Pre-med Prerequisites, Major/Second Major Planning, and Pathways Overview

Student Context and Objective

  • Panther ID: 65485346548534
  • Student status: Freshman; just starting; aiming to understand prerequisites and plan for premed tracks.
  • Advisor plan: Share prereq sheet, outline required courses, and guide scheduling; discuss potential second major in parallel with premed plan.
  • Communication: Advisor to email prereq sheet to student; student provided FIU email: jwels014@fiu.edujwels014@fiu.edu.
  • Conversational outcome: Decide whether to add a second major (Natural and Applied Sciences with a Medical Sciences track) and outline spring/fall course sequencing and long-term med-school pathways.

Major options and pathways toward medical school

  • Core idea: Pre-med track typically requires a set of foundational science courses; many premed students also pursue a second major to demonstrate breadth and fulfill prerequisites for medical school programs, though this second major is optional if the primary major already encompasses or aligns with prereq requirements.
  • Proposed second major: Natural and Applied Sciences with a Medical Sciences track (a premed-focused second major).
    • Rationale: A second major ensures that prereqs needed for medical school are fulfilled, even if they don’t align with the primary major’s degree requirements.
    • Flexibility: If the student later decides not to pursue premed, the second major can be removed; if kept, it can help demonstrate breadth and readiness for med programs.
    • Implementation: The advisor can add this second major; it will leverage overlapping prereqs so that courses already being taken contribute toward both majors.
  • Important note on path choice:
    • Most students who pursue medicine end up applying to traditional medical schools (MD/DO). Alternative pathways (e.g., naturopathic) exist but have different prerequisites, licensing, and career trajectories.
    • The advisor discusses several options and resources to compare:
    • naturopathic pathways vs MD (allopathic) vs DO (osteopathic) pathways
    • AANMC list of accredited holistic health schools and the differences between naturopathic, MD, and DO pathways
    • Real-world implications: residency requirements for MD/DO, differences in training, and the typical timelines.
    • The advisor emphasizes that, in practice, most FIU students who go into medicine pursue MD or DO routes rather than naturopathic programs, though both exist as options to research.
  • Timeline context for med school:
    • Regardless of path, the typical trajectory is a four-year undergraduate program followed by medical school and then residency.
    • The exact residency specialty depends on interests (e.g., primary care, holistic/functional medicine), and fellowship options exist after residency.
    • The advisor plans to share a medical-school pathway overview (including MCAT prep, timing, and application timeline) in future meetings.

Prerequisites and core course overview for medical school readiness

  • Core required courses (regardless of medical specialty):
    • Gen Bio I and II with labs: GenBioextIGenBio ext{ I}, GenBioextIIGenBio ext{ II} with labs
    • Chem I and II with labs: ChemextIChem ext{ I}, ChemextIIChem ext{ II} with labs
    • Organic Chemistry I and II with labs: OrgoextIOrgo ext{ I}, OrgoextIIOrgo ext{ II} with labs
    • Physics I and II with labs: PhysicsextIPhysics ext{ I}, PhysicsextIIPhysics ext{ II} with labs
    • Biochemistry: BCHext3,033BCH ext{ 3,033} (noted as BCH 3,033 in the transcript)
    • Mathematics: at least two university-level math semesters; currently starting with CollegeAlgebraCollege Algebra and planning to add StatisticsStatistics or similar
    • Core chemistry sequence is sequential; chemistry courses are interdependent (see sequencing below)
  • Sequencing and prerequisites details:
    • Chemistry prerequisites: CollegeAlgebraCollegeAlgebra is a prerequisite for Chem I; Chem I must be completed before Chem II; Chem II precedes Orgo I, which precedes Orgo II, which then precedes Biochemistry
    • Biochemistry prerequisite: Orgo II
    • Biology sequencing: GenBioextIGenBio ext{ I} is not a prereq for GenBioextIIGenBio ext{ II}; Gen Bio I can be taken any time prior to Gen Bio II
    • Overall chemistry timeline is long: a minimum of 55 semesters of chemistry when including Orgo and Biochem in the sequence
  • Chemistry sequencing and scheduling guidance:
    • Start chemistry early to avoid falling behind; the recommended long sequence is to begin in the spring term
    • Do not prefer summer chemistry due to FIU’s 6-week summer options; the advisor does not recommend summer chemistry
    • If student starts in spring, plausible sequencing is:
    • Spring: Gen Chem I with lab (and Bio II with lab as discussed) and continue with core requirements
    • Fall: Gen Chem II with lab; Orgo I cannot be taken before Chem II; plan to slot Genetics or Physiology in fall as a recommended elective
    • Framing the spring/fall plan:
    • Spring: Gen Chem I with lab + Gen Bio II with lab (as an example path)
    • Fall: Gen Chem II with lab + Orgo I (only after Chem II) may occur in a later term; in the fall you can prioritize Genetics or Physiology as strongly recommended courses
  • Physics options and choice:
    • Two physics sequences: PHY 2xxx with/without calculus
    • The student should take the sequence without calculus: PHYext2053PHY ext{ 2053} with PHYext2048PHY ext{ 2048} lab
    • Physics without calculus is typically taken when Calc II is not part of the plan yet; physics with calculus would be taken later when calculus coursework is completed
  • Strongly recommended (but not always required) courses to strengthen med-school competitiveness:
    • Genetics: prerequisite GeneticsGenetics requires GenBioextIGenBio ext{ I}; can be taken after GenBio I
    • Physiology: prerequisite similar to Genetics; adds depth for medical school preparation
    • Cell Biology: prerequisite GeneticsGenetics; requires planning to fit into the schedule after Genetics
    • These courses are non-lab versions for cell biology, genetics, and physiology; labs are not required for these according to the advisor’s note
  • Core curriculum and ancillary courses:
    • Writing and rhetoric, humanities, and social sciences are part of the core curriculum
    • Psychology and sociology: recommended; useful for MCAT (psych/soc section) and potentially overlapping with major requirements
    • The advisor notes that psychology/sociology might already be reflected on the required sheet or overlap with the major, so plan accordingly

Detailed plan for spring and fall semesters (initial guidance)

  • Spring semester plan (as discussed):
    • GenChemextIGenChem ext{ I} with lab
    • BioextIIBio ext{ II} with lab
    • Continue core requirements and prerequisite planning (writing, humanities, social science, and premed prerequisites)
  • Fall semester plan (as discussed):
    • GenChemextIIGenChem ext{ II} with lab
    • Optional: Biology/Physics overload or additional core requirements depending on the student’s workload and advisor guidance
    • Strongly consider adding Genetics or Physiology (non-lab versions) as recommended courses to strengthen med-school readiness
  • Important sequencing constraints to remember:
    • Chemistry and Orgo sequences are strictly sequential; you cannot take Orgo I until after Chem II is completed
    • Because of the sequential nature, avoid delaying chemistry; the long-term plan is to take a chemistry course each semester to avoid falling behind
  • Scheduling and communications:
    • The student will receive the prereq sheet via email and should keep it for reference
    • The advisor will email the sheet to the student; use the email on file to access the sheet
    • The student should check in with the advisor every semester and schedule follow-up appointments if needed to adjust the plan

Administrative steps for the second major addition

  • Process to add the second major (Natural and Applied Sciences with a Medical Sciences track):
    • The advisor will submit the request to add the second major
    • Student will receive an email prompting approval within 1010 days; if not approved within this window, the request will cancel
    • Once added, the second major’s requirements will be aligned with the student’s courses so prereqs that don’t count for the primary major can still apply toward the second major
    • If the student later changes mind about premed, the second major can be removed; otherwise, it will continue to align with the premed track
  • Ongoing coordination:
    • The advisor will monitor your progress and ensure you stay on track for both the primary major and the second major
    • Regular check-ins (at least once per semester) are recommended to ensure the schedule fits prerequisites, test prep timelines, and application planning

Med-school pathways: MD, DO, and naturopathic options discussed

  • Traditional medical degrees (high-level overview from advisor):
    • MD (Allopathic): Typically involves medical school followed by residency; residency can be in various specialties; strong emphasis on allopathic medical training
    • DO (Osteopathic): Similar overall pathway to MD with additional osteopathic manipulative medicine (OMM) training; residency options similar to MD
  • Naturopathic pathway (discussed as an alternative):
    • Naturopathic medical schools exist (e.g., Bastyr University, Everglades University cited in the conversation) with pathways toward naturopathic doctors
    • The advisor notes the existence of an accreditation list (AANMC) and emphasizes understanding the differences between naturopathic vs MD vs DO, including licensing, scope of practice, and residency opportunities
    • The Everglades example is described as offering a Bachelor’s in alternative medicine (and is not the same as traditional MD/DO pathways)
    • The advisor recommends researching and comparing options to determine which path aligns with the student’s goals (functional medicine, primary care, etc.)
  • Timeline considerations across pathways:
    • Undergraduate timeline to medical school remains roughly four years, plus residency regardless of path
    • Most applicants to traditional medical schools will pursue MD or DO; naturopathic options can be viable for some goals but have different licensing and practice frameworks
    • The advisor suggests that if the student leans toward standard medical practice, pursuing the MD path (with residency) is a common and well-supported route, with the second major acting as a potential complementary pathway
  • Reference materials and ongoing research:
    • The advisor plans to share readings and links (e.g., AANMC resources, holistically oriented school comparisons) to help the student understand the nuances between MD/DO vs naturopathic routes

Practical implications, ethical and real-world relevance

  • Practical planning implications:
    • Building a strong foundation with Gen Bio, Gen Chem, Orgo, Physics, and Biochem is central to medical school prerequisites
    • The second major can be a strategic addition to demonstrate breadth, while not altering core prerequisite progress if planned carefully
    • Chemistry sequencing requires proactive planning to avoid backlogs; starting in spring is recommended, and summer chemistry is generally discouraged due to shorter course lengths and potential pacing challenges
  • Ethical and professional considerations:
    • The student should be honest about career goals; attempting to pursue an unconventional path (e.g., naturopathic, holistic medicine) should be accompanied by thorough understanding of licensing, scope of practice, and residency requirements
    • Transparent communication with advisors and timely approvals are essential when adding a second major or changing plans
  • Real-world relevance and next steps:
    • The student should keep the prereq sheet handy and refer to it for planning each semester
    • Schedule follow-up appointments to discuss MCAT timing, test prep, and the medical school application timeline
    • Explore and read about different medical pathways to make an informed choice, using the links the advisor plans to share
  • What to expect next from the advisor:
    • Email delivery of the prereq sheet to the student’s FIU email; review and confirm
    • Further discussion on MCAT timing and application timeline
    • Continued scheduling of check-ins to adjust plan based on academic performance and evolving goals

Quick references and key numbers to remember

  • Panther ID: 65485346548534
  • Summer course length (FIU): 66 weeks (not recommended for core science sequences)
  • Second major approval window: 1010 days to approve after email notification
  • Chemistry sequencing length: a minimum of 55 semesters including Gen Chem I/II, Orgo I/II, and Biochem
  • Physics sequencing options: PHYext2053PHY ext{ 2053} with PHYext2048PHY ext{ 2048} lab (without calculus option)
  • Biochemistry course: BCHext3,033BCH ext{ 3,033}
  • Core math requirement: at least 22 semesters of university-level math (e.g., CollegeAlgebraCollegeAlgebra and later StatisticsStatistics)
  • Medical school pathways discussion points include MD, DO, and naturopathic routes with references to AANMCAANMC and holistic programs

Next steps for the student (action items)

  • Review the prereq sheet once received by email; confirm understanding and any dates that matter for spring/fall planning
  • Decide whether to add the second major: Natural and Applied Sciences with a Medical Sciences track; if yes, approve within 1010 days of the notification email
  • Confirm spring plan: likely GenChemextIGenChem ext{ I} with lab + BioextIIBio ext{ II} with lab; align with core curriculum and any overflows
  • Confirm fall plan: plan for GenChemextIIGenChem ext{ II} with lab; consider adding Genetics or Physiology as recommended courses
  • Maintain regular check-ins with the advisor each semester to ensure the plan stays on track, accommodates MCAT prep, and aligns with medical-school timelines
  • Begin exploring med-school pathways (MD/DO vs naturopathic) through the resources the advisor will send, and prepare questions for follow-up meetings