Based on recent interactions with premedical students, I decided to try to reconnect with the feelings and concerns of premedical students. I advised a recent premedical "shadower" to go find an online forum as I did not have the time or interest to spent my shift discussing the details of how he can best improve his chances of matriculating into medical school. His interest appeared to be solely on "beefing up" his resume as opposed to truly serving our patients and learning the details of our profession. After doing so, I felt compelled to review such online forums in order to see what other students at his same level of training were thinking and to assess the quality of advice offered on such forums.
I have reviewed several of the forums and the advice offered and would like to offer my perspective if you will kindly humor me.
I am in my 8th year as an attending emergency medicine physician at a large, urban, Level I trauma center where I manage a number of residents and students (>70 per year). I attended a top 20 medical school and a prestigious emergency medicine residency where I served a chief resident and later spent 3 year as a faculty member. I served on the student selection/interview committee while in medical school and later in my career interviewed applicants and participated in the ranking process as a chief resident and later as an attending. Apparently, there have been "posers" in the past but I assure you I am no such thing.
Here is my advice after a few years of seasoning:
1) Do not try to become a doctor unless you have a burning drive inside of you that will not go away. Do not do it for ANYONE else. Just you. If you cannot imagine being happy without being a doctor, you have the right to go for it. If you want prestige, go into politics or something else.
2) Feel comfortable spending your undergraduate time pursuing everything EXCEPT science unless you are deeply inclined to do otherwise. Yep. You heard it. Open your mind, learn a new language, become a great writer, follow your heart...Your GPA will be better because you are interested and you care about what you are learning. You will open your mind and horizons. You will never have this chance again...at least for a loooong time! I was an Honors Liberal Arts B.A. who took the bare minimum pre-med requirements. I got into every school to which I applied. Yes...the first semester of medical school I was at somewhat of a disadvantage as I had never taken biochem or molecular bio, etc. However, at the massively fast pace at which medical school progresses, the second semester of the first year almost always exceeds EVERYONE'S premedical education anyway! Please be well-rounded. Despite my initial disadvantage, I finished up with a 3.9 and AOA. It turned out fine!
3) Do not approach volunteer work or shadowing as a hum-drum checklist thing to do. It is a privilege to work with patients, even if it is bringing them water or a fresh blanket. Do it from your heart and soul, not just to check a box on an application. If you do not feel inherently compelled to volunteer and help others anyway, CHECK YOURSELF! Medicine is a profession of absolute servitude. If you do not have a servant heart, find something else to do.
4) Numbers matter. MCAT matters. GPA matters. Everything matters. Getting into each individual school is a different process depending on how that particular school values the various aspects of an application. Do not fool yourself. It all matters. Your applications is a Venn diagram which overlaps at a very unique spot for you. However, do you want to end up at a school that is all "numbers" when you are more of a well-rounded, big-picture type person? Would that be a true match for you? Just some food for thought.
5) Decide to be a doctor (and make your decisions along the way) with the same passion and consideration with which you choose your spouse. Your profession will be your "other woman" (or man). It requires a lifetime commitment. It requires passion and drive. It never stops. Never. The end of residency or fellowship is truly just the beginning...the wedding so to speak.
In conclusion, when I have a pre-med student who wishes to shadow me, my first assessment is heart. If he/she is there to check off a box, log some hours and trump up their application, I decline to provide further mentoring.
Have a heart, show some compassion, give a dam (spelled wrong to avoid censorship) and realize that the real deal medical profession is far more than MCAT and GPA and b.s. volunteer work that you don't care about.
If you are a machine out there just checking off the boxes, I wish you the best but fear for the worst. The physicians and colleagues whom I most respect are well-rounded, compassionate, intelligent, life-long learners and servants.
Never lose sight of that.
Be a Renaissance Man or Woman and keep your spirit whole.
Best of luck to all of you.
Thank you for your interest in our wonderful, heartbreaking, stressful but ultimately rewarding profession.
I spent many years learning to live with it.
Now I cannot imagine living without it.
Food4Thought