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Thanks for all the help!
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If you can raise your USA active clinical experience hours into the triple digits, you'll likely be a competitive applicant anywhere. You've done enough shadowing. Stop doing that and start doing more active clinical work (volunteering, scribing, etc). High school stuff usually doesn't count, but if you have an extra slot in your AMCAS ECs, it probably wouldn't hurt to list it anyway.
I would remove Drexel, Temple, Georgetown, and Tulane. Also consider taking out Baylor (Texas bias) and Mayo (low yield for everyone).
I would add USC-Keck, Rochester, and then any of WashU, UChicago, Cornell, NYU, Northwestern, Sinai, and possibly Emory. I would also add all the SUNY schools that you don't already have and possibly NYMC.
Only do MD/PhD if you're interested in doing research for the rest of your life / you need a PhD for some reason. Don't do it to try to tailor your degree to your application. Research heavy applicants do not in any way necessarily have to go MD/PhD.
Get some more active clinical experience and you'll be in great shape.
Thanks for the advice! Would the reason for removing Drexel, Temple, etc be that they receive a lot of apps so they would be low yield? Also, do you think I'm applying broadly enough?
You already know what the problem is...your low clinical hours will be lethal. Shadowing is following a doctor(s) around to learn what their day is like and how different doctors approach the practice of Medicine.
Clinical experiences are those encountering patients. These are not shadowing, although you may meet patients while shadowing. The idea behind patient contact experience is to demonstrate that you know what you're getting into and that you really want to be around sick people for the next 30-40 years. Would you buy a car without test driving it?
I get nervous when I see people who have more shadowing than actual patient contact.
Oh, the trip to central American will be treated as "medical tourism" and ignored.
Look, you've got tons of research cred. But 4.0 automaton lab rats are a dime a dozen. The SDNers I've been advising who got into the schools you're aiming for have hundreds of hours of patient contact experience.
So you can knock off the research and spend the summer doing ECs. I suggest that it's worth a shot to apply later in the cycle. While classes fill up fast, someone with your stats will be at an advantage.
I’m mainly concerned about how my clinical experience and volunteering experience will affect my app seeing as I spent a lot more time on research. I’m definitely applying to my state schools but I don’t really know how high to set my expectations and how many schools I should apply to(hopefully a max of 20?). Also, I’m not really sure how to distinguish between shadowing and clinical experience? I’ve heard clinical is “within breathing distance” of the patient but during my shadowing, the doctors would let me get pretty close and look through the slit lamp microscope at the patient’s eye, etc.
I welcome any opinions or advice, thanks!
Anybody else have any advice? I think I can probably get my clinical hours up to ~100 hours by the summer and then do more during the summer. Any suggestions for how to adjust my schools list?