EC advice

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Continue something you're good at and/or passionate about to the point where your skill is significant nationally or internationally.

If you're asking what can be done from scratch in a year, your options are way more limited. First thing that comes to my mind is entrepreneurship. Not unheard of to grow a company from $0 to $1M+ annual revenue in a year, but good luck with that lol
 
Do whatever allows you to have the best possible grades and MCAT. Enjoying what you're doing is always a plus. Unless you're doing something genuinely unique, like being a world class Olympic athlete, Fortune 500 CEO, or cure AIDs, it's all going to be similar to other applicants.
 
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