Part of the accrediation process of a medical school includes publically defining admissions policies and requirements and subsequent adherence to those policies and requirements. It is my impression that with the growth of new medical schools in the past decade and the "cultural" worry that the pace of increase could lead to schools bring below standards, LCME has become more strict in seeing adherence to these policies. So a school that has no exception to introductory coursework but then regularly grants waiviers for such indicates ab issue. This is why most schools have some sort of substitution allowed for AP coursework written into their policies. So it isnt simply the applicant's work that is at play here
as a real world example, several years ago I had a non trad PhD chemist get accepted to med school but prematriculation found he was missing intro to Bio II (plants, evolution, ecology) and he to go sit in a summer class.
As schools move to core comptencies from specific prereqs, this will become less of an issue.
example below fromWCMC on AP
- 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.
example from SUNY Upstate on substitution
Can other science courses like Organic Chemistry II or Microbiology be used to complete your prerequisites?
No. We will not accept any other science courses as substitutions for our required prerequisites.