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Is it necessary that we include our gap year plans on the personal statement? I am 90% sure I will be doing an MPH in my gap year. BUT considering last minute changes, and in case I get a cool job offer or something, I may decide to do the MPH later on in med school. This is why I'm hesitant to put it in my PS, and I won't really know for sure until end of June whether I am taking up the MPH offer. Obv, I'd rather submit AMCAS before then!

I talk about my public health interests in my PS a little bit through my activities and such. However, my PS is more general and not specifically tailored towards an MD/MPH program since I will be applying to only MD/DO programs for now.

If I don't include my MPH plans in my PS, but end up starting the MPH this summer, will it raise a red flag?
No.
 
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Is it necessary that we include our gap year plans on the personal statement?

Nope! Agree w/ @ciestar above. It's awesome to talk about your public health interests in your PS, just make sure it's clear that you want to be a doctor (ie. make sure you discuss medicine too).

If I don't include my MPH plans in my PS, but end up starting the MPH this summer, will it raise a red flag?

Nope. It may come up in secondaries and will likely come up in interviews which should give you something interesting to talk about.