Is being a CA resident tough when applying to MD schools? Yeah.
However, by in-state (IS) matriculation %, Washington, Utah, and Maryland are very tough as well, with even lower %'s than CA's
They are definitely not easy to get into, but it is nice that they explicitly state that they give higher priority for acceptance to in-state residents than out of state residents.
Contrast this to schools like UCLA that state, "
No preference is given to state of residence. However many applicants come from California. Acceptees from California are more likely to matriculate at UCLA. Out of 175 freshman, 85 percent were from California."
Similarly, UCI answers the question of "Does the School of Medicine give preference to California residents?" with: "
No. The admissions committee uses the same criteria to evaluate applicants whether they are in-state or out-of-state residents."
Although UCSF doesn't state anything on their website explicitly answering the question of whether or not they give in-state preference, their numbers are pretty similar to UCLA.
Yes, the numbers show a significantly higher % of people from California receiving interviews/acceptances, but it definitely has to make you think when a third of California public schools explicitly state that they don't give preference. What do they have to gain from stating this if it's not true? And honestly, UCSF is pretty weak on the in-state preference as well.
When it comes to in-state preference, the only ones who are very strong with their in-state bias are UC Riverside and UC Davis. UCSD gives some in-state bias, but they do accept a very sizable chunk of oos students. UCLA and UCI both accept a decent number of oos students and also explicitly state on their sites that they give no preference on in-state or out-of-state. UCSF does not state anything officially, but according to their numbers, they really don't mind oos much more than a school like Maryland does.
------
When you compare population size and the % of population interested in pursuing medicine between different states, there is no place that is both relatively and absolutely higher in both categories than California. It's especially not helpful when you consider the fact that many of California's public schools are extremely lenient to out of staters.