If you are aiming for BS/MD or any form of acceleration, you are already operating at a different level than the average premed. You’re getting the high scores, preparing early, and building your CV carefully.
But there is one element most students underestimate, and it consistently makes or breaks these applications.
Let’s talk about it.
At the end of this article, find our Fast Track Depth Checklist for the most important factor in your accelerated premed journey.
Remember that the average medical school matriculant is 24 years old. But you are telling admission committees you want to commit to medicine at 18 or younger.
So the question that will absolutely come up is: how do you even know?
They have a point. How do you know what you’re signing up for?
Sleepless nights, long days, difficult patients, training that sometimes takes more than it gives. How can you possibly know this is what you want to do?
I knew. And I know you know. That’s why you’re reading this.
But how do you prove it to them?
BS/MD programs are not just selecting for performance. They are locking in students before the traditional filters of college GPA and MCAT have even occurred. That is a risk for them. The only way they mitigate that risk is by identifying students who already think, engage, and operate closer to a medical trainee than a typical high school or early college student.
That means the standard premed CV playbook is not enough. You have to go deeper.
The students who succeed in these applicant pools are the ones who can demonstrate longitudinal involvement, increasing responsibility, and direct exposure to clinical reasoning. Depth is not a buzzword. It is a measurable difference in how your experiences evolve over time.
So how do you build it? Here is the one factor that mattered more than anything else in my own premed and medical school journey.
It is absolutely the most important factor that helped me accelerate my path and graduate medical school at 23 years old.
And that factor is: Physician mentorship.
I did a lot of things right on paper. Strong academics, early coursework, strategic test timing. But the factor that gave me a real leg to stand on was having a physician who let me see medicine from the inside. Not just for a few hours of shadowing. A real relationship with someone who knew my name, cared what happened to my career, and was excited to be my mentor. Someone who would reach out when they had something valuable for me to see.
This allowed me to experience medicine through their lens. I watched how they spoke to scared patients. How they moved through a room of colleagues. I saw what the job actually required (not the Grey’s Anatomy version) and it gave me a clarity when speaking about medicine that most applicants simply cannot manufacture.
Interacting regularly with a physician taught me how to “talk the talk and walk the walk,” which is half the battle.
That depth showed up in my essays, my interviews, and in how I framed every experience on my application. It was not one factor among many. It was the main factor.
If you do not currently have a physician who knows you by name, someone who has observed you in a clinical environment and can speak to how you engage with medicine, that is a gap worth taking seriously. Not because it looks bad on paper, but because it means you are preparing for medical school without ever really seeing what you are preparing for.
And if you do have a doc who knows who you are and cares where you’re going? Nurture that relationship and hold on to it long-term. Check in with them regularly. Update them on your journey.
As a physician mentor myself, I promise, we really do care about your path. We want to know!
In selective applicant pools, everyone is smart and hardworking. The students who stand out are the ones who have moved closer to the reality of medicine earlier than their peers. The fastest way to do that is to get as close as possible to physicians who are already living the life you are trying to build.
More on how to do exactly that in the next email. Because, yes, I know that we, as physicians, can be hard to reach. But there are things you can do. And we will talk about them.
Part 2 coming soon straight to your inbox for all subscribers.
For now, use this checklist to help you understand whether the physician interactions you currently have are deep enough to help you on your accelerated or BA/BS/MD/DO journey.
Does your physician mentorship have enough depth to help you be competitive for BA/BD/MD/DO or accelerated premed pathways?
Fast Trackers to MD Timeline (March):
9th–10th Grade: Prioritize GPA and begin healthcare volunteering/ shadowing. Find out what pre-requisites you need to get into your non-negotiable AP courses. Start building your plan A for acceleration. Learn more about non-negotiable AP courses here.
11th Grade: Pick a date for the SAT/ACT (aiming for 1500+/34+) and research specific BS/MD programs and Early Assurance programs for your target colleges. Find a full list of BS/MD programs here. Also learn how to select undergraduate schools for the purposes of acceleration here. Build your plan B.
12th Grade: It’s late March and most BS/MD invites are out. If you’re still interviewing, make sure you read my approach to the BS/MD interviews and MMI interview formula here. If you’re looking at rejections, don’t worry. You’re not at the end of your acceleration timeline. Initiate execution of plan C. See more here.
Undergrad Year 1–2: If you missed the high school entry point, find out if your school offers a "second chance" internal program like those at Miami, Rutgers, Sophie Davis or Rowan. Learn more about “second chance BS/MD” and accelerated early assurance pathways in our Fast Track Intensive workshop! (Execute plan D).
Undergrad Year 3: Build your med school list to include CAMPP 3-year med schools. (Plan E).
Important Course Announcements:
Fast Track Intensive enrollment is open! Learn how to optimize your premed pathway from high school all the way to MD/DO! If BS/MD doesn’t work out, do you have your plan B? Or C, D, or E? Figure out how to build a robust optimized system so you don’t fall into gap years or wasted time in Fast Track Intensive!
The Complete Fast Track System: Every Fast Track Intensive student will automatically receive Fast Track Foundations ($44.99) for free.
Fast Track Foundations teaches the core strategic mindset behind accelerated medical pathways, specifically how the traditional timeline is inefficient and how students can design multiple contingency plans toward medical school.
Fast Track Intensive then shows you exactly how to execute those plans, from AP optimization and program selection to building a compressed premed timeline and early application strategy.
Enroll in the complete Fast Track Course here.
See you there!
Dr. Samarrai
PS - For those of you who want to purchase only the Fast Track Foundations workshop, you can still do so here. All Fast Track Foundations enrollees will be eligible to upgrade to Fast Track Intensive for a discounted price of $105. Upgrade email will be sent after enrollment.
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BS/MD programs are one way to accelerate your premed journey, but they are not the only way. I got my MD at 23 and now I teach students how to leverage systems and pathways to help them accelerate.
Find my full course here where we discuss strategies to implement accelerated medical pathways including BS/MD, EAPs, 3-year undergrad curriculums, international acceleration, and 3-year medical schools.
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