Be clear, creative, and own your decision, whatever that might be. As with most things in life, there is no clear formula for success. Pre-meds in general want to know "just tell me what I have to do to get in, and I will do it." This is why most of them are weak leaders, boring people, and extremely risk averse.
Have the balls and the common sense to make a call, take ownership of that decision, and fearlessly move forward.