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How important is it to be published as an undergraduate, especially when you're applying to top research-ranked medical schools? Let's say I've been working in the same lab for 2-3 years by the time I apply, but don't have my name on any papers. Am I screwed?
How many undergrads actually end up getting published (not necessarily first author, but some kind of authorship)? Also, does the PI typically initiate it, or does the undergraduate have to beg and pester?
How many undergrads actually end up getting published (not necessarily first author, but some kind of authorship)? Also, does the PI typically initiate it, or does the undergraduate have to beg and pester?

This is too funny. I have friends who got into multiple MD-PhD programs without a single publication including Harvard, UCSF, WashU etc (and no, they were not URMs). Where do people get this?