There is no way to get out of starting early. That is part of the curriculum---the first semester (summer) you study Gross Anatomy, Radiology and Embryology. You also have a course in Doctoring. Then you have a one month break and start back in August when most schools are beginning. At first, most people are a little frustrated with this set up. But after having gone through it, I don't know one person in our class who would rather the conventional Fall/Spring for the first year. It made our first Fall semester or medical school so much more manageable (you have less credit hours because they are spread between summer and fall) . It is really great to be able to focus on Gross Anatomy without having to study so many other courses to keep up with. It is an intense summer, though. The summer session is only 10 weeks long. But, I wouldn't do it any other way. As for deferment, I know of one student in the second year class (as of now, the new medical school only has 70 students: 30 second years and 40 first years) who was allowed to defer his acceptance for one year. If the idea of a school where competition is nearly non-existent, you know all your peers, you communicate with your professors on a personal level, and the technology is top in the country (wireless internet, each student given a new laptop and PDA for research/patient entry), this is the place for you. Good luck with everything!