MCAT Disability Accommodations Application and the Asterisk

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rapinyourface

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Please no comments on the ethics or your opinions on disabilities and accommodations. I'm simply seeking information about the PROCESS of accommodations requests to the AAMC.

I have ADHD and Dyslexia. The lit by the AAMC recommends documention from before age 7 (per DSM criteria), and incidentally, I do have an event from that age (though I was not diagnosed until much later) when I was placed in the advanced reading class for my general intelligence but removed because of reading specific difficulties. However, I doubt my elementary school has an record of this, and the teacher who demoted me might be dead for all I know! How have others demonstrated long-term proof of a disability?

The AAMC also mentions "family history" and incidentally I do have a couple immediate family members with pretty salient cognitive abnormalities, but they are otherwise healthy and have been able to hold a job, and were of an era that when teachers recommended they repeat grades their parents refused because it was considered embarassing. Anyway, I just throw that out there because the AAMC doesn't elaborate on "family history" and I've always just been curious what their test results would look like, lol.

There's a definite chronological or temporal aspect, b/c it isn't enough to prove a diagnosis, but also to prove that it will still effect you during the MCAT test. So if you take medication for a psychiatric illness, and it alleviates most of the diagnostic symptoms, then I imagine you request will be denied since they will tell you just to take your medication. However, it should be noted that some medications have relevant side effects like low latent inhibition (hearing), which may warrant, say, separate testing rooms but not necessarily extended time.

How do adcoms view the asterisk? I understand that they do not divulge specifics on the type of disability, and IIRC they do not even divulge the exact accommodations, but I could be wrong. Anybody know if the second point is correct or not?

Finally, I will have to be retested since the AAMC requires documentation to be under 3 years old (from date of MCAT). Obviously the sooner the better, since you need to submit it 60 days before the test and you might have to submit appeals and so forth if initially rejected. But I'm also wondering how people schedule their testing for documentation, in light of the fact that they may want to apply for accommodations for future exams (USMLE) and I imagine they also have 3 year limits.

Well, I think that's it. I will not take the MCAT for almost another 2 years, but seriously there is so much paperwork that I would not be surprised if many people feel it is not worth applying for since the chance of getting accommodations is so slim.

If you have experience and information regarding this, perhaps private message is the best way to have a conversation about it.

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My understanding is that it is difficult to the point of being nearly impossible to receive testing accommodations for a learning disability through the AAMC.

"The state Supreme Court in February declined to review the case. The decision leaves intact an appeals court ruling that California's disability and antidiscrimination laws do not require the Assn. of American Medical Colleges to grant special treatment to candidates diagnosed with dyslexia, attention-deficit/hyperactivity disorder or other learning disabilities."

I've been receiving extra time on tests for the past 6 years (through 3 different universities that all recognized the need) and applying for accommodations through the AAMC for about the past 4. In that time, I've spent several thousand dollars in doctors' fees for multiple iterations of "comprehensive psychological evaluations" (that are never good enough by the AAMC's standards), been told that my therapist's MD degree was insufficient by John Hosterman, Ph.D. (the AAMC's director of accommodations), chided and berated by Dr. Hosterman personally through e-mails for having a condition that doesn't represent a "real problem," and outright ignored by the accommodations staff (who often don't pick up the phone, don't return calls, don't respond to e-mails, like putting me on hold until the end of business hours and then leaving, etc). The AAMC, and in particular John Hosterman, has nothing less than harassed me with this sordidly pre-determined process since 2006 - and if they were going to deny my applications all along, I would have preferred to know at the beginning so that I could avoid the whole ordeal.

Those things in mind, I recognize that some people are against the notion of granting extra time to other test-takers and I *would* relate but it's not like the schools that I'm applying to wouldn't know that I had received it - my test would be accordingly marked. I would also have old test scores for their review on top of it so that they could be reviewed side by side. But instead of a little common sense on the part of the AAMC that could go a long way for me, I've been forced to take the MCAT 3 separate times and apply 3 separate times. The last time I scored a 28 and applied to 40 schools but didn't get accepted to a single school - this outcome despite a 3.8 GPA from an excellent college, 3.7 overall science GPA, shining LOR, a history of medical jobs and publications, and a master's degree in a medical field from an ivy league school.

The hurdles that stand in my way are relentless, so all I can conclude is that I will have to be also. A fourth round of applications is in the works and perhaps with some luck, the fairly new and ongoing explosion of US medical schools that was recently written about in the New York Times will help me get in somewhere (http://www.nytimes.com/2010/02/15/education/15medschools.html?sudsredirect=true). In the mean time, I'd like to take another MCAT review course, but at 2 thousand dollars a pop I don't think that it's in the cards this year.

At any rate, all feedback is welcome except for the negative variety 😉 I've thought and re-thought this through hundreds of times and this is the path I've chosen - so no need to be the gentle dissuader. As of this summer, it'll have been 6 years since my first application to medical school but hopefully it'll be after after this next round that I'll be able to pursue the career that I've always aspired to have. Wish me luck and don't hesitate to send me a private message if you have any questions.

Some related links:

- http://www.ama-assn.org/amednews/2009/03/02/prsb0302.htm

- http://classactiondefense.jmbm.com/turner_class_action_defense_calapp.pdf

- http://forums.studentdoctor.net/showthread.php?t=654602
 
Apply a year in advance and get a lawyer--one of the best is Jo Ann Simon.
 
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OP: I didn't read your whole post because well, I'm ADD/dyslexic too but I am taking my MCAT next month and almost applied for accommodations.

One thing that is absolutely clear is you need to have great documentation as in thorough professional testing. To get accommodations from my college a few years ago I had to see a neuropsychologist and he made me do tests for about 5 hours. Even this probably would have been insufficent for the MCAT but only because the scores "expire." I am under the impression the MCAT accommodations people are more stringent with regards to the quality of the paper work than the underlying disability.

I emailed a bunch of admissions offices asking how they look at flagged MCAT scores and about 1/3 didn't respond back, 1/3 didn't answer the question and about 1/3 said their office respects the accommodation process and does not distinguish between scores from special and normal conditions. 100 percent that answered the question said they do not look down on flagged scores, but maybe they were just being PC or those that did not answer do look down on flagged scores.

I ended up not applying for accomidations based on my experiences doing practice tests. I found that time was not that big an issue and I have been able to score well. You should take a practice exam and see how you do. If you think time will prevent you from scoring to the best of your abilities I would apply for accommodation under the expectation your scores will be respected but if you think the difference would only be 2 or 3 points, I wouldn't bother.
 
Please no comments on the ethics or your opinions on disabilities and accommodations. I'm simply seeking information about the PROCESS of accommodations requests to the AAMC.

I have ADHD and Dyslexia. The lit by the AAMC recommends documention from before age 7 (per DSM criteria), and incidentally, I do have an event from that age (though I was not diagnosed until much later) when I was placed in the advanced reading class for my general intelligence but removed because of reading specific difficulties. However, I doubt my elementary school has an record of this, and the teacher who demoted me might be dead for all I know! How have others demonstrated long-term proof of a disability?

The AAMC also mentions "family history" and incidentally I do have a couple immediate family members with pretty salient cognitive abnormalities, but they are otherwise healthy and have been able to hold a job, and were of an era that when teachers recommended they repeat grades their parents refused because it was considered embarassing. Anyway, I just throw that out there because the AAMC doesn't elaborate on "family history" and I've always just been curious what their test results would look like, lol.

There's a definite chronological or temporal aspect, b/c it isn't enough to prove a diagnosis, but also to prove that it will still effect you during the MCAT test. So if you take medication for a psychiatric illness, and it alleviates most of the diagnostic symptoms, then I imagine you request will be denied since they will tell you just to take your medication. However, it should be noted that some medications have relevant side effects like low latent inhibition (hearing), which may warrant, say, separate testing rooms but not necessarily extended time.

How do adcoms view the asterisk? I understand that they do not divulge specifics on the type of disability, and IIRC they do not even divulge the exact accommodations, but I could be wrong. Anybody know if the second point is correct or not?

Finally, I will have to be retested since the AAMC requires documentation to be under 3 years old (from date of MCAT). Obviously the sooner the better, since you need to submit it 60 days before the test and you might have to submit appeals and so forth if initially rejected. But I'm also wondering how people schedule their testing for documentation, in light of the fact that they may want to apply for accommodations for future exams (USMLE) and I imagine they also have 3 year limits.

Well, I think that's it. I will not take the MCAT for almost another 2 years, but seriously there is so much paperwork that I would not be surprised if many people feel it is not worth applying for since the chance of getting accommodations is so slim.

If you have experience and information regarding this, perhaps private message is the best way to have a conversation about it.
Well, for all those that end up on this topic even though it is old...read here on 2015 updated info -


http://media.jamanetwork.com/news-item/mcat-predicts-differently-for-students-who-test-with-extra-time-suggests-need-for-supportive-learning-environments/

http://dralegal.org/attention-students-with-learning-disabilities

http://www.lsacconsentdecree.com/


ADA.gov - please see the technical assistance document posted on 9/2015 - http://www.ada.gov/regs2014/testing_accommodations.html



ADA.gov - please read the article regarding the LSAC - Posted 8/18/2015 - http://www.ada.gov/index.html
 
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