experience; getting elected to a leadership position in a club or organization, being a TA or UA, getting a management position at your job, or being any kind of team leader in a community service endeavor. The important thing is that you are able to express what you learned and how you grew or changed from that experience, plus how you will apply what you learned in the future.

Diversity and Inclusion: Hot topics in medicine right now, my advice is to read about diversity and inclusion in medicine and what it means-- read articles, op-eds, peer-reviewed papers, etc. There are a few ways to go about this issue; one is to find out what is unique about you that you can contribute to medicine, the second (and most important) is to work with underserved and marginalized communities. Being able to express in med school apps and interviews that you understand the difficulties faced by marginalized groups and are committed to better health and wellness outcomes is REALLY important. Being able to show awareness about diversity in medicine is so key. To do this, spend time working with the marginalized and underserved through community service and clinical work. Be able to show med schools that you understand and care about diversity and inclusion.

You should be thinking about leadership and diversity/inclusion throughout all four years of undergrad-- how will you incorporate these things into your app?

Letters of Rec

Getting letters of rec (you will need 5-6) is very important. To do this you will need to build relationships with the following…

Professors: You will need recommendations from 2 science professors and 1-2 non-science professors. To get recs you need to go to office hours, ask questions in class and outside of class, email profs questions, stay after class to ask questions, participate, show an interest in what they are teaching. Office hours are important unless the class is small. Build relationships with professors ALL THROUGHOUT undergrad. Go to office hours even if you don’t have questions, especially in junior and senior year. Go and ask them to review prior tests and papers. Ask if you can explain concepts to them to get clarification. Listen to other peoples’ questions, piggyback off them. A prof is not going to write a LOR unless they know you.

Physicians: You need to have clinical experience to get an MD LOR. And you NEED an MD or DO LOR. Get the clinical experience, then ask whatever physician you worked with the most for an LOR. Many will say you do not need a DO LOR to apply to DO schools; I cannot advocate for this as I was told by my premed advisor that I needed one. Be safe and get one if you plan to apply DO.

Other: If there is anyone else who knows you well and can write a strong LOR, ask them. Your boss, manager, volunteering organizer, team leader, club sponsor-- whomever.

Committee Letter (CL): Many med schools require these. Your college probably has a unique CL process. Go to workshops, research, and ask your advisors how this process works. Maintain a relationship with your premed advisors to obtain a good CL letter.

Building a Narrative

This is talked about a lot junior and senior year when you are applying, but it’s important to think about building your narrative all four years of undergrad.

What this means is that you want to center your application around a theme or common experiences. You want to build a cohesive resume of common volunteering, clinical, and extracurricular experiences that complement each other. You should be able to summarize all of your experiences and draw a narrative about you based on what you have done.

For example, my narrative centered around marginalized and underserved communities as well as social and restorative justice. I used my volunteering experience with marginalized, underserved kids and my experience working with traditionally underserved patients to explain why I want to be a physician, what my medical vision and mission is, and what I have learned about medicine. Because I am interested in family medicine I was able to tie my experience working with the underserved into my goal of improving community health and welfare among marginalized groups. I also discussed how my passion for social and restorative justice ties into my clinical experiences and how I plan to integrate this passion into my practice of medicine.

One of my friends centered her narrative around being a Spanish-speaking person of color AND the descendent of physicians and how this has shaped many of her experiences in medicine and healthcare.

You don’t have to plan out your experiences to conform to a pre-chosen narrative. You do have to be able to draw common themes and lessons from your experiences, however.

MCAT

Talk to your premed advisor about when to take the MCAT and what classes you need to take prior to taking the MCAT. Ideally you want to take biochem 1, physics 2, and sociology of deviance before taking the mcat along with all other prereqs.

You also want to take the MCAT before applying (ideally) so that you can craft an appropriate school list. Your MCAT will give you a boundary for which schools you can apply to. Think of the MCAT as a checkpoint you must pass to apply to certain med schools.

Many people start content review six months before their test. Some start 2-3 months prior. Do what you think is comfortable.

You can use books or purchase review courses (Kaplan, Princeton Review) or use free online review content (Khan Academy).

Practicing how to take the test is more important than content review. What that means is that doing practice tests will help you more than reviewing content. Take as many practice tests as you can (AAMC makes their own).

Do a practice test one day, review what you got wrong the next day. Repeat this enough times and you will do well on the MCAT (511+).

Don’t anticipate retaking the MCAT. But don’t exclude it as a possibility either, so plan when you take the MCAT accordingly.

General Advice:

ALWAYS listen to your premed advisors. Do not elevate advice given by random strangers (including me) on the internet above advice given by your advisors. They know you. They know your history, your transcript, your personality. Us internet people do not. Trust your advisors. They know what they are doing.

Take everything said on the internet by supposed med school app experts, med students, doctors, premeds, SDN mods and commenters, premed redditors, and other random internet people with a BIG grain of salt. We don’t always know what we are talking about.

Limit the amount of time spent on SDN and premed reddit as well as other premed online forums. It can get unhealthy real fast.

You don’t have to study all the time. It’s ok to take breaks and have fun.

Don’t be afraid to reach out and get help or ask questions. Everyone else is struggling too. Your professors want you to do well.

Do non-science related things. Give your mind a break and diversify your experience.

Failing a test is not the end of the world. Many people fail tests and classes. You won’t be alone. Always remember that the curve exists.

If you are having a problem, talk to your professors and TAs. They are there to help.

Study with people. Quiz each other. Make study guides and ask each other questions. Help each other out.

Utilize campus resources- tutoring, study groups, yoga classes, conferences and seminars, counseling, etc.

Buy the MSAR when you start building your school list. It will make comparing schools so much easier.

A B or even a C is not going to ruin your chance of getting into medical school. People get in to med schools with 3.1 GPAs. You will be ok if you fail one test, have a few Cs or Bs, withdraw from a class, etc.

Getting into med school is more about fit than anything else. It’s not about how smart you are or how good your GPA or MCAT is. Everyone has a 4.0 Everyone has a 528. What matters is fit-- who you are, what you believe, what your values are, what your aspirations are-- and how you can demonstrate these things through your application, interview, and overall experiences. Remember that top tier schools are research-oriented (Einstein, Baylor, Johns Hopkins, Harvard, Stanford, NYU, Duke, Mayo, UChicago, Mt Sinai) whereas other lower tier will be more community focused.

ALL med schools (excluding caribbean med schools and a few DO schools, looking at you DMUCOM and LECOM) are valid. All med schools are good med schools. Med school is med school is med school. You will come out with an MD or DO and you will get into residency.

Always apply DO. Just do it. DO is great, DO is a viable option and good opportunity. Do it. Do not exclude it.

Links and other Resources:

AAMC: MD applicants, helpful resources in general https://students-residents.aamc.org/preparing-medical-school/preparing-medical-school

AACOM: DO applicants https://www.aacom.org/become-a-doctor/how-to-apply-to-osteopathic-medical-college

MSAR: handbook to med schools (MD) https://students-residents.aamc.org/medical-school-admission-requirements/medical-school-admission-requirements-applicants

AAMC’s how to apply to med school https://students-residents.aamc.org/applying-medical-school/applying-medical-school

AAMC’s FAQ and tips to creating a good app: https://students-residents.aamc.org/ask-experts/ask-experts-create-winning-application

Why Diversity Matters in Healthcare https://explorehealthcareers.org/career-explorer/diversity-matters-health-care/