The Medical School Waitlist: Can Anything Be Done?

Recently, I’ve heard from several medical school applicants who are waitlisted. It’s extremely frustrating, especially as the current cycle advances and the next one is on the verge of starting. 

What can you do?

  1. Realize that getting into medical school has become increasingly competitive. Being waitlisted is infinitely better than being rejected, and thus a positive, despite the anxiety it causes.
  2. Send a letter of interest. Let the school know of your continued enthusiasm and your new accomplishments. Ensure the letter is well written, streamlined, and brief. If the school is absolutely, positively your first choice, let the admissions committee know that. Feel free to send more than one letter if you are on a medical school waitlist for months.
  3. Ask the school if you can set up a second look. A supplementary visit indicates to the institution that you are serious, and it offers you more data in making your decision if you’re later offered a spot.
  4. Ask a well-positioned faculty member who knows your work to make a call or send an email on your behalf. This tactic is especially helpful if the supervisor has a connection to the institution. (I do not recommend that a family friend who hasn’t worked with you contacts the school.)
  5. Plan for last minute notice. At some institutions, applicants are offered slots off the medical school waitlist throughout the summer. I’ve even heard of acceptances being offered the day before school was to begin. Would you be able to change your living situation, move your personal belongings, and uproot if this were to happen? Be prepared. 
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Match 2025 Results Are Out

The NRMP® has already published data from last month’s Match. Of note, under 80% of the applicants who submitted a certified rank order lists matched to either a categorical or preliminary year. Match rates specifically for US-citizen and foreign national IMGs were 67.8% and 58.0%, respectively.

My field of emergency medicine did quite well this year, a big contrast from two years ago. (The field is notorious for waxing and waning in popularity over the years.) Primary care specialties also eked out a win.

See more Match statistics here.

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Numbers of Black and Hispanic Medical School Matriculants Have Declined, a Problem that May Intensify

A recent piece by the Kaiser Family Foundation (KFF) predicts that numbers of underrepresented minorities in medical school may dwindle further amid recent executive orders regarding diversity, equity, and inclusion in federally funded programs. 

After the 2024 Supreme Court ruling that race-conscious college admissions policies violated the 14th Amendment, numbers of Black and Hispanic matriculants to medical school fell by double-digit percentages compared with the previous year. 

This downswing was particularly troubling, considering that higher proportions of Black primary care doctors are correlated with longer life expectancy and lower mortality rates for Black individuals, according to a 2023 JAMA Network research article. Furthermore, a variety of studies have shown insidious biases against Black patients.

According to the Association of American Medical Colleges, in 2024-5, Black medical school enrollees declined 11.6% and students of Hispanic origin fell 10.8%. The decline in enrollment of American Indian or Alaska Native students was 22.1%. New Native Hawaiian or other Pacific Islander enrollment declined 4.3%.

Here is the KFF piece.

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Avoid These Ten Common AMCAS Mistakes

Here’s a brief list of AMCAS Work and Activities section errors to avoid at all costs:

1. Don’t write to write. While you want to include many strong achievements, you do not want your AMCAS to be so wordy that your reader is tempted to skim.

2. While you need to be brief, don’t write in phrases; use full sentences. It’s a formal application, and you want to make your written materials as readable as possible.

3. Don’t assume your reader will carefully study the “header” section (including the title of the activity, hours, etc.). Make sure your descriptor could stand alone: Instead of “As an assistant, I conducted experiments…” use “As a research assistant at a Stanford Medical School neuroscience lab, I conducted experiments…”

4. Don’t be vague, dramatic, or trite. Make sure you spell out your accomplishments clearly and substantively. If your reader doesn’t understand an activity, you will not get “full credit” for what you’ve done. Make no assumptions.

5. Avoid abbreviations. Again, you want to be formal; plus, abbreviations you think are common might not be familiar to the reader.

6. Write about yourself and your role – not an organization. For example, don’t use the space to discuss Doctors without Borders. Use it to discuss the specifics of your role at Doctors without Borders.

7. Avoid generalities and consider using numbers to be persuasive. Saying that the conference you organized had 300 participants says it all.

8. Don’t merge the descriptors with the most meaningful paragraphs because they are separate sections: You can complete descriptors for up to 15 activities with up to 700 characters each plus up to three most meaningful paragraphs of up to 1325 characters each.

9. Unless your PI won the Nobel, avoid using supervisors’ and/or doctors’ names in your descriptors as they will be meaningless to the majority of your readers.

10. Choose the right category for each activity, so you get “full credit.” (Please note AMCAS added a category last year called “Social Justice/Advocacy.”)

Bonus: Get help. Do not submit your medical school application without having it reviewed by someone with a lot of experience. You do not want to showcase suboptimal materials for a process that is this important and competitive.

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Welcome to Match Week

This is Match Week:

Monday: Programs find out if they filled; applicants find out if they matched; SOAP begins. Here’s a 2025 primer on SOAP.
Tuesday through Thursday: SOAP process in play.
Friday: Match Day.

If you were one of my residency clients this year, I’d appreciate hearing from you when you have a moment to update me. I’m sending everyone the best of wishes.

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About Dr. Michelle Finkel

Dr. Michelle Finkel

Dr. Finkel is a graduate of Stanford University and Harvard Medical School. On completing her residency at Harvard, she was asked to
stay on as faculty at Harvard Medical School and spent five years teaching at the world-renowned Massachusetts General Hospital.
She was appointed to the Assistant Residency Director position for the Harvard Affiliated
Emergency Medicine Residency where she reviewed countless applications, personal statements and resumes. Read more

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