MD What are my chances: WAMC 2027 cycle: 3.1/3.0 uGPA, 516, 3.97 SMP

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~3,000 clinical hours in addiction and underserved care. Northeast resident, mid-30s school count.

Demographics

• Northeast state resident, suburban

• Male, non-URM, declined race/ethnicity on AMCAS

• Not disadvantaged, not first-gen (physician parent)

• Graduated undergrad 2024, three years out at matriculation

Academics

• BS Biology, public university, four years

• cGPA ~3.1, BCPM ~3.0. No clean upward trend. Sophomore and junior years were the damage, senior year recovered modestly

• One-year SMP. GPA 3.97, finishing this summer. Medical-school-level coursework

• Worked roughly 45 hours a week clinically through the second half of the SMP

• MCAT 516, retake from 510. All sections 128 or above on the retake

Paid clinical, ~3,000 hours completed at submission, ~5,500 projected by matriculation

• Technician on an addiction-focused care team, inpatient facility serving unhoused patients with complex medical and substance use needs. ~800 completed, 2,400+ anticipated.

• Technician at a low-threshold monitoring program, same organization. 100 completed, 550 anticipated. Monitor multiple patients under an RN. Sole technician on site during evening hours with a provider on call

• 911 EMT, hospital-based urban system. ~650 hours. Most meaningful. BLS, two-person truck

• IFT EMT, private ambulance company. ~200 hours

• Medical assistant and biller, small private primary care practice owned by a family member. ~1,800 hours. Disclosed as a family member’s practice in the entry. Worked here during undergrad- family financial reasons- gave most of salary back.

Research

• Literature-based master’s thesis in under a physician mentor. ~50 completed, 200 anticipated. No bench work, no publications, no posters

Clinical volunteering

• Inpatient psychiatric unit, community hospital. ~60 hours

Nonclinical volunteering

• Food pantry run by a community nonprofit. Started spring of application year, 300 anticipated

• Free swimming lessons I organized myself for youth and adults in my hometown, three summers. ~145 hours, all before undergrad ended

Other

• Harm reduction proposal developed at my clinical site addressing tobacco use in our patient population.

• Creative writing, short fiction. ~250 hours completed.

• Undergraduate TA, upper-level physiology course. ~60 hours

Shadowing, ~300 hours across two outpatient specialties

Letters

• Committee letter from the SMP

• Two physician letter from shadowing

• letter from medical director and behavioral health director from current job.


Narrative: harm reduction and addiction medicine. Goal is EM residency followed by an addiction medicine fellowship.

school list:
  • Albany Medical College
  • Albert Einstein College of Medicine
  • Boston University Aram V. Chobanian & Edward Avedisian School of Medicine
  • Chicago Medical School at Rosalind Franklin University of Medicine & Science
  • Cooper Medical School of Rowan University
  • Creighton University School of Medicine
  • Donald and Barbara Zucker School of Medicine at Hofstra/Northwell
  • Drexel University College of Medicine
  • Emory University School of Medicine
  • Frank H. Netter MD School of Medicine at Quinnipiac University
  • Geisel School of Medicine at Dartmouth
  • Geisinger Commonwealth School of Medicine
  • Georgetown University School of Medicine
  • Hackensack Meridian School of Medicine
  • Jacobs School of Medicine and Biomedical Sciences at the University at Buffalo
  • Kaiser Permanente Bernard J. Tyson School of Medicine
  • Keck School of Medicine of the University of Southern California
  • Lewis Katz School of Medicine at Temple University
  • Loyola University Chicago Stritch School of Medicine
  • Macon & Joan Brock Virginia Health Sciences Eastern Virginia Medical School at Old Dominion University
  • Medical College of Wisconsin
  • New York Medical College
  • Oakland University William Beaumont School of Medicine
  • Pennsylvania State University College of Medicine
  • Renaissance School of Medicine at Stony Brook University
  • Robert Larner, M.D., College of Medicine at the University of Vermont
  • Rush Medical College of Rush University Medical Center
  • Rutgers New Jersey Medical School
  • Rutgers, Robert Wood Johnson Medical School
  • Saint Louis University School of Medicine
  • Sidney Kimmel Medical College at Thomas Jefferson University
  • Thomas F. Frist, Jr. College of Medicine at Belmont University
  • Tufts University School of Medicine
  • Tulane University School of Medicine
  • University of Cincinnati College of Medicine
  • University of Massachusetts T.H. Chan School of Medicine
  • Wake Forest University School of Medicine
  • Wayne State University School of Medicine
  • Western Michigan University Homer Stryker M.D. School of Medicine
 
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When are you planning to submit your application?
I am submitting secondaries now. Primary submitted 6/9, verified 7/28. Submitted 20 secondaries so far to mid tier schools in urban areas since I want to do addiction med as my career. Still waiting on my committee letter so apps are submitted, not complete.
 
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Your SMP does not have linkage interviews?

Can you contextualize the role you wish to play where clinical training in addiction medicine applies? I know you mentioned EM, but I thought addiction med was more a fellowship specialty. How is Preventive Medicine going to play a role to your career? How about psych?
 
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Your SMP does not have linkage interviews?

Can you contextualize the role you wish to play where clinical training in addiction medicine applies? I know you mentioned EM, but I thought addiction med was more a fellowship specialty. How is Preventive Medicine going to play a role to your career?
Yes my SMP does have a linkage interview, so I will have at least one. I want to do EM followed by an addiction fellowship. I noticed that most of the patients I see now have a major distrust in the ED and EMS for previous treatment. I feel that someone that has experience in both fields can rebuild their trust and help connect them to more longitudinal treatment options in the community.
 
Yes my SMP does have a linkage interview, so I will have at least one. I want to do EM followed by an addiction fellowship. I noticed that most of the patients I see now have a major distrust in the ED and EMS for previous treatment. I feel that someone that has experience in both fields can rebuild their trust and help connect them to more longitudinal treatment options in the community.
I don't doubt you, but do you have examples of how the ER physicians you shadowed do this, especially since mistrust has become widespread since the pandemic? Where do you see successes?
 
I don't doubt you, but do you have examples of how the ER physicians you shadowed do this, especially since mistrust has become widespread since the pandemic? Where do you see successes?
I witnessed examples when I was working EMS. I have heard all the labels used to describe the patients I work with now. I see the looks on faces when the crews that respond to my place of work and the questions they ask. Its not necessarily with the physicians that do it, its a culture issue that is being perpetuated.

I see successes in the organization I work in now. Patients come back to us. We meet them where they are. We do not force treatment or frame it as conditional. Patients may have multiple chronic xylazine wounds and need complex wound care for all of them, but some days we do only a hand or just their leg. Interactions like that develop trust. I recognize that there is necessary speed in the ED or EMS, but just because there is does not mean patients should feel disregarded or not have their goals addressed.