Okay, thanks for expanding on that. Would you mind reading over this essay and telling me if it comes off as arrogant? Don't you have to stand out from all the other applicants to be able to convince a top school that it should accept you...but then where do you draw the line between confidence and arrogance?
What makes you unique, someonewho will add to the ____________ community? (250 words)
What makes me unique is not one specific aspect of my background, but rather the combination of a wide range of interests and aspirations and the ability to follow through on them. My goal of an MD/PhD followed by a surgical specialization is unusual, but by no means unique. However, I am also interested in the broader economic and public policy dimensions of medicine (which I am pursuing by taking courses in business and economics this year); and due to my experience with both the Canadian and American health care systems I have a distinctive perspective on public health and the role of government in it. Ultimately, I would like to be in a position to direct a team of researchers (this could be in academe, industry, or a governmental agency) and also have the flexibility to be involved to some degree in these other interests.
I realize that this is a lofty ambition and will be difficult to achieve, but I believe that I have, or am in the process of developing, the necessary skill set to do so. My academic performance and reference letters should speak for themselves in terms of my intellectual ability. Through my various extracurricular activities, I have been put in a number of challenging leadership situations, and I hope to continue to develop my leadership and interpersonal skills during my time in medical school. Finally, burnout is a serious concern for MD/PhDs, but I think I will be able to avoid this through my balanced and healthy lifestyle.
I did apply to some Canadian schools, but they don't send interview invites until February.
Of course it's arrogant. Confidence is a quiet peace (which also reassures others) that you know what you are doing because of your experience. Arrogance is basically what you have exhibited throughout this thread.
Let me deal with the structural issues of the above before discussing more broadly. First, you repeat the word "unique" in a short space. That's redundant. Then you mention directing a team of researchers, which is just absurd at this point in your career. First direct your own lab before making up ambitions of running a program project. Then you mention industry and government, which are no-nos for MD/PhD programs: they are academic researchers and they want academic researchers, not private practice clinicians or even industrial researchers. Then you say that you have the necessary skill set to run a group of researchers, but provide no evidence for this. What is your mentorship experience, and in a lab in particular? Have you guided multiple undergraduate students through research projects? Please realize that I'm not trying to mock you, but you don't understand *what* skill set is necessary to manage a group of researchers if you yourself have never mentored even one junior researcher. Then you mention your reference letters and academic performance, which is redundant, and academic performance at any rate has nothing to do with running a lab or performing basic science research.
The first layer of humbleness (which can be easily faked) is NOT explicitly discussing your accomplishments as accomplishments. The application already gives you plenty of space to list them, your MCAT and GPA, and your recommendations are attached. There is no need to say that these things highlight your intellectual ability (and being outstanding compared to others) since you don't know what others have in their applications to make them outstanding. Perhaps what they lack in MCAT and GPA they make up with the rigor of their coursework, other degrees, years of work/life experience, etc.
The second layer of humbleness (which is much harder to fake) is to earnestly attribute your accomplishments to others who made them possible: God, family, circumstances, mentors, friends, etc. You don't have to do that here, but if you honestly feel that way, it can be put in in some fashion. I don't think it really adds to your application either way and can be mistaken for fake humility.
My take on how to answer that question is to never mention "What makes me unique." It sounds ridiculous. Nor should you discuss things that are objective factors in your application, such as stats or LORs. This question is meant for you to state something unknown to the adcom that makes you uniquely qualified for ______. This is going to be an experience, not a number. Only you can come up with that, but just speak about its relatedness to the question in a more tangential way.
Read the admissions brochures and school magazine (most of them put out a magazine once a month or once a semester) to see the sort of plastic writing style they enjoy reading.
You don't need to sell yourself here. Your stats are good. You need to identify unique life experience that helps fill in those intangible aspects of medicine and research to provide the adcom a more complete picture of who you are.