Pre-med Prerequisites, Major/Second Major Planning, and Pathways Overview
Student Context and Objective
- Panther ID: 6548534
- 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.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.
- Core required courses (regardless of medical specialty):
- Gen Bio I and II with labs: GenBioextI, GenBioextII with labs
- Chem I and II with labs: ChemextI, ChemextII with labs
- Organic Chemistry I and II with labs: OrgoextI, OrgoextII with labs
- Physics I and II with labs: PhysicsextI, PhysicsextII with labs
- Biochemistry: BCHext3,033 (noted as BCH 3,033 in the transcript)
- Mathematics: at least two university-level math semesters; currently starting with CollegeAlgebra and planning to add Statistics or similar
- Core chemistry sequence is sequential; chemistry courses are interdependent (see sequencing below)
- Sequencing and prerequisites details:
- Chemistry prerequisites: CollegeAlgebra 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: GenBioextI is not a prereq for GenBioextII; Gen Bio I can be taken any time prior to Gen Bio II
- Overall chemistry timeline is long: a minimum of 5 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: PHYext2053 with PHYext2048 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 Genetics requires GenBioextI; can be taken after GenBio I
- Physiology: prerequisite similar to Genetics; adds depth for medical school preparation
- Cell Biology: prerequisite Genetics; 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):
- GenChemextI with lab
- BioextII with lab
- Continue core requirements and prerequisite planning (writing, humanities, social science, and premed prerequisites)
- Fall semester plan (as discussed):
- GenChemextII 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 10 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: 6548534
- Summer course length (FIU): 6 weeks (not recommended for core science sequences)
- Second major approval window: 10 days to approve after email notification
- Chemistry sequencing length: a minimum of 5 semesters including Gen Chem I/II, Orgo I/II, and Biochem
- Physics sequencing options: PHYext2053 with PHYext2048 lab (without calculus option)
- Biochemistry course: BCHext3,033
- Core math requirement: at least 2 semesters of university-level math (e.g., CollegeAlgebra and later Statistics)
- Medical school pathways discussion points include MD, DO, and naturopathic routes with references to AANMC 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 10 days of the notification email
- Confirm spring plan: likely GenChemextI with lab + BioextII with lab; align with core curriculum and any overflows
- Confirm fall plan: plan for GenChemextII 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