Passing the AP and being opted out of the course does not fulfill the prereq. If you did not get college credit on your transcript for these courses, then you do not have the prereqs for most schools. You cannot replace them with an upper level course
unless you have been awarded the credit at most medical schools. Therefore, you must take the classes else you run a high risk at a majority of schools of not being accepted. See below for verified information from medical schools on the subject of AP
AP courses and acceptance can be quite confusing as they vary across schools and even within schools. Here are some general guidelines but all these must be confirmed on each school's website.
1) Some schools will allow some AP courses but not others
Example Weill Cornell Medical College
http://weill.cornell.edu/education/admissions/app_req.html
Advanced Placement credit. AP credit from high school can be used to satisfy the WCMC requirement in physics. AP credit in other areas cannot be used to satisfy the WCMC requirement. If a student has AP credit in an area other than physics, the student fulfills the WCMC requirement by completing advanced science coursework.
2) Many schools will not accept them as full and complete fulfillment of prerequisites. Some do.
Example will NOT accept: Cooper Medical School of Rowan University
http://www.rowan.edu/coopermed/students/admissions/prerequisites.php
No AP/IB credits may be used in place of an actual course, even if the undergraduate institution grants a credit for the AP coursework. Upper level coursework in the same subject area may replace the listed prerequisite. (Note: All science courses used to satisfy a prerequisite must include a laboratory component, so online coursework will not be acceptable to substitute for hands-on lab credit).
Example Will Accept AP: NYMC
https://www.nymc.edu/Academics/SchoolOfMedicine/Admissions/PremedicalCourseworkRequirements.html
All courses offered in satisfaction of the premed requirements for admission must be taken at, or accepted as transfer credits by, an accredited college in the United States or Canada and must be acceptable to that institution toward a baccalaureate degree in arts or sciences. (This includes Advanced Placement courses taken in high school.)
3) Many schools will accept the fulfillment of the course (ie general bio, general chem) but not the credits as counting towards 2 years of Bio, 2 years of Chem and therefore require additional upper level coursework.
4) Many "recommend" additional course to be competitive
Example: SUNY Upstate (
http://www.upstate.edu/com/admissions/faqs.php)
"
Yes, as long as you were awarded college credit and the course(s) are listed on an official transcript from your primary undergraduate institution. The Admissions Committee recommends that you also complete advanced science coursework in order to be competitive for admission."
Example: SUNY Downstate
http://sls.downstate.edu/admissions/com/requirements.html
Do we accept AP credits for our prerequisites?
If your undergraduate college has awarded you AP credits and the credits are listed on your transcript, we will also accept your AP credits to fulfill our prerequisites if the course is listed by subject title on your final official college transcript. However, in order for the Admissions Committee to consider you to be competitive for admission, you should take advanced level science course work equivalent to the number of credit hours which have been accepted for AP prerequisites.