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Chasing Checkboxes: A study of pre-medical experiences in the age of holistic admissions
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Research project
Date
2025-05-03
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Department
Sociology
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DOI
https://doi.org/10.34944/yak8-xc15
Abstract
Based on the perceptions of a pre-medical student, becoming a doctor has never been easy, and medical school admissions continually grow more competitive. Holistic review, the process of evaluating applicants while balancing their academic metrics with experiences and attributes, has become more common in medical school admissions. However, from a pre-medical student’s perspective, holistic admissions often add additional expectations on top of already rigorous requirements rather than balancing traditional academic metrics with a broader evaluation of candidates. This study examines how this perception of evolving expectations shapes the undergraduate experiences of pre-medical students long before they apply.
I conducted semi-structured interviews with pre-medical students across different academic years to assess their preparation, career aspirations, and perceptions of the pre-medical pathway. Additionally, I gathered and analyzed data on pre-medical activities listed in medical school applications to identify trends in applicant experiences. Findings reveal significant stress among students, driven by both the breadth and depth of required coursework and extracurricular activities. Many students reported feelings of inadequacy despite extensive preparation, often citing admissions expectations as their primary reason, regardless of their feelings about their planned career. These pressures raise concerns about burnout and whether the pre-medical process is effectively preparing students for a career in medicine.
These results suggest a need for reform in medical school admissions, including clarification on application guidelines, restructuring of the pre-medical curriculum, and increased student support. While holistic admissions seek to broaden applicant diversity, the current approach may unintentionally disadvantage students by increasing their perceived burden without adequate guidance. Future research should explore policy changes that balance effective admissions with student well-being, ensuring that medical education remains sustainable.
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