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What Is a BS/MD Program? Pros, Cons and Considerations

Written by Kachiu Lee, MD | Jun 2, 2025 6:51:02 PM

A BS/MD is a dual-degree program in which an undergraduate school partners with a med school to provide high school seniors with conditional acceptance into medical school after completing their undergrad. BS/MD programs are for students who show a focused interest in medicine through their high school career and demonstrate remarkably strong academic qualifications.

BS/MD students receive a Bachelor’s degree and then immediately enroll in the linked medical degree program, assuming they maintain the program requirements during undergrad.

Typically, these are 6-8 year programs, in contrast to the traditional 4 years of undergraduate plus 4 years of medical school when going the traditional route. BS/MD’s main benefit is a fast track into medical school, whether it be by reducing the number of years you’ll spend in school or the time you save not applying to medical school during or after undergrad. 


68% of our clients get accepted into one or more BS/MD programs — find out how you can, too!

 

 

BS/MD Programs: An Overview


A BS/MD program provides a streamlined path for students to earn both their undergraduate degree (Bachelor of Science) and their Doctor of Medicine (MD) degree.

Note: BS/MD programs are one type of direct medical program (sometimes called baccalaureate-MD programs). Many institutions also offer BA/MD (a Bachelor of Arts) or BFA/MD (a Bachelor of Fine Arts), which are essentially the same except that the undergraduate degree is more in line with a liberal arts education. You can also find baccalaureate-DO programs, listed as BA/DO or BS/DO.

In general, the term “BS/MD” is broadly used to refer to all similar programs that confer a Bachelor’s degree and an MD or DO degree by the time the program is completed.

Read Next: MD vs. DO: What’s The Difference + How To Choose 

Let’s take a look at the primary features of how these programs work.

Conditional Acceptance


High school students apply to BS/MD programs. If they are accepted, they immediately gain conditional acceptance to medical school in the future. The BS/MD application process is highly competitive, which I describe in more detail a little later in this article.

Undergraduate Studies (Years 1-3 or 1-4)


Students complete undergrad coursework, often in the sciences. These years should provide a strong foundation in sciences and include prerequisites for a college of medicine. Extracurricular activities, volunteer work, and internships should reflect a commitment to healthcare. 

The student’s conditional acceptance into medical school is contingent on maintaining specified academic standards during the remainder of their studies, typically including a high undergraduate GPA and sometimes a minimum MCAT score.

Depending on the program, some BS/MD students are not required to take the MCAT during their undergraduate career.


ON-DEMAND WEBINAR: 
MCAT 101: Everything You Need to Know About the MCAT 

Medical School (Years 3-6, 4-7, or 5-8, Depending on the Program)


Students will transition into the medical school curriculum. Clinical experience becomes a focal point, allowing students to apply theoretical knowledge in real-world medical settings.

Students take USMLE Step 1 and 2. They begin to prepare for the residency application process, honing in on their chosen specialty.

In general, medical school for BS/MD students is often the same as for any other medical student. A select number of schools offer accelerated medical school programs in just 3 years, but these accelerated programs aren’t necessarily limited to only BS/MD students.

How Are BS/MD Programs Different From Traditional Med School?


BS/MD programs differ from the traditional medical school route in several ways:

  BS/MD Program Traditional Med School
When to apply During senior year of high school During 3rd-4th year of undergrad, or after undergrad if taking one or more gap years
Program length 6-8 years; accelerated programs may require summer classes 4 years or more (after 4 years of undergrad + gap years)
Medical school choices Must attend the medical school associated with your undergraduate institution Unlimited unless applying early assurance
Competitiveness Acceptance rates at individual BS/MD programs are typically around 3% (other students may be deferred to standard application) Around 41% of applicants are accepted to med school any given application cycle
MCAT requirements MCAT is not required before applying to BS/MD; some programs require students to take the MCAT and meet a score requirement as part of their course of study Test required to apply, score expectations vary by school, scores 511+ are typically considered competitive (lower scores may be competitive at some DO programs, while much higher scores are needed to qualify for most Ivy League medical schools)
Cost Cost for a full undergraduate degree plus medical school; less expensive for accelerated programs (6-7 years) Cost for full medical school degree, plus undergrad degree cost

Financial aid is generally the same for most BS/MD degree programs compared to traditional undergrad and med school financial aid. Some programs may offer specific scholarships to BS/MD applicants only and some aid to traditional students only, but I find it basically balances out.

BS/MD programs often have specific application cycles aligned with standard college application timelines.

Does a BS/MD Program Mean I Don’t Have to Take the MCAT?


Waived MCAT requirements were a previously common benefit of many BS/MD programs. But today, most BS/MD programs require students to take the MCAT before entering their medical program.

In some cases, baccalaureate-MD programs require students to achieve a minimum MCAT score, while other programs do not specify a minimum score but still require you to take the MCAT.

Of the many dual-degree programs in the U.S., 15 totally waive the MCAT requirement for med school.

Competitiveness


Many BS/MD programs take 5-20 students per year. To matriculate, applicants must have a high GPA, strong SAT or ACT scores, stellar extracurriculars, and solid letters of recommendation. Admissions want to see the applicant’s commitment to a career in medicine.

How hard is it to get into a BS/MD program? It is very difficult. Only 3.3% of med school graduates came from BS/MD programs in 2022, up from the 2.8% that matriculated in 2018.

Most BS/MD programs are tight-lipped about their acceptance rate. But it’s clear from the institutions that do share their admissions data that BS/MD programs are extremely competitive.

Drexel University’s BA/BS+MD Program has stated that it admits roughly 2.5% of applicants. Brown University’s Program in Liberal Medical Education said that it offered 3.6% of applicants admission in 2019, a number that has surely dropped even lower since then.

No organization compiles official acceptance data on the applicant pool as a whole, so it’s impossible to know what percentage of BS/MD applicants get one acceptance or more. But based on acceptance rates at individual schools, that number is likely to be quite low as well.

To be competitive, you’ll need a very strong high school GPA, especially in math and science coursework. The programs also look for a strong portfolio of extracurricular activities, volunteer work, and research experience.

These programs are competitive because admissions committees are looking for the rare few students with enough maturity and focus to successfully tackle a compressed curriculum.

Is This the Right Path for You?


As a BS/MD medical student, you are essentially doing everything as you would if you were a traditional pre-med. The main difference is that you will do that work in a slightly condensed format, with the benefit of less pressure concerning whether or not you’ll get into medical school.

Is a BS/MD worth it? In theory, a BS/MD is very worth it, but only if you have the particular qualities required to excel in an accelerated program.

Read through our checklist below and ask yourself honestly, “Does this sound like me?” If it does, a BS/MD program might be your perfect path.

  •  I maintain good grades in school, especially in science classes.
  • I do well on tests like the SAT/ACT.
  • I have experience shadowing doctors and, ideally, some clinical experience with direct patient interaction.
  • I have volunteering and research experience, especially research experience related to medicine.
  • I know exactly why I want to be a doctor, and I’ve felt this way for a long time. It’s the only career path I have any interest in pursuing.
  • I’m confident that I want to attend a specific undergraduate school and its associated medical program.
  • I am a natural leader and can take charge as needed in school or community groups.
  • I can handle a busy school schedule while balancing other life factors like self-care and meaningful relationships.
  • I am ready to commit to being a doctor, and I understand how long and tough medical training can be.
  • I am interested in research, and I genuinely want to discover new things in medicine.
  • I could easily get strong letters of recommendation from teachers, especially in science.
  • I have excellent interview skills and feel very comfortable discussing why I love medicine.
  • I understand and am ready to fulfill the costs associated with a BS/MD program, including tuition and cost of living during school.

Think you could excel at a BS/MD program or an elite undergraduate school? Let us help you get into your dream program. 

 

 

While BS/MD programs offer a unique path for students set on a future medical career, they come with their own set of pros and cons.

Pros

  • Early medical school admission: High school seniors who secure undergraduate admission to these programs are ensured a place in medical school, provided they keep a specific GPA and meet minimum MCAT standards.
  • Lenient MCAT requirements: Certain BS/MD programs either exempt students from the MCAT or mandate the test without specifying a minimum score requirement. This approach aims to alleviate the stress related to MCAT preparation.
  • Time efficiency: Some programs integrate undergraduate and medical education within 6 or 7 years, as opposed to the conventional 8 or more. This expedited route not only conserves time and reduces tuition expenses but also enables students to begin earning money in their medical careers sooner.
  • Focused curriculum: With admission to medical school ensured, students in BS/MD programs usually dive straight into a curriculum centered on health sciences. This helps students establish a solid educational foundation from the start. 

 

Cons

  • Highly competitive: Because of their distinctive advantages, BS/MD programs can be highly competitive. To distinguish themselves in the BS/MD college admissions process, applicants often require a strong GPA and high school extracurricular activities linked to healthcare. Acceptance rates at BS/MD programs are typically less than 5%.
  • Geographical limitations: The binding nature of these programs often requires students to commit to the same institution or a partner institution for both undergraduate and medical school. You might see that as a drawback if you want to attend undergrad and med school at two different institutions.
  • In-state residency requirements: Some programs are only open to students who reside within that state.
  • Limited flexibility: These programs may not offer much room for exploration. This structure can be a disadvantage for students who later decide they want to pursue a different path or those who want a broader undergraduate experience.
  • Less prestige: Apart from Brown University, none of the Ivy League schools offer a BS/MD program. BS/MD’s tend to be more common at less selective schools, probably as a way to attract high-performing applicants. If prestige is a factor for you, just keep in mind that applicants who are competitive for BS/MD programs are also qualified for these elite schools. Those who decide to attend a direct medical program usually do so at the expense of earning a more prestigious undergrad degree as a traditional student.

Some schools might reserve your spot in medical school while you take a few years off to pursue other graduate degrees, while others don’t allow you to do so. This depends on the school’s philosophy.

For example, REMS at the University of Rochester encourages students to take gap years to pursue fellowships or other graduate degrees because they believe this will eventually help them become better doctors. Learn more by contacting individual programs directly.

4 Tips for Getting Accepted


BS/MD programs are known to be some of the most competitive programs in the country. Some of their acceptance rates make Stanford and Harvard’s 4% acceptance rate sound like a cakewalk.

While there’s no trick for guaranteed admission, there are 4 things you can do to make yourself a top-tier applicant.

1. Start Early!


Most students who are serious about getting into these programs don’t just wake up one morning of their senior year and make a spur-of-the-moment decision to apply. The top percentile of BS/MD matriculants know before they even step foot into high school.

It is important to stay involved with health-related activities during your high school years so that…

  • …you can decide this field isn’t for you after all, or
  • …you have the experience to back it up.

Whether it’s research, volunteering at a hospital or simply shadowing your family physician for clinical mentoring, it’s never too early to enter the field of medicine. Don’t wait until your senior year to go all in!

2. Get Those Grades


Keep your GPA high and study hard for your ACT/SAT tests. As previously mentioned, some of these programs have single-digit acceptance rates, which means having a strong GPA and a high ACT/SAT score is of utmost importance.

Some schools (such as Drexel University, Case Western, Penn State/Jefferson) require BS/MD applicants to be in the top 10% percent of their graduating class in terms of GPA and to have standardized test scores above a certain number.

A 1600 SAT score and 4.0 GPA will not guarantee your acceptance into any BS/MD program. However, high academic statistics are an indication of academic maturity and will greatly increase your chances of being considered. 

3. Organize Yourself


My greatest piece of advice is to narrow down your list of colleges early — and by early, I mean by the end of the summer before senior year, at the latest.

Then, create an Excel sheet noting all the important information in separate columns. It may be a pain to sit down one day and spend hours researching all the specific submission details for each university you are applying to, but it will largely pay off in the long run.

For example, indicate which BS/MD programs require you to submit essays through email and which ones have apps or website application portals you can submit through. Application deadlines may vary, too.

Each of these little details is unique to the program and can be easily missed. Rather than having to Google every time you forget one tiny detail, having an easy-access document with all the necessary information is much simpler.

Read Next: BS/MD Essays — Pre-Writing, Writing, and Editing Like a Pro!

4. Be Resilient


Rejection is never easy. Remember not to take a BS/MD rejection personally. Most of these programs accept only a handful of students out of the hundreds or thousands of applicants.

These programs can only admit a small group of students and, as such, are looking for the most qualified candidates they can find. You might be on track to be valedictorian, but if you don’t have the extracurriculars that an institution was looking for that year, they may pass you up. Don’t worry – if you’re competitive enough to even consider applying to a BS/MD program, odds are good that you’ll get into a fantastic undergrad program!

Program Cost


The cost of a BS/MD program is essentially the same as a regular undergrad to med school track. It’s not necessarily cheaper unless you do an accelerated program (i.e., a 6- or 7-year BS/MD program) rather than an 8-year option.

For cost reasons, accelerated programs are worth considering if you can handle the condensed workload. Graduating and entering the workforce sooner means less debt and an earlier start to paying off those student loans — if you had any.

Smaller but still noteworthy savings come in the form of bypassing the med school application program, since BS/MD programs offer conditional acceptance to medical school. Application fees to multiple programs and other expenses associated with travel and board can add up to thousands of dollars, fast.

BS/MD Programs in the United States


The following is a list of all available BS/MD programs and similar baccalaureate-MD programs in the United States as of December 2024.

Program Name MCAT Required? State Program Length Minimum GPA Minimum Test Scores
University of Alabama/UAB School of Medicine Yes, 506 minimum AL 8 years Not specified Not specified
University of Arizona/College of Medicine -Tucson No AZ 7 years 3.7 Not specified
California Northstate University/CNU College of Medicine Yes, 510 minimum CA 7 to 8 years Not specified Not specified
University of Colorado Denver/ University of Colorado School of Medicine Yes CO 8 years 3.5

ACT 27

SAT 1185 (Evidenced-Based Reading, and Writing + Math)

University of Connecticut/ UConn School of Medicine Yes, minimum score in 80th percentile rank; no subtest scores below 55th percentile rank CT 8 years 3.5 Not specified
Florida Atlantic University/ The Schmidt College of Medicine Not specified FL 7 to 8 years 4.3 (weighted)

ACT 33

SAT 1490

Florida International University/ Herbert Wertheim College of Medicine Not specified FL 7 Years 3.7 (unweighted)

ACT 31

SAT 1350 (no section below 600)

Augusta University/Medical College of Georgia Yes GA 7 to 8 years Not specified

ACT 32

SAT 1450

University of Illinois Chicago Guaranteed Professional Program Yes IL 8 years Not specified

ACT 28 (recommended not required)

SAT 1310 (recommended not required)

Indiana State University/Indiana University School of Medicine (open to residents of rural Indiana only) Yes, minimum score must meat the mean score of the previous year’s matriculants IN 8 years 3.5

ACT 27

SAT 1270 (Evidenced-Based Reading, and Writing + Math)

University of Evansville/IU School of Medicine Evansville Yes IN 8 years 4.0

ACT 29

SAT 1350

Grambling State University/Meharry Medical College (open to Black/African-American students only) Yes, score must meet the current minimum MCAT score (changes yearly), no section may be less than 122 LA/TN (undergrad in Louisiana, medical school in Tennessee) 7 to 8 years 3.25 (no grade under C in science courses) Not specified
Wayne State University/Wayne State School of Medicine Yes, score must be no less than the 70th percentile MI 8 years 3.5

ACT 28

SAT 1310

Missouri Southern State University/Kansas City University No MO 7 years

3.7 (overall, unweighted)

3.5 (math and science, unweighted)

ACT 28 (22 in math)

SAT 310 (540 in math)

St. Louis University/SLU School of Medicine (does not offer guaranteed admission to the school of medicine but does increase chances of acceptance) Yes, a score of at least 508 must be achieved. MO 8 years Not specified Not specified
University of Missouri-Kansas City/UMKC School of Medicine No MO 6 years Not specified

ACT 24

SAT 1160

Writing sections not considered for either exam.

Caldwell University/Rutgers New Jersey Medical School Yes, students must receive a competitive score NJ 7 years 3.5 SAT 1470
Caldwell University/St. George’s University Yes, students must receive a competitive score NJ 7 years 3.5 SAT 1270
The College of New Jersey/Rutgers New Jersey Medical School Yes, no minimum score required NJ 7 years 3.8 (unweighted)

ACT 30

SAT 1400 (Evidence-Based Reading and Math sections only; no super scores)

Drew University/Rutgers New Jersey Medical School Yes, no minimum score required NJ 7 years 3.8 (unweighted)

ACT 34

SAT 1500 (Critical Reading and Math)

Monmouth University/St. George’s University School of Medicine Yes NJ 8 years 3.4 ACT 30
Montclair University/Rutgers New Jersey Medical School Yes, students must receive a competitive score NJ 8 years 3.0 SAT 1100 (550 on both Evidenced-Based Reading, and Writing + Math)
New Jersey Institute of Technology/Rutgers New Jersey Medical School Yes, no minimum score required NJ 7 years Not specified

ACT 33

SAT 1490

No super-scores considered.

Rowan University/Cooper Medical School Yes NJ 7 years 3.5 (unweighted)

ACT score equivalent to SAT requirement (super-scores are accepted)

SAT 1350 (Math & Critical Reading sections)

Rutgers University/Rutgers New Jersey Medical School Yes NJ 7 years Not specified

ACT 32

SAT 1400 (Critical Reading and Math)

University of New Mexico School/ University of New Mexico School of Medicine Yes NM 8 years Not specified

ACT – Math 22, Reading 19, Science 19, English 19

SAT – Math 540, Reading 410

Brooklyn College/SUNY Downstate College of Medicine Yes, 509 minimum score NY 8 years Not specified Not specified
The City College of New York/CUNY School of Medicine Not specified NY 7 years Not specified Not specified
Hofstra University/Donald and Barbara Zucker School of Medicine (for underrepresented in medicine (URM) and economically disadvantaged pre-med students) Yes, a score equivalent to or greater than the 80th percentile at the first sitting must be achieved NY 8 years 3.7

ACT 32

SAT 1410 (Evidenced-Based Reading, and Writing + Math)

Casper exam required

Rensselaer Polytechnic Institute/Albany Medical College No NY 7 years 3.5

ACT (No minimum)

SAT (No minimum)

Siena College/Albany Medical College No NY 8 years Top 10% of graduating class

ACT 30

SAT 1360

St. Bonaventure University/George Washington University School of Medicine Yes NY 8 years Top 10% of graduating class

ACT 30

SAT 1390

(Evidenced-Based Reading, and Writing + Math)

Stony Brook University Scholars for Medicine Program Yes NY 8 years Not specified

ACT 35 (recommended, not required)

SAT 1490 (recommended, not required)

Union College/Albany Medical College No NY 8 years Not specified

ACT 30

SAT 1410

University of Rochester/University of Rochester School of Medicine and Dentistry No NY 8 years Not specified None specified
Case Western Reserve University/Case Western Reserve’s School of Medicine No OH 8 years Not specified Not specified
University of Cincinnati/University of Cincinnati School of Medicine Yes OH 8 years Not specified

ACT 27

SAT 1270 (excluding writing portion; super-scores not considered)

University of Toledo/University of Toledo College of Medicine and Life Sciences (guaranteed medical school interview if requirements are met; not a guaranteed acceptance) Yes, a score in the 65th percentile or greater guarantees an interview OH 7, 8, or 9 years 3.8

ACT 30

SAT 1410

The University of Oklahoma/University of Oklahoma College of Medicine Yes, a score equal to or higher than the average of the previous year’s incoming medical school class (approx. 509) OK 7 to 8 years No, based on “very high overall academic achievement” No, based on “very high overall academic achievement”
University of Tulsa/University of Oklahoma College of Medicine Yes, minimum score must meet the average of incoming medical school class (approx. 510) OK 8 years 4.0 None, successful applicants typically score in the top 5% on either ACT or SAT
Drexel University/Drexel University College of Medicine Yes, a score of 511 or a total of 513 with no section score less than 127 PA 8 years 3.5 (weighted)

ACT 32

SAT 1420

Penn State/Sidney Kimmel Medical College Yes, 508 minimum required with no less than 126 in CARS and no less than 127 in all other sections PA 7 years “Strong GPA” required, no specifics ACT or SAT must be submitted, no minimum requirement (successful applicants typically score SAT 1570 or ACT 36; super-scores not considered)
Temple University/Lewis Katz School of Medicine Yes, minimum 509 required with no section less than 126 PA

7 years (Health Scholar program)

8 years (BA/MD program)

Not specified

ACT 31

SAT 1350

University of Pittsburgh/University of Pittsburgh School of Medicine Only required if student is accepted without an SAT or ACT score, score is only used for advising (not admission) purposes PA 8 years Not specified

ACT 34

SAT 1490

Brown University/Warren Alpert Medical School No RI 8 years None None
Baylor University/Baylor College of Medicine Yes, minimum 501-507 score required with no section under 125 TX 8 years 3.7 (unweighted)

ACT 32

SAT 1430

Recommended scores, more than minimums

Texas Tech University/ Texas Tech University Health Sciences Center School of Medicine No TX 8 years None, but preference is given to top 10% of your high school class

ACT 30

SAT 1360

George Washington University/GW School of Medicine and Health Sciences No, but they do require an MCAT practice exam score Washington, D.C. 7 years None specified ACT or SAT score must be in the top 10% of test-takers
Howard University College of Medicine Yes, 504 minimum required Washington, D.C. 6 years 3.5

ACT 28

SAT 1300 (at least 650 in each section)

 

 

Next Steps


Now you know what to expect and what not to expect if you choose to commit to a BS/MD combined program. If you want to pursue BS/MD, we have lots of resources to make your application as good as it can be. 

Your next step is to speak with a member of our enrollment team who can help you get into a competitive BS/MD medical program. 68% of our BS/MD clients get an acceptance!