Direct Entry Medical Programs
- Kate Pedigo, M.Ed., NCC
- Mar 24
- 2 min read

High school students interested in pursuing a pre-medical track in college are often attracted to direct entry medical programs. These programs are sometimes referred to as BS/MD or BS/DO programs, or early assurance programs.
What is a direct entry medical program?
A direct entry medical program is an accelerated path and/or early assurance path to
earn an MD or DO after earning a bachelor’s degree. A small number of colleges
offer such programs. The features of each program will vary based on factors such as the number of years to completion, whether MCAT scores will be required, minimum gpa that must be maintained, and whether preference is given to in-state students or students willing to work in a rural area or other specified area after graduation.
How competitive are direct entry medical programs?
The acceptance rate into direct medical programs varies by school, but is often
in the single digits. Students often have the best chance of acceptance at schools in their home state, but the acceptance rate is still very low.
Who is a good candidate for a direct entry medical program?
Direct entry medical programs are extremely rigorous and students often have little time for social activities and often forego common college experiences such as study abroad. For this reason, only students who are extraordinarily passionate about medicine and prioritize it above other experiences will be strong candidates. Further, the most successful candidates demonstrate all of the following:
Highest course rigor with top grades
Exceptional ACT/SAT scores
Demonstrated interest in medicine beginning in 9th grade as evidenced by
extracurricular activities and course work
Significant relevant experience including research, clinical experience,
shadowing, and volunteer work
Stellar supplemental essays
Beyond the Common App essay and a college’s supplemental essay(s), direct entry medical programs typically have additional supplemental essays relevant to their programs
Excellent interview skills
After reviewing applications, most programs will offer interviews to their most competitive applicants, and will select finalists from that pool of students.
How many direct entry medical programs should I apply to?
There isn’t a “one size fits all” answer to this question. First, it helps to consider which programs (and colleges) are the best match for you academically, socially, geographically, and financially as part of your selection process. It might also help to prioritize programs where your odds of acceptance are greater.
Keep in mind that applications to these programs are quite intensive, and you are likely also applying to colleges without direct medical programs, so your personal bandwidth is an important consideration.
At Growing2College, we assist students and families with college planning, as well as college application and essay coaching. Request a free 20-min consultation to learn more about how we can be helpful.
Kate Pedigo, M.Ed. NCC is an Independent Educational Consultant and founder of Growing2College. Join us on social media for college planning updates, tips, and resources: Facebook Instagram LinkedIn

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