MCAT
overview
From the AAMC:
"The Medical College Admission Test® (MCAT®) is a standardized, multiple-choice examination designed to assess your problem solving, critical thinking, and knowledge of natural, behavioral, and social science concepts and principles prerequisite to the study of medicine."
If you are unfamiliar with the MCAT, visit AAMC to find out more. The following links will take you to pre-selected AAMC pages. While ideally you should see all of the material, it may not be feasible. Start with "About the MCAT" then proceed to "What's on the Exam." You may also wish to interact with the free prep material the AAMC has provided.
Key takeaways about the MCAT
More than 7 hours long
Scored from 472–528
Four Sections
Chemical and Physical Foundations of Biological Systems (Chem/Phys)
Critical Analysis and Reasoning Skills (CARS)
Biological and Biochemical Foundations of Living Systems (Bio/Biochem)
Psychological, Social, and Biological Foundations of Behavior (Psych/Soc)
Entirely multiple-choice, computer-based
Offered only at specific dates and times throughout the year
Max attempts: 7 lifetime, 2 per year
Most schools do not accept scores older than 3 years
Schools can see all your scores
Results take 1-2 months to receive and cannot be cancelled after leaving the test center
Retaking the exam is okay, but can hurt your application
fee assistance and accommodations
If you qualify or believe you may qualify for testing accommodations, please see these before you proceed with anything else. If you will receive accommodations, it will be necessary to take practice exams under these conditions. If you will be cleared for fee assistance, you will need access to the practice content in advance of the test. While the applications for these are not difficult, they can be time-consuming.
Accommodations specifically will take about two months to clear, and the testing site will also need a month to ensure they are able to provide you with the accommodations you are cleared to receive. The fee assistance program (FAP) will reduce the MCAT registration fee, provide access to the AAMC MCAT prep material, and waive the application fees to 20 medical schools (about $200 each). Keep in mind that both applications have strict requirements, require evidence, and will expire and require re-application.
Shemmassian Consulting has a great article on accommodations: https://www.shemmassianconsulting.com/blog/mcat-accommodations
when to take the exam
This question can only be answered by you and your specific circumstances. I took the exam in September of 2019, after graduating in May. This was a mistake as I had not properly studied and as a result, I scored a 490. I took the MCAT again in August of 2021. Although I was better prepared, I again rushed my studying and diverted my attention as I was also applying to schools and working. I scored a 512, but I was doing much better on practice exams, and I ignore applications which was also a mistake. Reflecting on my situation, I would advise anyone to take their time studying, only take the MCAT when they are prepared, and be sure to have the desired score the year before applying. Here is my personal checklist of what to have done before even registering for the MCAT:
Pre-Med Courses
Chemistry
Biology
Organic Chemistry
Physics
Psychology
Have taken at least one practice exam
Approved for the FAP and/or accommodations if applicable
Once complete, all AAMC questions and tests should be attempted at least once before sitting for the exam. Scores should reflect a target range. On a final note, you will need to register for the exam weeks to months in advance to reserve a seat. The test is only administered a few times per year and cancellations or changes will incur fees.
studying for the mcat
There are many ways to study for the MCAT and depending on the individual it can take years or weeks. No one way is correct, and the amount of time it takes you to study for this exam does not define you or your ability to matriculate into medical school and become a doctor. Below is my personal study method which at its core is composed of content review and practice. I will also include tips, how I studied, and things to keep in mind as you prepare. My most pressing advice is to delay the exam until you are ready. Do not plan to re-test.
My experience is brief but it worked to increase my score 22 points despite many limitations. My suggestions and recommendations are based on personal experience. You are likely here because you will not be utilizing an MCAT prep course, but in case you've considered it, please see the following:
MCAT Courses
These are always alluring, especially with their marketing campaigns and promises to raise you a certain number of points, but they're not cheap. If you can afford the price, why not, but try to stick with known names like Blueprint, Kaplan, or Princeton. There are benefits to having someone guide your studying, but keep in mind that in a class setting, you won't have control over what topics are covered (if you are an expert in X but need help with Y) and unless it's a self-paced course (Kaplan and Blueprint both offer one), you won't be able to slow down or speed up. Some people may find this advantageous to their studying, but others may be furstrated. One final note: there is nothign wrong with a DIY course, but if you are determined to have a formal class and finances are an issue, look to pre-med undergrad and postbacc programs as they may provide these resources. If you will be undergoing a formal post-bacc program, please take a look at the section where I will cover benefits and drawbacks to a pre-med oriented program.
an outline
The outline below is a skeleton of how studying for this exam should proceed. First content review followed by practice problems and finished with AAMC practice material in the month leading up to the exam.
Content Review
This is the very first step before taking the exam. Simply taking the college course will not suffice, you will need to find a source specifically for MCAT content review. Find one source and stick with it. Use well written flashcards with space repetition (like anki) to remember terms, reactions and pathways
Practice Problems
Problem-based learning was the turning point in my studying. It's important to know and review content, but without practicing problems, you won't be successful on the MCAT. Of course, you have to make sure you are only using well-written questions that resemble the MCAT. Remember, practice doesn't make perfect. Perfect practice makes perfect.
AAMC Material
This is the final practice you will need to engage in leading up to the exam. There are several ways to use this practice, but AAMC practice exams and all question packs need to be completed and reviewed before sitting for the exam. As a rule of thumb, you should allot twice as much time to reviewing questions as to answering them.
Before the Exam
Depending on your situation, you may be able to allocate more (or less) time to this. I would highly suggest that for at least one month prior to the exam, you focus your attention entirely on the MCAT. You do not (and should not) have to spend every waking hour on the MCAT, but you should try not to have many other commitments.
content review
For this phase of preparation, you will need to find a proper MCAT prep resource. I personally used Kaplan books, but you can use any set of books or online resources. I've compiled a list below. Key takeaways to remember when doing content review:
Review content as quickly as possible (you should comprehend and recall information, but not every small detail)
Skip difficult and low yield content (every question on the MCAT is worth the same amount of points)
Use spaced repetition flashcards daily
While it may seem intimidating to self study, it's nothing more than establishing a source for content review and creating a realistic study schedule you will be able to maintain. See the section below for how to develop a study plan.
Kaplan Books (company books)
These books were instrumental to my study. Although many companies will publish new books regularly, you can save money by purchasing a used or older set as long as it was published after 2015. Kaplan, unfortunately, does not provide adequate questions so I do not recommend using them as real practice. I have never used other companies and cannot vouch for their quality. Kaplan seemed to cover everything! Here is a list of company books:
Kaplan Seven Subject Review
The Princeton Review
The Berkley Review
Blueprint Prep
Do Not Use College Textbooks
Your regular class textbooks for chemistry and biology classes have too much information. They delve deep into topics but this will only cause harm on the MCAT. Only use resources specific to the exam.
While this is a great free resource, unfortunately much like the textbooks, the Khan academy MCAT prep videos seemed to cover too much content. You can always use these to supplement your learning if they do not become your primary source for content review.
practice
Enough cannot be said about practice. With proper questions that reflect the actual MCAT, you're bound to do well. So first we must identify where we can find proper questions, then how to use them. I will discuss sources after but here is how I used them. Except for practice exams, I reviewed questions immediately after answering them. Typically I would do a small set, two passages and each contained max 12 questions. Reviewing the answers is important as it will reinforce the content review and increase how much you remember from the review phase of your prep. Be sure to review all questions and understand why each possible choice was either wrong or right. This will be especially important with the AAMC material. Although it may take a while to get through and review a full length exam, it is essential. This phase should be prioritized over content review. Please see my comments on the AAMC material below, otherwise here is a list of practice sources in addition to AAMC I recommend:
#1. UWorld
This is what I used for practice before moving on to the AAMC material. UWorld was difficult, but the content was very similar to what I saw with the AAMC. At first I wasn't sure, especially because for the price, I would only have a short window to use it vs permanently mine. I think it was well worth the price but I know people who only used the AAMC material and did well. What's great about UWorld is that they provide amazing descriptions for their answer explanations. I would only recommend using UWorld with settings to review after each question as you do not want to miss the explanation. I would also caution: UWorld is difficult and can be demoralizing to start. The cars section for example will give you more passages if you select to do 53 questions, vs the AAMC and the MCAT will only give you 10 passages each time for that many questions.
#2. Blueprint Prep
I do not have any personal experience using this source. This was recommended by a medical student, but UWorld and AAMC should still be prioritized. This should only be used as extra practice.
#3. Jack Westin (FREE)
This is an amazing resource and is completely free. They provide a daily CARS and Science passage and you have access to all previous daily questions for really good practice. I would use the CARS practice daily and use the Science practice regularly too—perhaps during content review.
free resources
While I did not utilize these during my studying, these are great resources I have found over the years that I think have the potential to be very effective. I personally did not use them because I ran out of time. With that said, use at your own risk!
I used some of Jack Westin's materia to study, but not enough. The website is truly above and beyond and they offer resources every pre-med should be using. I encourage you to take a look at the website. If nothing else, they have a google chrome extension to mimic the real MCAT when doing practice like the AAMC questions.
This outline is top notch! Jack takes the AAMC outline and fills it in with videos, quizzes, and of course all the content you need to know about the said topic. I really love the way it's built, but what's best is that you can pair it with Khan academy and AAMC material when doing practice. They provide question numbers to see when reviewing each topic.
If you scroll to the bottom you'll see the full seven subject guides. My understanding is that these are essentially a replacement for the Kaplan books. Except for CARS, they are all individually separated further into sections. I can't vouch for Dr. Shemassian, but he offers a great website with a lot of resources and I'm sure this guide is just as good. Unfortunately I couldn't afford his prices, but if you qualify for AAMC FAP he will provide a discount on his services. From the website, it seems the guide is also more condensed than Kaplan for example, but they are built using the AAMC outline and thus contain all you need. Dr. Shemassian also provides questions with explanations.
Produced by MedSchool Coach, this app contains videos, lecture notes, question and flashcards. This is supposed to be a full course app which you can complete in 15, 20, 30 or 60 days depending on the amount of hours you can dedicate to studying (8+, 6, 4, 2). The app is completely free with no ads (I think) except some discreet links to their company tutors. The website has a very sleek design and is really well built. As long as you do your part, you don't even have to create a schedule, the app does it for you. The only potential drawback is that they don't cover all material you might find in Kaplan books for example, but according to Dr. Shemassian, even Kaplan has more information that you'll need.
Great resource to use daily to remember all AA structure, name, three letter code, one letter code
aamc material
I was instructed to leave this material for last. The reason behind this advice: these practice questions are made by the test makers and therefore the closest to the actual MCAT than anything else. I agree with the statement but the AAMC also provides a full year access to the material, so perhaps studying needs to be infused with this material early on. The AAMC does not provide answer explanations with all questions, especially not the exams. You should plan to take time to review all questions regardless of whether they were right or wrong. This may take more time since you may need to look up why certain questions were one answer or another. A great strategy is to google or with caution ask ChatGPT any questions you need help on, likely there is a reddit thread or a chegg explanation somewhere. You should absolutely plan on purchasing all the AAMC online material, the physical book they provide is not essential. Use the CARS diagnostic tool early. It's good practice! The practice exams should be held for last. I would do a practice exam every week leading up to the day of the exam. Make sure to mimic exam day as closely as possible, time and day of the week, scheduled breaks you will use, lack of access to material or electronics, and so forth.
flashcards
All pre-meds rave about the essentialness of flashcards for good reason. Anki is a great and free space repetition system to use, but it can be wonky to learn. You may also wish to purchase flashcards or make your own physical cards. All of these are acceptable. Try to use them every day, especially for terms or reactions you may not remember. One technique I picked up was to make the flashcard a question rather than a term and definition and to mimic the AAMC. Here's an example from an online source:
Worst Card: Describe all five stages of mitosis.
Bad Card: What happens during prophase?
Better Card: What happens to the nucleus during prophase of mitosis?
create a study plan
When to Study
Before anything else, analyze your current schedule and asses where you will fit in studying. My suggestion is to make it a priority and therefore the very first thing you do in the day. I worked full time when I studied for the exam so I woke up hours before work to study. It's easy to think we will be able fit this in here and there, and you must, but that should be supplemental to your schedule. Waking up early for me provided two benefits. As long as I was disciplined and went to bed at a reasonable hour, I woke up rested and ready to learn. At the hours of 5am-8am nobody messaged, called or distracted me. When I returned from work, tired and ready to rest or see friends, I didn't have to worry about studying. Any afternoon studying became bonus and typically a time to get ahead on a lesson.
How Long to Study
Several sources including Kaplan, Shemassian Consulting, Princeton Review and Reddit claim that you need somewhere between 300-350 hours of studying to do well on this exam. That's just under and hour per day if you spend one year studying for the exam. Although you should go at your own pace, the drawbacks of studying for one year is that you will have less retention of material, and you probably don't want to worry about the MCAT for an entire year. Two hours per day is already less than six months, which means if you can dedicate around three to four hours per day, you may be able to complete your studying within a 3-4 month period.
The aforementioned time is not necessarily what you'll need to reach your target score and it may be less or more, depending on your circumstances. Perhaps you just completed a semester of physics, bio and chemistry, maybe you're a chemistry and physics tutor, or maybe you've been out of school a few years and need more than a refresher. You will need to create a study plan and evaluate as you go. Of course, try to dedicate at least a couple hours to studying per day. I used 7 Kaplan books which each contain 12 chapters. I determined I wanted to cover my content review in 60 days. I decided I could and should do CARS and the Psychology book every day, so I removed them from my 84 chapters of reading and suddenly I only had to cover 1 chapter worth of scientific material per day. You may need to take an inventory of the resource you'll use and try to use that as a measuring tool. If you can't complete one chapter of reading per day for example, you'll need to revisit your schedule and perhaps even move your exam date. If you cover more than expected, you may wish to maintain your schedule anyway and use the other time to do practice problems.
Here are a few of my suggestions for your study sessions
Review flashcards everyday (you'll start with zero unless you purchase a pack)
Review pathways and reactions everyday or as often as necessary to remember them
Complete at least one CARS passage per day
Review new content and create flashcards
Things to consider when drafting your first schedule. They should be included in you plan before all else
Do you have responsibilities? (children, pets, a job, school)
Are there upcoming events that may take time away from studying? (holidays, weddings, birthdays, vacation, trips, work events)
Do you want to take any days off? Will these be weekends or week days?
I would also schedule time for things like laundry, cooking, eating, working out.