Hiya Bubster9 - I'm also planning to apply to MD/MBA programs. Right now I'm just applying to med school - normally you have to get into the med school first then you can apply to the business school (with the exception of Wharton and others where you can apply to both schools simultaneously, although their website states that most people wait to get into the med school first). Also, some schools like Columbia Business and Tuck at Dartmouth, require the GMAT...but again I believe you have to get into their med school first. Tufts has a cool program - it's 4 years long...so no extra one year tuition but you certainly won't have any free summers plus I'm not sure how one would do 3rd and 4th year rotations away from Tufts if one wanted to. So, to finally answer your question, I personally think it's a little harder getting into MD/MBA programs because the medical and business school have completely different admissions processes (except for Tufts) and you have to get into the med school first. On the other hand, it may be a little easier getting into considering that not too many people apply to these programs - at least that's what the Director of the Md/MBA programs at Tufts told me - yet I think the amount of applicants must be increasing each year overall.