High School to Medical School: A Complete 4-Year Pre-Med Preparation Guide
- Essential College Coaches
- 2 days ago
- 3 min read

Essential College Coaches has created a 4-year high school plan to prepare you. This plan will show you how to build a strong academic record, how to find clinical experience and take part in the kinds of leadership opportunities that display your interests, character and values. College Admissions evaluates each of these items on your application.
Freshman Year (9th Grade) – Foundation Year
Academics
Take honors or advanced courses in:
Biology
Algebra I or Geometry
English
History/Social Science
Start building strong study habits to keep your GPA strong from the start.
Extracurriculars
Join science-related clubs: Science Olympiad, HOSA, Biology Club, etc.
Volunteer regularly: Hospitals, senior homes, Red Cross, shelters.
Summer
Do a volunteer project (40+ hours).
Consider a science camp or enrichment program (if available/affordable).
Visit colleges near you or on your travels to begin developing your priority list of college must-haves.
Sophomore Year (10th Grade) – Exploration & Early Involvement
Academics
Take honors or advanced courses in:
Chemistry
Geometry or Algebra II
Continue honors/AP classes if available (e.g., AP Bio if you’re advanced)
Start preparing for PSAT (for National Merit).
Extracurriculars
Take on leadership roles in clubs.
Continue volunteering and tracking hours.
Shadow a doctor or healthcare professional if possible.
Summer
Attend a medical or STEM summer program (e.g., local university or hospital-based).
Start SAT/ACT prep if planning to test early.
Prepare for the PSAT test in October (for National Merit contention).
Take a number of college tours, narrowing down your priority list - the size of the college, the location, the premed program highlights, the success the college has - with strong MCAT scores and acceptance to top medical schools.
Junior Year (11th Grade) – Peak Academics & Focus on your Passion for Healthcare
Academics
Take honors or advanced courses in:
Physics
Pre-Calculus or Calc
AP Courses: AP Chem, AP Bio, AP Lang, APUSH
Focus on maintaining a 3.9+ GPA (unweighted)
Extracurriculars
Apply for competitive summer programs:
UPMC Health Scholar Academy
Magee-Women’s Research Institute
NIH
SIMR (Stanford)
RISE (BU)
HSHSP (Michigan)
Your state’s Health Professional Governor School programs
Take leadership roles in clubs or start your own initiative (health or service-based).
Consider clinical experience like hospital volunteering, CNA or EMT certifications, etc.
Testing
Take the SAT/ACT in spring or early summer.
Take the PSAT (National Merit Contention)
Take AP Exams.
Summer
Do research or a clinical internship.
Continue volunteering or take community college courses in science.
Sign up for on-campus tours to all the schools you plan to apply to. Be a savvy consumer aware of all the reasons this college fulfills your college plans.
Senior Year (12th Grade) – College Applications & Consistency
Academics
APs: AP Bio/Chem/Physics, AP Calc, AP Psych, AP Lit
Finish with strong grades, many colleges look at first-semester transcripts
College Apps
Create a balanced college list with a focus on Safety and Target schools where your chance of merit scholarship money is higher. It is often smart to take the highest merit offer as an undergraduate, because you will still be financing an expensive medical school education.
Apply to schools with strong pre-med undergraduate programs. Please note that BS/MD direct admit programs are some of the most competitive and have lower acceptance rates than the Ivies.
Write a compelling personal statement focused on your passion for medicine, resilience, leadership, etc.
Include letters of recommendation from science teachers and mentors.
Extracurriculars
Solidify your “passion” — a consistent theme in healthcare or science.
Continue leadership and long-term volunteer roles.
Reflect depth, not just breadth.
Summer After Graduation
Consider a pre-college program, travel with purpose (e.g., medical missions), or work in a healthcare setting.
Prepare mentally for the rigor of pre-med college life.
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