RN to MD - previous Medical Student

Started by deleted1242438
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deleted1242438

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I am a nontraditional student who wishes to reapply to medical school in the next couple of years.

Here's a rundown of my academic history... This is a long one.

I received a BS in Biology with a minor in Psychology and have a GPA of 3.807 from that institution. While there, I was inducted into Phi Beta Kappa, was on the executive board for Alpha Epsilon Delta (a nationally recognized pre-medical society), completed around 1500+ hours of research, was published on two different papers, and various other things.

After graduation, I spent a year working as a crisis counselor answering calls for the National Suicide Prevention Lifeline as well as other contract crisis lines. I earned my EMT-Basic certification, but ultimately decided to pursue crisis counseling instead of working as an EMT.

I then applied to, was accepted, and matriculated to a medical school with an MD program. I started school in the Fall, but then fell ill and realized I couldn't continue (bad luck/timing). I withdrew due to medical problems before earning credit.

I would be lying if I didn't say I didn't know what I would do from then on. I always wanted to find my way back to medicine, but I didn't know how (figuring out how to apply again is difficult - a lot of things go into a successful application, and I know that I have to build from the ground up).

I decided to pursue topics that I was interested in (in med school, my goal was to become a psychiatrist). I became a Behavioral Health Technician, working with children with Autism using ABA therapy. Then, I ended up getting my masters in Psychology and successfully defending my thesis (topic on novel characteristics of disordered personality). I graduated with a 3.895. I then thought that pursuing a PhD in Behavioral Neuroscience was a good idea. I applied, was accepted, and matriculated into a program. I completed some coursework (GPA from that institution was a 3.5 - theoretical statistics was like pulling teeth), but then decided that I missed patient care too much and the decision to pursue a PhD was ultimately bringing me farther from what I actually wanted to do.

I left the program and am currently earning my BSN (nursing coursework GPA 4.0) so that I can get experience in the clinical setting and support myself as a nurse while I reapply to medical school. I am working as a Mental Health Technician in an inpatient psychiatric unit (geri and acute), and would like to work as a Psych RN (I'll work as an ER RN if I can't get a job in Psych) after graduation. I have just signed on to coauthor a publication with my old Major Professor from my Grad Psych program and will probably publish before I apply.

I am constantly frustrated by the limited scope of practice and lack of depth in my classes as a BSN student. I loved med school when I was in it. I loved the depth of knowledge and I was excited to continue with training. It was suggested to me that I pursue a psychiatric nurse practitioner degree, but I'm not personally comfortable making prescribing/treatment decisions with significantly less training and a much smaller global knowledge base.

I plan on shadowing an internal medicine doctor, and start volunteering again as a crisis counselor.

When I applied last time, I only took the MCAT once. I took it cold. I didn't do a single practice question. My plan was to just figure out what the test was like, study, and then take it again for real. I ended up getting a 507. I was told that it would be silly to take it again, so that was the MCAT I applied with. This time, I plan on studying for 4 to 5 months while working as a nurse before attempting it. I've been looking at mean scores now, and everything has gotten so much more competitive - not a fan.

I feel like I'll be seen as "damaged goods," but I still want to try because that's where I've always wanted to be. I believe that gaining medical training will make me the best provider I can possibly be. I know a lot of people feel comfortable with it, but I feel like if I were to go the nurse practitioner path, I would be doing a disservice to my patients. I want to practice independently with acute/medically complicated patients. I want to constantly be challenged and feel confident in my abilities. I want a deeper understanding than what I've been getting, and I want a well rounded medical education.

If anyone could give any advice, things I should work on to build a stronger application, do I actually look like damaged goods, anything really. In everything I've seen online, I've never heard of someone else with a story like mine. It's unique, and that makes it more difficult for me to figure out how to proceed. I got in once, I can do it again, but I want to be smart about it.
 
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Bluntly, the insurmountable red flag on your file is this: you don't commit to a path and keep jumping ship, because you don't fully think through your choices.

There's EMS, medicine, ABA, ?psychologist +/- academia, nursing in the mix. EMS and ABA are okay as stepping stones, but you haven't completed any of the 3-4 paths you are clearly capable of... and you're already looking to get out of nursing before graduation. No, "they're all mental health" isn't an excuse when you've never managed to complete training in any profession.

How can adcoms believe you won't just drop out of med school again the instant some other shiny appears? You never even explored medical LOA, which is when you permanently shut that door on yourself.

With a history like yours, I strongly recommend finishing BSN, then consider psych NP.

It's fine to change paths with good reason, and at a reasonable frequency. Heck, I have as many, if not more things on my file. The difference? I completed my PhD. I worked for 10 years in industry. I got my paramedic as a backup to my cycle. I'm taking psychology in addition to, not instead of med school.

- M2 with cancer, not on LOA
 
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One of the most important things that you'll have to do is bring together a cohesive story of why you have done what you have done. It will all have to jive and make sense. As pointed out, it looks like you are just flailing around trying to figure out what to do. We all understand that people have to make decisions and earn a living, but that's where you'll hve to explain your path. As an aside, that assumption you made about the MCAT was not good. Luckily it seems to be of little consequence now since you'll have to retake anyway.

Also, with your training, you obviously have access to patient care. You will have to really build your case as to why you want to pursue full physician training opposed to just jumping into patient care now. Proving is even better than stating why, if possible. Shadowing physicians and picking out specific things you see them doing to prove that concept would help.

You can look into an MCAT refresher course, or maybe look into taking a few relevant courses.
 
It would be helpful to have more information about why you left the MD program. Your outlook is somewhat dependent on those details. You keep using the term "damaged goods" and I'm wondering where that comes from.

Agree with @Dral regarding your previous MCAT strategy. MCAT scores expire but they are never erased. You took a high stakes, career-defining exam without doing any apparent research on the potential consequences. I think you have to be pretty smart to land a 507 cold, but it does call your judgment into question.

Aside from all that, your pattern is dabbler, and it's not unique. Indeed, the hard part will be explaining your choices in a way that doesn't undercut your proposed commitment to eventually becoming a physician
 
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