The Shuffle

Medical school applicants cannot hold more than one acceptance past May 15. Before that magical date, you can sit tight, waffling back and forth, filling out pro/con charts, and otherwise hem-and-ha over which school is right for you. Once accepted applicants are forced to take a stand, the flood-gates open, so to speak, and there is pretty active movement happening on waitlists throughout the country. Schools suddenly find themselves with openings and there is a rapid shuffling to fill them. My husband was hoping that tomorrow might bring an acceptance for me from my state school. Considering that I withdrew my application from them a week ago, it is highly unlikely.

So why did I do it? I'll spill the beans. Out-of-State University of Awesomeness is a Texas school. Have I already sung the praises of Texas medical schools? Let me tell you, they are fantastic! You see, Texas is pretty darn picky with their out-of-staters. State law requires that at least 90% of students are Texas residents. Some admissions offices set that number at 95%. That said, many applicants don't bother to apply to Texas since (1) the chance of getting in is so low and (2) Texas has its own application system for its eight medical schools. [FYI: Baylor is a private school, but it does receive some state funds and shows a preference for Texan applicants. Baylor uses the national AMCAS application.] Though I wasn't a fan of sending transcripts and entering data into an entirely separate and time-consuming database (TMDSAS), I was very pleased with the entire application process. My state school interviews many, many, many more people than they intend to offer positions to. Roughly one-quarter of interviewees are offered admission. Some schools offer admission to about half of their interviewees. Texas schools tend to do a more thorough screening prior to interview. That means that some schools extend acceptances to nearly three-quarters of the applicants that they interview. Got multiple Texas interviews? There is a good chance you'll get in to at least one of them.

Texas does a Match Day for med school that is similar to residency matching. As an out-of-stater, I did not go through the match process, but found it fun to follow on applicant forums. Even without applying early decision, Texas residents (as a whole) were more likely to know where they would end up significantly earlier than the typical med school applicant. Out-of-state applicants are offered admission on a rolling basis. My acceptance came three weeks after interviewing at one school.

But I really haven't gotten to my favorite part. Texas is affordable! The tuition at Texas medical schools is some of the lowest in the nation. My in-state school has a rate of $35,000 per year. Out-of-state tuition at a Texas school is lower than that. Tuition for Texas residents ranges from about $15,000 to $18,000 per year. If you are awarded a competitive scholarship as a non-resident, you may qualify for in-state tuition during your first year. Unlike many states, you can establish residency during your first year and be reclassified. (That is, if you actually meet legal residency requirements.)It's pretty amazing. I am planning on a career in family medicine. The affordable tuition in Texas really makes it possible to pursue that path without feeling over-burdened with debt.

There are other reasons why I am ready to move to Texas. Lots of them. But the freedom of moving into a new career relatively late in life without much debt is one of the greatest feelings imaginable.

Premed Application Valentine Saga

Remember a time when you had a crush on a guy, and he didn't even give you the time of day? Maybe it was middle school or high school. I've kind of got that thing going on now. Kinda.

You see, my state school is one of those guys who thinks he's All That. God's gift to med students, if you will. Here's how our conversation has played out so far.

Me: Hey, you're kind of cute. Here's my number (application).

State School: Yeah. I know. You're not so bad yourself. (Read: fill out the secondary.)

Me: So you wanna go on a date (interview) or something?

State School: Sure. Why don't you come to my place. We can double. (He's keeping his options open.) How about lunch?

State School: By the way, don't call me. I'll call you. Maybe.

Time passes. A semester ends. Grades are posted.

Me: So, hey, what's up? I'm, you know, still here. And I haven't heard from you. And thought maybe you lost my number. Maybe you wanna go out again? (In other words, I sent an update with a list of courses I completed and my grades--4.0, of course.)

State School: Cool. ("Thank you for your update. It was added to your file.")

Me: Cool. (As in, "Where do you get off wait-listing 95% of the people you interview! Really?")

State School: <Silence>

Meanwhile, I decided to date another school. This one was out of state. Maybe he wasn't quite as cute as my state school, but he certainly wasn't as stuck up. Now I'm in some sort of New Order-esque "Bizarre Love Triangle."

Other School: Hey, Vieve, wanna go out?

Me: Whatever. I don't have anything else to do.

Other School:  Hey, Vieve, I'm really into you.

Me: Whatever.

Other School: I got you a present ("We are pleased to offer you a scholarship...")

Me: Wow. This is kinda serious.

State School: <Silence>

Other School: Wanna move in?

Here I am, crushing on this school that's student-body president while this down-to-earth, sweet-as-pie other school is looking at me with puppy dog eyes. Of course, giving in to his puppy dog eyes means that I'll be selling my house, packing up my family, and moving a thousand miles away. I find myself feeling a little resentful towards my state school. It's like he's just leading me on and toying with my heart by not giving me a "thank you for your application, but..." letter. Why? Why do you have to play hard to get? If  you are this hard to get a second date with, I'm wondering if you are really even my type. Really, what's a girl to do?

Calm Before the Storm

I'm finally in my much anticipated "light" semester. As I plowed through full-time classes last year (spring, summer, and fall), I had my eye on this semester in which I'd lighten my course load and get ready for the MCAT. Yeah.

Here's my problem: I've lightened my load. Ok, ok, taking fewer classes really isn't a problem. I actually like that. I get to eat dinner with my kids more often instead of running off to classes directly after work. Last weekend I even took my crew on an impromtu vacation into the mountains. That was terrific!

It's the second half of my plan that has become a problem--the "get ready for the MCAT" portion of the plan seems to be faltering a little. I want to get ready for the MCAT. I know I need to get ready for the MCAT. I just really like being a bit chill right now. It's been a pretty intense 12 months, and I know that right now I am just experiencing the calm before the storm. I must say, I'm not sure I'm ready for the rough weather.

After the intense studying comes actually taking the MCAT. Right now, I'm looking at April or May. Come May 1, the AMCAS application is open, and the rush begins. I'll have a month to get my personal transcripts entered (and as an oldie-but-goodie, I've got quite a few transcripts to deal with) as well as all of the other gems included in the application. My goal is to submit as early as possible. Since many secondaries are already floating around, I'll be working on those all summer (even before I hear back from schools). Sounds like a whirl-wind to me. I suppose that I'll have all of my applications neatly wrapped up by September, but then the hard part comes...the wait!

Yep. I'm enjoying my break.

Watching my future insanity play out...

Holy smack! How many schools does a person need to apply to?

A friend is applying this cycle. She's a late applicant. (No, I didn't say "old" applicant.) She took her MCAT in September and just got her personal statement finished last month. Just yesterday she confessed that she was thinking of sending applications off to "a couple more schools--just to be safe." Oh, I forgot to mention that she has already sent her application to 22 schools. Twenty-two schools! As an "older" applicant (mid-twenties) her rationale is that she must do everything she can to secure her spot this year, as time is money.

With the wisdom that comes with age, I kindly suggested that she might say to herself,  "I've done my research and I know that these five schools are well-within my grasp," take a couple of deep breaths, and just chill. Her response was, "Yeah, but I think that there are a couple more schools that I could have applied to that don't have their deadline until next week." I just smile. "If it makes you sleep better, then do it."

Is that what I have to look forward to? Second-guessing, trying to maximize every possible chance I've got to get in? Hmm. Probably. I'm taking steps to avoid finding myself in that same up-against-the-wall scenario my friend is in.

Here's my game plan:

First (and kind of duh), I'm applying early. I've got my personal statement in the works and I'm scheduled to take the MCAT in April. That leaves me with May to enter transcript data, shepherd my letters of recommendations in, and fill in all those time-consuming, irritating parts of the AMCAS application.

Second, I'm including a few DO schools in my application. It seems like some individuals view DO programs as an after-thought. ("Oh, no, I didn't get in to the MD programs I thought I was a shoo-in for...quick, scramble, hit up the DO schools before their deadlines.") DO program usually have later deadlines than MD programs. I really believe that the fresher the reviewer's eyes are when he or she looks over my application, the better odds I have.

Finally, I'm prepping myself for the inevitable. I know that next fall will take me to the brink of insanity as I wait to hear back from the schools I pick. Knowing what's on the horizon, I'm working on a coping strategy that includes staying away from Student Doctor Network next fall (I love the site, but I know when I'm in the midst of my craziness I don't need to be seeking advice from other crazies), training for a few races (at least one half-marathon and maybe an early-spring marathon), and getting a message before each interview.

So stick around and see what happens Fall 2012. Hopefully I won't be telling myself that two dozen applications really isn't that many.