tensoranalysis, you and I are in the same boat. Hopefully we'll have better luck in this round . As for research vs. clinical, all I can tell is that Duke is very serious about producing a diverse, well-rounded class, so they are looking for different things in everyone. Meaning, they might be interested in one person because they have earth-shattering numbers and overlook their lack of volunteering, but they might be interested in another candidate who has devoted their whole lives to community service, and overlook some lower numbers. At least, that's how it was put to me in the interview last year. That said, at any school, clinical volunteering is a must...you have to have it, but it doesn't necessarily have to be your strength. Decide what your strength is, what makes you really stand out from others, and focus on it.