You're fourth round? Damn you are very persistent. If you don't mind me asking, what were your problems the previous rounds, in your opinion, that prevented you from being accepted, and what are you doing differently now?
Round 1 - I applied early, applied only to the schools I wanted to go to but that meant I didn't apply as broadly as I should have. I had one interview, a DO school who told me that because I was trans they were not going to be able to find a place for me in the OMM course as they required it to be balanced.
Round 2 - I applied early, dropped the DO schools, kept most of the same MD schools although I still did not max out the FAP program and added a few as I learned something I was told about one was an out and out lie so I spoke to them, cleared it up, applied. Retook MCAT, replaced a really bad dictated letter with a really good letter. I was interviewed at two places, one was my top choice. One was at a private conservative school that my interview was horrible (I feel like I should write a book about this experience) and the interviewer actually said he did not like me. The other one was also not great but apparently went better than I thought. I was waitlisted at the second. Someone opted to complain on my behalf to *that* school because he felt I was discriminated against.
Round 3 - I consolidated a few activities on my ECs, added something new EC wise (list of hobbies), same LORs, added some courses in yeshiva which means very little to anyone but me, was a somewhat last minute applicant as it took forever to get my FAP approved although I was still considered early enough to get the first wave of secondaries, I applied to 15 schools on my fee waiver plus one school that did not count for the waiver (was international and I rewrote my PS for that no LGBT or anything that could be used to discriminate against me), so 16 in all. Got four interviews (all places I applied the previous year, including the two I interviewed the previous year which is where I am sitting on the waitlists): three excellent interviews one bad interview. The bad interview was at a HBC which despite the fact I am URM, I don't look it. Also it was a Jewish holiday (they would not move it) so I looked like I just came out of synagogue as that is where I was about to go. Looking like an Orthodox Jew at a medical school interview does not go over well and that was brought up. I also was told I have not traveled enough (I've been to 46 states plus DC and three other countries so I don't know how much I was supposed to travel.) The other three were, as I said, excellent although MSU was MMI and two of the interviewers asked if I go out drinking Friday night and I said I don't drink, then they commented on being religious. (News flash Jews drink, I don't drink because it conflicts with medications which could kill me.) The other 7 were beautiful. One of the others accused me of having no ties to the state I have lived in for 15 years despite the fact most of my family lives here, I own property here, and I am active in the community.
I just went to a meeting with the dean of one of the schools (the one were round 2 had a bad interview and this year I was told I had no ties) and she said there were *no* deficiencies in my application. It was a ranked waitlist where people are literally coming down to a thousandth or less of a point difference and all of the people from accepted to waitlisted are insanely close point wise. I am considering swapping out one of my LORs from a community service position I had a few years ago in exchange for a rabbi letter which will show recent community involvement and more ties to the area. That rabbi previously sent a letter for me but addressed it specifically to one school so I only used it for that school. I need to talk to my mentor/attending to see if he is willing to write another letter for me and what I should change on the app. This gap year has been spent traveling and packing when I wasn't recovering from being assaulted (I lost use of three appendages for a while but now they all work again) very little was medical related unless you count my time as a patient.