Med School Acceptance: The war before the war

By now, most school-leavers in South Africa have settled their plans for next year – that is to say, the majority of kids who will start their first year of MB.ChB. (Bachelor’s of Medicine and Bachelor’s of Surgery) next year, now know – and I’m sure they are very excited (and congrats to all of them)!

This time of the year also makes me a little sad, though. Newspapers and magazines are filled with letters from disappointed achievers and their families. Why haven’t I been accepted to medicine, they ask. I’m academically strong, I’m a leader, I serve the community. What is wrong with me?

And in South Africa, the race-card is often played. Some universities do have a quota system (something which I believe is damaging to all racial groups) and some have removed such criteria. But that’s not what this post is about.

A letter that broke my heart roughly translated to, “My little sister is a hard worker and all she wants to do is to help people, why can’t she do that?”

The fact is, South Africa has way too few medical schools, and yes, it sucks. Schools have been forced to increase their intake (Stellenbosch University for example) by the government, but when they comply they are not given additional funding. This causes more harm than good – medical schools built fifty years ago and receiving minimal subsidies do not have the capacity for so many students. Our lecture halls are not big enough (this year we had first years sitting on the floor!), our staff are too few, our support mechanisms are too thinly spread.

There are only eight medical schools in South Africa for a population of 50,586,757. The USA has 170 schools offering MD or DO (according to Wikipedia) for a population of 311,591,917. Now, I know this is a shabby calculation because one must look at population dynamics and number of young people etc, but that means that the US has one medical school per 1,832,893 people. We have one per 6,323,344, and most of these medical schools simply can’t take in more than 250 first years per year.

There are many more talented and worthy young people who dream of studying medicine than there are spaces for new first years. And ideally we need more medical schools, but sadly our government is not ideal, and the existing medical schools can barely keep head above water.

To the kids who didn’t get the coveted acceptance letter – it is not that the institution is against you or your background. More likely there just wasn’t space (that still sounds awful). It is not that you are not “good enough” – you would probably make an excellent doctor, and you need to believe that because if it really is your dream, you can still make it happen. Study a Bachelor’s of Science for a year, and apply again next year, and the next and the next. If you are on a waiting list, STAY on that list. Apply EVERYWHERE.

And to the family members who are distraught along with their kids: keep supporting them. If they want to keep following the dream, let them. Don’t embitter them – there is nothing as heavy as bitterness. Build their self-esteem; it’s a hard knock they are experiencing.

I’m a firm believer in things falling in place when you push for it hard enough. I’ve seen it happen. Keep going.


  1. myrashaukat says:

    The same thing happens here in Pakistan as well. There are more than a hundred thousand hopefuls for medical school and only something like 5000 get in the good government institutes. I was a part of this race too and I wasn’t one of the very best candidates to get in but I realised that if my aim is to serve and help people, there are many other ways. I should look for those. So now I’m doing a Bachelors in Public Administration from the best university here that offers it and I hope to, one day, help people at a bigger level than I would get to if I was a doctor! 🙂

    1. Thank you for sharing about Pakistan! It’s really interesting. I’m glad you’ve found something that will enable you to help people even more, it sounds really interesting!

  2. Lindsay says:

    I can relate to this. I was one of the matriculants of 2004 who didn’t get into med school and I was DEVASTATED! I ended up completing another 5 year degree (in complimentary medicine) and applied again after a year of working, and am now a very happy first year MBChB student. Of course, being quite a bit older than my class mates comes with its fair share of personal complications (Where do I get married and have babies in all of this?! I’d love to hear from other older med students who are also struggling with the start-a-family dilemma!) but I feel so incredibly blessed to just be here!!! On our first day of orientation, we were told that only 15% of the applicants are accepted. Incredibly humbling.

    My heart goes out to all the deserving students who applied and didn’t get in. Thank you for reminding them to keep trying! I wish I had read something like this back then, so that I didn’t wait all these years before working up the courage to apply again.

    Keep up the good work. I love your posts 🙂

    1. Thank you for your comment, Lindsay! Sorry for the delay in responding, but I have only just arrived back on SA soil for a few days. I am so happy that you continued to pursue your dream, you can be an inspiration for so many! I hope your first year is treating you well?

      1. Lindsay says:

        Welcome home! 🙂
        First year has been amazing so far, thanks. I had a few rough patches there (Biostats… Eek!) but things are good now. Looking forward to the Easter break 🙂
        I hope you settle back into everything nicely. Keep us posted 🙂

  3. Maddy says:

    Hi there I am unfortunately one of those student who didnt get in.I matriculated with very good results and am studying a Bsc for this year and where I’m studying I have the chance to re-apply this year after the first semester.Reading this gives me hope for my future success.I have been dreaming to become a doctor since the age of 8 years old and will never give-up! Good to know I’m not alone.:)#Perserverence

    1. barefootmegz says:

      Good luck, Maddy! I wish you all the best in your endeavours.

  4. Richard says:

    Hi there barefootmegz, I just wanted to let you know that I’ve linked to your amazing blog from a list of medical student blogs on a brand new forum I am setting up here:
    and in the doctors blog list as well:
    I have also included an entry that links through to your post on ‘Med School acceptance’ here:
    Please let me know if you would prefer me not to link to your content or if there are any changes you would like me to make? Thank you. Richard.

    1. barefootmegz says:

      Hi Richard, thanks for letting me know. It’s fine for you to link to my posts. Best wishes for your site!

  5. Cathrine says:

    Hey. I’m one of the students who couldn’t make it to Medicine. I really wanted to study MBChB, so I’m devastated and don’t know what to study now. I’ve been informed that you can study a BSc and then bridge into Medicine. I’d like to know whether there is a specific BSc degree to study to get into Medicine or just any BSc degree will get you through?

    1. barefootmegz says:

      Hi, I’m sorry I’m only replying to you now. As far as I understand, any BSc is good, but a BSc in Human Life Sciences is considered one of the best options. I wish you well on your journey forward, and I hope that you will manage to realise your dream.

  6. Cathrine says:

    Your response will very much highly be appreciated. Thank you 🙂

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