For family and locale reasons, I'm hoping to move to a state that has pretty strong in-state preference for their med schools. I have no real connection to the state, nor do I really plan on living there the rest of my natural born life. I plan to apply as OOS, and in any (hopeful) interviews, try to emphasize how the state is a perfect fit for my wife and I for a long time to come. My question is, if I don't get in (because of the OOS issue), does switching over car, driver's license, etc. and working for one year really convince the school that you've suddenly fallen in love with the state and will live there forever? Or is it mainly that you've jumped through all the hoops, and now they can't deny you? There is a clause in the regulations saying that you can't have moved to the state for school. So, if you apply one year, get rejected, and apply the next in-state, has anyone ever been called out and still denied in-state preference?