MD 4.0 GPA, projected 515 MCAT, volunteer concerns

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If you enjoy teaching/mentoring (which it seems like you do), I'd recommend volunteering at a local high school or community college and teaching some classes or tutoring students. You get to meet a wide range of students and get the chance to make their learning environment exciting and interesting! Teach whatever interests you - could be music, art, math, etc.

For top-tier MD programs, you want to aim for a 518+ to be on the safer side so that they aren't really reaches. For MD/PHD programs at said top-tier MD programs, you should probably aim for a 521+.

You're also going to need a lot more than 25 hours clinical experience.
 
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You need way more than 25 hours in clinical experience. As to nonclinical get outside of your comfort zone. Do something that shows your altruism. Medicine is a service profession so ADCOMS like yo see that. Come back when you have your MCAT for more advice, but don’t apply until you fix your deficiencies . You have a great GPA, tons of research etc. but you have to fix some things. Good luck with your MCAT.