I met with the admissions assistant at my state MD school. She said: We get so many applicants. We print out a cover sheet/summary sheet type for every applicant: lists, GPA, MCAT score, and some other info about you (school, major etc) Then we pick some of those applicants for interview. At this point, we don't go semester by semester on the transcript, nor do we have time to look at your age or what exactly you took the MCAT. We just simply don't have time. You get 2 interviews, with an MD and an MD/PHD. Many of these MDs are busy, in clinics etc and sometimes they might even interview you while in clinics. After that, I'm assuming if all is well/interview recommends you, from a commitee of 30 MDs or so: one MD will be assigned to read your application in detail. This is when he or she will look at it - it depends on them, some will look at your transcript semester by semester, others will spend more time on other things. It just really depends on the reader and can be arbritary. He/she can read it Sunday morning or 10 mins before the committee meeting is held. She/he presents you to the commitee and then they make a decision. Your comments, etc appreciated. This is a public med school so I wonder how things may be in private schools, but not too different, I imagine.