I have applied this cycle to mostly DO schools and a couple low tier MD schools in my region. Unfortunately, I did not have a physician LOR so my DO options are slightly limited despite sending in my primary to a couple of these schools. I know I didn't apply with my best application and am looking for advice on how to spend another year if needed working on my app. Currently sitting at 1 DO interview that I somewhat regret applying to after hearing some of their policies. So here are my stats: White male, slightly low SES, first-generation college student. uGPA: 3.31 sGPA: 3.18 Slight upward trend plus a 4.0 last semester. Degree: Biochemistry and Molecular Biology Graduated May 2018 MCAT: 507 (127/124/126/130) Research: Work full-time at chemical company in R&D but not clinical nor biochemistry. Everything I do is strictly chemistry. Been full-time since this July. Expected: 1800 hours Clinical Experience: Volunteered 150 hours, in Endoscopy and as patient escort. Employment: Resident Manager throughout college-960 hours, Patient Waiter in hospital through college-1800 hours, currently employed in lab. Non-clinical volunteering: Helped out high school baseball team, but nothing else. Huge discrepancy in app. Other ECs: I played NCAA D2 baseball, about 2000 hours. LOR: 3 strong letters from former employer, a nurse I worked with, and a biochem prof, and 1 from former orgo prof, not so sure about that one. Will get one from employer at research lab for next cycle. PS: I felt my PS was strong and have had many others read it who agreed. Basically an adversity essay and how certain life experiences motivated me to become a physician. So overall I know I didnt apply with my best application and now I'm paying for it. Looking to see if my current plan sounds good for reapplication if I need to. Shadow a DO/MD and get a LoR. I have an office that will allow me to but since I work it will take months to get 40 hours. I have submitted primary app to some DO schools that require a letter, so I would be submitting secondary in December after I receive a physician letter smh. Gain some non-clinical volunteering experience, preferably in underprivileged area. I've emailed some groups but no response yet. This is where I am unsure, my MCAT is about 6 points lower than my average FL, which were taken under testing conditions. So I am considering taking the MCAT again, maybe in April, however I am working full time now so it will require a lot more work and idk if its worth it? Also contemplated doing some sort of SMP or post-bacc, but I read that since nobody does grade replacement anymore, it might not be worth it since I have ~140 credit hours since I transferred schools and switched majors. Submit on time. Early as possible. smh took my MCAT June 30th, and was complete for all schools August-October. So I was late. Should I even apply to low tier MD schools next cycle? I did this time and have 1 R so far from my undergrad (lol). If anyone has any advice that I didn't mention, or anything to add at all please let me know. I know I still have time left, but I want to start to work on my app now so I can improve it considerably if I don't get in. Thanks!