EVMS says that they sort of have two waitlists, - line for IS applicants, and OOS. IS ppl compete for IS spots, and OOS - for OOS. The class is about 50/50. OOS waitlist has a lot of movement, because people, if accepted to their local schools (which are, of course, cheaper that OOS tuition in EVMS) decline acceptances to EVMS, and that slot is offered to the next OOS person. as far as in-state movement, there are 3 public and 1 private MD school in Virginia: UVA, EVMS, VCU and VA tech. UVA is harder to get into, - they have much higher average scores, etc. VCU is about the same as EVMS as far as average scores for the matriculants. So, IS spots for EVMS that open from waitlists are usually from PPL who either got accepted to higher ranked private schools in other states, or UVA (i imagine, maybe VCU as well, if they were accepted to VCU as well and want to go there).