What Really Matters in a Med School App?

Get Your Med School Admissions Questions Answered!
This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you.
hommefatale

hommefatale

Full Member
2+ Year Member
Joined
Oct 2, 2022
Messages
108
Reaction score
68
Hi everyone! I know this is a broad question, but it's something that’s been on my mind. With so many components to the application—stats, extracurriculars, essays, CASPer, secondaries, interviews—I'm feeling puzzled on what really moves the needle.

I’ve spoken to a few friends at med schools who have read applications, and I’ve heard things like:
  • “Everyone within a certain (pretty broad) stat range is evaluated the same.”
  • “The personal statement is mostly just checked to make sure there aren’t any red flags, rarely boosts someone's application .” - this one is a little disappointing as someone who's spent months perfecting every last sentence of my PS
  • “CASPer usually doesn’t matter much”
It’s left me feeling a bit confused. If so many components are treated as checkboxes, then what actually makes an applicant favorable to a school, or is it really just luck once you’re in a certain range? I’d love to hear how others have thought about this, especially from those with admissions experience or who have applied recently.
Members don't see this ad.
 
Members don't see this ad :)
My admissions mind says "big things are important, small things are important."
dontsweat.com

Don't Sweat the Small Stuff... and It's All Small Stuff Home

Dr. Richard Carlson and Kristine Carlson are the authors of the Don't Sweat The Small Stuff books. This is the official site for their books and courses to teach you how to stop the little things from taking over your life so you can stress less and be calmer.
dontsweat.com dontsweat.com

For a more science-based analogy (from the top of my head, needs more development; trigger warning: organic chemistry):
Applicants are like a complex organic molecule based on a single benzene ring. We're checking that you have the benzene ring, and we're looking for all the R-groups that come off of it and how each explains your reactivity and affinity to other complex organic molecules. How do you resonate with others?

Stop me... I need my caffeine and carbohydrates.
 
Last edited:
hommefatale said:
Hi everyone! I know this is a broad question, but it's something that’s been on my mind. With so many components to the application—stats, extracurriculars, essays, CASPer, secondaries, interviews—I'm feeling puzzled on what really moves the needle.

I’ve spoken to a few friends at med schools who have read applications, and I’ve heard things like:
  • “Everyone within a certain (pretty broad) stat range is evaluated the same.”
  • “The personal statement is mostly just checked to make sure there aren’t any red flags, rarely boosts someone's application .” - this one is a little disappointing as someone who's spent months perfecting every last sentence of my PS
  • “CASPer usually doesn’t matter much”
It’s left me feeling a bit confused. If so many components are treated as checkboxes, then what actually makes an applicant favorable to a school, or is it really just luck once you’re in a certain range? I’d love to hear how others have thought about this, especially from those with admissions experience or who have applied recently.
Click to expand...
Well, I always look for their essay mentioning a pet, preferably a dog, but I recognize that cats are okay too (not really, but whatever). US presidents and medical students who don't have a family pet are no bueno to me. Of your 3 points above: 1) not sure what you mean by broad, if you mean 1-2 mcat points and 0.1 GPA, probably true, if you mean 10 MCAT points and 0.5 GPA, not true in my experience. Your mileage may vary by what a school is looking for...2) Nonsense, it just isn't the case in an era of LCME mandated holistic review, besides, it's LORs where we are more likely to find red flags than the PS, we're looking at the PS to specifically answer what the question asks, and 3) probably true except at a very few schools. If you include schools that do their own MMIs, then the MMI would be more important. But, this may change over time with more use of the varying CASPer type tests.
 
Statistics show how well you can handle the medical school curriculum and pass your necessary exams. Experiences show us that you have an idea what it would be like to be a physician, and that you show some commitment to caring for others, especially the less fortunate. PS and other essays show that you are a thoughtful, reflective person and can communicate in writing in English. LOR show that you can form connections with other people and aren't BS'ing about your experiences. Interviews demonstrate your verbal communication skills (a single interview may have you elaborate on your motivations or experiences, an MMI assesses your abilities in several domains). Overall, we want to know that you can handle the work, have decent motivation for becoming a physician, and are someone we'd like to have around for the next 4 years. Bonus points if, after reading your application and interview report, I think "I'd like that person to be MY doctor".
 
hommefatale said:
Hi everyone! I know this is a broad question, but it's something that’s been on my mind. With so many components to the application—stats, extracurriculars, essays, CASPer, secondaries, interviews—I'm feeling puzzled on what really moves the needle.

I’ve spoken to a few friends at med schools who have read applications, and I’ve heard things like:
  • “Everyone within a certain (pretty broad) stat range is evaluated the same.”
  • “The personal statement is mostly just checked to make sure there aren’t any red flags, rarely boosts someone's application .” - this one is a little disappointing as someone who's spent months perfecting every last sentence of my PS
  • “CASPer usually doesn’t matter much”
It’s left me feeling a bit confused. If so many components are treated as checkboxes, then what actually makes an applicant favorable to a school, or is it really just luck once you’re in a certain range? I’d love to hear how others have thought about this, especially from those with admissions experience or who have applied recently.
Click to expand...
Here are a few things they look for:

1) As @LunaOri , they want to know you can handle the work.
2) They want to see that you know what you're getting into and are dedicated to it.
3) They want to see that you have a service orientation and are willing and able (if not desirous) to work with people not like you.
4) If applying to a research-oriented program, they will want to see research.
5) They want to understand usually why you are interested in their program and be convinced that you will fit in to their community. (The latter point is most relevant in secondaries and interviews)
6) They want to believe that they'd be happy if you were taking care of them or their loved one.
 
Last edited:
Mr.Smile12 said:
Applicants are like a complex organic molecule based on a single benzene ring. We're checking that you have the benzene ring, and we're looking for all the R-groups that come off of it and how each explains your reactivity and affinity to other complex organic molecules. How do you resonate with others?
Click to expand...
Doodledog said:
Well, I always look for their essay mentioning a pet, preferably a dog, but I recognize that cats are okay too (not really, but whatever).
Click to expand...

Okay, so imagine a wide staircase full of dog-walking benzene rings.... iykyk
 
To be a little more blunt (everything above is absolutely true)
-REALLY good grades and MCAT (I’m not going to throw out numbers and scare people)
-community service
-shadowing and clinical experience (I don’t think it’s enough anymore to not have both)

If you don’t have the above, probably don’t even apply. After that, research, pubs, being a Fulbright scholar or Navy seal or etc. that stuff if extra and helps but is not required.

Unfortunately with how competitive it is these days you really just want to be more competitive than your fellow premeds. Don’t be a backstabbing psychopath though, if we sniff that we’ll trash your app.
 
I didn’t feel like reading all the responses so sorry if I repeat something. As a 4th cycle reapplicant whose application did not change much in substance (other than increased hours due to increased time), I went from not a peep for 3 cycles to getting tons of love this cycle. The main thing that changed was my writing. As long as you check the boxes for the must-have activities highlighted by others, nothing else matters except how you talk about what you did.

I interview extremely well and my activities were good if not great. In an interview I can show true passion and reflect well, but trying to put that into writing was impossible for me cause my brain doesn’t compute like that.

I think @Hollow Knight said it, but it’s cutthroat as hell out here. You not only have to have all the cool stuff and good stats, you have to be able to elegantly write about your activities. Also, learn to play the game.
 
Metrics are important, but won't necessarily make or break an application. Ultimately, it's how devoted a student is to their scholarly and extracurricular experiences and the impact they've made that are key to success. Then, it's about how the student writes about their experiences and how powerful a narrative they compose.

Students who have overcome adversity or show "distance traveled" together with exceptional achievement often yield phenomenal outcomes. What makes these narratives truly phenomenal is when they demonstrate genuine growth, resilience, and lessons learned rather than just hardship. The key is showing how challenges shaped their commitment to medicine and developed their character.

For example, we had a majority applicant with an average MCAT of 511.5 get into a top 10 school because of a phenomenal narrative with great interpersonal skills to match. What set this student apart wasn't just their story, but how they articulated their growth and how that translated into exceptional performance during interviews and demonstrated leadership.

Additionally, mission alignment often matters more than people realize - a student passionate about rural medicine with relevant experience will often outperform higher-stat candidates at mission-driven schools. Strong letters of recommendation that speak to character and potential, not just academic performance, also carry enormous weight in the final decision-making process.

The bottom line is that medical schools are looking for future physicians who will connect meaningfully with patients and colleagues - qualities that pure metrics simply can't measure.
 
ecobio said:
my guess as someone not involved in admissions (haha): stats get your foot in the door, EC’s and the reflections you have on them get interviews, and interview performance seals the deal
Click to expand...

Hollow Knight said:
To be a little more blunt (everything above is absolutely true)
-REALLY good grades and MCAT (I’m not going to throw out numbers and scare people)
-community service
-shadowing and clinical experience (I don’t think it’s enough anymore to not have both)

If you don’t have the above, probably don’t even apply. After that, research, pubs, being a Fulbright scholar or Navy seal or etc. that stuff if extra and helps but is not required.

Unfortunately with how competitive it is these days you really just want to be more competitive than your fellow premeds. Don’t be a backstabbing psychopath though, if we sniff that we’ll trash your app.
Click to expand...
What's more important? GPA or MCAT?
 
"AAMC's "Experiences-Attributes-Metrics" Model is a widely-used tool for admissions staff and committee members to think broadly about diversity, and to help them identify mission-centric experiences and attributes."
Source article

Metrics
GPA
MCAT scores
grade trends

Attributes
geography, sexual orientation, race, physical ability, age, sex, citizenship, relationship status, national origin, family status, faith, gender identity, ethnicity, fields of interest, individual interests, values and beliefs, leadership, perspectives, languages spoken, maturity, intellectual curiosity

Experiences
cultural events, world events, political events, historical events, life experiences, distance travelled, leadership roles, health care experience, community service, affiliations, research experience, education background
 
Pile O' Nephritis said:
"AAMC's "Experiences-Attributes-Metrics" Model is a widely-used tool for admissions staff and committee members to think broadly about diversity, and to help them identify mission-centric experiences and attributes."
Source article

Metrics
GPA
MCAT scores
grade trends

Attributes
geography, sexual orientation, race, physical ability, age, sex, citizenship, relationship status, national origin, family status, faith, gender identity, ethnicity, fields of interest, individual interests, values and beliefs, leadership, perspectives, languages spoken, maturity, intellectual curiosity

Experiences
cultural events, world events, political events, historical events, life experiences, distance travelled, leadership roles, health care experience, community service, affiliations, research experience, education background
Click to expand...

Yes, that's the contact lens model. However, keep in mind the design of the model and what remains in focus. 🙂

My own model has "mission fit and success" in the bullseye and the metrics the first level surrounding the bullseye, then attributes and experiences. But YMMV.
 
You must log in or register to reply here.

Similar threads

M
  • Question Question
What consultation company is good for med school application consultation?
Replies
5
Views
2K
LunaOri
LunaOri
A
How Much Does the MCAT Actually Matter in the App Review Process?
Replies
11
Views
2K
Mr.Smile12
Mr.Smile12
F
  • Locked
What kind of school to apply
Replies
4
Views
367
chilly_md
chilly_md
C
How does a W affect my chances when applying to a competitive med school?
Replies
5
Views
896
YellowSalamander
Y
premedbarista
a few questions about my ECs and what to/what not to include on my app
Replies
3
Views
574
LizzyM
LizzyM
Top