Medical School Secondary Essay Prompts: The Most Common Questions to Prepare For

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Posted On: June 13, 2019
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Key Points

  • Secondary essays arrive soon after your primary application, so start preparing early.
  • Returning secondaries within about two weeks shows genuine interest in each program.
  • A spreadsheet helps you track prompts, deadlines, and submissions for every school.
  • Most medical school secondary essay prompts follow common themes, so you can pre-draft core stories.
  • Follow every direction, add new depth beyond your primary, and edit each essay carefully.

Last Updated on October 1, 2026

Quick answer: Common medical school secondary essay prompts ask why this school, how you would contribute to the community, about a challenge or ethical dilemma, and about your goals as a physician. Pre-writing answers to these themes, then tailoring each one to the school’s mission, helps you return secondaries quickly and thoughtfully.

Medical School Secondary Essay Prompts: The Most Common Questions to Prepare For

You’ve uploaded your transcript, MCAT score, extracurricular information, personal statement, and finally clicked the submit button on the AMCAS. You might want to use the next couple of weeks to relax. I wouldn’t recommend it, considering your medical school secondary essays are right around the corner. Schools cut off a big portion of the application pool between the secondary and the interview stages, so don’t take the medical school secondary essay prompts lightly!

Although medical schools don’t begin sending out secondary applications until AMCAS has verified your primary and transmitted it to them, you shouldn’t just sit around and start reading a 400-page novel for fun while you wait. Rather, prepare yourself to have common essay topics ready for the minute the prompts are sent out. Below, I’ve outlined the general timeline of secondaries, how to keep yourself organized in the process, the most common medical school secondary essay prompts and how to approach them, the kinds of secondary questions MD programs ask, and overall dos and don’ts when writing your medical school secondaries. [1]

How to Prepare for Secondaries: The Basics

Secondary essay prompts are demanding and ask you questions that allow you to reflect on your experiences, career goals in medicine, and challenges that you have overcome. Medical schools want to know why you’re interested in their program and how they might be a good fit for you and vice versa. The number of applicants who receive secondaries varies from school to school. Most schools automatically send out secondaries upon submission of the primary to all applicants, while others ensure students have passed an initial screening and met school-specific GPA and MCAT thresholds before sending out secondary essays.

First and foremost, you should not put off submitting your secondaries, because your application is not considered complete without them. At most schools, your AMCAS will not even be read until you’ve submitted this portion as well, so don’t delay. Medical schools don’t usually state a deadline for the secondary essays but if they do, absolutely adhere to it, or all your hard work will go to waste.

Second, medical schools view the time you take to turn in your secondaries as a direct reflection of your interest in their program. If there’s no deadline, you should be looking to complete them and send them back within two weeks of receiving them. The two week turnaround time is long enough to be meticulous, but short enough to show eagerness. If you sit around and take over a month to send back your secondaries, don’t expect an interview. But if you take time to think about possible medical school secondary essay prompts and how you might prepare for them in advance, you won’t be scrambling at the last minute.

Secondaries Organization & Game Plan

In order to keep yourself organized and monitor the secondaries for each school, start a spreadsheet. It should detail whether you’ve received the prompt, any stated deadline, the method to submit, the essay topic(s), and whether you’ve submitted the essays or not. This way, you can keep track of your progress and what remains to be covered for each school, avoiding additional stress during this high pressure period.

Organization

The best way to prepare for your secondary essays is to simply start writing about yourself, reflecting on experiences that show the AAMC’s premed competencies, such as teamwork, resilience, and commitment to learning and growth. [2] While there’s no way to figure out the secondary essay prompts in advance for all your schools, you can generate tailored, well-written essays far more easily if you go ahead and tackle traditional essay topics. Medical school secondary essay prompts often follow a general pattern that you can readily get a sense of. The word or character limit for the secondary essays is set by each school, and can range from a few hundred words to several thousand characters, so note each limit carefully.

The secondaries ask for essays about you, so keep in mind your most impressive qualifications, why you want to attend medical school, and how each school might be able to help you achieve your goals. You want to choose topics which bring out the best version of yourself. Remember, the people reading your applications are humans. You don’t want to bore them. You want to get noticed as a unique individual in the process. It can come in handy to keep a separate document outlining your reasons for pursuing medicine and the unique opportunities at each medical school that resonate with your interests within the field. This can help you get the ball rolling so you’re ready to conquer medical school secondary essay prompts.

Examples of Common Medical School Secondary Essay Prompts

Many applicants build a broad school list to balance their chances in a competitive process. Schools often have a range of 2-9 secondary questions for you to answer. Take a moment to do the math. If you apply to 20 schools, you could end up answering dozens of medical school secondary essay prompts. You only had to write one personal statement in the primary, so the number of essays you have to write for the secondary stage can seem like a massive mountain to climb.

The good news is, there will be some overlap in the kinds of prompts among the schools. That said, you should expect each school’s essays to need quite a bit of tweaking to adjust to specific prompts. And don’t expect to be able to reuse every essay you write! But preparing for typical prompts is a strategic starting point. Listed below are a number of secondary essay prompts which are common among many medical schools:

  • Explain why you wish to attend this particular medical school.
  • What diverse or unique element will you bring to this medical school community?
  • If you graduated before you applied, summarize your activities since you graduated.
  • Describe a challenge you overcame or a time when you faced an ethical dilemma and how you learned and grew from that experience.
  • Who is the most influential person in your life and why?
  • Describe a meaningful leadership position.
  • What are your goals as a physician?
  • What research or independent academic work have you completed, and what did you accomplish or learn?
  • What do you think is the role of a physician in a community?
  • Describe a humbling experience and what you learned from it.
  • Elaborate on an area of interest outside of medicine (e.g., hobbies).
  • Describe the characteristics that make you who you are. How will they impact your success as a medical student and physician?
  • From the list of activities and experiences listed in your AMCAS application, please select one that has most impacted your decision to enter medicine.
  • Is there any other information you would like to share with the admissions committee?

Medical schools often send some combination of these prompts, or similar questions relating to your identity, meaningful experiences, or goals. So even if you don’t know exactly which medical school secondary essay prompts to expect, the list above should give you a clearer picture of what to prepare for.

How to Tackle the Most Common Prompts

Now that you’ve seen the classic questions medical schools ask for secondaries, it’s time to analyze how to answer them. Generally, if you look at the pattern of the prompts, admissions committees want to know who you are, why you’re motivated to pursue medicine, and how you would fit in at their school.

To further break down the ways schools specify what they’re looking for, let’s look at some questions based off of the common medical school secondary essay prompts:

“Why This School” Essays

“Why this school” prompts ask why you chose a program and how its education will prepare you for your goals in medicine. Some add a twist, such as asking about your personal connection to the school or its region, or why you would choose it over other highly ranked programs. Prompts change often, so always confirm each school’s current wording in its secondary application.

Success with these questions lies in actually taking the time to do research on your school list. Make sure you know exactly what the programs offer – you’ve applied to the school for a reason. What are the things you like the most about it and how will it help your goals? Emphasize your demonstrated interest in the school as specifically as possible – detail what about the program’s mission appeals to you the most and fits your personality and plans. Finally, make sure you carefully read the entire prompt and answer all parts. While the objective of the questions is the same (to find out why you have chosen the school), each school puts its own unique spin to the question.

When a prompt asks how a school’s education would prepare you as a physician, jot down the offerings specific to that school, such as faculty, courses, and research opportunities, that appeal to you. Don’t pick every single thing off the website. Select a special few details relevant to your interests within medicine and talk about how learning from a certain professor, for example, aligns with your goals.

Some schools ask why you would choose them even if you are admitted to other highly ranked programs. You definitely need to be as specific as possible in your response. Admissions committee members obviously want accepted students to enroll. They want to know that you’re not applying just for the sake of trying to attend a highly ranked school. So this is the time to demonstrate your knowledge of the program and to feature the opportunities you can take advantage of only at that school.

Other prompts ask about your personal connections to the school, its city, or its region. Public medical schools pay special attention to in-state applicants, and love to see candidates convey interest in the regional appeal of the school. Whether you’ve learned fun facts from a relative who’s an alum or you have a solid connection to the food in the area, expressing concrete details about what you love about the medical school’s environment can help admissions committee members gain an added perspective on you.

“How Will You Contribute to Our School” Essays

These prompts ask what qualities, experiences, or goals you would bring to the school’s community and how they connect to its mission.

To answer the “how will you contribute to our school prompts,” you need to think about the theme of your own application, and the theme of the institution itself. Our guide to the medical school diversity essay covers this prompt type in more depth.

Your essay could follow an application persona, or a recurrent theme throughout to help you get noticed among other applicants. For example, your application persona could be that you are an aspiring surgeon who was motivated to be a doctor after helping victims of a natural disaster. Keeping your persona in mind can help you decide which of your qualifications and experiences to highlight in such an essay. What do you bring to the table that other applicants don’t? What are you interested in? What parts of medicine excite you?

Admissions committees want to understand how they’ll specifically benefit from your unique contributions. Think about what each school is known for. How does its mission align with what you hope to achieve from an education in medicine? Don’t get carried away, just talk about your perspective.

“Describe a Challenge You’ve Faced” Essays

Often, medical schools want to know how you respond to challenges. Some prompts ask you to describe a difficult situation and how you handled it, including the skills and support you relied on. Others invite you to share an important part of your background, sometimes as an optional question.

When answering prompts that fall under the “challenge” umbrella, you should do a little bit of self-reflection. The applicants you’re going up against may have faced far greater adversity than you have – whether in the loss of their home or facing prejudice of some kind in society. This type of question is sometimes optional. But, if the question is not optional, and you’re not sure that you’ve really faced many challenges, do not exaggerate your adversity. Grasping at straws for adversity will backfire and show that you lack perspective.

Medical schools want their classes to be comprised of exceptional individuals, each of whom should bring something different to the class. Instead of telling stories that aren’t yours, focus on challenges you might have faced in a unique interest or avocation. Try talking about an obstacle you faced in your clinical adventures or while leading a project for your work or internship.

Dos and Don’ts

Now that you’ve familiarized yourself with what you can expect out of your medical school secondary essay prompts, it’s time to go over some dos and don’ts to make sure you avoid common mistakes and stay on track to write standout secondaries.

DO

Think About Your Primary Application

When answering medical school secondary essay prompts, it’s important that what you wrote in your primary application stays in the front of your mind. Aim to add new depth rather than repeating experiences you already outlined in your personal statement or AMCAS activities section. But, if there’s something you didn’t get to talk about in depth – such as an important part of your cultural background or an impressive research internship, this is the place to write about it!

Ensure That You’ve Followed All Directions

A good place to start the secondary process is to read the prompts very carefully. Identify the task at hand and ask yourself: what is the question really asking? You can treat the task as a to-do list, and elaborate on each point on the list to form an outline of your essay. Look through the prompt guidelines – word limit, page limit, formatting requirements – and ensure you stick to them.

You might be reusing bits and pieces from one school’s essay for another. That’s okay. But make sure you’ve edited it to fully answer the latter school’s question and formatting requirements. If admissions committees see that you haven’t completed all parts of the prompt, or that you’ve crossed the limit or format guidelines, it’s an automatic red flag. You will not receive an interview if you fail to meet schools’ instructions. It might seem like a minor thing, but such mistakes definitely happen, especially when you’re writing so many applications.

Leave Yourself Plenty of Time to Edit

You must appear professional on your medical school application, and secondaries are an important part of that. Once you’ve finished writing your essays, edit them as much as possible. There will be a lot of essays to go through and you’ll be under a time crunch, but you need to read and reread them to ensure quality. Make sure you avoid run-on sentences and that you’ve made each word count. Careless errors such as grammatical or spelling mistakes will not reflect well on you.

Think Strategically

The medical school application process is notoriously cutthroat. You have to pick and choose your battles. When answering medical school secondary essay prompts, you should not answer all your reach schools first. You should focus on the schools you’re most likely to attend in order to demonstrate interest, but don’t be too ambitious. Check to see which of the schools on your list – especially schools you’re more likely to get into – have secondary prompts that can be easily answered with solid responses that you have already prepared. You definitely want to be smart in the balance of submitting secondaries both promptly and strategically.

DON’T

Provide Mixed Messages

Remember, you need to keep your primary application in mind when filling out your secondaries. If some bit of information in your secondary application doesn’t match what you’ve already said in your primary application, admissions committees will notice. Don’t write something in your essays that contradicts what you’ve stated as a value or credential previously.

Exaggerate

Writing about a topic you can’t speak in depth about might lead to trouble on multiple fronts. If you do so in your essay and you’re asked about it in an interview, you will be in trouble. In a similar vein, you shouldn’t highlight something that was a minimal experience. You will be competing against brilliant students who have versatile stories to tell. Talking about a minor burn you got three years ago might not be a great way to fill up the space allotted for your secondaries.

Write About a High School Experience 

You’re an adult now. You’ve gone through years of life experiences that have greatly impacted your motivation to become a doctor. Unless it was something extremely formative and absolutely integral for your medical school application, don’t waste your secondaries reliving your high school glory days.

Use Flowery Language

This is not a poetry competition and neither are you studying for the SAT. There’s no need to be pretentious and show off your vocabulary on your medical school secondaries. While it’s good to mix up your word usage and not repeat, don’t go all out with the metaphors or thesaurus.com. Admissions committees want to know more about you and what you’ll bring to their program. Don’t take the attention away from the story by adding too many long words that ultimately don’t make sense.

Medical school secondary essay prompts offer you the challenge of answering specific questions about yourself and your career interests within a short span of time. But, if you anticipate the kinds of questions headed your way and prepare in advance, with a stroke of luck, you might even have a few first drafts before the secondaries even come out. You’ve got a lot of writing coming up, so the sooner you start working on the common medical school secondary essay prompts, the better. For more tactics, see our strategies for writing secondary essays for medical school. And if you get an interview, and eventually accepted into medical school, the extra effort you put into working on your secondary essays will all be worth it.

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Frequently Asked Questions

What are the most common secondary essay prompts?

The most common prompts ask why you chose the school, how you would contribute to its community, and about a challenge or ethical dilemma. Many schools also ask about your goals as a physician.

When do secondaries arrive?

Secondaries usually arrive after AMCAS verifies your primary application and transmits it to your schools. Some schools send them to every applicant right away, while others screen applications first.

How fast should I return secondaries?

Aim to return each secondary within about two weeks when no deadline is stated. That timeline gives you room to edit while still showing interest in the program.

Can I pre-write secondary essays?

Yes, pre-writing answers to common prompts saves time once secondaries arrive. Tailor each response to the school’s mission and exact wording before you submit it.

Do all medical schools send secondaries?

Most do, and many send them automatically to all applicants. Wait until a school formally invites you before you submit a secondary.

School Admissions Guides

Sources

  1. Association of American Medical Colleges. (n.d.). Advisor corner: Preparing for secondary applications. AAMC Students & Residents. https://students-residents.aamc.org/applying-medical-school/advisor-corner-preparing-secondary-applications
  2. Association of American Medical Colleges. (n.d.). The premed competencies for entering medical students. AAMC Students & Residents. https://students-residents.aamc.org/real-stories-demonstrating-premed-competencies/premed-competencies-entering-medical-students

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