I'm actually not pre-med anymore as I'm heading to med school this Fall. Regardless that shouldn't matter at all as I like to help out here whenever I come with info I've gained. You're right, I've never been in a position of teaching where I've had to deal with failing med students. However, there is no cause and effect relationship b/t a low MCAT score and poor performance in medical school. Is there a correlation? Maybe. But correlation does not imply causation. I personally know a non-urm guy who had a 20 MCAT, a 3.7 gpa and got in 3 DO schools 4 years ago. He's off to a university residency for internal medicine and did just fine. Yea it's n=1 or whatever but still, I firmly stand by the belief that a poor MCAT score does not indicate med school performance. There are definitely a few DO schools out there who could give OP a chance with a 4.0 & 495. But chances are non-existent for MD