You can work during a gap year. Medical school isn't putting your life on hold, nor is residency. Most people I know met their partners and got married in med school or early residency, and many started families. Most of us have met close, lifelong friends. Life will keep moving forward, and people just need to ask themselves: whatever ageyou will finish, be it 30, 32, 35, etc, do you want to be that and a physician or do you want to be that and a nurse or PA. Medical training isn't lost time but it is far more stressful overall. There's also a lot of debt, which some people are averse to. However, the rewards (intellectually, professionally, and financially) are immense and multiplied out over a 30 year career really add up. It isn't for everyone, honestly, but I'm glad I was talked into it when I was thinking of going the PA route