@whitepatchMD but then there is this from Traffic Rules for Admissions: AAMC Recommendations for Medical School and M.D.- Ph.D. Admission Officers
https://www.aamc.org/download/364264/data/2014trafficrules.pdf
6) (Change) After April 30, each school or program implement school-specific procedures for accepted applicants who, without adequate explanation, continue to hold one or more places at other schools or programs. These procedures: a. Each school or program should permit applicants: i. A minimum of 5 business days to respond to an acceptance offer. This may be reduced to a minimum of 2 business days within 30 days of the start of orientation ii. Submit a statement of intent, a deposit, or both. b. Should recognize the problems of applicants with multiple acceptance offers, applicants who have not yet received an acceptance offer, and applicants who have not yet been informed about financial aid opportunities at schools to which they have been accepted.
https://www.aamc.org/download/364264/data/2014trafficrules.pdf
6) (Change) After April 30, each school or program implement school-specific procedures for accepted applicants who, without adequate explanation, continue to hold one or more places at other schools or programs. These procedures: a. Each school or program should permit applicants: i. A minimum of 5 business days to respond to an acceptance offer. This may be reduced to a minimum of 2 business days within 30 days of the start of orientation ii. Submit a statement of intent, a deposit, or both. b. Should recognize the problems of applicants with multiple acceptance offers, applicants who have not yet received an acceptance offer, and applicants who have not yet been informed about financial aid opportunities at schools to which they have been accepted.