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    Ashbourne College

    KensingtonMedical Sciences Booklet

    Last updated JULY 2006

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    The Ashbourne College Medical Sciences Booklet

    This booklet is reviewed every year by staff at Ashbourne College.

    The 2006 version was re-written and compiled by John Wilson (Director of Studies) and May

    Chiem (Admissions and Administration).

    In recent years, valuable contributions have been made by:

    Stephen Owen

    Jim Sharpe

    Linh Nguyen

    John Wilson, August 2006

    2

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    Contents

    Introduction 4

    Overview 5

    Medical Sciences As A Degree And A Profession 6

    Making A Good Application 7

    What Can You Expect From Ashbourne? 19

    Medlink 22

    Is There Anything Else I Should Be Doing? 23

    Entry Requirements At The UK Medical Schools (See Also Appendix) 24

    A-Level Retakes And Medical Schools 25

    Information On Medical Organisations 27

    Alternatives To Medicine (Including Dentistry And Veterinary Medicine) 29

    Medicine For Non-Scientists 35

    What Happens If You Dont Succeed? 36

    Appendix (Medical School Entry Requirements) 37

    3

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    1. Introduction

    The Ashbourne Medical School Programme has evolved and developed for over 20 years since

    Ashbourne College was established in 1981. It is designed to give students the best possible chance

    of entering a UK Medical School. This booklet provides information about what Ashbourne College

    has to offer its medical candidates and guidance for students in both the AS and A2 years on how to

    prepare themselves to apply to read for medical degrees. It also contains important informationabout entry requirements to several medical degrees for both first time applicants and retakes.

    4

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    1.1 Overview

    Possibly the most crucial point to remember for any prospective medical candidate is that entry

    into Medical School isnot based on solid academic achievement alone. Students need to:

    Be well-prepared and well-informed about issues in medicine

    Be comfortable in the interview

    Gain suitable workexperience

    Have researched the profession thoroughly

    Have a genuine and strong ambition to become a doctor

    Develop effective communication skills to aid dealings with patients.

    Ashbourne can assist in informing applicants of medical issues through classroom teaching in

    addition to regularscheduledworkshops.

    Furthermore, interview technique will be developed through mock interviews with Ashbourne

    tutors and Professor John Foreman, Dean of Students and Professor of Pharmacology and aformer member of the panel for Medical School Admissions at University College London.

    5

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    2. Medical Science as a Degree and a Profession

    Medicine, Dentistry and Veterinary Science are among the most demanding and challenging

    choices of study at University. Both the workload and time commitment are vast, with a

    continuous round of essays, self-directed study and written assessments throughout the year. Not to

    mention the heavy schedule of lectures and laboratory work.

    It takes at least five years of university study (some medical degrees are six years long) to obtain

    a qualification. A doctor needs to be committed to life-long learning and study throughout his or

    her career. Doctors continually need to be re-licensed, which requires studying and passing

    examinations throughout their careers. Thinkveryhard about the implications of this to you.

    Besides requiring rigorous academic work, medicine is emotionally and spiritually demanding.

    Skills such as interacting with patients and managing distressing situations are essential to

    becoming a successful doctor. Doctors must be fully committed to their profession and their studies.

    There are, however, many rewards to being a doctor and it can be a fulfilling and gratifying

    career.

    Doctors are well-paid and their conditions, such as working hours, have improved in recent years.

    However recent revelations about GPs earning 250k are the exception rather than the rule and

    students should be mindful that they may amass substantialdebts during the course of their studies

    as a result in particular oftuitionfees, top-upfees and livingexpenses.

    Not all doctors become surgeons orgeneralpractitioners (GPs). Medical School graduates can

    specialise in a wide variety of disciplines, for which the Medical qualification is the first stage in a

    long career path. Some of these are:

    Anaesthetist

    Dermatologist

    Forensic pathologist

    Gynaecologist

    Oncologist

    Pathologist

    Research scientist

    6

    VITAL STATISTICS:

    Last year KingsCollege, London received 4,800 applications for theirmedical school.

    They made 700 offers

    360 students took up places

    of which 24 were from overseas.

    So, your chances of getting an offer were under 15%, much lowerfor international students. YOU HAVE TO BE GOOD TO GET AN

    OFFER!

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    3. Making a Good Application

    3.1 A-levels and General Entry Requirements

    All medical schools require Chemistry at A-level, and at least one other science; most require

    Biology at least to AS level. A typical Medical School candidate will offer Chemistry, Biologyand Mathematics or Physics. A fourth subject, such as Psychology or a Modern Foreign

    Language to at least AS level may be advantageous. This fourth subject should demonstrate the

    student's breadth of knowledge and enthusiasmforstudy.

    The minimum grade requirement at A2 level is ABB; most schools require AAB or in some cases

    AAA. It is also worth noting that medical schools tend (although the trend is changing) to give

    offers based on A-level grades rather than on UCAS tariff points. So AAC may not be good

    enough for an ABB offer for example.

    The GCSE requirements will vary from university to university and you need to make yourself

    aware of these. However, it goes without saying that you need to have a very strongacademicrecord and realistically any applicant to medical school will have a highnumberofAandA*

    grades at GCSE. Students who do not have the ability to attain A grades at GCSE or A level, may

    find that Medicine as a career is beyond them and they should berealistic and consider alternative

    careers.

    In addition to the A-level requirements, some Medical Schools require a good score in the

    BioMedical Admissions Test (BMAT) (see section 3.5 below). Check carefully in the university

    prospectuses for changes in entry requirements when choosing the Medical Schools particularly

    overseas applicants for whom there may be specific requirements.

    Good applicants would be expected to maintain outsideinterests; doctors should be well-balanced

    individuals in order to cope with the demands of the profession. They must be able to lead others in

    teams and to handle significant responsibilities. This can be stimulated by, for example, getting

    involved in school clubs, societies, drama groups and sports teams. (Dont forget ACT

    (Ashbourne Company Theatre) and the School Revue!)

    7

    ARE YOU A STRAIGHT-A STUDENT?

    Last year, on one of their interview days, the weakest

    candidate interviewed for Kings College Medical School

    had 4 As at AS-level and 9 A*s at GCSE.

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    3.2 The UCAS Application

    Your UCAS form is your first chance to impress the people who will assess your suitability for a

    medical degree. It is ESSENTIAL that you afford this process the amount of time it deserves and

    the attention you would expect from a prospective trainee doctor. Thorough planning and

    preparation are vital and you should take advice on the best way to complete your UCAS form

    before you begin and in good time.

    These days, the UCAS process is all completed on-line. The first sections ask for your personal

    information, examination results and university choices (see later). Once you have decided which

    universities to apply to, the vast majority of your time will be spent preparing your personal

    statement. This is yourONLY opportunity to sell yourself and outline your suitability to be

    offered an interview.

    8

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    3.3 The UCAS Personal Statement your chance to stand out from

    the crowd

    This is the primary way in which a choice can be made between otherwise equally suitable

    candidates. It is the first opportunity you have of convincing the admissions tutor that you are right

    for medicine and that it is right for you. Only 500 words are permitted, so it is imperative that you

    are both selective and precise. If you are interviewed, you should expect to be asked about what you

    have written in your personal statement.

    Ultimately, your personal statement has to convince a reader that you would make a good doctor. If

    you cannot answer the question Why do you want to be a doctor? you are not likely to be

    offered a place, more importantly should you really be applying?

    There is no real formula for writing a good personal statement. It is, after all, personal. However,

    in general, it should attempt to address the following:

    1. Describe yourinitial interest in Medicine (e.g. visit to a hospital, topic you have studied atA-level, article you have read, issue you have heard about). Avoid making statements like

    ever since I was a little girl/boy orI have always been fascinated by

    2. Discuss yourcontinuedinterest (i.e. what have you done to research the career?)

    i. Work experience what did you do, how was it valuable and how has it

    confirmed your desire to study medicine?ii. Reading what have you read about in scientific journals, newspapers etc that

    has stimulated further interest in medicine? You should be up-to-date and

    demonstrate your knowledge of topical issues in the field of medicine that

    interest you. You should also be able to say why they interest you.

    iii. Commitment have you attended conferences or lectures, undertaken voluntary

    work been involved with a charitable organisation?

    3. Demonstrate the transferableskills you have as a result of your extracurricular pursuits and

    interests. This should not be a list of achievements and interests, but should focus on how

    your extracurricular interests and talents have helped you develop skills pertinent to the

    medical profession (e.g. leadership, decision making, time-management, teamwork

    organisation etc).

    9

    WANT TO FOLLOW IN YOUR PARENTS FOOTSTEPS?

    A common reason for wishing to study medicine often cited by medical

    applicants, is a desire to follow my mother/father who is/was a doctor.

    This may be why you had an initialinterest in medicine, but it is not

    sufficient to base your whole application on a desire to emulate a family

    member.

    In fact, candidates whose parents are medics, may be treatedmore

    harshly as the admissions panel believe that students with a medical

    background should be able to clearly demonstrate, to a greater extent,

    what they have learned and what they know about the profession!

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    For instance, don't simply state that you have been captain of a school sports team; elaborate

    by describing the skills you learned and responsibilities you undertook. For example "As

    captain of the School 1st XI, I learned to organise team training sessions and the importance

    of motivating others on the field" If you play a musical instrument, explain how you

    balance time demands with the pressures of study and what sacrifices you made.

    4. Are there any services, aspects of the courses, etc. which are commontoallthe

    universities you have chosen (e.g. If you are a sportsperson, you may have been attracted to

    their sports facilities, you may like an aspect of the course which is common to each

    university, perhaps youd rather be at a university than a teaching hospital etc.).

    5. Tell them about you. Make it a truly personal personal statement! What type of person

    are you? What do you read? What films do you watch? What are your interests and

    hobbies? Where do you like to go on holiday? Let them know they are getting a person

    rather than a list of grades and achievements. Also, medicine is a stressful and demanding

    occupation so knowing how to relax is important.

    NOTE! You may feel you have few extra-curricular skills. In fact you will be surprised how

    many personal skills you have. Do you speak more than one language? Are you well

    travelled? What do you read? Are you confident in your ability as an experimental scientist?

    Do you ever care for younger siblings, elderly or sick relatives or children?

    However, be careful not fall into the trap of skill listing anyone can write, I am dedicated,

    hard working, committed, organised and intelligent. The better candidates are those who

    can support these claims.

    10

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    3.4 Your Reference

    Your personal tutor will write your reference. A good reference needs to be earned and the tutors

    will be honest and frank. Personal tutors may contact previous schools to obtain further reference

    information. The best way to earn a good reference is to beagoodstudent. Ensure you are on

    time for lessons and submit homework on time, avoid creating unnecessary work for your tutors,

    participate with enthusiasm in classes, and be consistent in your approach to work.

    11

    ARE YOU A GOOD STUDENT?

    NOTE! It is not unknown for a tutor to retract a

    reference later in the academic year for a student

    who initially impressed but then lapsed into bad

    habits! So your consistent effort needs to be

    maintained throughout the school year.

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    3.4 Medical School Interviews

    If your UCAS form and personal statement are excellent and you are lucky enough to receive a

    good reference, you may be called for an interview. Very few universities will accept a candidate

    they have not interviewed at least once about their commitment to medicine. For Oxbridge and

    other renowned universities, expect to be interviewed more than once and often 3 or 4 times.

    You will be asked direct questions about your personal statement, so ensure you can intelligently

    discuss anything you claim to have an interest in. It is therefore important never to cite an

    interest in the personal statement with which you are not very familiar. In other words, donttell lies you will be found out!

    You could expect to be asked:

    Why do you want to be a doctor?

    Why not be a nurse?

    What alternatives have you explored?

    Why have you chosen this university?

    What do you think of the structure of our course?

    How can micro-organisms be used in medicine?

    What are your views on public and private medicine and the governments Foundation

    Hospitals?

    What is the NHS? What issues are currently prominent within the NHS?

    12

    WHAT ARE THEY LOOKING FOR?

    A strong and colourful personality

    Lively and interesting students

    Passion, energy, drive, commitment, enthusiasm

    Interest and awareness of current affairs relating

    to modern-day medicine

    A student whose interests, knowledge and education,

    as presented in their application, are replicated at

    interview An ability to discuss relevant work experience

    An interest and enthusiasm for working with people

    Good communication skills

    Confidence without arrogance

    TOP TIP!

    Always be yourself! Your

    interviewers want to know

    more about YOU. Thats why

    they invited you.

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    Will your personal or religious beliefs conflict with your duties as a doctor?

    What is an epidemic?

    Why are we so healthy compared to the Victorians?

    I notice from your personal statement that please comment.

    What is the difference between a virus and a bacterium?

    What is MRSA? How has MRSA arisen?

    Why was the SARS outbreak so worrying?

    What is immunisation? When is it effective and why?

    What are your views on the MMR vaccine controversy?

    What is homeopathy? Do you approve?

    What are the negative aspects of the practice of medicine?

    What attributes to you have that will benefit the university?

    What qualities do you possess which are relevant to the practice of medicine? (Give

    evidence)

    What are your views on:i. euthanasia;

    ii. eugenics;

    iii. stem cell research?

    13

    WILL I BE INTERVIEWED WHEREVER I APPLY?

    The answer to this question is generally yes.

    The only institutions that may not interview you before

    making an offer are: The University of Edinburgh (sometimes interview)

    Queens University Belfast (However, take advice

    before applying here)

    The University of Southampton (do not usually

    interview)

    SO THESE UNIS MUST BE EASIER TO GET

    INTO, RIGHT?

    Wrong! If they dont interview, the universitiesmust have extremely high academic requirements

    and would expect an outstanding personal

    statement. Competition for places will be fierce.

    You should see the interview as an extra

    opportunity to shine and sell yourself. Getting an

    interview is an achievement in itself, you should

    look forward to a further chance to show the

    selectors what you know and let them know whythey should take you.

    Have confidence in your own ability.

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    14

    SO CANI AVOID THE INTERVIEW?

    If you are trying to avoid the interview, you have to ask yourself one

    question:

    WHY?

    If you are not confident enough to take an interview, is medicine the

    right career for you? A good doctor MUSTbe a good communicator

    and MUSTbe prepared to face difficult, stressful situations.

    If you have concerns about your interview, dont try to avoid it.

    Ask yourself what you are worried about and do something about it.

    But do not run away from it!

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    3.5 Testing! Testing!

    With an increasing number of students capable of obtaining straight-A grades in their A-levels,

    universities have a more and more difficult job in discerning the very best candidates from those

    who are merely competent. In order to help them, most universities require a pass grade in some

    form of additional test. There are some universities who do not require this, but you can expectmost of them to follow in the footsteps of the majority before too long.

    The additional tests are:

    The BMAT (Biomedical Admissions Test)

    The UKCAT (United Kingdom Clinical Aptitude Test)

    Two other tests exist (MSAT and GAMSAT), however these are intended for students on

    graduate entry programmes

    These tests are required by the following universities:

    BMAT University of Bristol Veterinary School course code D100

    University of Cambridge Medical School course codes A100, A101, D100

    Oxford University Medical School course codes A100, B100

    Royal Veterinary College course codes D100, D101

    University College London course code A100

    Imperial College London course code A100

    For more information see www.bmat.org.uk

    UKCAT

    University of Aberdeen course code A100

    Brighton and Sussex Medical School course code A100

    Cardiff University course code A100, A104, A200, A204

    University of Dundee course code A100, A104, A200, A204

    University of Durham course code A106 University of East Anglia course code A100

    University of Edinburgh course code A100, A104

    University of Glasgow course code A100, A200

    Hull York Medical School course code A100

    Keele University course code A100

    King's College London course code A100, A103, A203, A205

    University of Leeds course code A100

    University of Leicester course code A100, A101

    University of Manchester course code A104, A106, A204, A206

    University of Newcastle course code A101, A106, A206

    University of Nottingham course code A100

    15

    http://www.bmat.org.uk/http://www.bmat.org.uk/
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    University of Oxford Graduate Entry Medical Degree course code A101

    Peninsula Medical School course code A100

    Queen Mary, University of London course code A100, A200, A201

    University of Sheffield course code A104, A106, A200

    University of Southampton course code A100, A102

    University of St. Andrews course code A100 St. George's, University of London course code A100

    For more information see www.ukcat.ac.uk

    These tests are used by certain universities who believe that A-levels alone are insufficient to

    discern true aptitude for medicine. The test examines candidates' ability to solve novel problems

    and use knowledge in unanticipated applications. Candidates themselves must take

    responsibility for making the application for the UKCAT and BMAT separately from the

    UCAS application.

    The BMAT test has three elements, which comprise the following:

    1. A 60-minute test of aptitude and skills

    2. A 30-minute test of scientific knowledge and applications

    3. A 30-minute writing task

    The BMAT will take place this year on 01/11/2006. The cost of the test is 26.00. Ashbourne is

    registered as a BMAT centre.

    The UKCAT is a 90 minute test of the following skills:

    1. Verbal reasoning2. Quantitative reasoning

    3. Abstract reasoning

    4. Decision analysis

    The deadline for having registered for the UKCAT is 22/09/2006. The deadline for sitting the test

    is 29/09/2006. The cost of the test is 60.00. You must register on-line for this test and take it

    at an external centre. The closest test centre to Ashbourne is at London Bridge, Southwark,

    London.

    For both of these tests, you may find the websitehttp://www.newmediamedicine.com useful

    16

    http://www.ukcat.ac.uk/http://www.ukcat.ac.uk/
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    3.6 Work Experience

    Work experience is important for two reasons:

    i) It allows you to discuss the profession intelligently, realistically and with insight.

    ii) It will help to confirm for yourself that you really do want to be a doctor. You willobserve the profession at the front line and may have some of your illusions about the

    career curtailed! If you leave your work experience thinking that you dont want to

    be a doctor after all, that is not a bad thing. Its not a job suited to everyones tastes.

    Although not specified as an essential requirement by the medical schools, if you are serious about

    a career in medicine, you should endeavour to get as much experience of work in the medical

    professions as possible. Yourgeneral practitioner (GP) may be a good place to start. Ask if you

    can shadow her or him for a few weeks to gain an insight into how a surgery operates and what

    the day-to-day routines are for a GP. The work may be menial and unglamorous but you will gain

    a useful insight into the world of the medical professional and have an opportunity to demonstrate a

    willing attitude to serving others.

    You may wish to try for some hospital based work experience. Remember all junior doctors will

    have to spend some time on the wards; it is worth knowing what you are getting yourself in for!

    The type of work you could get will vary from cleaning on the wards to working in the hospital

    shop, you should decide if the available positions will be of value to you. It is virtually impossible

    (unless you have a contact) to get work experience shadowing a hospital doctor.

    17

    CANT GET WORK EXPERIENCE?

    It is very difficult to organise work experience particularly in hospitals.Hospitals are inundated with requests. Some places require CRB (police)

    checks, some have no space for volunteers. Here are some tips if you are

    struggling:

    1. Try care homes, old peoples homes, schools and centres for disabled

    children, clinics, doctors surgeries, physiotherapists, St Johns

    Ambulance and Red Cross as well as hospitals

    2. Dont give up! Hospitals and surgeries are busy places. Student work

    experience is LOW PRIORITY for them, as you might imagine. Bepolite, but persistent in your search

    3. A day or even an afternoon of work experience/observation can be

    extremely useful. Dont turn anything down

    4. You are not expected to have performed open-heart surgery, cured

    several forms of cancer or carried out an amputation! Try to make an

    effort to do something which allows you a realistic insight into a career

    as a carer, working with others, in health care etc.

    5. Work experience is not the be-all-and-end-all. You should also look to

    attend seminars, first-aid training courses, conferences (see MedLink,later in this booklet)

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    Work experience should be something that you initiate yourself, although the staff at the college

    will help you as far as they are able.

    The best starting point is the Internet. Visit the homepages of Londons hospitals and search for

    work experience or volunteering. To get you started, you may want to begin with the followingcontacts:

    1. Community Service Volunteers 0207 278 6601

    2. The National Centre for Volunteering 0207 713 6161

    3. The Royal London Hospital 0207 377 7792

    4. St. Bartholomews Hospital 0207 601 8339

    Act sooner rather than later. Places for work experience candidates are limited and hospitals are

    busy places. Your work experience application will not be made top priority; you may have to be

    persistent.

    Ashbournes tutors can help you with references and application letters but the work really has to be

    done by you. If youre serious about a career in medicine then you must take the initiative and do

    all that you can to enhance your chances of securing that place at medical school.

    Charity Work It can look impressive on a personal statement if you have given up some of your

    own free time to undertake charity or voluntary work. This could be a Saturday afternoon working

    in your local charity shop or a local hospice for the elderly. However, please undertake such work

    willingly rather than out of duty in an attempt to earn CV points. Voluntary work can be

    demanding at times for little reward, it would be unfair on the charity, its workers and the people in

    its care if you were not fully committed to the work and it is entirely inappropriate to undertake

    voluntary work for this reason.

    18

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    4. What can you expect from Ashbourne?

    Firstly you must remember that there are no guarantees. Most people who apply to medical

    schools will not take up a place (See Vital Statistics on page 6. Competition is fierce and

    increasingly strong. However, Ashbournes record of students gaining offers is good and we pride

    ourselves on the quality of assistance we provide to potential medical candidates and to the UCAS

    procedure in general.

    19

    DONT JUST TAKE OUR WORD FOR

    IT!

    Our recent BAC inspection rated both our

    UCAS and personal tutoring system as

    excellent (the highest rating). The

    comment below is taken directly from this

    report:

    Support for UCAS applications was

    excellent. The vice-principal made full

    use of the UCAS on-line system to

    monitor and track applications, enabling

    her to intervene promptly if there is a

    lack of progress.

    Specific additional support, including

    interview practice, is given to thosemaking Oxbridge applications or applying

    for medical or dental degree

    programmes.

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    4.1 Teaching

    At Ashbourne, you can expect:

    To receive 6 hours of tuition per subject per week for AS (depending on the number of

    students in the group). This will increase to 8 hours in the A2 year. One year intensive

    students can expect to have 8 hours of tuition in each subject per week

    Class sizes not to exceed 10 students (except in rare cases)

    Enthusiastic teachers who will take an interest in your studies and your application to

    medicine and appreciate your needs and requirements. Your tutors will always put yourbest

    interests first and will be on hand to offer assistance outside of class whenever they have no

    other teaching commitments

    Medical seminars on topical medical and scientific topics using up to date materials and

    journals

    Visitingspeakers and guest lecturers throughout the year

    To be provided with information regarding medical lectures and seminars off the premises (see

    MedLink section 5). Ashbourne is well situated for many of these events and they are

    organised regularly; Imperial College Medical School is a 10-minute walk and University

    College, London is a 15-minute tube ride . Medical applicants are urged to attend these events

    to broaden their interests and keep up to date with current medical and scientific issues

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    5. MedLink

    We strongly recommend our students attend the MedLink student conference held every December

    at the University of Nottingham. Details of the MedLink programme are published on

    www.medlink-uk.com from August 2006.

    It is a fantastic opportunity to:

    Experience student life

    Meet and discuss ideas with other prospective medical school candidates

    Meet current medical students

    Attend medical lectures, seminars and practicals

    Get an in depth look at Nottingham University, its facilities, situation, accommodation and

    atmosphere

    Speak to doctors and university lecturers

    The Medlink programme is a 4-day event held in two sessions usually in December, where

    students attend lectures, seminars and practical sessions, and have the chance to talk to the

    admissions tutors and Deans of many UK Medical Colleges. Also, medical students will be present

    to discuss the merits and drawbacks of studying Medicine. There are various practical sessions

    where students can interact with patients from the other side of the clipboard, and watch live

    surgery and clinical skills in action.

    Contact the Ashbourne Medical School Co-ordinator (John Wilson) for further details.

    22

    ISNT IT JUST A MARKETING EXERCISE BY NOTTINGHAM

    UNIVERSITY?

    Many students decide, as a result of attending MedLink, to apply to Nottingham.

    Many students decide, as a result of attending MedLink, not to apply to

    Nottingham!

    In order to make an informed decision about where to apply, you should visit as

    many universities as possible. This is an opportunity to visit and appraise

    Nottingham University and the city of Nottingham as well as get valuable helpwith your application to medicine.

    http://www.medlink-uk.com/http://www.medlink-uk.com/
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    6. Is there anything else I should be doing?

    You should begin to investigate which university you would like to apply to AS EARLY AS

    POSSIBLE. You should therefore investigate three things:

    1. Location arguably the most important factor. You will spend a minimum offive years

    in the town or city you choose to study in. This makes it a decision worth getting right.You should visit the university and the city if possible (this does not need to be an open day

    just hop on the train and go there!). You should also browse university websites and send

    for copies of their prospectuses

    2. Coursestructure what appeals to you? For instance Oxbridge take the very traditional

    approach of teaching pre-clinical medicine for three years, then clinical medicine. Most

    others adopt a more hands-on approach from the beginning

    3. Talk to students gain an insight into the medical schools. Open days are a good

    opportunity to do this, but in general students at universities are always happy to share their

    experiences

    ALSO

    Register AS EARLY AS POSSIBLE for tests such as the UKCAT and BMAT - See page 15

    for details of these tests.

    In addition, you should ensure you are familiar with topical medicine and scientific stories in the

    news and scientific journals. You should read a broadsheet newspaper everyday and also refer

    regularly to New Scientist and the Student BMJ (British Medical Journal). Remember you are

    likely to be asked about such issues at interview.

    It is also recommended that you broaden your reading. A good place to start would be the readinglist below:

    1. The Selfish Gene Richard Dawkins

    2. The Blind Watchmaker Richard Dawkins

    3. Language of the Genes Stephen Jones

    4. Almost Like a Whale Stephen Jones

    5. The Double Helix Watson and Crick

    6. The Red Queen Hypothesis Matt Ridley

    23

    If you cant decide where to live, why not consider St.

    Andrews University in Scotland. You will study there

    for a three year BSc course before transferring to

    complete you medical degree in Manchester. That way

    you will get to experience two fabulous and historic

    universities as well as live in two different countries!

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    7. Entry Requirements at the UK Medical Schools

    The entry requirements for every UK medical school are listed at the back of this booklet.

    REMEMBER, THESE ARE MINIMUM REQUIREMENTS. GOOD CANDIDATES WILL

    BE CAPABLE OF EXCEEDING THESE COMFORTABLY.

    Offers may be higher than those listed (in some cases, for exceptional candidates, they may be

    lowered, but this is rare).

    Also, remember it is not necessarily easier to gain entry into a university with a lower offer! A

    university offering AAB will have as tough, if not tougher, requirements than a university typically

    offering AAA.

    Last year Dundee was the only university to list their typical offer as low as ABB. This year they

    have hiked their minimum requirements up to AAA. Good for them!

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    8. A-level Retakes and Medical Schools

    You may have missed out on your A-level grades first time round and are hoping to improve your

    grades with a retake course. It is becoming less and less possible for you to obtain a place at

    medical school if you do not make your offer at the first attempt. If you are retaking, it is important

    not to waste valuable applications (remember you may only chose four universities) on

    establishments that do not take kindly to students who have had two attempts at their A-levels.

    PLEASE NOTE: IF YOU A RETAKER, YOUR CHANCES OF BEING OFFERED A

    PLACE ARE EXTREMELY SMALL. YOU SHOULD THINK VERY, VERY

    CAREFULLY ABOUT YOUR CHANCES OF SUCCESS BEFORE YOU DO SO.

    Sometimes people have a valid reason for needing to retake (such as an illness or death in the

    family), however even in such extenuating circumstances the odds are against you and you will be

    expected to have come close first time around (BBC would be the lowest expected result and often

    it would need to be higher).

    Your chances of taking up a place as a retake candidate will be higher if you have previously held

    an offer with a medical school and you apply to the same school again. In our experience, you

    should limit your retake applications to the universities listed on the next page. However, it is

    always worth contacting the university you want to go to directly they may make exceptions in

    exceptional circumstances.

    IF YOU ARE LUCKY ENOUGH TO BE GIVEN A PLACE AS A RETAKER, THEN YOUR

    OFFER WILL BE AAA AND A AT AS-LEVEL.

    25

    Q: I want to retake GCSEs to

    improve my chances of getting

    into medicine?

    A: Forgetit! You will be rejected if you have

    poor GCSE grades. Medical candidates are

    expected to be academic high-fliers who

    should not need to retake any exams under

    any circumstances.

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    Universities to Consider if you are Retaking you A-levels:

    Brighton and Sussex

    East Anglia

    Hull-York

    Keele Leeds

    Liverpool

    Manchester

    Peninsula

    Queen Mary

    Sheffield

    UCL

    Please note: This is a guide only, compiled in July 2006. Medical school applicants must take

    responsibility for checking these details BEFORE making their application. In view of increasedcompetition for places, the schools always prefer first time candidates.

    Our research has shown that only East Anglia and Peninsula are prepared to consider retake

    candidates without extenuating circumstances. In each case, students must be able to prove they are

    heading in the right direction with their academic record.

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    9. Information on Medical Organizations

    The British Medical Association (BMA): www.bma.org

    Represents doctors' interests; 80% of practising doctors are members

    Keeps members informed on clinical and other medical issues

    Publishes the BMJ and the Student BMJ

    Advises on doctors' careers and provides continuous professional training

    The website includes a medical education glossary and a guide to becoming a doctor

    General Medical Council (GMC): www.gmc-uk.org

    Protects patients' interests in the NHS

    Regulates and licences doctors to practice

    Maintains the register of licensed doctors

    Sets and maintains the standards of medical education

    Handles cases of professional misconduct

    National Institute of Clinical Excellence (NICE): www.nice.org.uk

    Appraises health techniques and medications before they are introduced into the NHS, by

    providing guidance on 'best practice'

    Set up in 1999 to ensue consistent and equal treatment across the NHS

    Royal Society of Medicine (RSM): www.roysocmed.ac.uk

    Publishes the JRSM

    Maintains a large library of medical books and journals

    Is a venue for continued professional development seminars, lectures and conferences

    Royal College of General Practitioners (RCGP): www.rcgp.org.uk

    Helps develop GPs' professional training and standards

    Royal College of Physicians (RCP): www.rcplondon.ac.uk

    The oldest of the Royal Colleges of Physicians

    Maintains standards in medical practice and conducts examinations and training

    Royal College of Surgeons (RCS): www.rcseng.ac.uk

    Promotes the highest standards in surgical care

    Administers examinations in surgical qualifications (it does not award qualifications; this is the

    job of the GMC)

    Advises the Department of Health and the NHS on surgical issues

    Royal College of Obstetricians and Gynaecologists (RCOG): www.rcog.org.uk

    Administers obstetrics and gynaecology examinations

    Sets standards to improve womens health

    Royal College of Pathologists (RCP): www.rcpath.org

    Promotes good practice in pathology

    Organises training and teaching and examinations

    Develops pathology techniques and technology

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    UK Central Council for Nursing, Midwifery and Health Visiting: www.ukcc.org.uk

    Regulates training and registration of nurses etc.

    Medical Research Council (MRC): www.mrc.ac.uk

    National research council which distributes tax-payers' money to medical researchers

    Promotes research in all areas of medicine and medicine-related technologies

    British Medical Informatics Society (BMIS): www.bmis.org

    Helps inform doctors on medical informatics issues

    National Association of Primary Care (NAPC): www.primarycare.co.uk

    Represents primary healthcare professionals (GPs and community care nurses)

    NHS Information Authority: www.nhsia.nhs.uk/def/home.asp

    Improves NHS services by providing information on services and standards

    Source of much useful clinical and statistical data on NHS services, waiting times and hospital

    details

    NHS Direct: www.nhsdirect.nhs.uk

    A nurse-led telephone advice and information service for rapid access by patients

    The Patients Charter: www.open.gov.uk/charter/patients

    Sets out standards and rights which UK citizens can expect from the NHS

    Includes complaints procedures for substandard and non-professional treatment

    Grey's Anatomy Online: www.bartleby.com/107/

    Does exactly what is says on the tin

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    10. Alternatives to Medical School

    Becoming a doctor is not the only worthwhile career open to students who want to work in health

    care. Below is some information on other medicine-related subjects which are worth considering;

    none of them is less rewarding or less worthy than medicine; a good physiotherapist or optometrist

    is a more valuable member of society than a poor doctor.

    1. Dentistry

    Dentistry should be considered as an alternative to medicine only in that it provides the student with

    an opportunity to specialise in one vital medical discipline. Dentistry is as demanding, or more so,

    than medicine academically and entry to dental college generally requires higher AS and A2 grades.

    Whereas a medical doctor will specialize in one particular area of treatment, a dentist is responsible

    for examination, diagnosis, treatment, surgery, X-ray and post-treatment patient care. Indeed, if a

    patient has a problem they will come to the dentist expecting diagnosis and all treatment. Dentistryis much more than drilling teeth; oral hygiene, dental reconstruction and dietary advice are also part

    of dentistry, and dentists are often involved in primary care such as diagnosing oral cancers and

    identifying cases of child neglect.

    If you are seriously considering a career in dentistry, then you must keep abreast of the ongoing

    changes within the National Health Service and the increasing number of dentists opting into the

    often more lucrative private sector.

    The tutors at Ashbourne can offer further advice on where to look next or what steps to take if you

    think dentistry is for you or if you need help in selecting a University.

    Entry Requirements

    If you wish to apply for a degree in Dentistry, assume that you will get an offer of AAB. You

    should be capable of achieving AAA at A-level. Some universities will not let you apply unless

    you have at least BBB from your AS examinations. Entry requirements are much more straight-

    forward than for medicine with most places looking for Chemistry and Biology at A-level. Any

    deviation is detailed below.

    If you have retaken your A-levels you are highly unlikely to obtain a place to study Dentistry unless

    you have genuine and serious extenuating circumstances and you have applied and held offers

    previously with the universities you apply to.

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    United Kingdom Dentistry Schools

    University Telephone Typical Offer Subject Requirements Retake Policy

    Birmingham Mr Donald

    Spencer 0121

    237 2766

    AAB Chemistry to A2 and one

    from Biology Physics and

    Maths

    Not accepted

    Bristol Dr John Moran0117 928 9000

    AAB Chemistry; Biologypreferred. Only one

    Maths subject allowed

    In exceptional circumstances,candidates who performed well in

    interview and missed their gradesby very small margin.

    Cardiff 029 2074 4227 AAB(including A in

    Chemistry orBiology)

    Chemistry; Biology to ASat least.

    Welcomed but places limited

    Dundee MoragMatthew

    01382 644 697

    AAA Biology and two other sciences/maths

    Not accepted

    Glasgow 0141 330 6216 AAB (and BBB

    at AS level)

    Chemistry and Biology to

    A2 strong preferencegiven to those with

    English at AS level

    Only if previously applied and

    achieved minimum BBC at firstattempt

    Kings College 0207 8486512 AAB and C in

    a 4th AS subject

    Chemistry or Biology

    required.

    Not accepted

    Leeds 0113 3436169 AAB A grades

    in Chemistryand Biology

    Chemistry and Biology

    required

    Accepted in theory, but priority

    given to first time applicants andretakes must have serious

    extenuating circumstances.

    Liverpool Mr George

    0151 706 5298

    390 points

    (AAB + 1 AS)

    Chemistry and Biology

    required; one to A2 theother to AS at least and

    must be grade B

    Only considered if applied to

    Liverpool in previous admissionscycle. Must have work experience

    in dental/doctors practice for at

    least 3-5 weeksManchester 0161 3060231 AAB + AS at

    grade BBiology and Chemistry Accepted in theory, but priority

    given to first time applicants and

    retakes must have seriousextenuating circumstances

    Newcastle 01912226000 AAB Biology or Chemistryrequired to A2

    Only considered if applied toNewcastle in previous admissions

    cycle

    Queen Mary

    University ofLondon

    02073777611 AAB Chemistry and Biology

    required

    Accepted rarely. Priority given to

    first time applicants and retakesmust have serious extenuating

    circumstances

    Queens Belfast 0289 0632733 AAA + 1 ASsubject (GradeA in

    Chemistry)

    Chemistry and anotherscience/maths. Maths andFurther Maths will not be

    considered as two A-levels. Biology required

    to at least AS level and aB grade is needed. Also

    you must take at least 9units in your final exam

    session

    Not accepted unless applied toQueens Belfast and held a firmoffer

    Sheffield 0114 271 7807 AAB Chemistry and another science

    Considered if received andaccepted an offer in the previous

    year

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    Further Information

    British Dental Association: www.bda-dentistry.org.uk

    General Dental Council: www.gdc-uk.org

    2. Veterinary Science

    Any preconceptions of a veterinary career being cushy number should be abandoned. The training

    period before qualification is long (five or six years) and gruelling. Since there are only six schools

    offering veterinary science, the competition for entry is much keener than for medicine.

    Dealing with animals does not isolate the vet from dealing with human emotional issues. Informing

    a person that his or her only companion is too sick for economical treatment is not an easy thing to

    do. Equally difficult is telling a farmer that you may need to cull all of his livestock to contain the

    outbreak of a disease, hence seriously compromising his livelihood and only source of income.

    Within the profession, opportunities for specialization are very wide. You will treat far more speciesthan the one you contemporaries at Medical Schools are stuck with for starters! Within the field

    however, there are opportunities for microbiologists, parasitologists, pathologists, surgeons and

    equine specialists among others. You will also have to decide whether to be employed by Her

    Majestys Department of the Environment, Food and Rural Affairs (DEFRA - www.defra.gov.uk),

    an animal charity such as RSPCA (www.rspca.org.uk), a pharmaceutical company or in private

    practice. Each is in itself hugely varied and increasingly specialised.

    Veterinary medicine is a physically tough and dangerous career as many animals are not keen on

    veterinary treatment! There is a huge demand for veterinary doctors willing to work in large-animal

    practice in agriculture; many veterinary graduates have chosen careers in small animal practices in

    urban areas as this are less dangerous and physically hard, which has led to a surplus of small-

    animal vets in England.

    Entry Requirements

    Students should aim to study Chemistry and Biology and another science. Most applicants to

    veterinary science will probably have taken four A-levels and will probably secure A-grades in

    each; indeed veterinary science has arguably the most demanding entry requirements. If you have

    retaken or are considering retaking youre A-levels in order to gain a place at a Veterinary College

    you should be aware that you will almost certainly not be successful. Places are in such high

    demand that the schools will not and do not need to consider retakes to make up their numbers.

    You are also highly unlikely to find Veterinary courses listed in clearing.

    The most important entry criteria for any prospective veterinary candidate will be an ability to

    demonstrate a love and passion for animals, and mammals in particular. Have you attended riding

    school since you were six? Did you grow up on a farm? Have you done voluntary work at London

    Zoo?

    31

    http://www.gdc-uk.org/http://www.defra.gov.uk/http://www.defra.gov.uk/http://www.defra.gov.uk/http://www.defra.gov.uk/http://www.gdc-uk.org/http://www.defra.gov.uk/
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    United Kingdom Veterinary Schools

    University Telephone Typical offer Subject requirements Retake policy

    Bristol 0117 928 8153 AAA + pass in

    BMAT

    Chemistry and Biology essential

    Physics or Maths recommended

    In extreme mitigating

    circumstances

    Cambridge 01223 337 600 AAA Three from Biology, Maths, Physicsand Chemistry

    Not Accepted

    Edinburgh 0131 650 6130 AAB Chemistry (A grade) and Biology

    essential Physics or Mathsrecommended

    Not Accepted

    Glasgow 0141 330 2225 AAB Chemistry (A grade) and Biology and

    one other science

    Not Accepted

    Liverpool 0151 7944281 AAB + one

    AS (390points)

    Biology essential; Chemistry

    recommended

    Not Accepted

    Nottingham 0115 951 6411 AAB Chemistry (A grade) and Biology (Agrade) essential Physics or Maths

    recommended

    Not Accepted

    Royal Veterinary

    College, Universityof London

    020 7 468 5000 AAA Chemistry and Biology required Not Accepted

    Further Information

    British Veterinary Association: www.bva.co.uk

    Royal college of Veterinary Surgeons: www.rcvs.org.uk

    3. Optometry

    Optometry requires a level of commitment similar to medicine. The degree programme involves

    completion of a BSc with clinical training and in this respect is similar to a degree in medicine. The

    optometrist is concerned with preserving or restoring vision to children and adults to help them to

    live fulfilling, unhindered lives. The loss or depletion of good visual acuity can be an extremely

    debilitating disorder

    The allure of a degree in optometry might be driven by a desire to become a specialist in a highly

    intricate piece of anatomy. You should certainly have a strong interest in sciences; in particular

    practical aspects as problem analysis and solving are frequent features of an optometrists daily

    work.

    The optometrist is a healthcare professional and as such should possess good interpersonal and

    communication skill. Additionally you will require a degree of business acumen as optometrists are

    generally managers of their own businesses and appoint their own staff.

    Further Information

    Institute of Optometry: www.ioo.org.uk

    College of Optometrists (UK): www.college-optometrists.org

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    4. Physiotherapy

    If you intend studying physiotherapy in order to fulfil your dream of working as Manchester

    Uniteds head-physio then you may be surprised when you realise what physiotherapy actually

    involves. Although the opportunity to work with professional sports people is a possibility,physiotherapists are also employed in industry and private practices. However, the majority of

    chartered physiotherapists work in hospitals for the NHS.

    You will be responsible for treating patients with a wide variety of diseases, both communicable

    and non-communicable. Physiotherapy is also a vital part of the rehabilitation programme of

    patients who have suffered accidents, undergone surgery or been confined to a bed for a long period

    of time. If you opt to work for the NHS you will find yourself part of a team that may include

    osteopaths, occupational therapists, prostheticists as well as more usual hospital staff such as

    doctors and nurses. As such, you must be a good team member with excellent communication skills.

    You should have a keen interest in human physiology and in practical science skills. Physiotherapy

    is a hands on approach to healthcare that incorporates wide range of mechanical equipment inaddition to your own hands.

    Physiotherapy is extremely competitive and hugely oversubscribed. Entry requirements are rarely

    lower than those for medicine and only candidates expressing a real desire to become a

    physiotherapist will be considered. Ashbourne can help you to assess the strengths of your

    application and help you build on weaknesses. Work experience for example is vital if you intend

    being taken seriously.

    Entry Requirements

    A relevant Biological Science (Biology, Human Biology or in some cases Sports Studies) will

    almost always be required to full A-level. Another science subject is also recommended.

    5. Pharmacy/Pharmacology

    If you are interested in a rigorous and demanding medical science degree then Pharmacy may be

    appropriate to you. Pharmacists are responsible for advising patients of appropriate medications and

    hence carry a large degree of responsibility. You will be responsible for preparing and dispensing

    drugs for sale and for counter prescriptions. You will lead a team of assistants and will be required

    to work lengthy hours in very busy and often stressful situations. The course is demanding and

    popular and hence entry requirements are often high. A-level Chemistry and at least one otherscience (Biology preferred) will be prerequisite.

    6. Nursing

    For every doctor in the NHS, there are ten nurses; every doctor knows that nothing happens without

    a nurse. The demands for nursing are as heavy but it can be an extremely rewarding career. Changes

    in the structure of the NHS has places greater responsibility on ward nurses; they are now able to

    diagnose patients, prescribe and dispense some medicines, refer patients to other specialists and

    carry out nearly all of the duties of a doctor. This is reflected in improving pay scales and

    conditions for nurses.

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    Nursing does not require such high academic grades as medicine at A-level; two A-levels and an

    AS level will generally suffice. Biology and one other science, preferably chemistry, are needed;

    the most important requirement is a high level of commitment.

    There are two routes into nursing. The degree program through university study is more academic

    than the alternative, nursing school in an NHS hospital. Basic nurse training takes two to three

    years, after which there are numerous specializations open.

    7. Biomedical Science

    Biomedical Science (BMS) is often seen as either a backdoor into medicine or as 'medicine-lite'.

    However, BMS is very demanding, as students will need to master a greater depth of academic

    knowledge than medical students whilst remaining familiar with clinical practice and medical

    applications. BMS contains a high proportion of chemistry and biochemistry and incorporates a

    substantial amount of independent academic research. Most BMS degrees last for 4 years including

    a 6-month or year-long research project.

    It is possible for candidates to enter Medical School after graduating in BMS; however this is

    extremely difficult and competition is very fierce; the number of candidates attempting this entry

    path into medicine has increased enormously in the last few years; those who are successful has not.

    Candidates must not only have achieved good grades in the final examinations, but also to have

    worked hard preparing for medicine by for example working in hospitals as a researcher or

    volunteer. Students graduating with a BMS degree have the same chances of entering medicine as

    any other science graduate.

    BMS graduates usually continue in academic or industrial research in a university or

    pharmaceutical company; candidates should consider carefully whether this is the career path they

    wish to pursue.

    9. Other Options

    If you are still interested in a degree in healthcare or medical science but dont feel any of the

    options above are suitable for you, there are other alternatives to choose from. The tutors at

    Ashbourne will advise you on the suitability of any of the below courses as well as help you to

    choose the most appropriate establishment.

    Chiropractice Podiatry

    Food Science and Nutrition Immunology

    Occupational Therapy OsteopathySports Science Forensic Science

    Equine Science

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    11. Medicine for non-scientists

    If you have taken non-science A-levels but during that time have developed an interest in Medicine,

    you can apply to undertake a degree programme which includes a foundation year. You will be

    required to have, or be predicted, very high A-level grades in the subjects you have taken (at least

    AAB). The following universities offer such a programme although be careful as some may require

    you to have taken a science to some level so check with the universities first:

    The University of Bristol

    The University of Cardiff

    The University of Edinburgh

    Kings College, London

    The University of Manchester

    The University of Sheffield

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    12. What happens if you dont succeed?

    If you do not receive any offers from the medical schools first time around, you can consider

    reapplying next year. To maximise your chances of success, you will need to secure excellent A-

    level grades and dedicate as mush time as possible to strengthen your application. Get as much

    experience as possible. You will have a year to fill use it wisely.

    If you do not meet the requirements of your offer, as a potential medical school candidate, you are

    likely to be a strong applicant and as such consider using your good results to gain entry into

    another, competitive degree programme. If your heart is set on medicine, you have a few options.

    If you receive an offer but miss out by a small margin andyou are a strong candidate otherwise, it is

    worth discussing the issue with the admissions tutor at the Medical School. They may have unfilled

    places. Otherwise you will need to take individual advice about other options including retaking,

    graduate entry and clearing.

    Remember, few, if any, medical places will be available through clearing.

    Good Luck with your application!

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    13. Appendix

    1. Medical School Entry Requirements