Hey gabulldogsfan10 - I have about 5yrs experience volunteering at a Hospice center and was able to take part in a lot of the patient care, so I figured that would really help support my application. However, on en "exit interview" with one school, I was told that although I had a lot of experience working with patients, the Hospice environment didn't expose me to physicians...mainly working in the facility are nurses and I guess, for this particular school, that wasn't enough to prove that I new what I was getting myself into. During this interview, it was suggested that I focus my time on shadowing and to make sure I get an MD/DO recommendation for every experience I have - not just a volunteer coordinator. I say all this just to caution you about the way some schools will view certain activities just because there may not be a lot of doctor interaction. I am not sure how much physician exposure you receive at your dialysis clinic, but if possible, it would be very good to get a rec from a MD/DO. All this said, if you enjoy what you're doing at the clinic, are learning lots, and actually feel like you're helping the patients/staff - try to remember that these things more important in the end. Just your experience with sticking patients will be helpful once in medical school because you'll be comfortable in that area, while some of your peers I'm sure will not be. Good for you for starting to think these things through so early in your process! Keep that up!