By Elizabeth LaScala, MD, PhD
Many individuals who send me inquiries about medical school ask how I can help them build a strong narrative throughout the application cycle. Good question! I start with my criticism of the entire concept of a “narrative” which I view as something linear, something that has a start and a finish. The writing components of your medical school application should be layered rather than linear. Let me explain.
Three Major Medical School Application Services:
All major application services require an activities section; pay attention to the slight differences in character limits and number of allowed activities.
American Medical College Application Service (AMCAS) is the AAMC's centralized medical school application processing service. It permits up to 15 activities with a 700-character limit for each, except for three most meaningful activities which allows up to 1325 additional characters each.
The American Association of Colleges of Osteopathic Medicine Application Service (AACOMAS) is the centralized application service for U.S. osteopathic medical schools. It has no limit on the number of activities (but remember quality is more important than quantity) and allows 600 characters per activity.
Texas Medical and Dental Schools Application Service (TMDSAS) is the common application service for dental, medical, podiatry, and veterinary schools in Texas. It also has no limit on the number of activities and allows a 300-500 character-limit on each (depending on the type of activity), except for the three most meaningful activities which allows up to 500 additional characters each.
I like to start my applicants with a worksheet that asks them to describe all activities they believe are relevant to their medical school application. I also ask them to provide an expanded resume with dates and hours spent because often they capture experiences on the resume that are not reflected in the worksheet that would benefit their application.
The goal of the worksheet is to capture what experiences have shaped their path and I ask many questions that serve to identify themes or character qualities that occur across multiple activities and experiences. Themes are a good way (though not the only way) to structure a personal statement. For example, an applicant may have a strong theme of community emerging from service projects, casual work experiences, and special interests within the medical field. This theme will help the candidate organically incorporate multiple examples into the personal statement without it feeling like a disparate list of accomplishments. The worksheet is also a good place for me to get to really know a candidate as it provides a complete overview of their experiences and aspirations. It’s also a good sample of their writing – Do they write with a good level of detail? Are they able to tell a story to illustrate a particular point? How deeply do they reflect? All of this helps me understand how best to coach them going forward so their writing remains authentic but develops increasing refinement.
Once I have a worksheet, I recommend a detailed structure for the personal statement as well as a careful selection of activities and experiences to support the theme (or the character qualities). I start with the personal statement because this is the focal point of an application. It frames, informs, and contextualizes your activities and your secondaries. Although it can’t capture everything about the person you are, it provides a statement of the essentials for understanding the experiences that have shaped your aspirations as a future physician and the kind of physician you hope to be.
Next comes the layering, I alluded to earlier. Your personal statement will likely focus on 3-5 key experiences Your activities list will name 15 experiences, including the 3-5 mentioned in the personal statement. Your “most meaningful” experiences will be present in your personal statement, so extra care must be taken to write these in a way that adds depth without being repetitive. Your secondary essays will then mention experiences on and off that list (off the list experiences usually come into play when discussing one’s own upbringing and personal diversity). All these layers will join together to create a cohesive vision (rather than a linear narrative) of you as a candidate. This vision will shift slightly for each institution you apply to, as you cannot write and submit every secondary you develop to every school of medicine. Even so, each vision will still be a true representation of you.
Your interview is yet another layer. To ensure this layer is well executed, I advise applicants to review their application in full to remember the vision of yourself you presented to them. This is the “you” they know. I then advise applicants to be consistent with that “you” but also to limit repetition when you answer their questions. Interviews are an opportunity for depth and detail, yet another layer. To limit repetition and add depth, I advise making a list of recent things that have happened since applying: accomplishments, work experiences, awards/publications, recent events that have changed or further engrained your perspective. The more questions you can answer with recent examples, the less likely you will be to tell them things they may already know. If you know it is a closed application interview, this is not quite as critical. But they might read the application after the interview, so you want to present yourself as someone who is constantly growing and learning. Which of course you are!
Three Major Medical School Application Services:
All major application services require an activities section; pay attention to the slight differences in character limits and number of allowed activities.
American Medical College Application Service (AMCAS) is the AAMC's centralized medical school application processing service. It permits up to 15 activities with a 700-character limit for each, except for three most meaningful activities which allows up to 1325 additional characters each.
The American Association of Colleges of Osteopathic Medicine Application Service (AACOMAS) is the centralized application service for U.S. osteopathic medical schools. It has no limit on the number of activities (but remember quality is more important than quantity) and allows 600 characters per activity.
Texas Medical and Dental Schools Application Service (TMDSAS) is the common application service for dental, medical, podiatry, and veterinary schools in Texas. It also has no limit on the number of activities and allows a 300-500 character-limit on each (depending on the type of activity), except for the three most meaningful activities which allows up to 500 additional characters each.
