4.0/522, Mediocre EC's, Thoughts on schools for 2020-2021 cycle?

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Stop shadowing.
Your lack of volunteering and especially clinical experience is going to sink you.
 
Doesn’t matter how easy the shadowing hours are to get, you only need 50. You do need some with a primary care doc and then be done with shadowing.
Your stats are wonderful but they won’t save you with your very limited volunteering/ECs. Medicine is a service profession and you really haven’t proven your altruism or that you know what you are getting into. What experiences have you had that convinced you that you even want to spend the next 35+ years dealing with the sick, injured and dying? How are you going to talk about these experiences in your application and interviews. I’m not sure how you plan to get it all done in the next six months. Although you can anticipate hours, ADCOMS look at them as anticipated and realize that they may or may not happen. We all know life intervenes and despite the best intentions things happen.
 
You’re gonna need at least 150 hours of clinical and nonclinical volunteering at least. For top 20s, I’d recommend closer to 300-500 hours each. Without at least 150, you’re really shooting yourself in the foot. With 500 hours of clinical and nonclinical volunteering, you’d have a shot at Harvard. As it is, even your state school is a crapshoot.
 
I'm not trying necessarily to just get 50 hrs. of shadowing and quit. I don't shadow at this hospital because they are easy shadowing hours. I have witnessed a lot of profound experiences during my shadowing hours in the trauma bay and OR (including death). It's also amazing to learn from residents and medical students on rotations that I follow in the hospital. I want to continue shadowing because I learn so much from each shift. Again, I understand that my clinical volunteering/experience need work. Also, I don't start my application until this summer, so these hours will not be "anticipated" hours by then.

Just keep in mind that you’ve probably hit the point of diminishing returns for shadowing already. More is not going to help your application in any significant way, but if you can squeeze it in with the more important activities, do it for yourself.
 
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