Can I get into medical school if my 1st year GPA is low?

The short answer to this question is yes. Doing poorly during your freshman year does not automatically disqualify you from going to medical school. Obviously it is best to have the highest GPA possible but if you did poorly during your freshman year, you still have time to raise your GPA before applying. Medical schools pay attention to grade trends. They look favorably at upward grade trends. Nevertheless, for extremely competitive medical schools, you will need to have excellent grades all throughout all of college.

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