GITNUXREPORT 2026

Medical School Admissions Statistics

Medical school admissions are increasingly competitive with more applicants each year.

Sarah Mitchell

Sarah Mitchell

Senior Researcher specializing in consumer behavior and market trends.

First published: Feb 13, 2026

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Key Statistics

Statistic 1

The average GPA for all MD applicants in 2023 was 3.77.

Statistic 2

Matriculants to MD programs had an average GPA of 3.88 in 2023.

Statistic 3

Applicants with GPA 3.90+ comprised 28.4% of the 2023 MD pool.

Statistic 4

Average MCAT for MD applicants was 511.7 in 2023.

Statistic 5

MD matriculants averaged 512.6 on MCAT in 2023.

Statistic 6

45% of 2023 applicants scored 510+ on MCAT.

Statistic 7

GPA below 3.0 applicants: 4.2% of 2023 MD pool.

Statistic 8

BCPM GPA average for matriculants: 3.84 in 2023.

Statistic 9

MCAT CP section average for applicants: 127.1 in 2023.

Statistic 10

Applicants with GPA 3.8-3.99: 42% of accepted students in 2023.

Statistic 11

MCAT 520+ scorers: 6.8% of 2023 applicants, 28% of matriculants.

Statistic 12

Non-science GPA average: 3.80 for 2023 matriculants.

Statistic 13

From 2019-2023, average applicant MCAT rose 0.9 points.

Statistic 14

2023 applicants with perfect 528 MCAT: 142 individuals.

Statistic 15

GPA 3.5-3.59 applicants matriculated at 12% rate in 2023.

Statistic 16

MCAT BBFL section average for MD matriculants: 128.2 in 2023.

Statistic 17

75th percentile MCAT for applicants: 515 in 2023.

Statistic 18

GPA trends show 10-year increase of 0.15 points for applicants.

Statistic 19

MCAT PSY/SOC average: 127.8 for 2023 matriculants.

Statistic 20

Applicants with GPA <3.4: 22% acceptance rate in 2023.

Statistic 21

25th percentile GPA for matriculants: 3.77 in 2023.

Statistic 22

MCAT CARS average for rejected applicants: 126.5 in 2023.

Statistic 23

Overall GPA standard deviation for applicants: 0.42 in 2023.

Statistic 24

MCAT scores for reapplicants averaged 509.1 in 2023.

Statistic 25

Science GPA 3.7+: 55% of 2023 matriculants.

Statistic 26

MCAT 500-503 scorers: 18% of applicants, 1% matriculants in 2023.

Statistic 27

Average GPA for DO-to-MD applicants: 3.72 in 2023.

Statistic 28

MD matriculant MCAT 75th percentile: 516 in 2023.

Statistic 29

Applicants with 4.0 GPA: 8.2% of 2023 pool.

Statistic 30

Overall MD acceptance rate was 41.4% in 2023.

Statistic 31

Acceptance rate for in-state applicants: 47% vs 34% out-of-state in 2023.

Statistic 32

60.4% of MD interviewees matriculated in 2023.

Statistic 33

Black or African American applicants had 42.1% acceptance rate in 2023.

Statistic 34

Rejection rate after secondary applications: 68% in 2023 MD cycle.

Statistic 35

Hispanic/Latino applicants acceptance: 45.8% in 2023.

Statistic 36

Overall matriculation rate: 2.5% of applicants per school average in 2023.

Statistic 37

Asian applicants acceptance rate: 39.2% in 2023 MD programs.

Statistic 38

White applicants: 44.6% acceptance in 2023.

Statistic 39

International medical graduates acceptance: 3.1% in 2023.

Statistic 40

Female applicant acceptance rate: 43.2% vs 40.1% male in 2023.

Statistic 41

MD/PhD program acceptance: 6.5% of applicants in 2023.

Statistic 42

Public school in-state acceptance: 51% in 2023.

Statistic 43

Private MD school acceptance: 38% average in 2023.

Statistic 44

Reapplicant acceptance rate: 35.2% in 2023.

Statistic 45

Acceptance rate for GPA 3.9+ and MCAT 520+: 85% in 2023.

Statistic 46

Low GPA (<3.5) with high MCAT acceptance: 28% in 2023.

Statistic 47

Top 20 MD schools average acceptance: 3.8% in 2023.

Statistic 48

Osteopathic-trained MD applicants acceptance: 22% in 2023.

Statistic 49

Early decision program acceptance: 52% success rate in 2023.

Statistic 50

Post-interview rejection rate: 39.6% in 2023 MD cycle.

Statistic 51

Acceptance rate for disadvantaged applicants: 46.3% in 2023.

Statistic 52

Rural applicants acceptance: 48.1% in 2023.

Statistic 53

Acceptance for 30+ age group: 41.7% in 2023.

Statistic 54

Military applicants acceptance: 55% in 2023.

Statistic 55

Acceptance rate at Harvard Medical School: 3.2% in 2023.

Statistic 56

Johns Hopkins MD acceptance: 1.9% for 2023 cycle.

Statistic 57

UCSF School of Medicine acceptance: 2.6% in 2023.

Statistic 58

Overall interview rate: 24.8% of applicants in 2023.

Statistic 59

In the 2023-2024 cycle, there were 52,577 applicants to U.S. MD-granting medical schools, marking a 2.7% increase from the previous year.

Statistic 60

The number of first-time applicants to MD programs rose to 42,254 in 2023, up 1.9% from 2022.

Statistic 61

Total applications submitted to MD schools reached 1,224,308 in 2023-2024, a 1.2% increase year-over-year.

Statistic 62

Reapplicants to MD programs numbered 10,323 in 2023, representing 19.6% of all applicants.

Statistic 63

From 2019 to 2023, MD applicant numbers grew by 17.4%, from 44,589 to 52,577.

Statistic 64

In 2022-2023, 22,712 applicants applied to more than 20 MD schools.

Statistic 65

DO applicants to MD programs increased by 15% from 2021 to 2023.

Statistic 66

International applicants to U.S. MD schools totaled 11,102 in 2023.

Statistic 67

Female applicants comprised 46.5% of the MD applicant pool in 2023.

Statistic 68

Applicants over age 30 made up 12.3% of the 2023 MD pool.

Statistic 69

In 2023, 1,319 applicants held PhDs when applying to MD programs.

Statistic 70

Gap year takers among 2023 applicants reached 68.4%.

Statistic 71

From 2020-2023, underrepresented minority applicants increased by 25%.

Statistic 72

Total MD and DO combined applicants hit 90,000 in 2023.

Statistic 73

California residents submitted 14.2% of all MD applications in 2023.

Statistic 74

In 2023-2024, AMCAS applications opened with 30,000 submissions in the first month.

Statistic 75

Repeat applicants with prior MCAT scores averaged 508.2 in 2023.

Statistic 76

Applicants with military backgrounds numbered 1,456 in 2023 MD cycle.

Statistic 77

Post-baccalaureate program graduates applying to MD rose 8% in 2023.

Statistic 78

Texas medical schools received 8.5% of national MD applications in 2023.

Statistic 79

In 2022, 35% of applicants applied solely to public MD schools.

Statistic 80

National applicant pool for MD programs peaked at 53,000 in preliminary 2024 data.

Statistic 81

From 2018-2023, Asian applicant numbers grew 22%.

Statistic 82

Disadvantaged background self-identifiers among applicants hit 18% in 2023.

Statistic 83

Applicants with parents in medicine: 28.4% in 2023 MD cycle.

Statistic 84

Rural origin applicants: 4.2% of 2023 pool.

Statistic 85

In 2023, 7,891 applicants were Texas residents via TMDSAS.

Statistic 86

Overall cycle applications per applicant averaged 23.3 for MD in 2023.

Statistic 87

2023 saw 2,345 dual MD/PhD applicants.

Statistic 88

First-generation college applicants: 12.7% in 2023.

Statistic 89

Matriculants to MD programs totaled 22,976 in 2023.

Statistic 90

Females comprised 50.5% of 2023 MD matriculants.

Statistic 91

Asian matriculants: 24.1% of MD class of 2027.

Statistic 92

White matriculants: 47.3% in 2023 MD programs.

Statistic 93

Hispanic/Latino matriculants: 12.4% of 2023 class.

Statistic 94

Black/African American: 9.5% of MD matriculants 2023.

Statistic 95

American Indian/Alaska Native: 0.9% in 2023.

Statistic 96

Multi-racial matriculants: 5.7% of 2023 MD.

Statistic 97

In-state matriculants average 62% per public school in 2023.

Statistic 98

Average age of MD matriculants: 24.8 years in 2023.

Statistic 99

1st generation college matriculants: 15.2% in 2023.

Statistic 100

PhD holders among matriculants: 1.1% in 2023 MD.

Statistic 101

Gap year matriculants: 59.8% of class of 2027.

Statistic 102

California residents: 12% of national MD matriculants 2023.

Statistic 103

Disadvantaged background matriculants: 20.1% in 2023.

Statistic 104

Rural origin matriculants: 5.3% in 2023 MD classes.

Statistic 105

Parental physician households: 29% of 2023 matriculants.

Statistic 106

Military service matriculants: 0.8% in 2023.

Statistic 107

DO matriculants to MD programs: 4.2% crossover in 2023.

Statistic 108

International matriculants to MD: 0.2% in 2023.

Statistic 109

LGBTQ+ self-identified matriculants: 7.4% in 2023 survey.

Statistic 110

Economic disadvantage indicator: 18.5% of 2023 matriculants.

Statistic 111

STEM major undergrads: 62% of 2023 MD matriculants.

Statistic 112

Humanities majors matriculants: 12% in 2023.

Statistic 113

Social sciences majors: 22.1% of class of 2027.

Statistic 114

Public undergrad institutions: 68% of 2023 matriculants.

Statistic 115

Ivy League undergrads: 8.5% of MD matriculants 2023.

Statistic 116

Community college pathway matriculants: 2.1% in 2023.

Statistic 117

Underrepresented in medicine (URM): 18.6% of 2023 matriculants.

Statistic 118

Total first-year MD enrollment reached 22,976 in 2023.

Statistic 119

URM matriculants increased 12% from 2022 to 2023.

Statistic 120

Average matriculant debt at entry: $195,000 projected for class of 2027.

Statistic 121

76% of matriculants took at least one gap year in 2023.

Statistic 122

MD matriculation yield from acceptances: 74.2% in 2023.

Statistic 123

Total MD seats available: 30,945 in 2023 cycle.

Statistic 124

Public MD schools enrolled 55% of class of 2027.

Statistic 125

Private schools matriculated 45% despite more applicants in 2023.

Statistic 126

Multiple acceptances held by matriculants averaged 4.2 in 2023.

Statistic 127

Waitlist matriculants: 15% of class of 2027.

Statistic 128

Early assurance program matriculants: 1,200 nationwide in 2023.

Statistic 129

Combined MD/PhD matriculants: 1,024 in 2023.

Statistic 130

Deferred matriculation rate: 3.1% of accepted in 2023.

Statistic 131

Average applications to matriculate: 28 per student in 2023 MD.

Statistic 132

Fee assistance program users among matriculants: 25% in 2023.

Statistic 133

Post-bac matriculants: 12% of class of 2027.

Statistic 134

SMP (special master's) matriculants: 8.4% in 2023.

Statistic 135

Inter-school matriculation rate from interviews: 62% in 2023.

Statistic 136

Regional matriculants: 70% stay within 500 miles of home in 2023.

Statistic 137

Financial aid coverage: 85% of matriculants receive some in 2023.

Statistic 138

Merit scholarship matriculants: 18% of class of 2027.

Statistic 139

Out-of-state matriculants at public schools: 38% average 2023.

Statistic 140

Total DO enrollment growth: 5% to 31,486 in 2023.

Statistic 141

MD school class size average: 162 students in 2023.

Statistic 142

Fill rate for MD seats: 99.8% in 2023 cycle.

Statistic 143

Legacy matriculants: 5-10% per school average in 2023.

Statistic 144

Athletes matriculants: 3.2% of MD classes 2023.

Statistic 145

International baccalaureate matriculants: 4.1% in 2023.

Statistic 146

Non-traditional (5+ years post-undergrad): 22% of 2023 matriculants.

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Navigating medical school admissions has become an intensely competitive journey, as evidenced by the record 52,577 applicants vying for a spot in the 2023-2024 cycle, where nearly 85% of those with stellar stats got accepted while the overall acceptance rate remained a daunting 41.4%.

Key Takeaways

  • In the 2023-2024 cycle, there were 52,577 applicants to U.S. MD-granting medical schools, marking a 2.7% increase from the previous year.
  • The number of first-time applicants to MD programs rose to 42,254 in 2023, up 1.9% from 2022.
  • Total applications submitted to MD schools reached 1,224,308 in 2023-2024, a 1.2% increase year-over-year.
  • The average GPA for all MD applicants in 2023 was 3.77.
  • Matriculants to MD programs had an average GPA of 3.88 in 2023.
  • Applicants with GPA 3.90+ comprised 28.4% of the 2023 MD pool.
  • Overall MD acceptance rate was 41.4% in 2023.
  • Acceptance rate for in-state applicants: 47% vs 34% out-of-state in 2023.
  • 60.4% of MD interviewees matriculated in 2023.
  • Matriculants to MD programs totaled 22,976 in 2023.
  • Females comprised 50.5% of 2023 MD matriculants.
  • Asian matriculants: 24.1% of MD class of 2027.
  • Average matriculant debt at entry: $195,000 projected for class of 2027.
  • 76% of matriculants took at least one gap year in 2023.
  • MD matriculation yield from acceptances: 74.2% in 2023.

Medical school admissions are increasingly competitive with more applicants each year.

Academic Metrics (GPA/MCAT)

  • The average GPA for all MD applicants in 2023 was 3.77.
  • Matriculants to MD programs had an average GPA of 3.88 in 2023.
  • Applicants with GPA 3.90+ comprised 28.4% of the 2023 MD pool.
  • Average MCAT for MD applicants was 511.7 in 2023.
  • MD matriculants averaged 512.6 on MCAT in 2023.
  • 45% of 2023 applicants scored 510+ on MCAT.
  • GPA below 3.0 applicants: 4.2% of 2023 MD pool.
  • BCPM GPA average for matriculants: 3.84 in 2023.
  • MCAT CP section average for applicants: 127.1 in 2023.
  • Applicants with GPA 3.8-3.99: 42% of accepted students in 2023.
  • MCAT 520+ scorers: 6.8% of 2023 applicants, 28% of matriculants.
  • Non-science GPA average: 3.80 for 2023 matriculants.
  • From 2019-2023, average applicant MCAT rose 0.9 points.
  • 2023 applicants with perfect 528 MCAT: 142 individuals.
  • GPA 3.5-3.59 applicants matriculated at 12% rate in 2023.
  • MCAT BBFL section average for MD matriculants: 128.2 in 2023.
  • 75th percentile MCAT for applicants: 515 in 2023.
  • GPA trends show 10-year increase of 0.15 points for applicants.
  • MCAT PSY/SOC average: 127.8 for 2023 matriculants.
  • Applicants with GPA <3.4: 22% acceptance rate in 2023.
  • 25th percentile GPA for matriculants: 3.77 in 2023.
  • MCAT CARS average for rejected applicants: 126.5 in 2023.
  • Overall GPA standard deviation for applicants: 0.42 in 2023.
  • MCAT scores for reapplicants averaged 509.1 in 2023.
  • Science GPA 3.7+: 55% of 2023 matriculants.
  • MCAT 500-503 scorers: 18% of applicants, 1% matriculants in 2023.
  • Average GPA for DO-to-MD applicants: 3.72 in 2023.
  • MD matriculant MCAT 75th percentile: 516 in 2023.
  • Applicants with 4.0 GPA: 8.2% of 2023 pool.

Academic Metrics (GPA/MCAT) Interpretation

This data reveals the brutal, grade-fortified wall of medical admissions, where even a 3.77 GPA is merely the starting line for a race dominated by applicants whose averages are nearly perfect.

Acceptance and Rejection Rates

  • Overall MD acceptance rate was 41.4% in 2023.
  • Acceptance rate for in-state applicants: 47% vs 34% out-of-state in 2023.
  • 60.4% of MD interviewees matriculated in 2023.
  • Black or African American applicants had 42.1% acceptance rate in 2023.
  • Rejection rate after secondary applications: 68% in 2023 MD cycle.
  • Hispanic/Latino applicants acceptance: 45.8% in 2023.
  • Overall matriculation rate: 2.5% of applicants per school average in 2023.
  • Asian applicants acceptance rate: 39.2% in 2023 MD programs.
  • White applicants: 44.6% acceptance in 2023.
  • International medical graduates acceptance: 3.1% in 2023.
  • Female applicant acceptance rate: 43.2% vs 40.1% male in 2023.
  • MD/PhD program acceptance: 6.5% of applicants in 2023.
  • Public school in-state acceptance: 51% in 2023.
  • Private MD school acceptance: 38% average in 2023.
  • Reapplicant acceptance rate: 35.2% in 2023.
  • Acceptance rate for GPA 3.9+ and MCAT 520+: 85% in 2023.
  • Low GPA (<3.5) with high MCAT acceptance: 28% in 2023.
  • Top 20 MD schools average acceptance: 3.8% in 2023.
  • Osteopathic-trained MD applicants acceptance: 22% in 2023.
  • Early decision program acceptance: 52% success rate in 2023.
  • Post-interview rejection rate: 39.6% in 2023 MD cycle.
  • Acceptance rate for disadvantaged applicants: 46.3% in 2023.
  • Rural applicants acceptance: 48.1% in 2023.
  • Acceptance for 30+ age group: 41.7% in 2023.
  • Military applicants acceptance: 55% in 2023.
  • Acceptance rate at Harvard Medical School: 3.2% in 2023.
  • Johns Hopkins MD acceptance: 1.9% for 2023 cycle.
  • UCSF School of Medicine acceptance: 2.6% in 2023.
  • Overall interview rate: 24.8% of applicants in 2023.

Acceptance and Rejection Rates Interpretation

Navigating medical school admissions is a statistical obstacle course where your chances swing wildly from a coin toss to a lightning strike depending on whether you're a local superstar, a military veteran, or simply naive enough to apply to Johns Hopkins.

Applicant Volume and Trends

  • In the 2023-2024 cycle, there were 52,577 applicants to U.S. MD-granting medical schools, marking a 2.7% increase from the previous year.
  • The number of first-time applicants to MD programs rose to 42,254 in 2023, up 1.9% from 2022.
  • Total applications submitted to MD schools reached 1,224,308 in 2023-2024, a 1.2% increase year-over-year.
  • Reapplicants to MD programs numbered 10,323 in 2023, representing 19.6% of all applicants.
  • From 2019 to 2023, MD applicant numbers grew by 17.4%, from 44,589 to 52,577.
  • In 2022-2023, 22,712 applicants applied to more than 20 MD schools.
  • DO applicants to MD programs increased by 15% from 2021 to 2023.
  • International applicants to U.S. MD schools totaled 11,102 in 2023.
  • Female applicants comprised 46.5% of the MD applicant pool in 2023.
  • Applicants over age 30 made up 12.3% of the 2023 MD pool.
  • In 2023, 1,319 applicants held PhDs when applying to MD programs.
  • Gap year takers among 2023 applicants reached 68.4%.
  • From 2020-2023, underrepresented minority applicants increased by 25%.
  • Total MD and DO combined applicants hit 90,000 in 2023.
  • California residents submitted 14.2% of all MD applications in 2023.
  • In 2023-2024, AMCAS applications opened with 30,000 submissions in the first month.
  • Repeat applicants with prior MCAT scores averaged 508.2 in 2023.
  • Applicants with military backgrounds numbered 1,456 in 2023 MD cycle.
  • Post-baccalaureate program graduates applying to MD rose 8% in 2023.
  • Texas medical schools received 8.5% of national MD applications in 2023.
  • In 2022, 35% of applicants applied solely to public MD schools.
  • National applicant pool for MD programs peaked at 53,000 in preliminary 2024 data.
  • From 2018-2023, Asian applicant numbers grew 22%.
  • Disadvantaged background self-identifiers among applicants hit 18% in 2023.
  • Applicants with parents in medicine: 28.4% in 2023 MD cycle.
  • Rural origin applicants: 4.2% of 2023 pool.
  • In 2023, 7,891 applicants were Texas residents via TMDSAS.
  • Overall cycle applications per applicant averaged 23.3 for MD in 2023.
  • 2023 saw 2,345 dual MD/PhD applicants.
  • First-generation college applicants: 12.7% in 2023.

Applicant Volume and Trends Interpretation

The medical school admissions arena is an ever-expanding universe of hopefuls—from repeat warriors to PhD-toting polymaths—where nearly everyone is taking a gap year to polish their narrative, yet the seats remain stubbornly finite, proving that while the pool gets deeper, the lifeguard's whistle only blows for a lucky few.

Demographic Breakdowns

  • Matriculants to MD programs totaled 22,976 in 2023.
  • Females comprised 50.5% of 2023 MD matriculants.
  • Asian matriculants: 24.1% of MD class of 2027.
  • White matriculants: 47.3% in 2023 MD programs.
  • Hispanic/Latino matriculants: 12.4% of 2023 class.
  • Black/African American: 9.5% of MD matriculants 2023.
  • American Indian/Alaska Native: 0.9% in 2023.
  • Multi-racial matriculants: 5.7% of 2023 MD.
  • In-state matriculants average 62% per public school in 2023.
  • Average age of MD matriculants: 24.8 years in 2023.
  • 1st generation college matriculants: 15.2% in 2023.
  • PhD holders among matriculants: 1.1% in 2023 MD.
  • Gap year matriculants: 59.8% of class of 2027.
  • California residents: 12% of national MD matriculants 2023.
  • Disadvantaged background matriculants: 20.1% in 2023.
  • Rural origin matriculants: 5.3% in 2023 MD classes.
  • Parental physician households: 29% of 2023 matriculants.
  • Military service matriculants: 0.8% in 2023.
  • DO matriculants to MD programs: 4.2% crossover in 2023.
  • International matriculants to MD: 0.2% in 2023.
  • LGBTQ+ self-identified matriculants: 7.4% in 2023 survey.
  • Economic disadvantage indicator: 18.5% of 2023 matriculants.
  • STEM major undergrads: 62% of 2023 MD matriculants.
  • Humanities majors matriculants: 12% in 2023.
  • Social sciences majors: 22.1% of class of 2027.
  • Public undergrad institutions: 68% of 2023 matriculants.
  • Ivy League undergrads: 8.5% of MD matriculants 2023.
  • Community college pathway matriculants: 2.1% in 2023.
  • Underrepresented in medicine (URM): 18.6% of 2023 matriculants.
  • Total first-year MD enrollment reached 22,976 in 2023.
  • URM matriculants increased 12% from 2022 to 2023.

Demographic Breakdowns Interpretation

In a welcome but incomplete shift, the medical school class of 2027 is a more balanced mosaic of gender and race, yet it still leans heavily toward traditional pipelines of privilege, as evidenced by nearly a third of students having a doctor parent, over half taking a gap year likely for resume-building, and a mere sliver coming from community college or military service backgrounds.

Matriculation and Enrollment Data

  • Average matriculant debt at entry: $195,000 projected for class of 2027.
  • 76% of matriculants took at least one gap year in 2023.
  • MD matriculation yield from acceptances: 74.2% in 2023.
  • Total MD seats available: 30,945 in 2023 cycle.
  • Public MD schools enrolled 55% of class of 2027.
  • Private schools matriculated 45% despite more applicants in 2023.
  • Multiple acceptances held by matriculants averaged 4.2 in 2023.
  • Waitlist matriculants: 15% of class of 2027.
  • Early assurance program matriculants: 1,200 nationwide in 2023.
  • Combined MD/PhD matriculants: 1,024 in 2023.
  • Deferred matriculation rate: 3.1% of accepted in 2023.
  • Average applications to matriculate: 28 per student in 2023 MD.
  • Fee assistance program users among matriculants: 25% in 2023.
  • Post-bac matriculants: 12% of class of 2027.
  • SMP (special master's) matriculants: 8.4% in 2023.
  • Inter-school matriculation rate from interviews: 62% in 2023.
  • Regional matriculants: 70% stay within 500 miles of home in 2023.
  • Financial aid coverage: 85% of matriculants receive some in 2023.
  • Merit scholarship matriculants: 18% of class of 2027.
  • Out-of-state matriculants at public schools: 38% average 2023.
  • Total DO enrollment growth: 5% to 31,486 in 2023.
  • MD school class size average: 162 students in 2023.
  • Fill rate for MD seats: 99.8% in 2023 cycle.
  • Legacy matriculants: 5-10% per school average in 2023.
  • Athletes matriculants: 3.2% of MD classes 2023.
  • International baccalaureate matriculants: 4.1% in 2023.
  • Non-traditional (5+ years post-undergrad): 22% of 2023 matriculants.

Matriculation and Enrollment Data Interpretation

While dauntingly expensive and fiercely competitive, the path to becoming a doctor is surprisingly human, marked by debt, detours, and a stubborn preference for schools close to home.