State of Residency for Medical School: Out-of-state/In-state Acceptance Rates, Tuition, Scores

The AMCAS application for state residency and chances of getting in can be a daunting process. But don't despair. This helpful guide will walk you through the entire process, from start to finish, so you can maximize your chances of getting into the school of your dreams.

Should You Change Your State of Residency for Medical School?

When it comes to medical school, one of the biggest decisions you'll make is choosing which state to attend. There are several things to consider before making this decision because everyone's situation is different. Here are some things to consider as you try to decide whether changing your state of residency for medical school is right for you:

- The cost of tuition. This is often the biggest factor in deciding which state to attend medical school in. In general, public schools charge lower tuition rates for in-state residents, while private schools tend to have higher tuition rates regardless of residency.

- The climate. If you're someone who loves the sun and warm weather, attending medical school in a state like Florida or California may be a better fit for you than attending school in a state with colder weather.

- The location. Consider both where the school is located and where you want to live after graduation. If you have your heart set on living in a particular city or region after graduation, attending medical school in that area may make more sense than attending school elsewhere.

- The curriculum. Each medical school has its own curriculum, so do your research to see if there's a particular program or type of training that you're interested in. Some schools may have strengths in certain areas that make them a better fit for your interests and goals.

Ultimately, only you can decide whether changing your state of residency for medical school is the right choice for you. Consider all of the factors involved and make the decision that will best help you reach your long-term goals.

State of Residence Does Matter When Applying to Medical School

It's no secret that medical school is a competitive endeavor. But did you know that your state of residence can play a significant role in your chances of being accepted?

Of NYU Grossman School of Medicine's graduating class, 50% were able to secure a residency in New York State. Compared to 60% of first-year medical students who are in-state residents, a significantly higher percentage of current students are out-of-state residents.

So what does this mean for you if you're not a resident of New York? Well, it certainly doesn't mean that you don't stand a chance of getting into medical school. But it does mean that you'll need to be extra diligent in your application process.

There are a few things you can do to improve your odds as a non-resident:

1. Make sure your grades and test scores are stellar. This will help you stand out from the crowd.

2. Get involved in extracurricular activities related to medicine. This will show admissions committees that you're serious about becoming a doctor.

3. Write a strong personal statement. Be sure to highlight any unique experiences or perspectives you bring to the table.

4. Consider applying to schools outside of your home state. While it may require some extra effort, it could pay off in the long run.

No matter where you're from, remember that dedication and persistence are key when it comes to achieving your dreams. So don't give up – keep fighting for what you want, and eventually, you'll get there.

In-state vs. Out-of-state Medical School Acceptance Rates

It's no secret that getting into medical school is tough. Competition is fierce, and the process can be daunting. But what many pre-med students may not realize is that their state of residency can actually have a significant impact on their chances of being accepted to certain schools.

For example, let's take a look at two schools - UCLA School of Medicine and Baylor College of Medicine. In 2021, UCLA interviewed 16% of in-state applicants but only 4% of out-of-state applicants. Similarly, Baylor only interviewed 3% of out-of-state applicants compared to 13% of in-state applicants.

There was a significant difference in matriculation rates between in-state students versus those from out-of-state. At UCLA, 37% of in-state students were accepted compared to just 9% of out-of-state students. And at Baylor, 23% of in-state students were accepted compared to just 5% of out-of-state students.

So what does this all mean? Basically, if you're an out-of-state student looking to attend either UCLA or Baylor, your odds are significantly lower than if you're an in-state student. And unfortunately, these numbers are fairly typical across the country.

For example, at Boston University School of Medicine in 2021, only 7% of out-of state applicants were interviewed compared to 22% of in-state applicants. And when it came to matriculation rates, once again there was a significant difference - 15% of in-state students were accepted compared to just 3% of out-of state students.

The moral of the story? If you're an out-of state student hoping to attend a particular school, do your research and be aware of the statistics before applying. It's not impossible to get in as an out-of state student, but it is definitely more challenging. So make sure you give yourself the best chance possible by knowing the facts ahead of time.

In-state vs Out-of-state Tuition

As the cost of medical school continues to rise, more and more students are looking at ways to save on tuition. One option is to attend an in-state school, which typically costs significantly less than an out-of-state school.

However, there are a few things to keep in mind when considering this option. First, not all states have public medical schools. In California, for example, there are only a handful of public med schools, and they are extremely competitive to get into.

Second, even if you do attend an in-state school, you may still be responsible for paying out-of-state tuition. This is because many states have what's called a reciprocal agreement with other states. This means that if you're from a state that has an agreement with California, you'll still have to pay the higher out-of-state tuition.

Finally, it's important to remember that the cost of living in some states is much higher than others. So even if you do attend an in-state school and pay in-state tuition, you may still end up spending more overall if the cost of living in that state is high.

State on your AMCAS Application

The Association of American Medical Colleges’ AMCAS application asks for your state of legal residence. The state in which you reside legally will determine your in-state or out-of-state status for tuition purposes at most public medical schools. But what if you don’t have a clear cut answer? What if you’ve moved around a lot or your parents live in different states?

The general determination of a dependent student's state residency for tax purposes is usually based on one or both of the student's parents. The state of your residency for tax purposes is determined by which parent claims you as a dependent if your parents are divorced. You may be an independent student not claimed as dependent on anyone's taxes, and therefore you could potentially establish residency status in another state if you live there full-time for more than one year. To do this, you will likely need to demonstrate financial independence, which usually means having a job and being able to file taxes in that state.

There are also some other factors that may come into play when determining your state of residency for AMCAS purposes. For example, if you own property in multiple states or have ever voted in an election, those could be considered ties to certain states. Ultimately, it’s up to you to decide which state you consider to be your legal residence. You should choose the state where you feel most connected and where you plan to maintain primary ties during and after medical school.

Keep in mind that even if you establish residency in a new state, it doesn’t mean that every public medical school in that state will grant you in-state status. Each school has its own process and requirements for determining residency, so be sure to check with the schools you’re interested in before making any final decisions.

Establishing the Residency

If you're looking to attend medical school in Texas or Massachusetts, you'll need proof of residency. To be eligible for Texas residency for medical school purposes, you must maintain a home in the state for at least twelve consecutive months and demonstrate gainful employment, ownership of property, or proprietorship of a business during that period. If you or any immediate family members want to live in Massachusetts, you must have resided in the state for at least 7 years.

Once you've established residency, you'll then need to submit a residency application through the TMDSAS. The process is different for each state, so be sure to check the requirements carefully. But generally speaking, you'll need to provide documentation of your residency status, as well as any supporting documents like tax returns or lease agreements.

Establishing residency can be a bit of a challenge, but it's important to make sure you do it right. After all, attending medical school is a big investment, and you want to make sure you're getting the most out of your education by attending the best school for you.

In-state vs. Out-of-state GAP and MCAT

There's a lot of debate surrounding in-state vs. out-of-state admissions, and whether one has an advantage over the other. In this post, I'll be taking a look at average GPAs and MCAT scores for both in-state and out-of-state applicants to see if there's any truth to the claim that one group has an advantage.

Looking first at GPAs, the average for in-state applicants is 3.64, while the average for out-of-state applicants is 3.55. So, there does appear to be a slight advantage for in-state applicants in terms of GPA. However, it's worth noting that these numbers are averages, so there are plenty of out-of-state applicants with high GPAs and vice versa.

Next, let's take a look at MCAT scores. The average score for in-state applicants is 502.4, while the average score for out-of-state applicants is 499.7. Once again, there appears to be a slight advantage for in-state applicants; however, the difference is even smaller than it was for GPA.

So what does all this mean? Are in-state applicants really at an advantage when it comes to admissions? I think it's safe to say that they are not at a significant disadvantage; however, I also don't think that their slightly higher GPAs and MCAT scores necessarily give them a huge leg up either. In the end, it's important to remember that these are just averages;

Changing the State on the AMCAS application After Submission?

If you've submitted your AMCAS application and later realize that you need to change your state of residence, don't worry - it's possible to do so. You'll just need to contact the AMCAS directly and request the change.

An applicant can only apply for residency in a single state. So if you're trying to change your state of residence after submission, you may need to provide additional documentation to prove your residency status. But the AMCAS will be able to guide you through the process and let you know what steps you need to take.

So if you find yourself in this situation, don't hesitate to reach out to the AMCAS and they'll help you make the changes you need.


It is not a good idea to make statements about your medical school application that cannot be proved. If a medical school denies your claim of residency, it could jeopardize your entire application.

If you're applying to medical school in Texas, for example, the Texas Medical & Dental Schools Application Service requires all applicants to claim residency. If your claim for medical school is rejected, you would need to reapply the following year.

It's important to be honest on your application and only claim residency if you meet the requirements. Otherwise, you could find yourself starting the process all over again.


Don't give up on your dreams of becoming a doctor just because the process is tough. Remember, everyone has to start somewhere. So put your best foot forward and give it your all. With hard work and dedication, you can achieve anything you set your mind to.



About the author
Got kids about to go to college, so making my own research and sharing here!
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