Exactly. An SMP is a last ditch effort that you choose to participate in when you have exhausted all other avenues. Dr. Midlife will stress the inherent risk in such a program - if you bomb it or do poorly, that's it. Game over, thanks for playing.
Well, let me split some hairs on that.
Holding onto a med school ambition despite a poor undergraduate record is out on the ridiculous end of the practicality continuum. A GPA comeback requires burning a lot of time and money in a direction that is not likely to pay off. Risky investment, if you look at it from the perspective of a successful, stern grandparent. Regardless, lots of us have med school ambitions that are not deterred by risk or ridiculousness. For every med student that comes out of a GPA comeback, there are 10-100 who don't end up in med school. (Made up number.)
Not giving up after doing
poorly in GPA comeback activities, such as an SMP, MCAT retakes, more undergrad, etc, is
so ridiculous you can't even
see the practicality continuum from there. As far as I can tell, you have to be privately funded and tolerated by an indulgent family, as is Rebecca Black in trying to be a singer, to keep trying to get into med school after collecting post-undergrad red flags. One in a million, and
not in a good way. But it happens: you can do SMP after SMP, you can do MCAT retake after MCAT retake, you can apply again and again, you can go to Ireland or Australia. On this plan you double the financial cost of med school, and you have nothing on your resume that can make you employable when your family cuts you off.
The hair splitting is that it
does happen. You
can keep going after blowing an SMP or an SMP-like program. I wish people wouldn't, but they do.
Now, somebody like the OP who does an SMP,
and does poorly, has bought themselves a very, very expensive red flag. You were in the fine middle of the practicality continuum, and you demoted yourself to the ridiculous end of the continuum. You lose money and time and emotional investment and moving costs. If you do
fine in the first semester of an SMP, and you get an MD acceptance in maybe January, you have to finish the SMP as a condition of that acceptance. You're not getting a refund of spring tuition, and you've lost the gritty determination to prove yourself by doing well in the no-longer-necessary SMP. Bleah.
By comparison: 3 months of MCAT prep, 32+ in April, apply early and broadly (June 1, 25 researched schools), work for a year, go to med school. That looks like common sense.
Best of luck to you.