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How to Get Into UNC Medical School: The Definitive Guide (2026-2027)
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How to Get Into UNC Medical School: The Definitive Guide (2026-2027)

Written by
International Medical Aid
on March 6th, 2022

Reviewed by
Dr. Shazim Bagha, MD
on October 23, 2026

READING TIME
88 minutes

The University of North Carolina at Chapel Hill School of Medicine is the state’s largest medical school and one of the best-known public MD programs in the South. It shares a single campus with UNC’s schools of dentistry, nursing, pharmacy and public health, which gives students a culture of collaboration that few medical schools can match. Its primary care training holds Tier 1 status in the current U.S. News rankings, and its students can start funded research as early as the summer after their first year. So, what does it take to get into UNC Chapel Hill Medical School?

This guide covers the 2026-2027 application cycle for students who plan to start medical school in August 2027. The AMCAS deadline for this cycle is October 1, 2026, the last MCAT the school accepts is the September 13, 2026 test date, and interviews run virtually from September through January. All facts in this guide were checked on October 23, 2026.

Inside, you will find UNC’s mission, class profile and academic expectations, the TEC 2.0 curriculum, the FIRST and Kenan Rural Scholars programs, dual degrees, 2026-27 costs, letters and prerequisites, the virtual interview and all four 2026-2027 secondary essays with original example answers. Consider bookmarking this page as you put together your application.

Be an Informed Applicant

Applying to medical school is extremely competitive. To strengthen your application and clearly explain why you are a good fit, you should know each school’s opportunities and values. Being an informed applicant means taking the time to understand what the school looks for in an ideal candidate. UNC is a clear example: its admissions pages describe a “Tar Heel Doctor” who is more than a good student, more than a volunteer and more than interested in medicine. After some preparation, you will be ready to answer UNC’s secondary application with specific, honest examples.

This guide covers everything we recommend reading before you apply: UNC’s mission and identity, its MD and dual-degree programs, what the Office of Admissions looks for, academic requirements, the class profile, tuition and cost of attendance, the AMCAS and supplemental applications, the 2026-2027 essay prompts with sample answers, interviews and how clinical experience fits in.

Personalized Help

The process of getting into medical school is extremely challenging. Even with outstanding credentials, putting together a strong application requires good writing, interpersonal and organizational skills. Our medical school admissions consulting provides the resources you need, including mock interviews, application reviews and personalized guidance throughout the entire process.

Key Takeaways

  • North Carolina residents come first, but out-of-state applicants do get in. UNC is a state-assisted school that gives preference to North Carolina residents. About 15 to 18 percent of each entering class comes from out of state, and international and DACA applicants are reviewed as out-of-state applicants.
  • Academic context. UNC’s matriculants average a 512 MCAT and a 3.6 to 3.7 BCPM (science) GPA. For the 2025 entering class, accepted applicants had a median MCAT of 515 and a median overall GPA of 3.86. A competitive in-state applicant has a BCPM GPA over 3.2 and an MCAT of 500 or higher. A competitive out-of-state applicant has a 3.59 overall GPA, a BCPM GPA over 3.49 and an MCAT of 514 or higher.
  • Mission. UNC exists “to improve the health and well-being of North Carolinians and others whom we serve.” Service, direct patient care and a genuine connection to the state’s communities carry real weight.
  • Key dates. Submit AMCAS by October 1, 2026. Letters are recommended by August 31, and optional extra letters are due by October 1. Every applicant with a verified AMCAS receives the supplemental application automatically, with its deadline in the invitation email.
  • Costs. For 2026-27, tuition and fees are $35,094 for North Carolina residents and $63,419 for non-residents. The full cost of attendance is $69,704 for residents and $98,029 for non-residents.
  • Distinctive training. The TEC 2.0 curriculum combines an 18-month Foundation Phase, a 12-month Application Phase at one of six sites across North Carolina and a final Individualization Phase built around your career goals. Special routes include the three-year FIRST program, Kenan Rural Scholars, MD-PhD, MD/MPH and MD/MBA.
  • Volume. Around 7,000 people apply each year, around 750 are interviewed and about 230 enroll. UNC says it typically admits 3 to 5 percent of applicants. For the 2025 entering class, 606 of 1,127 in-state applicants were interviewed, compared with 189 of 4,698 out-of-state applicants.
  • Next step. If you are applying now, return the supplemental quickly, prepare for a virtual interview and remember that UNC does not accept update letters or letters of intent unless the Office of Admissions asks for one.

Key Statistics About UNC School of Medicine

The snapshot and table below gather UNC School of Medicine’s key numbers. Each figure carries its year or the page that reports it, because the school’s class averages, application volume, cost of attendance and Match results each describe a different group. UNC’s admissions pages report class averages without naming a specific entering class, so they appear below as current school-reported figures. Accepted-applicant medians, the residency breakdown and debt figures carry their own cohort labels.

IMA data snapshot for UNC School of Medicine, MD program in Chapel Hill, North Carolina, 2026-2027 cycle: median MCAT of accepted applicants 515 and median GPA of accepted applicants 3.86 for the 2025 entering class; about 7,000 applicants, about 750 applicants interviewed and about 230 students enrolling in a typical year; 2026-2027 tuition and fees of $35,094 for North Carolina residents.
IMA data snapshot for UNC School of Medicine. Median MCAT (515) and median GPA (3.86) of accepted applicants, 2025 entering class: AAMC MSAR, 2026 edition. About 7,000 applicants, about 750 interviewed and about 230 enrolling in a typical year: UNC School of Medicine Admissions FAQs (updated March 2026). Tuition and fees for North Carolina residents ($35,094): UNC School of Medicine Financial Aid, 2026-2027 Cost of Attendance. Figures checked October 23, 2026.
UNC School of Medicine at a glance
MeasureValueCohort, population and source
School and degreeUniversity of North Carolina at Chapel Hill School of Medicine; Doctor of Medicine (MD)UNC School of Medicine Office of Admissions
Main campusChapel Hill, North Carolina, with Application Phase sites in Asheville, Charlotte, Greensboro, Raleigh and WilmingtonUNC School of Medicine Curriculum Overview
AccreditationFull LCME accreditation; eight-year term through 2027UNC Health Newsroom, March 2021
Average MCAT512Matriculants, cohort year not stated (UNC SOM Admissions Requirements, updated May 2026)
Average BCPM GPA3.6 to 3.7Matriculants, cohort year not stated (UNC SOM Admissions Requirements, updated May 2026)
Median MCAT (mean)515 (514.9)MSAR, accepted applicants, 2025 entering class
Median MCAT section scoresChemical and Physical 129; Critical Analysis and Reasoning 128; Biological and Biochemical 129; Psychological, Social and Biological 130MSAR, accepted applicants, 2025 entering class
Median overall GPA (mean)3.86 (3.82)MSAR, accepted applicants, 2025 entering class
Median science GPA (mean)3.82 (3.76)MSAR, accepted applicants, 2025 entering class
Mean cumulative science GPA3.79Current class (UNC SOM Admissions FAQs, updated March 2026)
Mean cumulative non-science GPA3.66Current class (UNC SOM Admissions FAQs, updated March 2026)
ApplicantsAround 7,000Typical year (UNC SOM Admissions FAQs)
Applicants interviewedAround 750Typical year (UNC SOM Admissions FAQs)
MatriculantsAbout 230Typical year (UNC SOM Admissions FAQs); first-year class grew to 230 in 2025 (UNC SOM, Introducing TEC 2.0)
Verified applications by residency1,127 in-state; 4,698 out-of-state; 439 internationalMSAR, verified applicants, 2025 entering class
Interviewed by residency606 in-state; 189 out-of-state; 0 internationalMSAR, interviewed applicants (school-reported), 2025 entering class
Interviewed / verified applications53.8% in-state; 4.0% out-of-stateCalculated from MSAR counts, 2025 entering class; an interview ratio, not an acceptance rate
Matriculants by residency191 in-state; 38 out-of-state; 0 internationalMSAR, matriculants, 2025 entering class
Estimated new entrants230 (219 MD; 11 MD-PhD)MSAR, class entering August 2027
Share admittedTypically 3 to 5 percentSchool-stated admission range (UNC SOM Admissions FAQs)
Out-of-state matriculantsAbout 15 to 18 percentEach year (UNC SOM Admissions FAQs)
Competitive in-state profileBCPM GPA over 3.2 and MCAT 500 or higherUNC SOM Admissions Requirements, 2027 cycle
Competitive out-of-state profileOverall GPA 3.59, BCPM GPA over 3.49 and MCAT 514 or higherUNC SOM Admissions Requirements, 2027 cycle
AMCAS deadlineOctober 1, 20262026-2027 cycle (UNC SOM Admissions Requirements)
Supplemental fee$68, non-refundable; fee waiver availableUNC SOM Admissions Checklist; MSAR, 2026-2027 cycle
Supplemental deadlineTwo weeks after the invitation is sentMSAR, 2026-2027 cycle
Acceptance deposit$100, refundable until April 30, 2027, applied to tuitionMSAR, 2026-2027 cycle
Resident tuition and fees$35,0942026-2027 (UNC SOM Cost of Attendance)
Non-resident tuition and fees$63,4192026-2027 (UNC SOM Cost of Attendance)
Total cost of attendance$69,704 resident; $98,029 non-resident2026-2027 standard budget (UNC SOM Cost of Attendance)
Students receiving aid92%MSAR, all enrolled and graduated students, 2024-2025
Average graduate debt$154,057MSAR, indebted graduates, 2024-2025
2026 Match209 students matched; 97% secured a position; 88 staying in North CarolinaClass of 2026 (UNC Health Newsroom; UNC SOM Curricular Pathways)
U.S. News 2026Primary Care Tier 1; Research Tier 22026 Best Graduate Schools (UNC-Chapel Hill, April 2026)

What Are UNC School of Medicine’s Average MCAT and GPA?

UNC School of Medicine’s matriculants average a 512 MCAT and a 3.6 to 3.7 BCPM GPA (UNC School of Medicine Admissions Requirements, 2026). Its admissions FAQ lists a 3.79 mean science GPA and a 3.66 mean non-science GPA for the current class. These are averages, not cutoffs.

Accepted applicants for the 2025 entering class had a median MCAT of 515 (mean 514.9) and a median overall GPA of 3.86 (mean 3.82). Their median science GPA was 3.82. The median section scores were 129 in Chemical and Physical Foundations, 128 in Critical Analysis and Reasoning, 129 in Biological and Biochemical Foundations and 130 in Psychological, Social and Biological Foundations. Accepted applicants include students who enrolled elsewhere, so these medians describe a different group from the averages for students who enrolled at UNC.

UNC also describes what a competitive applicant looks like, and the bar differs by residency. A competitive North Carolina applicant has a BCPM GPA over 3.2 and an MCAT of 500 or higher. A competitive out-of-state applicant has an overall undergraduate GPA of 3.59, a BCPM GPA over 3.49 and an MCAT of 514 or higher. In other words, out-of-state applicants need numbers above the class average, while in-state applicants have more room as long as the rest of the application is strong.

An average also means many students scored below it. If your MCAT is a few points under 512 and you are a North Carolina resident, your service record, direct patient care and letters will decide much of the outcome. If you are applying from out of state with numbers below the 514 mark, think carefully about whether UNC belongs on your list and what else ties you to North Carolina. For comparisons with other schools, see our list of average GPA and MCAT scores by medical school.

Mission and Educational Priorities

Why UNC School of Medicine?

UNC School of Medicine offers early chances to explore a concentration, a curriculum built around patients, strong research opportunities and well-regarded dual degree programs. Its primary care training is considered among the best in the nation, and its clinical network has a long record of reaching underserved communities and reducing health disparities across North Carolina. Students complete their core clerkships at one of six sites, each with its own curricular structure.

Research-minded students are drawn by a faculty that includes two Nobel laureates and 23 members of the National Academies, and by more than $647 million in research grants and contracts. Funded research can start as early as the summer after the first year of medical school through the Carolina Medical Student Research Program.

UNC also sits in an unusual spot. It is one of only four public universities in the country with all five Health Affairs schools (dentistry, nursing, pharmacy, public health and medicine) on one integrated campus. That proximity shapes everything from research collaborations to the student-run free clinic, where students from many of these schools work side by side.

The UNC School of Medicine mission

UNC’s mission statement reads:

“Our mission is to improve the health and well-being of North Carolinians and others whom we serve. We accomplish this by providing leadership and excellence in the interrelated areas of patient care, education and research.”

The school’s stated vision is “to be the nation’s leading public school of medicine.” Its mission areas spell out how it plans to get there. In patient care, the school pledges to provide “superb clinical care while maintaining our strong tradition of reaching specific populations and reducing health disparities across North Carolina and beyond.” In education, it prepares “tomorrow’s healthcare professionals and biomedical researchers from all backgrounds” through integrated curricula and “team-oriented interprofessional education.” In research, it supports “basic, translational, mechanistic and population research.”

The school also lists four values: One Great Team, Carolina Care, Leading the Way and It Starts with Me.

What the mission means for your application

The mission is not a slogan you should repeat in your essays. It is a guide to what the admissions committee will look for.

  • North Carolina comes first. The first words of the mission are about the health of North Carolinians. If you are a resident, show how your experiences connect to communities in the state. If you are not, explain honestly why you want to train in North Carolina and what draws you to a state-focused public school.
  • Service is a core value. UNC’s FAQ says the school looks for “a genuine commitment to serving others, which is a core value of the medical profession.” Sustained service, not a list of one-time events, is what fits.
  • Patient care means direct care. The admissions checklist calls “direct-patient contact experience, one-on-one caregiving within a healthcare setting” of “critical importance.” Plan your clinical hours around real responsibility for patients.
  • Research counts. The school says it “highly value[s] research experience.” You do not need publications, but you should be able to explain a project, your role and what you learned.
  • Teamwork is expected. With five health schools on one campus and a curriculum built on small groups, UNC wants students who learn well with others. Concrete examples of collaboration will serve you in the secondary and the interview.

Accreditation and Institutional Identity

UNC School of Medicine is the medical school of the University of North Carolina at Chapel Hill, the flagship campus of the UNC System. It awards the Doctor of Medicine (MD) and is accredited by the Liaison Committee on Medical Education (LCME), the accrediting body for MD programs in the United States and Canada. After a site visit held virtually in July 2020, the LCME granted the school a full eight-year continued accreditation, with a term that runs through 2027.

The school works in close partnership with UNC Health, the state-owned academic health system. Its dean, Dr. Cristy Page, also serves as CEO of UNC Health and as vice chancellor for medical affairs at UNC-Chapel Hill. UNC Health has about 20 hospital campuses across the state, which helps explain why UNC students can train in so many regions.

The MD program is centered in Chapel Hill, where the school’s main medical education building is Roper Hall, a six-floor building that opened in 2023 on the former Berryhill Hall site. Clinical training then spreads across North Carolina through the six Application Phase sites and the state’s Area Health Education Centers (AHEC). UNC delivers about half of its clinical education at AHEC sites.

UNC’s medical school is separate from Duke University School of Medicine in nearby Durham and from Wake Forest University School of Medicine in Winston-Salem. Applicants sometimes confuse “UNC Health” hospitals with other North Carolina systems. Your application goes to the UNC School of Medicine through AMCAS, and only to the MD program unless you select the combined MD-PhD option.

UNC Chapel Hill Medical School Rankings 2026

In U.S. News & World Report’s 2026 “Best Graduate Schools” list, released in April 2026, UNC School of Medicine holds:

  • Tier 1 in Primary Care
  • Tier 2 in Research
  • No. 69 for Most Graduates Practicing in Primary Care
  • No. 77 for Most Graduates Practicing in Medically Underserved Areas
  • No. 103 for Most Graduates Practicing in Rural Areas

U.S. News now groups medical schools in tiers instead of publishing a single numbered rank for each. Several of UNC’s health programs rank in the national top 10, including audiology (tied for No. 2) and healthcare management (No. 2). The UNC Gillings School of Global Public Health, which runs the MPH that UNC medical students can add, is the top public school of public health and tied for No. 2 overall.

Rankings tell you little about whether a school fits you. Use them as one input, and spend more time on the mission, curriculum and clinical sites described below.

Medical Programs and Affiliations

MD Programs at UNC School of Medicine

Here are the degree programs and special tracks currently offered to UNC medical students:

  • Doctor of Medicine (traditional four-year MD program)
  • FIRST: a three-year accelerated MD linked to a North Carolina residency
  • Kenan Rural Scholars Program and other special programs
  • MD-PhD (Medical Scientist Training Program)
  • MD/MPH in Population Health for Clinicians
  • MD/MBA with the Kenan-Flagler Business School
  • MD/JD (no formal program)

Only the MD and the MD-PhD are chosen on your AMCAS application. FIRST, the Kenan programs, the MPH and the MBA are opportunities you apply for after you enroll.

4-Year MD Program

The traditional MD runs on the Translational Education at Carolina 2.0 curriculum (TEC 2.0), which launched in August 2023. It has three phases: Foundation, Application and Individualization. The curriculum section below explains each one.

FIRST Program (three-year MD)

Fully Integrated Readiness for Service Training, or FIRST, is “an enhanced, three-year medical school curriculum linked to a North Carolina Residency Program, followed by three years of service to North Carolina with ongoing practice support.” Students in FIRST are assigned their own patient panel in year one, take an intensive summer curriculum, keep a half-day of continuity clinic each week and start acting internships early.

FIRST currently offers four specialties: family medicine, general surgery, pediatrics and psychiatry. FIRST Scholars have the highest priority in the match for UNC and affiliated North Carolina residency programs, including MAHEC programs in Asheville, Hendersonville and Boone. In their final year of medical school, FIRST students are matched with loan repayment programs tied to service in a rural setting. Dr. Cristy Page, now the school’s dean, created the program. In the 2026 Match, eight accelerated students from the FIRST and Community Health Training programs matched into internal medicine, pediatrics, internal medicine/pediatrics, family medicine and psychiatry programs in North Carolina.

Kenan Rural Scholars and other special programs

The Kenan Rural Scholars Program is a partnership between UNC School of Medicine and the Mountain Area Health Education Center (MAHEC), funded by the Sarah Graham Kenan Foundation. Its goal is to increase the number of UNC students who choose rural health careers in North Carolina. Scholars commit to the Asheville campus longitudinal program and to a mentoring relationship with a rural preceptor over three years. The program includes a six-week summer internship in a rural Western North Carolina family practice (with a stipend and housing help), weekly didactics in Asheville and monthly rural medicine discussions in Chapel Hill during the second year. Students apply during their first year of medical school. Ten Kenan Rural Scholars matched in 2026, half of them in family medicine.

The school’s campus assignment process also names the Community Health Training Program and Kenan Urban Scholars as special programs whose students are assigned to specific campuses.

MD/PhD and Dual Degrees

The University of North Carolina offers an MD-PhD program, as well as several dual degrees. Here are the details:

MD/PhD (Research)

UNC’s MD-PhD Program trains physician-scientists “fully capable of bridging the gap between basic science and clinical medicine.” It follows the traditional 2-4-2 timeline (two years of medical school, about four years of PhD work and two more years of medical school), and the average time to finish both degrees is 8.16 years. Students can delay choosing a graduate program through the first two years. The program works with 19 PhD-granting programs across the schools of medicine, pharmacy and public health and the College of Arts and Sciences. Students also take part in a yearly retreat, a Monday night dinner and seminar series and monthly case conferences.

The program typically receives about 500 applications, interviews about 60 people and enrolls a class of 10 to 12. It has 91 current students. You apply by choosing “MD-PhD” on AMCAS. If you choose MD-PhD, the MD program will not consider your application separately, although you will still interview with the MD program if invited.

For the 2026-27 cycle, the AMCAS deadline is October 1, 2026, and the final deadline for the MD-PhD supplemental is October 4. Local applicants from the Triangle who submit a complete application by August 15, 2026, can be considered for the local interview weekend. Interview weekends are December 6-8, 2026, January 10-12, 2027 and January 24-26, 2027, with first-round decisions in February 2027. The program states that MCAT scores below 513 are typically not competitive, that a cumulative GPA of 3.3 or higher meets its minimum and that competitive applicants have at least 12 months of full-time research experience. It requires three to six letters, with at least one from a research mentor. There is no age limit.

MD/MPH (Public Health)

UNC medical students can earn a Master of Public Health through the Population Health for Clinicians concentration at the Gillings School of Global Public Health. The concentration is a 42-credit, full-time residential program designed to be completed in 12 months. Students apply during their third year of medical school, usually in the fall, because the courses assume students have finished core medical coursework. A separate application to the MPH program is required, and admission is not guaranteed.

The program builds on a long collaboration between UNC’s schools of medicine and public health and focuses on clinical, prevention, population and policy sciences. Students who take the MPH usually take a leave of absence from medical school for at least one year, most often between the third and fourth years. Each year, 20 to 30 UNC medical students earn MPH degrees.

MD/MBA (Business Administration)

The MD/MBA is designed for students interested in careers in health care management and leadership. UNC medical students can earn both degrees in five years. You must apply to and be accepted by both programs, and students are encouraged to apply to the MBA in their second or third year of medical school. Students finish the first three years of the MD, spend the fourth year in MBA core and elective courses and take courses in both programs in the fifth year. Applicants submit a GMAT or GRE score or request a waiver, and MCAT scores can be used to show quantitative ability in the waiver request. The first MD/MBA cohort began in fall 2012.

MD/JD

UNC does not have a formal MD/JD program. Some students have earned both degrees independently.

Clinical Affiliations

UNC students train at UNC Medical Center in Chapel Hill and at hospitals across the state. The admissions FAQ lists clerkships at Moses Cone Hospital in Greensboro, Carolinas Medical Center in Charlotte, New Hanover Regional Medical Center in Wilmington, Nash General Hospital in Rocky Mount, Mission Memorial Hospital in Asheville and WakeMed in Raleigh, among others. The Asheville campus works with MAHEC, and the Charlotte campus partners with Atrium Health for clinical and research opportunities. UNC has also partnered with Novant Health in the Wilmington region to expand educational opportunities for medical students.

Curriculum Overview

The current UNC Chapel Hill Medical School curriculum is Translational Education at Carolina 2.0 (TEC 2.0). It launched in August 2023 and replaced the original TEC curriculum that began in 2014. TEC 2.0 integrates basic science and clinical skills, adds longitudinal patient care and organizes students in small learning groups. The school says the redesign was meant to train team players, build adaptive, lifelong learners and keep students from feeling lost as class size grew.

The curriculum has three phases: Foundation, Application and Individualization.

Foundation Phase (18 months)

The Foundation Phase covers the first 18 months and integrates the basic, clinical and social sciences. Students learn through small groups, seminars, workshops, clinical week experiences and lectures. Three course families run through all three semesters.

Medical Science. Nine Medical Science courses cover the body system by system:

  • First semester: “The Patient” introduces the patient as person, body, family member and community member, along with gross anatomy, epidemiology and health systems. “Molecules to Cells” covers biochemistry, cell biology, genetics, microbiology, immunology, physiology and the basics of pathology and pharmacology. “Circulation” introduces blood and the cardiovascular system.
  • Second semester: “Homeostasis” covers the respiratory and renal systems, “Body Regulation” covers the endocrine and gastrointestinal systems and nutrition, and the first year ends with “Reproductive and Genitourinary Health.”
  • Third semester (second year): “Neurons to Networks” covers the nervous system and special senses, “Life Stages” covers the life cycle and behavioral health and “Integrated Systems” closes the phase with autoimmunity and cancer, including malignant hematology, dermatology, orthopedics and rheumatology.

Basic science “coils,” such as anatomy, histology, physiology and pharmacology, run through every course. Students prepare for each day by reading assigned content in an online textbook (Scholar Rx Bricks). On Mondays, Wednesdays and Fridays they join interactive large-group sessions called PALS (Peer Accelerated Learning Sessions). On Tuesdays and Thursdays they work through case-based learning. Assessments include multiple-choice quizzes, NBME exams and clinical reasoning exams with free-response questions.

Patient Centered Care (PCC). This course builds core clinical skills: history-taking, physical examination, communication, clinical reasoning, patient-centered care and professionalism. It meets once a week for three hours in small groups. Students also complete Clinical Skills Encounters with standardized patients in the school’s Simulation, Experiential Learning, and Training (SET) Center.

Social and Health Systems (SHS). In weekly 14-person seminars, students explore the social and cultural forces that shape health, ethical questions in medicine and public health, and health insurance and policy. Students write analytical papers and present orally, and faculty from clinical, social science and humanities backgrounds lead the seminars. SHS continues in later phases as SHS 4 and SHS 5.

The Foundation Phase ends with preparation for USMLE Step 1. Students must pass all Foundation Phase coursework and complete Step 1 before starting the Application Phase.

Application Phase (12 months)

In the Application Phase, students spend 12 months completing core clerkships in family medicine, internal medicine, obstetrics and gynecology, pediatrics, psychiatry and surgery. Students complete the phase at one of six sites:

  • Asheville
  • Central (Chapel Hill and surrounding areas)
  • Charlotte
  • Greensboro
  • Raleigh
  • Wilmington

All sites share the same course objectives and assessments, but each has its own curricular structure and opportunities based on its location. Asheville, for example, runs a longitudinal program that gives students more flexibility in their schedule. The curriculum section on campus assignments explains how students are placed. Every campus requires students to have a car, because bus service to clinical sites may be limited or nonexistent. Students at regional campuses secure their own housing for the year, and Central students may be sent to AHEC sites in Greensboro and Wilmington for short assignments, with AHEC housing available.

Individualization Phase

The Individualization Phase is the third and final phase and lasts about 13 to 14 months. During this time, students build their own clinical interests and skills around their career plans, guided by an Individualized Learning Plan. Requirements include:

  • Two four-week Acting Internship selectives
  • One four-week Critical Care selective
  • Three four-week electives (or an equivalent mix of two- and four-week electives)
  • One two-week Neurology selective
  • Science of Medicine (longitudinal course)
  • Social and Health Systems 5 (longitudinal course)
  • Transition to Residency (two weeks)

Students use four weeks built into the phase to take USMLE Step 2 CK. Selectives and four-week electives are graded Fail, Pass, High Pass or Honors. The Neurology selective, two-week electives, research electives and Transition to Residency are graded Pass/Fail.

Scholarly Concentration Programs

UNC Medical School’s Scholarly Concentration Programs (SCPs) give students focused study, one-on-one mentorship and the chance to build their own projects in a field. Students can list SCP participation as one of the three noteworthy characteristics on their Medical Student Performance Evaluation (MSPE), and they come away with material to discuss in residency interviews. The current programs are:

  • Care of the Older Patient
  • Clinician Leadership in Quality and Safety (CLQS)
  • Global Health
  • Humanities and Social Sciences
  • Medical Education
  • Medical Education Supporting Sexuality And Gender Expressions (MESSAGE)
  • Medical Innovation
  • Nutrition
  • Planetary Health
  • Ultrasound
  • Women’s Health

First-year students attend open houses in the fall. For the Class of 2030, applications open November 9, 2026 and close November 29, 2026, with decisions in February. Students may join only one program.

Admissions Requirements and Application Process

Selection Factors: What UNC Medical School Looks for in a Candidate

Beyond the requirements detailed below, candidates need to show their fit for the school, its mission and the profession of medicine. The Office of Admissions explains its priorities on a page called “Our Ideal Candidate.” It says: “A Tar Heel Doctor is something special.” The school evaluates applicants on set criteria but is “also looking for that indelible extra element that tells us that you connect with our mission. Smart is easy. Being a great doctor goes far beyond that.” Here are the main takeaways:

  • More than a good student. UNC’s ideal candidate has taken hard classes and earned good grades, and has also “sought out experiences that enrich their education and give them opportunities for real-life application of the concepts learned in the classroom.” Self-starters who challenge themselves stand out.
  • More than a volunteer. The school wants applicants who have “found a hands-on passion for giving back and creating change in a specific way, and have fed that passion regularly over time, resulting in a genuine journey of service.”
  • More than interested in medicine. Strong applicants have “sought out experiences in healthcare settings, worked directly with patients, and developed a complex understanding of the healthcare system and its current challenges.” Healthcare internships abroad and other intensive clinical experiences can help you show this.
  • More than good on paper. UNC wants “a well-rounded human and genuinely nice person” who works well with diverse groups, builds connections and communicates well in speech and writing.

Here is the full list of factors the Office of Admissions considers:

  • A rigorous and successful academic record
  • Competitive MCAT scores
  • Commitment to service
  • Research experience
  • Healthcare experience (caring for patients one-on-one)
  • Extracurricular activities
  • Life and work experiences
  • Letters of recommendation
  • Communication skills

UNC Medical School Requirements

You must hold a bachelor’s degree from a regionally accredited institution in the United States or Canada before you enroll. If your bachelor’s degree was completed elsewhere, you need a master’s degree or postbaccalaureate work in the U.S. or Canada with at least 30 hours of AMCAS-designated BCPM coursework with letter grades. All degree programs and coursework listed on your AMCAS must be finished before matriculation, and final official transcripts are due by July 1 of the year you start.

There is no preferred major. UNC says you should major in “a subject that stimulates and challenges you.” Students who finish college in less than four years may apply, but the school notes that questions about breadth, maturity and experience can put them at a disadvantage without unusual qualifications.

Applicants in the last year of a graduate program can apply, with acceptance contingent on finishing that program before August matriculation. Applicants who enrolled in a natural science graduate program because they did not meet UNC’s academic expectations must complete at least 30 credit hours in that program before applying.

If you graduated more than five years ago. You do not have to repeat undergraduate coursework. To be competitive, though, UNC asks that you complete its prerequisites (two upper-level biology courses and one biochemistry course) within three years of matriculation so the committee has recent coursework to review. If that is not the case, explain your circumstances in the “Other Impactful Experience” section of AMCAS. You should also use that section to describe how you have prepared for a rigorous, in-person curriculum after more than five years out of a classroom.

UNC Medical School Minimum GPA and MCAT Score

UNC does not publish hard cutoffs for the MD program. Instead, it describes competitive applicants:

  • In-state applicants: a BCPM GPA over 3.2 and an MCAT score of 500 or higher.
  • Out-of-state applicants: an overall undergraduate GPA of 3.59, a BCPM GPA over 3.49 and an MCAT score of 514 or higher.

Applicants who are completing a postbaccalaureate program or master’s degree because they did not meet these expectations must complete 30 hours of BCPM coursework in the new program. For MD-PhD applicants, a cumulative GPA of 3.3 is the program’s stated minimum, and MCAT scores below 513 are typically not competitive.

MCAT timing. The MCAT is required and must be taken within three years of matriculation. For the 2027 admissions cycle, UNC accepts scores from January 1, 2024 to September 13, 2026. MCAT scores are valid for three AMCAS application cycles. If you submit AMCAS before taking the exam, list your planned test date on the application.

UNC Chapel Hill Medical School Letters of Recommendation

Letters of recommendation go through the AMCAS Letter Service, and it is your job to designate UNC School of Medicine as a recipient. UNC recommends that your letters arrive by August 31 so your application is complete and ready for review as soon as possible. Your application will not be considered complete until your required letters reach AMCAS. Start asking for letters in early spring, since many professors need time to write them.

UNC requires three letters, and you may add two optional letters for a total of five. Any letters beyond the required three are due by October 1. The Office of Admissions suggests:

  • A Pre-Health Committee letter (if your school offers one) can count as your three required letters.
  • Letters from professors are recommended for at least two of your letters.
  • Letters from faculty and organizations must be on letterhead and signed.
  • The most helpful writers know you well and have taught you in a classroom or worked with you directly in patient care, service or research.
  • If you graduated from college three or more years ago, or are completing an advanced degree, your three required letters should come from mentors who know you well from an academic setting. At least one should come from your post-graduate education or major work experience.

MD-PhD applicants need at least three and up to six letters, with one from a research mentor for the experience they marked as most meaningful on AMCAS.

Required Coursework

Here is an overview of the coursework you must complete before attending UNC School of Medicine, as listed on the Office of Admissions page on Admissions Requirements:

  • BCPM hours: a minimum of 30 credit hours of AMCAS-designated biology, chemistry, physics and math (BCPM) coursework with letter grades.
  • Biochemistry: one biochemistry course.
  • Upper-level biology: two upper-level biology courses. Examples include anatomy/physiology, cell biology, genetics, microbiology and immunology.
  • Recommended: a statistics course and coursework in the humanities.

These courses should be taken at a bachelor’s-granting institution or as part of a master’s or PhD program, usually in a basic science department such as biology or chemistry. Courses with similar names taken as part of another health professional degree do not count.

Course format rules:

  • Letter grades are required for the 30 BCPM hours.
  • AP credits, CLEP credits and verification from World Education Services (WES) or similar organizations do not count toward required coursework or the 30 BCPM hours.
  • In-person classwork is strongly preferred to online classwork, and “a substantial majority of the coursework needs to be in person.” Contact the Office of Admissions if you are considering online courses for degree completion.
  • International applicants must complete all prerequisites at a regionally accredited U.S. or Canadian institution before applying.

UNC does not run a postbaccalaureate premedical program, but prerequisite science courses are available through UNC’s Division of Continuing Studies (the Friday Center).

Does UNC require Casper or PREview?

No. UNC School of Medicine does not list Casper, PREview or any other situational judgment test among its requirements for the 2026-2027 cycle. The MCAT is the only standardized test required.

Residency, citizenship and international applicants

UNC gives preference to North Carolina residents because it is a state-assisted institution, and about 15 to 18 percent of matriculants each year come from out of state. For application purposes, the school uses the legal state of residence on your AMCAS. Only report North Carolina if you meet its legal residency standards. You do not need a Residency Determination Service (RDS) decision to apply, but if you are admitted you must complete the RDS process to qualify for in-state tuition and maximize your financial aid.

International applicants are considered and can be admitted, but there is no special category. They are reviewed as out-of-state applicants under the same criteria. DACA applicants are also considered as part of the out-of-state applicant pool. Permanent residents can apply as North Carolina residents if they qualify. Non-U.S. citizens on F-1, H-1, J or similar visas cannot apply as North Carolina residents and are not eligible for federal loans or grants, so they are responsible for funding all four years of medical school.

Reapplicants and transfers. UNC considers reapplicants, up to an initial application plus three reapplications (four applications in total). The school has an indefinite pause on medical student transfers.

Clinical Experience

UNC is unusually direct about patient care. Its checklist says that “direct-patient contact experience, one-on-one caregiving within a healthcare setting, is of critical importance to your application,” and its FAQ adds that “longitudinal direct patient contact, one-on-one care giving within a health care setting, and exposure to the health care system are desirable.” The school does not publish a minimum number of hours, but the message is clear: watching is not enough. You should be able to describe patients you helped care for and what you learned about the health system.

Good options include work as a CNA, EMT, medical scribe or patient care technician, hospice or hospital volunteering with real patient contact, and structured clinical internships for pre-med students where you take vitals and help with intake under supervision. Longitudinal experience over months or years fits UNC’s language better than a short burst of hours right before you apply.

AMCAS Primary Application and UNC School of Medicine Secondary Application

When applying to medical school, you first submit your primary application through the American Medical College Application Service (AMCAS). Your AMCAS application goes to every MD school you select. UNC’s AMCAS submission deadline is October 1, 2026, and UNC does not take part in the AMCAS Early Decision Program.

Once UNC receives your verified AMCAS application, it sends you its secondary, which the school calls the supplemental application. The invitation is automatic for every applicant, regardless of grades or MCAT score, so receiving one is not a sign of a screening decision. Check your spam and junk folders if you do not see it. The supplemental fee is $68 and is non-refundable, and a fee waiver is available. The supplemental is due two weeks after the invitation is sent, and the exact date appears in your email invitation. Supplementals can be submitted beginning in late July. MD-PhD applicants must submit their supplemental by October 4 and are encouraged to do so within two weeks of the invitation.

UNC does not accept updates to the AMCAS or supplemental application after you submit (for example, a new experience, job or letter of intent). The only exception is when the Office of Admissions asks you for an update.

If you have further questions about this part of the process, read our article on understanding the differences between primary and secondary medical school applications.

UNC School of Medicine

Interviews, decisions and waitlist

If you are selected to interview, the Interview Coordinator emails you instructions to schedule. Interviews are conducted virtually on Mondays, Tuesdays and Thursdays from September through January. All applicants receive an interview status update (Interview, No interview or Under Review) by the end of December.

UNC uses rolling admissions. Offers begin on or after October 15 and continue throughout the interview season until the class is filled. If you interview between September and mid-November, you will hear by the end of December, either with an acceptance or a note that you are still under consideration. If you interview between mid-November and January, you will receive a final decision by early April. All final decisions, including waitlist offers, are sent by the first week of April through your applicant portal. If you decide not to attend, use the withdrawal or decline form in your portal by April 30.

If you receive an offer, you have two weeks to complete the acceptance form and pay a $100 deposit. The deposit is the same for residents and non-residents, is refundable until April 30, 2027, and is applied to tuition. Requests to defer entrance are reviewed case by case.

2026-2027 Timeline

UNC School of Medicine 2026-2027 application timeline
DateStep
Early spring 2026Start requesting letters of recommendation
January 1, 2024 to September 13, 2026MCAT dates UNC accepts for the 2027 cycle
August 15, 2026MD-PhD: complete application date for local (Triangle) interview consideration
August 31, 2026Recommended date for required letters to reach AMCAS
September 2026 to January 2027Virtual MD interviews (Mondays, Tuesdays, Thursdays)
October 1, 2026AMCAS submission deadline; deadline for optional additional letters
October 4, 2026MD-PhD supplemental and all materials due
On or after October 15, 2026First MD acceptance offers
End of December 2026Every applicant receives an interview status update; September to mid-November interviewees hear their status
December 2026 and January 2027MD-PhD interview weekends (December 6-8, January 10-12, January 24-26)
Early April 2027All final MD decisions, including waitlist
April 30, 2027Deadline to tell schools you will not attend
July 1, 2027Final official transcripts due
August 2027Matriculation

Tuition, Cost of Attendance and Financial Aid

UNC Chapel Hill Medical School Tuition and Cost of Education

Here are UNC School of Medicine’s 2026-2027 costs for one year, from the school’s cost of attendance (the standard budget financial aid uses):

UNC School of Medicine cost of attendance, 2026-2027
ItemNorth Carolina residentNon-resident
Tuition and fees$35,094$63,419
Room$15,320$15,320
Food$7,448$7,448
Books and supplies$1,200$1,200
Travel$2,072$2,072
Health insurance$3,606$3,606
Federal loan fees$1,168$1,168
Miscellaneous items$3,796$3,796
Personal expenses$3,100$3,100
Equipment$196$196
iPad fee$500$500
Total cost of attendance$69,704$98,029

The difference between residents and non-residents is entirely in tuition and fees: $28,325 a year. Over four years, that gap adds up to more than $113,000 before interest. If you are a non-resident, the full cost of attendance comes to nearly $100,000 a year.

What the budget covers

The cost of attendance includes tuition, fees, books, supplies, estimated room and board, transportation, personal expenses and health insurance. It is a standard allowance, so financial aid is based on that budget rather than on your own spending choices. A few rules matter when you plan:

  • Enrollment months. Most first-year students are enrolled for about 10.5 months, and aid covers only those months. Plan for the rest of the year.
  • Debts and family. The budget does not include car payments, credit card debt or other personal debts, and it does not include living costs for a spouse or dependents. UNC encourages students to pay off prior debts before they start.
  • Health insurance. Insurance is required. Students are automatically enrolled in the UNC student plan and billed with tuition unless they show proof of other coverage.
  • Possible additions. With a revision form and receipts, students can ask to add reasonable child care costs, uninsured medical, dental and optical costs, essential car repairs and extra commuting costs for electives outside the Raleigh, Durham and Chapel Hill area. Moving costs, security deposits and consumer debt cannot be added.

Costs by year

Each year brings its own expenses. In the second year, plan for USMLE Step 1 fees and study materials, professional attire for clinical work, higher transportation costs and, if you are placed at a regional site, the cost of relocating. In the third year, budget for Step 2 CK. Fourth-year costs that fall outside the budget include residency application (ERAS) and Match (NRMP) fees, interview and away-rotation travel, graduation expenses and living costs until your first residency paycheck. A leave of absence for research, an MPH or an MBA requires its own financial plan.

Scholarships and financial aid

When you apply for financial aid, you are automatically considered for every type of assistance you qualify for, including loans and scholarships. Loans are the main source of most aid packages. After you are accepted, UNC sends you a scholarship application. The Scholarship Committee considers both merit and need, and the number and size of awards depend on available funds and the pool of qualified applicants.

Other options include current-student scholarships for specific areas of medicine, one-year Medical Alumni Loyalty Fund Scholarships for enrolled students and service programs that offer scholarships in return for working in designated areas after residency. Loan repayment and forgiveness programs, such as Public Service Loan Forgiveness and the National Health Service Corps, are also listed by the financial aid office. FIRST students are matched with loan repayment programs tied to rural service.

UNC reports that its graduates leave school with about $26,000 less in student loan debt, on average, than peers across the country. Even so, borrowing is the norm. In 2024-2025, 92 percent of UNC medical students received financial aid, and graduates who borrowed left with an average medical school debt of $154,057. Build a four-year budget early and talk with the financial aid office about your options.

Campus Facilities and Student Life

Roper Hall and study spaces

Roper Hall, the school’s medical education building, opened in 2023. The six-floor building includes a 400-seat Active Learning Theater, simulation and clinical skills space, flexible anatomy and microbiology labs and 25,000 square feet of hands-on learning areas. The school lists 24 seminar study rooms, six small-group classrooms, three small study rooms, a quiet study area and multiple open study spaces. There is also a fitness center, a tranquility room and a student lounge with exclusive after-hours access for MD students.

Students also use nearby Bondurant Hall (17 study, classroom and conference rooms), MacNider Hall (seven rooms and a student fitness center) and the Health Sciences Library, which has group study rooms, a relaxation room and study pods.

Housing and getting around

Chapel Hill and Carrboro offer apartments, houses, condominiums and on-campus graduate housing such as Baity Hill. Students find their own housing, and the Office of Student Affairs shares a housing list and other resources but does not inspect rentals. If you receive financial aid, your award includes a set housing budget, so sharing with a roommate may help you stay within it.

Plan for a car by your second year. Every Application Phase campus requires one, and students at regional sites secure their own housing for that year.

Student support and wellness

UNC’s Student Affairs office runs advising, career development and specialty-specific guides for every major field. The Wellness Program offers resources, events and peer support focused on mental, emotional and physical health. The school’s “Taking Care of Our Own” program, founded by Dr. Samantha Meltzer-Brody, supports the mental health of health care workers and trainees. Students with disabilities can request accommodations confidentially through UNC’s Accessibility Resources and Service office, and veterans can connect with the Military Medicine Interest Group.

Student government and organizations

The Student Government is the official voice of the student body and works with faculty and staff to improve student life. Students join activities and interest groups built around service, advocacy, cultural identity and professional development.

Service in the community

Service is part of the UNC culture. The Student Health Action Coalition (SHAC) runs the nation’s oldest student-run free clinic, founded in 1967. Its free medical clinic is open every Wednesday evening at the Carrboro Community Health Center and offers acute care, physical exams, childhood vaccinations, an on-site pharmacy, lab services, social work, health education and interpreting in Spanish and Mandarin. Monthly specialty clinics include mental health, ophthalmology, physical therapy, nutrition counseling and gender-affirming care. SHAC is run entirely by student volunteers from the schools of medicine, nursing, pharmacy, dentistry, public health, social work and business and from UNC’s PA, physical therapy, occupational therapy and speech-language pathology programs.

Students also volunteer with local groups such as the Inter-Faith Council in Carrboro, Club Nova, the Compass Center, the Mental Health Association of Orange County and the Helen Wright Center for Women in Raleigh, where students help clients enroll in Medicaid and SNAP and find health care.

Clinical Rotations and Research Opportunities

Where students train

UNC delivers about half of its clinical education through the state’s Area Health Education Center (AHEC) system. During the 12-month Application Phase, each student is assigned to one of six sites: Asheville, Central (Chapel Hill and surrounding areas), Charlotte, Greensboro, Raleigh or Wilmington. Clerkship hospitals include UNC Medical Center, Moses Cone Hospital in Greensboro, Carolinas Medical Center in Charlotte, New Hanover Regional Medical Center in Wilmington, Nash General Hospital in Rocky Mount, Mission Memorial Hospital in Asheville and WakeMed in Raleigh, among others.

How campus assignment works

Representatives from each site visit a first-year class meeting in the fall to describe their programs. In early February, students complete a survey that asks whether they are in a special program (MD-PhD, Community Health Training Program or Kenan Urban Scholars), whether they need an exemption for caregiving or ongoing medical care and how they rank the six sites. Students can enter the lottery as a “pod” of up to three people who share a single rank list, which lets friends, roommates or study partners stay together.

Students in special programs and those with approved exemptions are assigned first. Everyone else is placed by a computer program that produces the best overall set of placements given campus capacities and student rankings. Assignments are announced in early March. Students whose medical needs or life circumstances change can request reassignment during the Neurons to Networks course in September of the second year.

Research for MD students

The Carolina Medical Student Research Program (CMSRP) funds about 40 students each year for eight-week research projects, usually in the summer after the first year. Funding comes from sources that include an NIH/NIDDK short-term research training grant, the Medical Alumni Association and the Office of Research. Each student finds a mentor and writes a proposal, and the application is designed to mirror the NIH grant process. For summer 2026, the average stipend was about $4,800 for an eight-week project, and the application deadline was February 20, 2026.

Students work full time (40 hours a week) on their projects, attend research luncheons and ethics and presentation sessions, and submit a two- to three-page report and a 250-word abstract at the end. Awardees present at the John B. Graham Student Research Society’s Student Research Day in November. About 80 percent of participants do their project the summer after their first year.

Regional campuses add their own options. Asheville offers research through MAHEC in areas such as workforce development, substance use and community-based participatory research. Wilmington helps students connect with clinical research, and Charlotte offers short- and long-term projects, some paid, in trauma, orthopedics and health services research. The Office of Medical Student Research also lists one-year research fellowships at UNC and elsewhere, including the CDC Experience Applied Epidemiology Fellowship and the Henderson Post-Sophomore Fellowship in Pathology.

Global health

The Global Health Scholarly Concentration gives students structured mentorship and projects in global health. Students who do research abroad must meet the School of Medicine’s pre-departure requirements and work with the Office of Global Health Education.

Residency match

On Match Day 2026, 209 UNC students in the Class of 2026 matched into residency programs, and 97 percent of graduating students secured a position. Eighty-eight students will start residency in North Carolina, and 45 of them will train at UNC Health hospitals. One hundred forty-five students matched into high-need specialties, including pediatrics, family medicine, general surgery, OB/GYN, medicine-pediatrics and internal medicine. UNC graduates practice in 95 of North Carolina’s 100 counties.

Career plans at graduation point the same way. Among 2025 graduates, the most common intended specialties were internal medicine (14.4 percent), obstetrics and gynecology (11.4 percent), family medicine (9.1 percent), pediatrics (9.1 percent), psychiatry (8.3 percent) and general surgery (8.3 percent). Twenty-one percent of 2025 graduating seniors reported a global health experience during medical school.

Notable Alumni, Faculty, Leadership and Admissions Staff

Leadership

Cristy Page, MD, MPH, Dean of the UNC School of Medicine and CEO of UNC Health. Dr. Page was named dean, CEO of UNC Health and vice chancellor for medical affairs in November 2025, after serving in the roles on an interim basis since July 2025. She is a UNC alumna: a Morehead Scholar as an undergraduate, she earned her MD and MPH at UNC and completed her family medicine residency, chief residency and faculty development fellowship in Chapel Hill. A Distinguished Professor of Family Medicine on the faculty since 2005, she served as the school’s executive dean from 2019 to 2025 and created the FIRST Scholars Program. Her focus on rural health and primary care workforce development is a useful lens for understanding why UNC values service to North Carolina.

Samantha Meltzer-Brody, MD, MPH, Executive Dean. Dr. Meltzer-Brody became executive dean in January 2025. She chaired UNC’s Department of Psychiatry from 2019 to 2025, directed the UNC Center for Women’s Mood Disorders and founded the “Taking Care of Our Own” mental health program in 2011. She is an internationally known researcher in perinatal depression who served as academic principal investigator for trials leading to the first FDA-approved medication for postpartum depression. She was elected to the National Academy of Medicine in 2025. She earned her MPH at UNC.

Admissions

Thomas Koonce, MD, MPH, Associate Dean of Admissions. Dr. Koonce began leading admissions on July 1, 2026. He is a professor of family medicine, associate chief medical officer for outpatient services in UNC’s faculty practice and leader of the department’s Faculty Development Fellowship. He previously directed the Patient Centered Care course and the Foundation Phase curriculum, so he knows the TEC 2.0 curriculum from the inside. He was a Morehead Scholar at UNC and earned his MD at the UNC School of Medicine. As associate dean, he leads recruitment, admission and enrollment of new medical students.

Shannelle Campbell, MD, MPH, FACS, Assistant Dean for Admissions. Dr. Campbell became assistant dean on July 1, 2026, after serving as faculty director of admissions and as vice chair of the admissions committee. She is a general surgeon and assistant professor of surgery who began her career in private practice, earned her MD and MPH at Yale and completed her surgery residency at UNC. The school describes her commitment to “a fair, mission-aligned admissions process that identifies and selects applicants prepared to serve, lead, and advance our mission across North Carolina and beyond.”

Faculty

Aziz Sancar, MD, PhD, Sarah Graham Kenan Professor of Biochemistry and Biophysics. Dr. Sancar shared the 2015 Nobel Prize in Chemistry for mapping how cells repair damaged DNA through nucleotide excision repair. His lab studies DNA repair, the mammalian circadian clock and how the clock controls DNA repair, work with direct links to cancer treatment. He is one of the two Nobel laureates on the School of Medicine faculty and is a member of the National Academy of Sciences and the National Academy of Medicine.

Toni Darville, MD, Director of the MD-PhD Program. Dr. Darville is a professor of pediatrics and microbiology and immunology, vice chair for research in pediatrics and chief of pediatric infectious diseases. Her team studies immune responses to sexually transmitted infections, including Chlamydia trachomatis, with the goal of preventing infection and disease and guiding vaccine development. She joined the UNC faculty in 2013.

Mohanish Deshmukh, PhD, Director of the MD-PhD Program. Dr. Deshmukh is a professor of cell biology and physiology whose lab studies how cells decide to survive or die, with projects aimed at preventing neurodegeneration and triggering cell death in brain tumors. He joined UNC in 2000 and the MD-PhD leadership team in 2013, and he has received a Teaching Excellence Award from the medical school.

Alumni

Jane H. Brice, MD ’94. Dr. Brice chairs UNC’s Department of Emergency Medicine and received the 2025 Distinguished Faculty Award. In 30 years on the faculty, including 10 as chair, she is credited with building UNC into a top emergency center with strong residency, fellowship and research programs.

Brian H. Mullis, MD ’99. Dr. Mullis earned his MD and completed his orthopaedic surgery residency at UNC. He spent 14 years on active duty in the military, including deployments to Afghanistan, and now serves as vice chair for faculty development and residency program director in orthopaedics at Indiana University. He received the 2025 Distinguished Medical Alumni Award.

Avik Chatterjee, MD ’08. Dr. Chatterjee is an assistant professor at Boston University Chobanian & Avedisian School of Medicine. He leads the Southampton Street Shelter Clinic and provides addiction medicine services through Boston Health Care for the Homeless Program, and his research focuses on opioid use disorder and overdose prevention. He received a 2025 Early Career Achievement award.

Joshua Berkowitz, MD ’10. Dr. Berkowitz is an associate professor of orthopaedic surgery at UNC, triple board-certified in internal medicine, pediatrics and sports medicine, and division chief for nonoperative sport and musculoskeletal medicine. He also serves as head team physician for several UNC sports. He received a 2025 Early Career Achievement award.

Why these profiles matter

These people show what UNC values: alumni who return to serve North Carolina, physician-scientists who teach while running major labs and graduates who build careers in community and underserved care. Do not name-drop faculty in your essays. Instead, use their work to understand the kind of physician UNC hopes to train.

Admissions Statistics and Class Profile

UNC Medical School Acceptance Rate and Other Admissions Statistics

UNC’s Office of Admissions publishes these figures for a typical year:

  • Applicants: around 7,000
  • Interviewed: around 750
  • Matriculants: about 230
  • Share admitted: typically 3 to 5 percent
  • Out-of-state matriculants: about 15 to 18 percent

The most recent figures the school publishes for its entering class are an average MCAT of 512, a BCPM GPA of 3.6 to 3.7 and, on its FAQ page, a mean cumulative science GPA of 3.79 and a non-science GPA of 3.66. Accepted applicants for the 2025 entering class had a median MCAT of 515 and a median overall GPA of 3.86.

In-state and out-of-state odds

The residency breakdown for the 2025 entering class shows how much North Carolina residency matters:

UNC School of Medicine applications, interviews and matriculants by residency, 2025 entering class (source: AAMC MSAR; interview counts reported by the school)
GroupVerified applicationsInterviewedInterviewed / applicationsMatriculated
In-state1,12760653.8%191
Out-of-state4,6981894.0%38
International43900%0

The ratio column divides interviews by verified applications; it is not an acceptance rate.

About half of North Carolina applicants were interviewed, compared with about one in 25 out-of-state applicants. The MD-PhD program enrolled 10 students in the same class. For the class entering in August 2027, UNC expects 230 new students: 219 in the MD program and 11 in MD-PhD.

What matriculants bring

Nearly every member of the 2025 entering class had research or lab experience (98 percent). Eighty-nine percent had physician shadowing or clinical observation, 86 percent had medical or clinical volunteering, 85 percent had nonclinical community service and 82 percent had paid clinical work. Thirteen percent already held a graduate degree, 72 percent majored in science or math and 27 percent reported a disadvantaged background.

Class size

UNC has grown its class to meet North Carolina’s need for physicians. The first-year class increased from 190 students to 205 in fall 2023, then to 215 in 2024 and 230 in 2025. Roper Hall was built in part to accommodate the larger class. The school as a whole enrolls 2,072 students across its programs.

How to read these numbers

A few cautions help you use these figures well:

  • Admitted versus enrolled. The 3 to 5 percent figure is the share of applicants UNC admits. It is not the same as dividing matriculants by applicants. Many admitted students choose other schools, so the admit rate is higher than the enrollment ratio.
  • Interview odds. About 750 of roughly 7,000 applicants are interviewed each year, or about one in nine. Because UNC prefers North Carolina residents, in-state applicants have much better odds of an interview: for the 2025 entering class, 53.8 percent of in-state applicants were interviewed, compared with 4.0 percent of out-of-state applicants. If you are applying from out of state, your numbers and your connection to North Carolina need to be strong.
  • Averages, not cutoffs. A 512 average MCAT means many students scored below it. UNC reviews every application holistically and says it does not weight any single factor.
  • Supplemental invitations are automatic. Every verified AMCAS applicant receives a supplemental application, so getting one tells you nothing about your chances. The real screen happens at the interview stage.

Is UNC School of Medicine hard to get into?

Yes. With around 7,000 applicants for about 230 seats, UNC is selective. It is much more selective for out-of-state applicants, who make up only about 15 to 18 percent of each class and face a higher competitive bar (an MCAT of 514 or higher and an overall GPA around 3.59). For North Carolina residents with solid numbers, sustained service and direct patient care, UNC is a realistic target and often the first school on their list.

Tips and Strategies for Admission

1. Make your North Carolina connection clear

UNC’s mission begins with the health of North Carolinians. If you are a resident, show which communities you know and how your experiences connect to them, from rural counties to the Triangle. If you are not a resident, explain honestly why North Carolina, why a public school and why UNC’s statewide training model suits you. A vague answer will not stand out among thousands of in-state applicants.

2. Build service that lasts

UNC’s ideal candidate is “more than a volunteer,” with “a genuine journey of service.” Choose one or two service commitments and stay with them for a long time. Take on more responsibility as you go, and be ready to explain what changed because of your work. A year of weekly tutoring or food pantry shifts will tell the committee more than a list of one-day events.

3. Get one-on-one patient care

UNC asks for “direct-patient contact experience, one-on-one caregiving within a healthcare setting.” Shadowing helps you understand the job, but it does not count as caring for patients. Look for roles where you take vitals, help with intake, support patients and work as part of a clinical team. If you plan a summer of clinical work, pre-med summer internships and paid clinical jobs both build the hands-on experience UNC describes.

4. Show research curiosity

UNC values research because it “reflects your ability to think critically, follow through on complex projects, and engage in scientific inquiry.” You do not need a long list of publications for the MD program. You do need to explain your question, your role, a setback and what you learned. If you are applying MD-PhD, plan for at least 12 months of full-time research.

5. Choose letters that know you

With three required letters and up to two optional ones, quality matters more than quantity. Ask at least two professors who taught you and can describe you in detail. Use the optional letters for a clinical or service supervisor who has seen you with patients. Request letters in early spring so they arrive by August 31.

6. Be ready for the supplemental the moment you submit AMCAS

The supplemental arrives automatically once your AMCAS is verified, and its deadline is in the invitation email. Draft your four essays early in the summer, using the prompts below, so you can submit quickly. Because UNC uses rolling admissions and begins offering seats on October 15, early completion matters.

7. Get it right the first time

UNC does not accept updates or letters of intent after you submit unless the Office of Admissions asks. Read every part of your AMCAS and supplemental before you send them, and make sure your most recent activities and plans are already described.

8. Use a gap year with purpose

Many strong applicants take one or more gap years. If you do, fill the time with meaningful clinical work, research or service that adds something new to your application. Structured pre-med gap year programs can be part of that plan if they give you real patient care responsibilities under supervision. If you have been out of school for more than five years, complete UNC’s upper-level biology and biochemistry prerequisites within three years of matriculation.

9. If you are reapplying

UNC accepts up to three reapplications. Before you apply again, find the real weak spot in your last application, whether it was MCAT score, limited patient care, thin service or a weak reason for choosing UNC, and fix it. Your new application should show clear growth, not just more hours.

Secondary Application Questions, Example Responses and Analysis

UNC School of Medicine Secondary Application: Essay Prompts, Sample Answers, and Advice

The essay prompts on your secondary application are important chances to give well-rounded accounts of your experiences and to show that you know what UNC School of Medicine offers. To stand out beyond your GPA and MCAT, you need thoughtful and persuasive responses. Ideally, you should communicate your qualities, motivations and goals in a way that is authentic to you and compelling to the admissions committee.

For the 2026-2027 cycle, UNC’s supplemental application asks four essay questions with a limit of 250 words each. UNC does not post its prompts publicly; they appear in the supplemental application itself. The wording below is the 2026-2027 wording. Write each answer to 250 words and follow the limit shown in your application. The supplemental fee is $68, and your deadline is listed in your invitation email.

  1. Describe an experience where you attempted a task and realized during the process that you were not ready for it. How did this experience impact your approach to trying new things? (250 words)
  2. How will your life experiences foster a positive educational environment and benefit your future patients? (250 words)
  3. Discuss your involvement in a service activity that has impacted your understanding of healthcare and your desire to pursue a career in medicine. (250 words)
  4. What motivates you to apply to the UNC School of Medicine? (250 words)

Reapplicants and MD-PhD applicants. A separate reapplicant essay has not been published for the 2026-2027 cycle. If your supplemental includes one, answer it directly: describe what has changed since your last application and why you are a stronger applicant now. MD-PhD applicants complete the same supplemental plus a required “Research Description” essay. Its 2026-2027 wording and limit have not been published, so follow the instructions in your application and describe your research experiences, your role and the time you spent on each.

In this section, we explain how to approach each prompt, give an original example answer and show why it works. The examples are illustrations written for this guide. Your own essays must be based on your real experiences.

Essay #1: A task you were not ready for

Prompt: “Describe an experience where you attempted a task and realized during the process that you were not ready for it. How did this experience impact your approach to trying new things?” (250 words)

What it asks. This prompt has two parts. First, describe a specific moment when you realized, in the middle of something, that you were not prepared. Second, explain how that experience changed the way you approach new challenges. The committee is looking for self-awareness, honesty and evidence that you learn from discomfort. It is not looking for a disguised success story.

How to approach it. Pick one real experience with a clear turning point: the moment you noticed you were out of your depth. Describe what you did next. Did you ask for help, stop, get training or keep going in a different way? Spend at least a third of your answer on the second question. Show a habit you have built since, with a concrete example of using it. Medical school will put you in many new situations, from your first Clinical Skills Encounter to your first night on a clerkship, so a thoughtful answer here shows you are ready to learn safely.

Example response (Illustrative example, not an actual applicant essay; 248 words):

Two months into my job as a research assistant for a diabetes prevention study, my supervisor asked me to lead consent conversations at a church health fair in Robeson County. I had memorized the script and felt ready. Then I sat across from Mrs. L., who asked what “randomized” meant and whether the study would cost her anything. I gave the textbook answer. She nodded politely, and I realized she had not understood, and that I could not tell whether she was agreeing freely or just being polite.

I stopped and asked my supervisor to take over. That evening I admitted that I knew the study but not how to explain it to someone who was not already in it. Over the next three weeks I sat in on twelve of her consent conversations, practiced the teach-back method with a nurse educator and rewrote our explanation of randomization using a coin flip. When I returned to the health fair, I asked people to explain the study back to me before they signed. Two decided not to enroll, and I counted that as a success.

Since then, I treat “ready” as something I check, not something I feel. Before I try something new, I ask who has done it well, watch first when I can and plan a way to test whether I am getting it right. I expect to use that habit often at UNC, especially in the Patient Centered Care course, where the stakes will only grow.

Why it works. The essay answers both parts of the prompt. The turning point is precise (a patient’s question and her polite nod), and the writer admits the problem instead of hiding it. Stopping and handing the task to a supervisor shows good judgment, and the follow-up steps (observation, teach-back practice, a rewritten explanation) are concrete. The second half states a clear new habit and shows it in action. The final line links the lesson to a real UNC course without turning the essay into a “why UNC” answer. It is 248 words, under the 250-word limit.

Mistakes to avoid. – Choosing a story where you were secretly ready all along. The prompt asks about a real gap. – Spending all 250 words on the story and one sentence on what changed. – Picking an experience where your lack of readiness put someone at risk without showing that you recognized it and fixed it. – Ending with a cliché such as “I learned that failure is part of growth” without a specific behavior to back it up.

Essay #2: Life experiences and a positive educational environment

Prompt: “How will your life experiences foster a positive educational environment and benefit your future patients?” (250 words)

What it asks. UNC wants to know what you will bring to your classmates and, later, to your patients. The question looks forward (“How will”), but your answer has to be built on real experiences from your past. It has two audiences: the learning environment (small groups, seminars, teams) and future patients.

How to approach it. Choose one or two life experiences that shaped a specific strength, such as a background, a job, a family role or a community you know well. Then show that strength in two settings. How will it help in a 14-person Social and Health Systems seminar or a case-based learning group? How will it help a patient? Use specific examples instead of general claims about being open-minded or a team player.

Example response (Illustrative example, not an actual applicant essay; 244 words):

I grew up behind the counter of my family’s hardware store in a town of 3,000 people in eastern North Carolina. By twelve I could find any part in the building, but my real job was listening. Farmers came in for a hinge and stayed twenty minutes to talk about a sick parent, a bad harvest or a doctor’s bill they did not understand. My father taught me that you do not hand someone the part until you know what they are trying to fix.

That habit has followed me into every group I have joined. In my organic chemistry study group, I was the one who asked, “What is actually confusing you?” before anyone started explaining. As a peer mentor for first-generation students, I learned to wait through silence, because the real question usually came second. In UNC’s small-group seminars and case discussions, I hope to bring that same patience and help classmates who are hesitant to admit what they do not know.

My patients will benefit from the same lesson. Many people in towns like mine distrust doctors because they have felt rushed or talked down to. I know how to talk with someone about a problem in their own words, and I know that the first complaint is not always the main one. I want to be the kind of physician who earns the trust of rural North Carolinians by listening first, which is what my father did for thirty years.

Why it works. The essay is built on one specific life experience and a clear strength that grows from it: listening for the real problem. It answers both parts of the prompt with concrete evidence. For the learning environment, it uses a study group and peer mentoring and connects them to UNC’s small-group format. For patients, it links the skill to rural North Carolina, which fits UNC’s mission. The father’s line (“you do not hand someone the part until you know what they are trying to fix”) gives the essay a memorable thread. It is 244 words.

Mistakes to avoid. – Writing a list of traits without a single story to support them. – Answering only one half of the question (classmates or patients). – Assuming that a background alone answers the prompt. Show what you do because of it. – Using phrases you cannot back up, such as “I will make every classmate feel included.”

Essay #3: A service activity

Prompt: “Discuss your involvement in a service activity that has impacted your understanding of healthcare and your desire to pursue a career in medicine.” (250 words)

What it asks. This prompt connects directly to UNC’s “commitment to service” criterion. It asks for one service activity and two outcomes: how it changed your understanding of health care, and how it affected your desire to become a physician. The word “involvement” matters. The committee wants to see your role and how it grew over time.

How to approach it. Pick the service commitment you have sustained the longest or cared about most. It does not have to be clinical. Describe what you actually did, how your role developed and a specific moment that taught you something about the health system, such as cost, access, transportation, language or trust. Then explain how that insight shaped your path to medicine. UNC’s own “more than a volunteer” language rewards depth, so one activity done well is better than a summary of several.

Example response (Illustrative example, not an actual applicant essay; 246 words):

For three years I have volunteered every Saturday at a food pantry in Durham that also offers free blood pressure checks. I started by stocking shelves. By my second year I was trained to take blood pressures and keep the screening log, and last spring I helped the pantry coordinator start a monthly visit from a community health worker.

The screenings taught me more about health care than any class. One morning a man named Mr. D. had a reading of 182 over 110. When I urged him to see a doctor that week, he said he had stopped taking his medication because he had to choose between his pills and his electric bill. He was not ignoring his health. He was making a trade that no one should have to make. Over the next year I heard versions of that story again and again, about insulin, inhalers and bus fare to appointments.

Those conversations changed what I think medicine is. I used to picture doctors fighting disease. Now I picture them also asking about the electric bill, knowing which clinics offer sliding-scale fees and working with social workers and pharmacists to make a plan a patient can actually follow. The community health worker visits came from that realization. Mr. D. now gets his medications through a patient assistance program, and his pressure is under control. I want to become a physician who treats the whole problem, and who keeps serving the community outside clinic hours.

Why it works. The essay shows sustained involvement and growing responsibility (stocking shelves, screening, then helping launch a new program), which is exactly what “more than a volunteer” means. One patient story carries a clear lesson about cost barriers, and the writer shows that the lesson was repeated, not a one-time event. It answers both parts of the prompt: the change in understanding (social needs shape health) and the effect on the writer’s desire to practice medicine. The tone is respectful and avoids making the patient a prop. It is 246 words.

Mistakes to avoid. – Describing a one-day event or a trip as if it were a long commitment. – Writing about yourself as a hero who “saved” a patient. – Forgetting the second half of the prompt (your desire to pursue medicine). – Choosing a clinical activity that is really about shadowing; this prompt is about service.

Essay #4: Why UNC

Prompt: “What motivates you to apply to the UNC School of Medicine?” (250 words)

What it asks. This is UNC’s “why us” question. The committee wants evidence that you understand what makes UNC distinct and that your goals match what the school offers. Generic praise for a “top-ranked school” or “excellent research” will not help you.

How to approach it. Name two or three specific features of UNC and tie each one to something in your background or goals. Strong options include the six Application Phase sites and the AHEC network, the FIRST and Kenan Rural Scholars programs, SHAC, the Carolina Medical Student Research Program, a Scholarly Concentration Program, the Population Health for Clinicians MPH or the mission’s focus on North Carolinians. If you have personal reasons (family nearby, you grew up in the state), mention them briefly, but center your answer on the academic and professional opportunities. If you are unsure of your specialty, that is fine. Name your current interests and explain why UNC is a good place to explore them.

Example response (Illustrative example, not an actual applicant essay; 235 words):

I want to practice primary care in western North Carolina, where I grew up, and UNC is built to train that kind of physician. Its mission begins with the health of North Carolinians, and I can see that commitment in how the school teaches.

The first draw for me is the Asheville campus and the Kenan Rural Scholars Program. A six-week summer internship with a rural preceptor, followed by years of mentorship, is exactly the kind of long-term relationship I want with the communities I hope to serve. My grandmother drove ninety minutes each way to see a specialist, and I want to understand from the inside how rural practices keep patients from making that drive.

Second, I value UNC’s emphasis on service. During college I spent three years helping run blood pressure screenings at a food pantry, and SHAC, the nation’s oldest student-run free clinic, would let me keep doing that kind of work alongside nursing, pharmacy and social work students from the start.

Finally, I want to build skills to study rural health access, not just practice in it. The Carolina Medical Student Research Program would let me spend my first summer on a funded project, and the Population Health for Clinicians MPH could give me the tools to measure what works.

UNC offers what I need to become a physician who stays, serves and improves care in the mountains I call home.

Why it works. Every reason in the essay is specific to UNC and verifiable: the Asheville campus, Kenan Rural Scholars and its summer internship, SHAC, CMSRP and the Population Health for Clinicians MPH. Each one connects to something personal (growing up in western North Carolina, a grandmother’s long drive, years of service), so the essay explains fit rather than reciting a brochure. It stays focused on a clear goal (rural primary care in North Carolina) that matches UNC’s mission. It is 235 words.

Mistakes to avoid. – Praising rankings, reputation or “world-class research” without naming anything specific. – Listing six programs with one sentence each and no personal connection. – Writing about Chapel Hill’s weather, sports or nightlife. – Naming faculty you have never met as if they were your future mentors. – Copying your Duke or Wake Forest answer and changing the name.

Writing tips for the whole UNC secondary

  • Plan the set. Four 250-word essays leave little room. Use a different main experience in each essay so the committee sees four sides of you.
  • Answer every part. Three of the four prompts have two parts. Check that each answer addresses both.
  • Be specific. Names of courses, places and roles make your writing believable. Generic claims make it forgettable.
  • Stay within the limit. Count your words in a word processor and leave a little room, since the portal may count differently.
  • Submit quickly. Your deadline is in the invitation email, and UNC uses rolling admissions. Aim to submit within about two weeks.
  • Proofread once more. UNC does not accept updates after you submit.

Interview Format and Preparation

The format

UNC School of Medicine conducts its interviews virtually on Zoom. Interview days are held on Mondays, Tuesdays and Thursdays from September through January. The interview day includes virtual interviews with representatives from the School of Medicine community, in a traditional interview format. Interview invitations typically begin going out in late July and August. By the end of December, every applicant receives a status update: Interview, No interview or Under Review.

MD-PhD applicants interview over a weekend in December or January. They spend Sunday meeting current students and faculty in a relaxed social setting, then interview on Monday and Tuesday with both the medical school and research faculty. All 2026-27 MD-PhD interview weekends are virtual.

If you are ill and cannot attend your scheduled interview, contact the Office of Admissions at [email protected] or 919-962-8331.

How to prepare

Because UNC uses traditional interviews, expect conversations about your application, your motivation and the experiences in your essays. Interviewers often ask about anything you wrote, so review your AMCAS and supplemental before the day.

  • Know your story. Be able to explain, in two minutes, why you want to be a physician and why UNC.
  • Prepare your service and patient care stories. UNC values both, so have two or three detailed examples ready, including what you did, what was hard and what you learned.
  • Be ready to discuss North Carolina. In-state applicants should be able to talk about the communities they know. Out-of-state applicants should have a clear, honest reason for choosing North Carolina.
  • Know the curriculum. Be familiar with TEC 2.0, the six Application Phase sites and at least one program that interests you, such as FIRST, Kenan Rural Scholars, a Scholarly Concentration Program or CMSRP.
  • Practice on video. Test your camera, lighting, audio and internet connection. Choose a quiet space, look at the camera when you speak and keep notes out of view.
  • Prepare questions. Ask about things you cannot find online, such as how students choose among the Application Phase sites or how classmates get involved with SHAC.

After the interview

After your interview, the Admissions Committee meets to review and discuss your application. If you interview between September and mid-November, you will hear by the end of December. If you interview between mid-November and January, you will receive a final decision by early April. UNC does not accept update letters or letters of intent unless the Office of Admissions requests one, so put your energy into your other applications while you wait.

Frequently Asked Questions

Is UNC School of Medicine a good medical school?

Yes. UNC is the largest medical school in North Carolina, holds Tier 1 status in primary care in the 2026 U.S. News rankings and has two Nobel laureates on its faculty. Its statewide clinical network and strong primary care tradition make it especially attractive if you want to practice in North Carolina or in underserved communities. Whether it is the right school for you depends on your goals and residency.

What GPA and MCAT do I need for UNC School of Medicine?

UNC’s matriculants average a 512 MCAT and a 3.6 to 3.7 BCPM GPA. A competitive in-state applicant has a BCPM GPA over 3.2 and an MCAT of 500 or higher. A competitive out-of-state applicant has a 3.59 overall GPA, a BCPM GPA over 3.49 and an MCAT of 514 or higher. For the 2025 entering class, accepted applicants had a median MCAT of 515 and a median overall GPA of 3.86. These are not strict cutoffs, but they show how the bar differs by residency.

What is the UNC School of Medicine acceptance rate?

UNC says it typically admits 3 to 5 percent of applicants. In a typical year, around 7,000 people apply, around 750 are interviewed and about 230 enroll. Because UNC prefers North Carolina residents, in-state applicants have better odds than out-of-state applicants. For the 2025 entering class, 606 of 1,127 in-state applicants were interviewed, compared with 189 of 4,698 out-of-state applicants.

Is UNC hard to get into for out-of-state applicants?

Yes. About 15 to 18 percent of each class comes from out of state, and the competitive profile for non-residents (MCAT 514 or higher, overall GPA around 3.59) is higher than the class average. Out-of-state applicants should have strong numbers and a clear reason for choosing North Carolina.

Does UNC School of Medicine require Casper or PREview?

No. UNC does not require Casper, PREview or any other situational judgment test. The MCAT is the only required standardized test.

How old can my MCAT score be?

Your MCAT must be taken within three years of matriculation. For the 2027 cycle, UNC accepts scores from January 1, 2024 through the September 13, 2026 test date.

What prerequisites does UNC require?

UNC requires at least 30 credit hours of AMCAS-designated BCPM coursework with letter grades, including one biochemistry course and two upper-level biology courses. Statistics and humanities are recommended. AP, CLEP and WES-evaluated credits do not count, and most coursework should be in person.

How many letters of recommendation does UNC require?

Three letters are required, and you may submit two optional letters for a total of five. A pre-health committee letter can count as your three required letters. Letters are recommended by August 31, and optional additional letters are due by October 1.

Does UNC require shadowing or clinical hours?

UNC does not set a minimum number of hours, but it calls direct patient contact “of critical importance.” It wants longitudinal, one-on-one caregiving in a health care setting. Shadowing helps you understand medicine, but hands-on roles where you work with patients carry more weight. Medical internships for undergraduates that include supervised direct care can be one part of that experience.

When is the UNC secondary due, and how much does it cost?

UNC sends the supplemental application automatically to every applicant with a verified AMCAS. It is due two weeks after the invitation is sent, and the exact date appears in your invitation email. The non-refundable fee is $68, and a fee waiver is available. MD-PhD applicants must submit by October 4.

What are the UNC secondary essay prompts for 2026-2027?

There are four essays of 250 words each. They ask about a task you were not ready for, how your life experiences will foster a positive educational environment and benefit future patients, a service activity that shaped your understanding of health care and your desire to practice medicine, and what motivates you to apply to UNC.

What is the UNC interview like?

UNC conducts interviews virtually on Zoom, on Mondays, Tuesdays and Thursdays from September through January. The interview day includes traditional interviews with members of the School of Medicine community.

When does UNC send acceptances?

UNC uses rolling admissions and begins sending offers on or after October 15. Applicants who interview between September and mid-November hear by the end of December. All final decisions, including waitlist offers, are released by early April.

Does UNC accept letters of intent or update letters?

No. UNC does not accept updates to your AMCAS or supplemental, including new experiences or letters of intent, unless the Office of Admissions requests one.

Does UNC have Early Decision?

No. UNC does not participate in the AMCAS Early Decision Program.

Can international students apply to UNC School of Medicine?

Yes. International applicants are considered as out-of-state applicants under the same criteria. They must complete all prerequisites at a regionally accredited U.S. or Canadian institution before applying. Students on F-1, H-1, J or similar visas cannot receive federal loans and must fund all four years.

Does UNC accept DACA applicants?

Yes. UNC considers DACA applicants as part of the out-of-state applicant pool, under the same GPA and MCAT criteria as other out-of-state applicants.

Is there a deposit, and can I defer?

Yes. Accepted applicants have two weeks to return the acceptance form with a $100 deposit, which is refundable until April 30, 2027, and is applied to tuition. Deferral requests are considered case by case.

How much debt do UNC medical graduates have?

For 2024-2025, graduates who borrowed left with an average medical school debt of $154,057, and 92 percent of students received financial aid. UNC also reports that its graduates owe about $26,000 less on average than peers nationally.

What is the FIRST program at UNC?

FIRST (Fully Integrated Readiness for Service Training) is a three-year accelerated MD path linked to a North Carolina residency in family medicine, general surgery, pediatrics or psychiatry, followed by three years of service in North Carolina. Students in FIRST have the highest priority in the match for UNC and affiliated programs.

How much is tuition at UNC School of Medicine?

For 2026-27, tuition and fees are $35,094 for North Carolina residents and $63,419 for non-residents. The full cost of attendance, including living costs and health insurance, is $69,704 for residents and $98,029 for non-residents.

Does UNC offer an MD-PhD program?

Yes. The MD-PhD Program follows a 2-4-2 timeline, takes an average of 8.16 years and enrolls a class of 10 to 12 from about 500 applications. You apply by choosing MD-PhD on AMCAS.

Where will I do my clinical rotations?

After the 18-month Foundation Phase in Chapel Hill, you will complete your 12-month Application Phase at one of six sites: Asheville, Central (Chapel Hill and nearby), Charlotte, Greensboro, Raleigh or Wilmington. Sites are assigned through a ranked lottery, and you will need a car.

How many times can I apply to UNC?

UNC limits reapplicants to an initial application plus three reapplications, for a total of four applications.

Does UNC accept transfer students?

Not at this time. UNC School of Medicine has an indefinite pause on medical student transfers.

How can I get more experience before I apply to UNC?

Focus on sustained service and one-on-one patient care, since both appear in UNC’s selection criteria. Paid clinical jobs, hospital volunteering and pre-health internships with supervised patient contact can all help, as long as you can describe your role and what you learned.

Related Medical School Guides

If you are considering UNC, these guides cover schools that North Carolina and Southern applicants often weigh at the same time:

For a full overview of the state, read our guide to medical schools in North Carolina.

More medical school guides

Don’t forget to check out the rest of our ultimate medical school guides:

How International Medical Aid Can Help

Medical School Admissions Consulting

We do our best to keep this website an ultimate resource for future physicians working to get into their ideal medical school. Even so, applying to medical school can be overwhelming. It takes careful organization, communication and planning, and even strong candidates can fail to express their strengths on paper.

That is where our admissions consulting service comes in. We use our experience in medicine and education to help you through the admissions process and become a competitive applicant. Our services include a full review of your applications, mock interviews, personalized strategy sessions and more. You can find more information about our medical school consulting services here.

Clinical Experience Abroad

Like other medical schools, the University of North Carolina School of Medicine looks for deep, hands-on healthcare experience. The Office of Admissions also stresses a sustained commitment to service and an understanding of the health care system.

International Medical Aid (IMA) runs medical internships abroad in Kenya and other countries for pre-health students. Our pre-med internships place you in hospitals and clinics where, under the supervision of local physicians and nurses, you take vitals, help with patient intake and triage and assist with direct patient care. You will learn how medicine works when resources are limited, see how culture and cost shape health and receive mentorship in medicine and career planning.

These experiences can help you write specific answers to UNC’s prompts about service, readiness and patient care. They are one part of a strong application, not a shortcut; IMA has no affiliation with UNC, and no program guarantees admission. If you are planning your next summer or a gap year, explore our internships for pre-med students and pre-med internships abroad, or browse all of our international healthcare internships. Our interns leave with a wider global view, a clearer sense of their goals and real clinical experience. Students who have taken part in International Medical Aid’s healthcare internship abroad often find it gives them concrete stories for their secondary essays and interviews.

Final Thoughts and Sources

Good Luck to You!

UNC School of Medicine is a strong choice for students who want to serve North Carolina, value primary care and community service and want research and dual-degree options at a public school. Your next steps are simple: confirm that your coursework and MCAT dates meet UNC’s rules, line up three strong letters, build sustained service and one-on-one patient care and prepare your four supplemental essays before your AMCAS is verified.

We hope this guide serves you well on your journey to becoming tomorrow’s physician. We wish you the best of luck in your academic and professional career!

Sources

All sources were checked on October 23, 2026.

  • UNC School of Medicine Office of Admissions: Admissions Requirements (2027 cycle; updated May 2026), Admissions Checklist, FAQs (updated March 2026), Timeline for Current Applicants and North Carolina Residency.
  • UNC School of Medicine Financial Aid: 2026-2027 Cost of Attendance, Key Notes About Cost of Attendance and Incoming Student Scholarships.
  • UNC School of Medicine Curriculum: TEC 2.0 Curriculum Overview, Foundation Phase, Application Phase, Individualization Phase, Campus Assignment Process, Scholarly Concentration Programs, Introducing TEC 2.0 and Roper Hall.
  • UNC School of Medicine: About (mission, vision and facts); Student Spaces; Housing Resources; Student Volunteer Opportunities; Veteran Recruitment; SHAC Medical Clinic.
  • UNC MD-PhD Program: Process and Criteria, Deadlines and Key Dates (2026-27), Program Overview and Leadership.
  • UNC School of Medicine additional degrees: MPH (Population Health for Clinicians) and MBA pages.
  • UNC Office of Medical Student Research: Carolina Medical Student Research Program overview and one-year research opportunities.
  • MAHEC: FIRST Program and Kenan Rural Scholars.
  • UNC Health Newsroom: Match Day 2026 (March 20, 2026); Dr. Cristy Page named CEO and dean (November 20, 2025); MD program reaccredited through 2027 (March 17, 2021); The Enduring Legacy of Dr. Aziz Sancar (October 8, 2025).
  • UNC-Chapel Hill: 2026 U.S. News Best Graduate Schools rankings (April 7, 2026).
  • UNC School of Medicine people pages: Cristy Page directory profile; Samantha Meltzer-Brody (Department of Psychiatry); Aziz Sancar (Department of Biochemistry and Biophysics); admissions leadership announcements for Thomas Koonce and Shannelle Campbell (June 2026); 2025 Distinguished Medical Alumni Awards (January 2026); UNC SOM Curricular Pathways, Match 2026 primary care programs.
  • AAMC Medical School Admission Requirements (MSAR), University of North Carolina at Chapel Hill School of Medicine profile, 2026 edition (2025 entering class data; acceptance, MCAT, GPA and matriculation data from the AAMC Data Warehouse as of October 29, 2025; debt and aid from the LCME Part I-B questionnaire, 2024-2025; specialty intentions from the 2025 Graduation Questionnaire), accessed October 23, 2026.
  • AAMC: Interview Procedures report for the 2027 cycle, information provided by individual medical schools.
  • Secondary prompts: 2026-2027 wording as published in current-cycle prompt compilations (Med School Insiders; Accepted, September 16, 2026). UNC provides the prompts in its supplemental application.
  • Class averages carry no cohort year on the school’s pages and are labeled as current school-reported figures.

About IMA

International Medical Aid provides global internship opportunities  for students and clinicians who are looking to broaden their horizons and experience healthcare on an international level. These program participants have the unique opportunity to shadow healthcare providers as they treat individuals who live in remote and underserved areas and who don’t have easy access to medical attention. International Medical Aid also provides medical school admissions consulting to individuals applying to medical school and PA school programs. We review primary and secondary applications, offer guidance for personal statements and essays, and conduct mock interviews to prepare you for the admissions committees that will interview you before accepting you into their programs. IMA is here to provide the tools you need to help further your career and expand your opportunities in healthcare.