The Michigan Daily - Friday. October 28, 1994 -- 3 - Only Only 49 percent of college graduates who apply to medical school are ac- cepted. Even for graduates of the Uni- versity, only 51 percent are accepted. Yet an informal survey shows that 100 percent of University students plan on applying to medical school. In 1993, 715 University students applied; more students apply from the University than any other institution. "We are the largest producer of pre- meds (nationally)," LSA academic ad- viser Penny Morris said. But just what is "pre-med?" There is no specific undergraduate *oncentration for students who plan to study medicine after college outside of the Inteflex program - a program in which students are essentially admit- ted to medical school when they are admitted to college. Rather, there are half of all medical school applicants are accepted two ways students can prepare them- selves. Many students declare a concentra- tion in a "traditional" field for medical school application. These majors in- clude biology, chemistry, biochemis- try and other natural sciences. Katie Horne, directorof admissions for the Medical School, said that a majority of applicants major in biol- ogy or chemistry. Years ago, these were the only acceptable preparation for admissions exams. Now, many undergraduates major in less traditional fields including po- litical science, Spanish and chemical engineering. Some students choose nontraditional fields to learn about fields they will not study in medical school. Others say they want to keep their options open so they can pursue a dif- ferent career if they are not admitted to medical school. LSA senior Brad Trivax is a pre- med majoring in Mid-Eastern Studies. "I didn't want to major in a science. I wanted to major in humanities be- cause I thought it would be more inter- esting," Trivax said. However. Trivax and others are taking a core pre-medical curriculum prescribed by medical colleges. Classes include elementary physics, math, chemistry, biochemistry and biology, with some upper-level classes in chem- istry. Medical schools also recommend foreign language and upper-level biol- ogy. Diana Rumpel, a senior biopsychology major, is currently ap- plying to medical school. "Bio majors learn about plants and fish," Rumpel said. "I'm more into the human aspect, like the brain." Morris, who also advises pre-medi- cal students, said students who major in nontraditional fields do not com- promise their chances of getting into medical school. "I can guarantee you that the medical colleges don't care." Morris said. However, Morris and Home agreed that a candidate's performance in un- dergraduate classes, especially sci- ence courses, is very important."What we see is that they're generally strong in their field and also very strong in the sciences," Horne said. "By sheer numbers, we have a lot of pre-med students. The primary way that we serve them is by the rigor of the environment (of University classes). There is little nurturing," Morris said. "Medical colleges know that if you can make it at U-M,.." LSA fifth-year senior Carmen McCallum is confident that she will be admitted to medical school after graduation. "If I graduate here, I think (I will be admitted)." Inteflex co-director Nicholas Steneck said, "I think (the University) neglects pre-med students." Inteflex plans to open classes to the all University students that were for- merly available only to Inteflex stu- dents. These offerings include a year- long introduction to health care and the health sciences for sophomore pre- medical students. Steneck said that such a class would open future options for students who are not accepted to medi- cal school. Classes, including Introduction to Health Care and Introduction to Health Sciences, are being developed for next year's LSA curriculum. Medical ethics courses, which are also limited to Inteflex participants, may be "open to the public" in the future. LSA Associate Dean Michael Martin, who coordinated the effort to open Inteflex classes to other stu- dents, said changes to the LSA cur- riculum will improve entry-level chemistry, math and physics classes and increase undergraduate research positions. "Inteflex will provide an opportu- nity to pilot new courses and other initiatives within LSA that could be of benefit to all students in the health sciences," Martin said. Aside from Inteflex students. 49 percent of University students who apply to medical school do not get accepted "The admissions process was recently streamlined by the American Medical College Application Service (AMCAS), which provides one ap- plication for colleges across the coun- try. Applicants complete the applica- tion, and indicate the colleges they would like to consider them. The ser- vice allows students to apply to as many as eight medical schools by filling out one application. Students also take the Medical Col- lege Admissions Test (MCAT), which tests applicants' knowledge in three sections: physics/chemistry. biology and verbal reasoning. Each category is scored separately and a maximum score of 15 is possible in each section. Many businesses, including Ex- cel, Princeton Review and Kaplan provide test preparation courses for the MCAT. These courses are expen- sive - Princeton Review charges $895 for its nine-week program. "The first thing I tell people is that they can do it on their own," Morris said of the programs. In addition to taking the standardized test, appli- cants write a personal statement. Once AMCAS provides colleges with applicants' vital statistics, the col- leges conduct a narrowing-down of candidates. Committees review appli - cations to see which applicants fulfill schools' minimum requirements for grade point averages and MCAT scores. University Medical School stu- dents have an average of 3.6 under- graduate grade point averages and 10.7 MCAT scores, compared to 3.47 and 7.9 averages nationally, accord- ing to the Association of Medical Colleges. The Medical School can afford to be choosy - it receives over 5,600 Acceptance Rates Students from the University have a slightly higher acceptance rate to medical school than college students nationally. 100- 90 80- 70 60 50 49% 30 51% ;, ' II /i,. 20 10 -j National average ANDREW TAYLOR/Daily applications each year for 130 posi- tions. The Medical School has room for 170 persons in each class, how- ever 40 of those spots are currently marked for Inteflex students. The next step for most colleges is the candidate interview, which is generally con- ducted by a member of the Admis- sions Committee. Because each in- terview is different, applicants must be prepared for a wide range of ques- tions. Interviewers usually draw from information included on the applicant's personal statement when conducting the interview. The inter- view is usually candidates' only chance to distinguish themselves in person from the thousands of applica- tions colleges receive. "What they're mainly trying to do is get to know the applicant and assess their communication skills," Horne said. While many students are hard- nosed scientists and are academically qualified, doctors have to deal with people also, Horne said. Communi- cations skills are essential in taking patient histories and other aspects of the doctor-patient relationship. " Be as prepared as you can be," Home advised. She noted that several publications are available on inter- view techniques, some of which give advice on the medical school inter- view. "It pays to do some research on this." Horne said. Colleges also consider students' other qualifications. Leadership ex- perience, an attitude of service and caring, and campus participation such as sororities and fraternities are all considered, Horne said. Despite a common misconception, University pre-medical students have a good shot at getting into medical school here. "You have a much better chance than other students," Horne tells ap- plicants. 40 percent of this year's en- tering class was composed of Univer- sity undergrads, and about 65 percent are Michigan residents. Medical students Christian Hull, Dan Hamstra, Christopher Perez and Ethan Marin (left to right) work in a first-year microbiology laboratory. nteflex program goes to 8 years, less students Even though most pre-medical students have entrance exams and other pressures to worry bout during their undergraduate career, about 155 students aren't worried - they are Inteflex students. The University's Inteflex program admits high school applicants to college and the Medical School simultaneously, but it isn't that simple. Inteflex is in a state of flux. The program has been revamped, and this year's entering class represents the changes. The program, which previously shortened medical education to seven years, has followed a trend set by similar rograms nationally - it has become an eight-year 1rogram. Nicholas Steneck, Inteflex co-director, said the decision to extend the program by a year was prompted by recent changes in the Medical School. The first and second years of Medical School coursework has been changed from a few major classes into smaller, more specialized courses. Inteflex students, who previously made a two- year transition from their last two years of under- graduate work into their M-1 year, did not fit neatly to the Medical School's changes. "You couldn't really separate out a course from any others," Steneck said. This year's class has also seen a difference in the "Flexis" themselves - there are only 35 students in this year's class instead of 40. The number of students Inteflex admits have been proportionate with the decrease in Medical School spots - Inteflex started with 50 students per class in 1972. Going to an eight-year program, Inteflex students have to choose a separate major. Previous classes ave graduated with a special biomedical sciences concentration, but this year's class and will have to fulfill the requirements for another concentration. "It's not that big a deal," first-year Inteflex stu- dent Peggy Liao said of the changes. "You get the full undergraduate experience." Although many see Inteflex students' admis- sion into medical school as automatic, no longer is it that simple. Last year's entering class is the last to be afforded the old policy on medical school admissions - all they had to do was graduate from their undergraduate years with the same minimum grade point require- ment as other LSA students. In fact, they took the MCAT only as practice. Beginning with this year's first-year students. there is a requirement for getting into medical school other than getting into Inteflex. Students must achieve a minimum grade point-MCAT score composite, an However, the program has often had dispropor- tionately high female representation. This year's entering class has 28 females and only seven males. "In this particular case, that's just the way it turned out," Steneck said. He asserted that at age 18, women are more academically competitive with men than at age 22. "There are just factors in the under- graduate years which tend to weed out more women. Another change in Inteflex will have a greater impact on the University's pre-med students - Inteflex will open up some of its classes to other LSA students next year. 'There are just factors in the undergraduate years which tend to weed out more women than men.' -Nicholas Steneck, lnteflex co-director equation set by the medical admissions committee. "There's concern that there is the same rigor between students entering through the eight-year program as the four-year program," Steneck said. "It's just a way of putting in quality control." But not all the students in the program thought the changes were positive. Matthew Bressie, a third-year Inteflex student, said he appreciated the flexibility of the program as it was. "That's been a real asset for me - not having to worry about the MCAT and being able to absorb my classes," Bressie said. The Medical School has mandated other factors for Inteflex admission, which has been criticized in the past for favoring certain groups of people. In efforts to comply with state mandates, the Medical School has stated requirements for admis- sion of underrepresented minorities, residents of rural communities. Medical admissions committees have also asked for an increase in students with an interest in primary care. The course openings were the result of an LSA review that began two years ago. Charges from students and faculty claimed that more money per Inteflex student was being invested by the Univer- sity than on other LSA students, who pay the same amount of tuition. Inteflex students are offered small-group seminars, and tutoring which are not open to other students. When Inteflex began, the University received incremental funding from the state and federal governments which was earmarked for Inteflex. However, the evolution of funding allocation over the past 21 years has allowed for less separation of some line items, including Inteflex income. Steneck said Inteflex funding has been virtually folded into the regular University budget, and the program has also been hit by recent funding cuts by the state. "The conclusion was that the program needs to produce more than for just a few students," Steneck said. I 0 ! ....:...... f. z: '. i