Only a small fraction of those who enter college as pre-med even apply to medical school, and
of those that apply, only 40% get in. Statistically speaking, if you’re pre-med, the odds are
not in your favor. Why is that and what can you do about it? Let’s find out.
Dr. Jubbal, MedSchoolInsiders.com.
In its simplest terms, the reason there’s a large mismatch between those who want to
become doctors and those who actually do is a matter of supply and demand. A large part
of this disconnect is due to popular culture narratives and stereotypes of what it means
to be a doctor.
There’s a huge number of students that want to become doctors, in large part because of
this mismatch between expectations and reality. There are a few categories responsible for
this draw and broad appeal.
The first category is the status, respect, and prestige one associates with being a physician.
Sure, you’ll get some level of recognition for the hard work you’ve put in, but how
much does that actually mean at the end of the day?
Particularly in certain cultures, parental pressure is a significant factor in a student
choosing the path of medicine. Comment below if you know what I mean. Parents want the
best for their kids and have the best intentions. They genuinely think pushing you to medicine
is good, and maybe they even get a bit of an ego boost from knowing their child became
a successful doctor, but you are your own person, and you should pursue the career path
most appealing to you.
While money isn’t everything, it’s an important consideration that’s unfortunately
deemed taboo to even talk about. “If you aren’t ok struggling paycheck to paycheck,
then you are just a greedy monster who isn’t doing things for the right reason!”
Being a physician is a unique career path in that it’s low risk and medium to high
reward. What I mean is that if you followed the tried and true path of becoming a doctor,
meaning you get into medical school, then residency, then fellowship, and then become
an attending, then it’s essentially guaranteed that you’ll be making low to mid six figures.
Depending on your specialty, maybe even high 6 figures. It’s definitely not easy, but
it’s a highly structured and predetermined path leading to a comfortable upper middle
class lifestyle.
In contrast, other professions involve much higher risk. Sure, if you start your own business
or become an actor, you can make much more money than the average doctor. But there’s
no straightforward path, no guarantee, and the overwhelming majority of people who take
those paths end up failing.
Don’t get me wrong, medicine is an awesome profession, but it’s far from perfect. Those
who initially have an idealized view of what it means to be a physician realize the truth
at some point. I do my best on this channel to give you the reality of medicine, not to
discourage you, but to portray the truth so you can decide if it’s what you actually
want to do.
The other half of the equation is the lower supply of training positions to become a doctor.
But we have a physician shortage in America, and a surplus of people wanting to become
doctors, so why don’t they just open more positions?
More medical schools and more medical student seats are opening each year, which provide
additional positions for future doctors to be trained. That’s great, but there’s
still far more interested applicants than there are positions. That’s why only 40%
of applicants each year get accepted. Regardless, the bottleneck in physician training occurs
at the following step, with residency. It doesn’t matter how many fresh medical school
grads you’re minting if they aren’t able to complete their residency training.
Residency positions in the United States are funded by Medicare. Therefore, to increase
the number of practicing doctors, you need to increase Medicare funding. Unfortunately,
calls to increase Medicare spending to fund new residency slots is usually met with deaf
ears on both sides of the aisle.
Funding hasn’t increased since 1997. It’s ultimately in the hands of federal legislators.
The Resident Physician Shortage Reduction Act of 2019 proposes adding up to 15,000 new
Medicare-funded residency positions over a five year time span. We’ll see what happens.
The high demand and low supply to become a doctor is further exacerbated by a difficult
and complicated path to getting into medical school. There are so many moving parts and
components, each with their own unique nuances, and failing to deliver in any category can
prevent a student from successfully matriculating to medical school given the high degree of
competition. There’s the premed coursework, including weeder courses like organic chemistry,
research, extracurriculars including volunteering, shadowing, and clinical experience, letters
of recommendation, and that’s before you even get to the actual application.
The question then arises if these are even good metrics or standards for premeds to strive
toward. Many of these guidelines and requirements were implemented with the best of intentions,
but when deciding who is best suited to be a physician, these are simply markers, not
perfectly accurate indicators.
It’s only natural with the competitive nature of medical school applications for these elements
to be further warped. In the past, being a well rounded applicant with reasonably strong
academic performance was enough. But nowadays, with everyone trying to outcompete one another,
you have to worry about not only getting straight A’s and crushing the MCAT, but also the
number of publications you pump out, having sufficient volunteering, shadowing, and clinical
experience, and impressing adcoms with your unique qualities.
Countless students, seeking help in an increasingly confusing premed application process, turn
to a checklist mentality. To get into medical school, they think they must check the box
for various requirements. “3.7 GPA, check! 40 hours of shadowing, check!” As a result,
they become a cookie cutter premed, just like many others, who lack a unique narrative or
perspective. They lose the human element of what makes them unique.
Becoming a good physician isn’t just about proving your academic abilities or getting
exposure to medicine, but about developing yourself as a person. Have you learned humility,
compassion, work ethic, resilience? Have you challenged yourself and overcome obstacles?
You’re so much more than just a premed. You’re a person first, and getting in touch
with that will make you a better physician in the end.
And if you’re the first person in your family to go into medicine, just as I was, you’ll
need to be resourceful to find others on your own to help guide you down the path. I wasn’t
sure I wanted to be a doctor until I was diagnosed with IBD during my first year of college.
It ignited a fire within me to stop at nothing to become the best gastroenterologist I could
be. I worked my tail off, brute forced it, and I would stop at nothing. I was constantly
trying to become more efficient, effective, study better, and I didn’t know how to slow
down. I absorbed everything I could from everyone I met. I was so hardcore, I even secured a
research position during my freshman year in a lab researching IBD models in mice.
I still made mistakes though, and I wish I had a mentor to guide me through the process.
I relied too heavily on online resources, like SDN or Reddit, and my peers. I was too
naive to realize that much of the chatter on these online resources is an echo chamber,
where premeds repeat what they’ve heard elsewhere. While these were moderately useful
resources that got me 80% there, I wish I had a trusted guide to take me the other 20%.
I wanted to learn the nuances like how to most efficiently find a lab and excel in research,
how to craft an effective narrative instead of just checking the boxes, and other less
talked about components, like the various strategies to letters of recommendation or
how to strike the balance between medical and non-medical extracurriculars.
After speaking with my colleagues at Med School Insiders, many of them felt the same. We put
our heads together, combined all of our collective expertise, invested thousands of dollars in
production, and created the all new Premed Roadmap to Medical School Acceptance course.
It’s the resource we wish we had when we were in college. It includes all the finer
details and nuances that only the experts know — the secrets we used to get into top
medical schools with full tuition scholarships. The things that most doctors don’t even
know, and those on online forums have no idea about.
Like how to be such a competitive applicant that schools will fight over you, or how to
blow away admissions committees by being extraordinarily prolific with research. It’s something we’re
very proud of, and we’re confident that you’ll find this to be the single most comprehensive
and helpful resource for premeds, anywhere. If you don’t, we offer a 30 day 100% money
back guarantee. And if you’re able to demonstrate financial need, we offer the course at a steep
discount to make it accessible to all socioeconomic backgrounds.
To see what the course is about, check out this video about how to stand out in research.
Trust me, you won’t find advice like this anywhere else — it’s advanced techniques
that a small minority of people are even aware of. Much love, and I’ll see you guys in
that next one.