MD/PhD - what are my chances? 518 MCAT, 4.0 GPA

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Yes. PM me if needed. Don't be too snobby... you will need 5-10 dream MSTPs, 5-10 match MSTPs, and 5-7 MSTPs with lower numbers of applicants/matriculants. See AAMC table B-8. In the end, you need 8-12 interviews to get about 3-4 acceptances to choose from.
 
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