Navigating Secondaries With Bad Grades

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  1. Pre-Medical
Update: I've applied to 34 (18 OOS DO) schools thus far and have received six US OOS DO invites + the two Caribbean acceptances. Invites are for ACOM, Burrell, LMU-DCOM, UNC-COM, Valley, and Liberty!!! I have been rejected by all but four Texas schools and was rejected by William Carey and Incarnate Word.

Update 1/19/26: Waitlisted for ACOM.

Hello all,

I just got my secondaries and was wanting to get some advice on how to write secondaries in light of having really bad grades, like grades that will make 95% of you either feel better about yourselves or feel horrified. Specifically writing the secondary prompts that ask questions like please explain any academic discrepancies or extenuating circumstances that you feel the Admissions Committee should know. I feel confident writing all other aspects of secondaries, but I am not sure how to approach the academic discrepancies questions.

I have 5 Ws and 2 Fs. W in Calculus 1, followed by F in Calculus 1, followed by B in Calculus 1, followed by W in Calculus II followed by W in Integral Calculus, followed by C in Integral Calculus. I got a D+ in A&P I, but got an A in A&P II. The other F was in one of my easy neuroscience classes. I got an A+ the next semester with little effort.
I'll keep this short. I earned each and every grade I got. Throughout most of my college years I was addicted to gaming and normally wouldn't study for exams until 1-3 days before. I quit during my last semester and haven't gone back to gaming at all for over six months, but it was too late at that point. I know it is very unlikely to get an interview, but I am still applying to some MD and DO schools. Should I mention the reason I did so poorly on a lot of my classes in the secondaries?

cGPA and sGPA as calculated by TMDSAS: cGPA: 3.27/sGPA: 3.01
Edit: AAMCOS GPA: My non-science GPA was 3.45, my science GPA 3.11, and my overall GPA was 3.23.
MCAT: Edit: I had written 500 here before, but it is actually 499.
State of residence: TX
Undergraduate institution or category: One of the UT schools.

Clinical Experience (1000+ hours paid, still working):
18 months medical scribe at a level I trauma center, of which 16 of those I was a scribe trainer and 6 I was a chief scribe. All 18 months I worked alongside doctors with patients.
June 2025, I did an internship/clerkship with an internist in Germany: Basically learned a bunch about internal medicine and under supervision of a physician I explained to patients about their lab values, took patient histories, wrote clinical progress notes, sent in medication refills, took manual blood pressures, listened to heart/lung/abd sounds, drew blood, gave injections, and even did a few digital rectal exams (not my most favorite experience lol).
I started last month medical scribing again at a primary care office, also working alongside a doctor with patients.

Research Experience (200+ hours):
In a biochem lab.

Shadowing experience and specialties represented:
All my clinical experience: primary care and ER.

Non-clinical volunteering (200+ hours)
Various nonprofits as well as hospice volunteering.

LORs:
Stupendous letters! (Edit: for AACOMAS it was a DO I worked under and two faculty letters.) For TMDSAS I believe it was three physician letters, one faculty, and someone who has been mentoring me for several years.

Leadership/Teaching:
I have been the director of a company for several years, was a chief scribe for half a year, and had a lot of club leadership at my campus.
 
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Be honest, and reflect on your true reasons, talk about what you learned from this and what you have been doing / plan to do to improve this and how you will move forward with this in mind into medical school.
 
Update: I've applied to 31 schools thus far and have received three US DO invites + the two Caribbean schools. (May or may not apply to a few more DO schools, although I am kind of burned out from writing secondaries lol.) For secondaries that had questions pertaining to academic performance I was brutally honest about what happened and what I have since then to make sure it doesn't happen again.

Breakdown:
14 Texas schools, 15 out of state DO schools, and 2 Caribbean schools. Thus far I have been rejected from every Texas school except three and MD interviews are about over. I interviewed and have been accepted at Ross and the American Canadian School of Medicine, though I wasn't surprised by that. Since then I've interviewed at ACOM and will interview for Burrell and LMU-DCOM soon.

I am very grateful and excited for the DO interviews as I was only hoping for one, and certainly wasn't expecting three. I'm also grateful for my full time job, because apps are expensive lol.
 
Under no circumstances go to the Caribbean schools. Their business model is to Prey Upon students like yourself
I appreciate the concern. I don't deny Caribbean schools prey on students; they absolutely do. Yet I don't believe there isn't ever a case for going to one. 1000s fail, 1000s succeed. You're mostly on your own for board prep. All (except those with super rich parents) graduate with eye watering amounts of debt. If you don't love primary care, your options are probably going to be very limited or you're not practicing in the US. If your poor academic performance was before you never were a good student, 90%+ chance you're not going to be a good student in the Caribbean or elsewhere. If your poor academic performance was due to other factors which have been resolved and you have demonstrated in multiple classes that you can study well proven by grades, you have a decent chance at doing well in the Caribbean (big three) providing that you are adaptable.

I would still totally go Caribbean if I did not get any US As. Although thankfully there is a very good chance now that won't be the case.


Update: I've applied to 33 schools thus far and have received five US DO invites + the two Caribbean acceptances. Invites are for ACOM, Burrell, LMU-DCOM, UNC-COM, and Liberty!!!
 
Everybody who goes to the Caribbean thinks they're going to win the lotto. And it's more like tens of thousands fail, thousands succeed.

UNC-COM?
I think most people who go probably shouldn't think that. Most of the doctors I've spoken to from the big three have said it's a lot of work, but still managble with diligent study. Most of the successful people I have spoken to had decent grades with a suboptimal MCAT. Obviously applying the stories of a few is the part to whole fallacy and I'm not justifying my views based on those people I have spoken to. On the aggregate, I absolutely agree about the lottery concept.

UNC-COM is a new DO school starting their first class this fall. It's connected with the University of Northern Colorado. Attending a new US school has a lot of risks too, but I think it's a lot better than going the Caribbean route.
 
I thought I explained why not to go to the Caribbean quite exhaustively...and with evidence. It boggles the mind how anybody read that whole thread and still thinks it is wise to go down that route. I'm the outlier because I got the loans forgiven, you may not be so lucky though.

Also, with the new restrictions on graduate plus loans, if you go to the Caribbean schools that receive title IV loans and you finance the balance through private loans...and get kicked out, that is financial suicide in the most literal terms.

Trust me on the Caribbean, everything is setup to fail you. If you make it out, you're just one of the lucky ones.
 
I thought I explained why not to go to the Caribbean quite exhaustively...and with evidence. It boggles the mind how anybody read that whole thread and still thinks it is wise to go down that route. I'm the outlier because I got the loans forgiven, you may not be so lucky though.

Also, with the new restrictions on graduate plus loans, if you go to the Caribbean schools that receive title IV loans and you finance the balance through private loans...and get kicked out, that is financial suicide in the most literal terms.

Trust me on the Caribbean, everything is setup to fail you. If you make it out, you're just one of the lucky ones.
Survivorship bias is real for the Carribean MDs that make it back to practice here
 
Anyways, I'm not trying to make this another thread on Caribbean schools. It's more about what to with secondaries in the context of poor grades/MCAT, and now the results s/p following the advice given here. I do very much appreciate all of your concern and am grateful for your insights.
 
Anyways, I'm not trying to make this another thread on Caribbean schools. It's more about what to with secondaries in the context of poor grades/MCAT, and now the results s/p following the advice given here. I do very much appreciate all of your concern and am grateful for your insights.
Getting back to your op, never bring attention to a negative, unless it is specifically asked for.

There are some schools that will ask about poor grades in either their secondaries, or an interviews. The answer for that is to tell the truth.
 
Getting back to your op, never bring attention to a negative, unless it is specifically asked for.

There are some schools that will ask about poor grades in either their secondaries, or an interviews. The answer for that is to tell the truth.
Thank you so much for that! That is exactly what I did in my secondaries. I think maybe 1/4 of the schools I applied to had a question relating to that aspect.
 
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