Tulane doesn't know whether i graduated or not, nor do they know if my GPA dipped ... Strange, all they say in the letter is basically "Just try to finish up whatever it is you're doing". After that, they don't ask...
Why would it matter anyway? It seems like some stupid high school punishment to take away an acceptance just because you decided to goof off senior year. I don't think it reflects at all on what kind of a medical student you will be. I slacked for the last 2 years, and I was easily able to pick it up this year. Not honoring anything, but above the average.
The best thing is to find out from someone at that school, and they'll tell you if the school expects a transcript or a diploma or whatever at the end, and then you can make a judgement on how you will spend the next few months of your life.
Simul
Tulane Med '05