Being Premed the Longhorn Way

by Alpha Epsilon Delta
The Premedical Honors Society

Compliments of The Princeton Review


Academic Curriculum Planning

Most premed students major in one of the sciences (especially biology or chemistry) because the curriculum of a science major satisfiess the requirements of most medical schools. Science courses also provide a strong foundation upon which to build a career in medicine, especially for those interested in medical research. However, keep in mind that a major in science is not required for admission to medical schooll, nor will it necessarily improve the student;s chances of acceptance. As long as the premed requirements are met, a student can major in whatever subject he or she prefers and still be a highly competitive candidate. It is important to realize that medical schools are interested in well-rounded students from a variety of backgrounds, and that independence and individuality are regarded as highly desirable characteristics in potential medical students.

Post Baccalaureate Programs

Some of you may be classified as "post bac", having already completed your primary undergraduate education. The required premed coursework is the same for you and first time undergraduates. You may find the transition back into school a challenging one. For more information about post baccalaureate programs, investifate www.aamc.org.

Medical School Requirements

Individual medical schools vary somewhat in their requirements for applicants. However, nearly all insist on the following:


Many schools recommend additional courses beyond the minimum requirements including genetics, biochemistry, and microbiology. Some coursework in the Humanities, including a foreign language, history, etc. is also recommended. Keep in mind that although you are pursuing a career in which science plays a great role, you are expected to be literate and able to communicate effectively. Premed students are encouraed to complete these requried courses by the end of their third year, at which time they will sit for a standardized examination, usually the MCAT (Medical Colleges ADmissions Test). Pre-health students in other fields may sit for the DAT (Dental Admissions Test), the OAT (Optomtry Admissions Test), the NCLEX (for nursing), or the VCAT. Scores from these exams are usually required for admissions to a particular medical or other professional school. For further information regarding specific requirement s from individual schools, consult the MEdical School Admission Requirements (MSAR), published annually by the Association of American Medical Colleges (AAMC) and available throgh the library or the bookstore. Make sure you pick up an updarted copy of this book in May of your junior year, before you begin the application process.

Premed Classes at UT

The following classes offered at UT fulfill general medical school requirements:
CourseDescriptionCredits
BIO 311 Cellular and Molecular Biology3
BIO 312 Structure and Function of Organisms3
CH 301General Chemistry I3
CH 302General Chemistry II3
CH 310M Organic Chemistry I3
CH 310N Organic Chemistry II3
CH 210C or CH118K & CH 118LOrganic Chemistry Lab2
M 408CDifferential & Integral Calculus4
PHY 302K or 317K, 301, 303KGeneral Physics I3
PHY 102M, 117M, 101L, 103MGeneral Physics I Lab1
PHYS 302L or 317L, 316, 303LGeneral Physics II3
PHY 102N, 117N, 116L, 103NGeneral Physics II Lab1
ENG 306Rhetoric and Composition3
ENG 316KMasterworks of Literature3

*Plus at least two semesters of laboratory experience and six semester hours of upper division biology course work

*Check with the HPO for a more detailed listing of pre-med course work

In addition, UT offers a unique opportunity for exposure to the field of medicine through an educational psychology class (EDP 369K). During this course, you will be doing 60 hours of volunteer work and taking a set of logs about your experiences. In addition, you will be working on group projects. You will also be exposed to topics on medical ethics and current issues facing the field of medicine.

Summer School

The premed course load is heavy. It can be more evenly distributed by completing course work in the summer sessions. Keep in mind, however that hte course work is extremely intensive in the summer. After an academic year, youmay want to work instead of attending classes - and enjoy a summer of relative relaxation! If you plan to take course work at an institution other than UT, first bring a full catalog description of the course to the Dean's office of your college to make sure that the credit can be accepted by UT as transfer credit. Remember that although trransfer credit will not affect your UT GPA, it will be figured into your GPA on the AMCAS and TMDSAS Application (See Applications).

Grades of "Q" and "X"

A student may drop a course for a refund and without academic penalty up until the 12th class day. The grade of "Q" is awarded if the student drops the course after the 12th class day. There is a limit to the number of Q drops that are available to each student. While it may be better to withdraw from a course than accept an unsatisfactory grade, keep in mind that the "Q" earned during the restricted withdrawal will appear on your transcript. Be aware that after half way through the semester, a student must seek intructor approoval to drop a course. An instructor may opt to not approve a Q but offer an F instead. This should be avoided at all costs.

A grade of "X" (incomplete) is awarded by the instructor when the student is doing otherwise acceptable work and is unable to complete the course due to illness or other conditions outside the student's control. The student has one full semester to complete the coursework. If this deadline is not met, the "X" is changed to an "F". Talk to your advisor and consult the UT directory, if you have any further questions. Grades are very important to the premed student.

You should be aware of the following resouces if you need help in your classes:

  1. Professors: utilize office hours. Ask questions, get help, and develop a relationship with your instructors and teaching assistants.

  2. Tutors: available through Learning Skills Center. Financial aid recipients receive two hours of tutoring free each week. Most departments also keep lists of available tutors, and you can also check advertisements around campus for private tutoring, turoting services and test prep companies.
  3. Counseling and Consultation: the stresses of college and a premed track can be overwhelming. Counseling and consultation provides confidential counseling services to all UTstudents. Services are available through the Counseling and Mental Health Center which is located on the 5th floor of the Student Services Building. The center is open Monday-Friday from 8:00am - 4:30pm. Appointments can be made by phone by calling 471-3515.
Extracurricular Activities

If there is one thing most preemed students agree on, it is that nothing can guarantee a person will be admitted into medical school. Every year there are stories of people not admitted with 4.0 GPA's and 13's on their MCAT. Conversely, there are always stories of people who get into medical school with GPA's below 3.0 and MCAT scores below the national average of 8. WHy is this? The fact is that there is a different equation for everyone that gets into medical school. Everyone is unique. Extracurricular activities are what can really separate a person from the rest of the crowd, even if their GPA is average. For the person with good grades and good MCAT scores, it is necessary in today's competitive environment to also have a solid and interesting portfolio that complements your academics. In other words, it is important to "cover all your bases." Make it impossible for any admissions committee not to accept you. This may seem hard to do, but keep in mind that most people have several years to do it.

Be Doing Something

We are sorry to say, but the days of coming home after school and watching Gilligan's Island, followed by 6 more hours of TV...are over. Basically, any activity (especially organized activities with other people) strengthen your character and your resume. You want to be an interesting applicant. Playing team sports, learning a martial art, playing an instrument, even organizing a naked mountain biking club can be good fun while developing your interests and practicing your social skills. (We're kidding about the mountain biking thing. That would hurt.)

Health Professions Activities

These are important. Medical schools will not accept you if you don't know why you want to be a doctor. Participating in health related activities illustrates your interest in the field and also lets you know what you're getting into. Many premeds are no longer premed after a night spent in an emergency room. They discover that they hate sick people and can't stand the sight of blood.

Research

One way premeds may gain experience in medicine is through research. Many people are scared of research because they believe you have to be a Nobel Prize winner to be involved. This is not the case. Most research positions available to students offer step by step intructions for what you'll be doing.

Perhaps the most popular way of obtaining research experience is with a professor whose class you have had. Many professors at UT are involved with research and look for student help. If you are interested in this, all you need to do is talk directly to your professor. It is also wise to talk to a professor's teaching assistants before you talk to the professor. This will allow you to find out more about the professor and what he or she does. TA's are also helpful because some professors have very good reputations for working well with students while others do not. It is possible to get into medical school without research; many successful applicants never work in a lab outside of class. However, if you find a project you are interested in, it can be an intellectually challenging and rewarding experience.

Volunteering

Many premeds volunteer in local emergency rooms, at hospitals as carriers, or at private practices as general helpers. A typical volunteer program requires a 4 hour commitment per week, and will give you the opportunity to see what really happens in the health field every day. Volunteering is a great way to get started along the premed path; many freshman and sophomores volunteer in the health community in order to gain experience before looking for a paid position later in college. The following is a list of local hospitals with established volunteer departments:


HospitalContactPhone #
Austin Diagnostic ClinicPaula Taylor901-2545
Brackenridge HospitalBrian Rubio324-8679
Children's Hospital of AustinPeggy Budd324-8678
Health South Rehabilitation HospitalLinda Epps479-3689
Heart Hospital of AustinShelly Swafford407-7580
People's Community ClinicSally McFeron708-3124
Seton Medical CenterTiffany Wan324-1590
Seton Northwest HospitalSonya Meserole338-5050
St. David's Medical CenterLidi Wozniak370-4491
Dentistry
Austin Health Dept. Dental ClinicsDr. Nana Lopez469-2081
Austin State SchoolSusan Lish374-6070

Volunteering outside the health community is also encouraged. Commmunity outreach can prove to be a rewarding experience and it shows your concern for the community and compassion. There are several community service organizations at UT such as Alpha Phi Omega. Other clubs of interest for many premeds are Alpha Epsilon Delta (International Pre-Medical Honor Society), Alpha Phi Sigma (Pre-Medical Honor Society), The Asian Health Professions Organization, Delta Delta Sigma (Dental Students Organization), Longhorn Prepharmacy Association, Mexican-American Health Professions Organization, and Women in Medicine. These clubs provide students with valuable experience, information, support, and leadership opportunities. Clubs are a great way to meet people and have a fun college experience. Campus clubs and organizations can be found on the UT website at http://dpweb1.dp.utexas.edu/dsorg.


General Community InvolvementContactPhone#
AIDS Services of AustinShirley Gerber406-6111
American Cancer SocietyBrenda Brooks919-1800
Any Baby CanQainta Harris454-3843
HIV Wellness CenterLeah Graham467-0088
Working in a Health Related Field

Getting a paid position in health care can sometimes be difficult. However, there are many opportunities if you do some footwork. It is a good idea to periodically check the Career Center located in A115 Jester. The center is open Monday-Friday 9:00am-5:00pm. On Tuesdays, the Career Center is opoen until 7:00pm. You may also want to try the Natural Sciences Career Services or call Tex Jobs. Online resources include JAM (found under students/financial services/employment from the UT homepage), austin360.com, austinclassifieds.com, or any of the clinic or hospital web pages. Part time technician positions available to students include Emergency Medical Technicians (EMTs), lab technicians, and tissue transplant technicians. Austin Community College offers a certification class for EMT's. Hospitals often have clerical positions or other part time jobs for which they love to hire premeds. If you do some networking and some footwork, you might be surprised at the number of good jobs you will find. Although it is nice to be paid, volunteering can offer as many or more opportunities than paid positions and demand less of your time.

Admissions Tests

Most professional schools require a standardized test as a criterion for admission (e.g. MCAT, DAT, VAT, GRE). Descriptive information relating to the standardized tests (MCAT, DAT - Dentistry, VCAT - Veterinary, OAT - optometry, GRE - graduate school) is availalbe through the premedical advisors office, GEO 234. Seating is limited, so be sure to pick up and complete test information well before the examination date. This will enable you to secure a preferred testing site so you don't have to drive to a different city to take the test.

The Medical College Admission Test (MCAT)

The MCAT is offered twice a year: once in April and once in August. The cost of the exam is $170. It is strongly recommended that pre-med students take the MCAT in the spring of their junior year. This allows the student to apply as early as possible to med school and gives him/her the opportunity to retake the exam in August if needed. Most (but not all) American medical, osteopathic, and podiatric schools require the MCAT. Theoretically, the test is designed to be the best possible indicator of how well a student will do with the rigorous medical school curriculum and as a potential physician. While the weight of the MCAT on the application varies by school, most schools view your scores and grades in the same light. Very few medical schools (notably The University of Rochester) do not require the MCAT. In practice, unless you are only applying to these few schools (and they still want to see scores from other standardized test) you will have to take the MCAT.

You need to realize that although the MCAT does require a basic understanding of inorganic and organic chemistry, physic, and biology its main purpose is to test your critical thinking and recommends a 10 or better. The writing sample is scored from the letters J-T (T is the best score) with O as the average score. Most schools prefer to see at least an O from their applicants. Recent exams have displayed an emphasis on interdisciplinary questions, tougher verbal reasoning passages, and organic chemistry. This difference in difficulty of the verbal passages will likely cause the previous verbal curve (recent tests have indicated a top score with 13-15) to revert back to the 1 through 15 scale.

The MCAT will probably continue the trend towards more complicated verbal passages (if you ever need extra practice material, try studying books designed to prepare for the LSAT, another test written by ACT).

Since MCAT plays such an essential role in your application to medical school, it is imperative that you prepare for it. You should take a number of courses in the humanities and social sciences to develop the critical thinking and reasoning skills that are necessary to do well. The best preparation for the writing section is course work in expository writing or composition. Courses in the humanities, social sciences, and natural sciences that have strong writing requirements are also beneficial. Other highly recommended courses include either Cell Biology (BIO 320) or Principles of Biochemistry (CH339K and CH 339L), Vertebrate Physiology (BIO 365R and BIO 365S), and possibly Genetics (BIO 325), and Developmental Biology (BIO 349).

In addition to these courses, students should engage in some sort of study program. Available programs range from personal study to enrollment in formal test preparation courses. Those interested in a personal or group study program will find The MCAT Student Manual and AAMC Practice Tests 2 and 3 extremely helpful. Both this manual and the accompanying practice tests are published by AAMC, the people who administer the MCAT. The MCAT Student Manual is the best manual to use in preparation for the MCAT. Keep in mind the practice tests have been reported to be easier than the real thing. Other MCAT review manuals are available in bookstores, and there are some software programs available at major computer stores. Manuals provide study outlines and sample tests that give the necessary practice. A high recommended book is A Complete Preparation for the MCAT by James L. Flowers. Useful information is also available on the AAMC website at www.aamc.org.

Formal test preparation courses provide a thorough review of concepts and materials covered on the MCAT. These courses can be extremely helpful and are recommended for students who are not highly motivated to do self-study. However, such courses are considerably more expensive than buying manuals for self-study. The two major test preparation classes for the MCAT in the Austin area are The Princeton Review (512-474-TEST) and Kaplan Test Prep (512-472-8085). Both of these companies publicize a great deal of information to help you make an informed decision. The cost for a full-length course runs between $1199 and $1299. Both companies offer discounts and scholarships to pre-med organizations. Be sure to ask your officers about these discounts. In addition to courses, both companies offer personal tutoring programs, starting at a cost of over $2000. Taking a prep course is highly recommended as is taking a lighter course load or worklad while preparing for the MCAT.

The Dental Admission Test (DAT)

The DAT is offered year round on computer at US and foreign testing centers. Good scores on the DAT are required for admission to all US dental schools. The test takes six hours to complete (including lunch) and examines the applicant in the following areas:

  1. Knowledge of natural sciences (biology and general and organic chemistry)
  2. Reading comprehension (natural and basic sciences)
  3. Qualitative Reasoning
  4. Perceptual ability (two and three-dimensional problem solving)

Dental schools apply different emphasis to separate parts of the test. Students should take the DAT the year preceding their anticipated matriculation intro dental school in order to ensure that schools will receive the scores early in the application season. The Dental Admission Testing Program fee of $150 includes submission of official scores to five dental schools, a personal copy, and a copy for your pre-medical advisor.

Scores on the DAT are based on the number of questions answered correctly. Since there is no deduction for wrong answers, the student should guess at the questions he/she is not sure about or does not have time to read. Scores range from 1 to 30, and a score of 15 is considered average. Scores are available immediately; official reports will be mailed to the student's chosen schools within 2 to 4 weeks. Scores are kepy permanently on file by the American Dental Association's Division of Educational Measurements. However, most dental schools will not accept the score if it is more than two years old. In preparation for the DAT, students should follow the same guidelines given for the MCAT.

The Veterinary College Admission Test (VCAT)

The VCAT is administered three times a year, in October, November, and January. The $68 fee covers one personal score report and reports sent to as many as three veterinary colleges. The three and a half hour test includes five sections (verbal ability, biology, organic/general chemistry, math, and reading comprehension). There is no penalty for guessing, so you should answer every question. Very few vet schools still require the VCAT; most take the GRE, MCAT, or some combination of the three. Make sure you check carefully with your schools of interest to see which tests they require.

Applying to Medical Schools

When choosing which schools to apply to, start by deciding whether you want to study at an osteopathic or allopathic school, or if you want to apply to both. Also decide whether you would prefer a research-oriented school or a comprehensive school. U.S. News and World Reports annually ranks medical schools in these categories. In addition, other sources such as "REA's Guide to American and Canadien Medical and Dental Schools" and the "Medical School Admission Requirements," published by the AAMC, provide useful information about medical schools. When you decide on schools you are interested in, write or call them to ask for their brochures and catalogs or check the web. This should be done towards the end of the fall semester of your junior year.

Curriculum is another important consideration in choosing a school. Many schools now offer systems based training (as opposed to the traditional lecture/memorize/regurgitate format). Systems based training focus on a major organ system, then discusses the relevant chemistry, genetics, pathology, etc. Some schools may also offer clinical training earlier in the program than the traditional third year. Research your options carefully, and choose a program that appeals to you.

Many premeds, when asked "So where do you want to go to school?" will reply, "Anywhere that will take me!" While the competitive climate encourages such desperation, there will likely be several schools in the scoring/GPA range that you can target as realistic possibilities. Among these, it is very useful to determine which factors are likely to make the medical school experience more enjoyable and rewarding for you. Also, when you land an interview your research will have already been done. You'll be ahead of the game.

The Application Process

Most American medical schools (with Texas schools being a notable exception) are involved with the AMCAS, the American Medical College Application Service. It is a general application service which requires you to provide personal information, list courses taken, write a personal sstatement, and designate schools to which you would like your application sent. When your application is complete, AMCAS will forward it to the appropriate schools. The AMCAS application is used as an initial screening process. The medical schools involved with AMCAS will use this application to decide whether or not to offer a secondary application to the student. The AMCAS application will be available around April of your junior year, but it can be turned in until June 1st (check this date with the application packet). It is best to finish the application as soon as possible. The sooner you submit the application, the sooner medical schools will be able to send you secondary applications. When filling out your application, make sure to have a copy of your transcript andy and follow all the directions carefully. Inconsistencies and mistakes in your application can delay its processing. Check with the pre-health office to learn about the computerized application. At present you can fill out your applicationand send it to AMCAS on a disk, but you have to have the correct computer system and platform. The application is available throught hthe pre-health advisor's office, and through the web at www.amcas.org.

Some Common Questions (And Answers) About the AMCAS Application


Q:Which classes count toward my overall GPA and science GPA?
A:
Every class you took as an undergraduate is used to compute your cumulative GPA, including any community college classes. Your science GPA includes science and math courses. If you are a post-bac student, you will have a separate post-graduate GPA.
Q:How long is the personal statement, and what should I write about?
A
The personal statement is one page, single spaced with 1 inch margins in no smaller than 10 point font. Do not try to fudge the margins or typeface. You want the admissions committee to like you, which will generally not involve trying to ruin their eyesight. You should write as specifically as possible about what drives you to be a physician. This is your chance to be more than a number, but it is not the place to make excuses for every gap in your otherwise pristine application. Show them who you are. Avoid restating your resume at all costs - this will bore admissions officers to tears

Q:When do I send out my letters of recommendation?
A:
The first step to getting a letter of recommendation is to pick up the form from the Health Professions Office. You should give this and a biographic write-up to the person who will be writing the recommendation. A suggested format for the biographic write-up can be retieved from the office. Your instructors who write hte recommendations will be required to send the form directly to the HPO. Once all of your recommendations have been completed and turned in to the HPO, you can request that they be sent to the application service. This should be done a couple of days before you submit your medical school application.

Q:How much time will it take me to fill this thing out?
A:
Usually several weeks. You'll need transcripts from every college you've ever attended, even if it was just for one class. There is a lot of information you will need to gather. Also, most people take several months to write and rewrite their personal statement. Don't forget that you will also be required to send in pictures of yourself. If thses need to be taken, you should do it soon so that you will not have to wait on development.

Q:How long will it take AMCAS/TMDSAS to process my application
A:
As long as six weeks, depending on the time of year and how accurately and fully you filled out the application. If you make a mistake, they will send it back to you. The earlier you send in the application, the sooner it will be processed.


Bibliography of Nonfiction Titles

If you're wondering what it will be like being a doctor, check out some of these titles.

Marion, Robert, M.D. The Intern Blues: The Pricate Ordeals of Three Young Doctors. New York: William Morrow and Company, Inc., 1989.
Dr. Robert Marion, ten years out of his own internship and supervising a small group of interns at a major New York medical center asks three of them to keep a diary of their internship year. This very candid and exciting testimony will either heighten your desire to become a doctor, or send you running to find another profession. A must read for all prospective medical students, family, and loved ones.

Weeder, Richard S., M.D. Surgeon: The View From Behind the Mask. Chicago: Contemporary Books, 1988.
Richard Weeder, a surgeon, son, and brother of surgeons, introduced to the OR by his father at seven, never considered another career. In this book he describes the triumphs and the trials that are inherent in the life of a surgeon. Dr. Weeder carefully illustrates the delicate balance between compassion and detachment, science and art, self-confidence, insecurity, and many other dichotomies that characterize the life of a surgeon through sharing cases with the reader. Ultimately he describes the events that led him to leave surgery and the life that his father had chosen for him so many years earlier.

Becoming a Doctor
A successful Ph.D. in Anthropology decides to go to medical school when he is in his forties. This is a candid account of his experiences as a medical student and resident.
Most memorable are his experiences delivering infants and being part of the joy of this miracle. Other experiences, however, outweigh his enthusiasm and he ends back in academe. It is a strong statement in support of the philosophy "You never know until you try!" Read it. It's important to get a well-rounded view of medicine especially the not-so-glamorous parts.

Moyers, Bill. Healing and the Mind.
A collection of interviews with health care professionals regarding the importance in viewing the human organism as a creature influenced by outside stimuli as well as internal forces. The health care workers interviewd are taking unique steps in their approach to health care and preserving, not only life, but the quality of life. The second half of the book deals with Chinese medicine and the practice of T'ai Chi as regarding health and disease. Interviews with Chinese physicians emphasize the Eastern philosophy deals with the human organism as a whhole, body, mid, and spirit, as well as an integral part of the world around it. This tends to conflict the Western, technology driven philosophy of health care. These interviews are extremely inspirational and encouraging. They deal with new fields such as psychoneuoimmunology and aspects of health care traditionally left to social workers and public health workers.

Werner, David. Where There is No Doctor: A Village Health Care Handbook. Palo Alto: The Hesperian Foundation, 1992.
This is a very inspiring book about how to help people who have limited access to health care to take care of themselves and to improve their quality of life. Targeting economically deprived populations, the book covers areas such as education, home cures and popular beliefs, sicknesses that are often confused, how to examine a sick person, how to take care of a sick person, healing without medicines, right and wrong use of modern medicines, antibiotics: what they are and how to use them, how to measure and give medicines, intructions and precautions for injections, first aid, nutrition, prevention of illness, very common illnesses, serious illnesses that require special medical attention, skin problems, the eyes, the teeth, gums and mouth, the urinary system and genitals, information for mothers and midwives, family plannin, diseases of children, diseases of the elderly, and what to include in the first aid medicine kit.
Special sections treat HIV and Drug and Alcohol Addiction. Additional information discloses resources for teaching materials and how to teach people who can't read or write. The philosophy of the book is "Medical knowledge should not be the guarded secret of a select few, but should be freely shared by everyone." Also available in many foreign languages.

Shulman, Neil. Finally...I'm a Doctor. Atlanta: Rx Humor, 1993.
A humorous account of an MD's pre-doctor days.

Additional titles include Helping Health Workers Learn, Where There is No Dentist, and Disabled Village Children - a must for anyone interested in practicing rural medicine, even in the US!

List for Premed Information

Try AED's helpful links site. You can also access lots of helpful premed information through www.yahoo.com and www.altavista.com. Many medical schools have home pages; if you have trouble finding one, look for the "parent" school, and then find the link to the medical college; you can also use the links on the AAMC homepage.

Other potential sources of information are:

Association of American Medical Colleges
2450 N Street, NW
Washington, DC 20037-1126
(202)828-0400 www.aamc.org

American Association of Colleges of Osteopathic Medicine
5550 Friendship Blvd., Suite 310
Chevy Chase MD 20815-7231 www.aacom.org

American Association of Colleges of Podiatric Medicine
1350 Piccard Drive, Suite 322
Rockville, MD 20850.
Toll-Free: 1-800-922-9266 www.aacpm.org