I would seriously focus on studying, but this is a very important concern as well, because whether people like to admit it or not, URM plays a SIGNIFICANT role in acceptance ease, as well as the quality of the institution. I suggest doing some heavy searching to try and identify if Spanish people, non-Mexican, would play a big impact in admissions, and would get the URM status. Well for one if you speak Spanish, you pose a good chance for admittance into lower GPA LCME medical schools for Spanish speakers, in order to further the mission of having people from Hispanic or maybe extenuated more generally to fluent Spanish speakers that also speak English. In all honesty, I think yes you are a URM. My reasoning is that if you really are deeply rooted in this culture, in your family and what not, this is needed in the medical profession to have those that can relate to backgrounds similar to yours. Perspective of other culture is very important. Now I have all Greek on my male line of the family, but I don't really consider myself Greek in the sense that this culture is a big part of my life, or feel being of this background has effecting me. Groups like Mexican-American, African-American, Indian-American, I mean these are clearly groups that are underrepresented and may have faced a lot of issues in their life clearly directed to their background. Some might have faced discrimination. Others have parents that crossed the border or have felt cheated over 100s of years from having their culture drastically changed from Europeans coming in (parents many times bring down their children, by making them obsessed with their culture or past also in a fast moving world). In my opinion, anything could fly with admissions if you play the story. The reality is that not every URM has had a tough life, but they still use the card. Is it bad to use the card. No, because it helps in admissions, and because it may further represent your background in the health field. I for one have a Christian background that might not be heavily represented in medicine, and if asked about ancestry I would notate Greek, but I don't think this would play much impact in admissions. My goal is MD/PhD or DO/PhD, so research will play the largest impact for me. I honestly don't think if I was black it would help me that much by showing my ability as a researcher, but it would definitely help me get into a top medical school. Just read the profiles, you see URMs getting well below 3.0 or around that and getting like 5-10 acceptances, sometimes even to Harvard. I think it depends on your story. Through the screening process, the URM "could" help, I am not sure of the logistics of this, but if someone asks about this, what are you going to say about your status? These are things you need to consider.