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For the final question in the secondary application (discuss any unevenness in you academic...), would you discuss a low MCAT score? Or is that too negative? What if I end on a positive note and discuss how my retake improved?
I feel like you could go a couple ways with this.
They already know your academic history. If they saw you got a B- in orgo the first semester and an A- the next, then they know you obviously buckled down and took the next attempt seriously. While discussing this might be a good way to highlight your academic preparedness/perserverance/commitment, to me it feels like that space could have otherwise gone toward distinguishing yourself from the n number of other candidates that went through the exact same thing. Maybe instead talk about the cool new thing you did this past year, or that volunteer thing you set up, or "insert thing that makes MedLife24 different and attractive as an applicant."
On the otherhand, if you didn't show improvement for a grade or exam score, then maybe a quick discussion would be worthwhile, but I wouldn't focus on it for the entire response at all.
I don't know, honestly. To me, the whole "If you have had any academic problems or unevenness in your academic performance, please address that here as well:" prompt to me seems optional and I personally spent my space answering the "If applicable, indicate any special experiences, unusual factors or other information you have not already addressed that you feel the Admissions Committee should consider when evaluating your application" part.
I'd be interested in hearing what other people think about this, too.