Everyone knows you need a very good GPA to get into medical school. The lowest GPA you’ll typically see is 3.5/4.0, and that’s for schools that aren’t as prestigious. You’ll want to check the GPA requirements for each school to which you’re applying. You’ll also want to calculate your GPA to see where your grades are now and to see what grades you need to earn to keep or get your GPA where you want it to be.

Additionally, you’ll need to calculate your GPA when you apply to medical school using the American Medical College Application Service (AMCAS), the American Association of Colleges of Osteopathic Medicine (AACOMAS) and/or the Texas Medical and Dental School Application Service (TMDSAS). 

When calculating your GPA, you’ll need to include all the classes you’ve taken. This includes old Science classes that you retook. Even if you replaced your grade with a better one, AMCAS and AACOMAS still require it. The only exception is the Fresh Start Program that TMDSAS offers. But even with TMDSAS, you still have to report old grades if you’re not part of the Fresh Start Program.

Let’s look at how to calculate your GPA for each of these application services.


We’ll start with AMCAS since it’s the most centralized college application service for allopathic medicine in the United States. Here are the steps to take for your AMCAS application:

  1. Get all your official college transcripts.
  2. Enter all your grades into the AMCAS GPA calculator, including Withdrawals and Incompletes. If you’ve taken the same course twice, AMCAS GPA calculator will average the two grades together for your GPA. 
  3. Enter any grades from any classes you’ve taken that are not included on your transcript. This includes classes that you were expunged from your record.
  4. Star the Science classes to make it easier to calculate your Science GPA apart from your Cumulative GPA.
  5. Use the data from the AMCAS GPA calculator to input your GPA into your AMCAS application.

Your cumulative GPA is your GPA from all the classes you’ve taken. Your Science GPA is also known as your BCPM, an acronym that stands for Biology, Chemistry, Physics and Math. Your BCPM is its own GPA that tells colleges how well you do in Math and Science courses. If you have more questions, AMCAS has a helpful guide.



The American Association of Colleges of Osteopathic Medicine is the centralized application for osteopathic medicine. If you want to earn your DO degree, you’ll fill out this application. If you’re applying to both allopathic and osteopathic schools, you’ll need to fill out AMCAS and AACOMAS. 

Here are the steps to take for your AACOMAS application:

  1. Obtain your official college transcripts.
  2. Enter in your grades. AACOMAS also requires you to report all grades for all courses, even if they’ve been expunged.
  3. Separate your science courses from the rest of your courses for your Science GPA. It should be noted that AACOMAS does not include Math courses as part of your Science GPA.
  4. Enter your GPA into the AACOMAS GPA calculator.

AACOMAS works differently from AMCAS. While AMCAS just collects your cumulative and science GPAs, AACOMAS separates your grades into the following GPA categories:

  • A GPA for each school you’ve attended
  • Each school year, for both undergraduate and graduate courses
  • Your cumulative undergraduate GPA with any post-baccalaureate classes*
  • Your overall undergraduate and graduate GPA
  • Your science GPA 
  • Your non-science GPA
  • GPAs for each category of classes taken (sciences, humanities, and so forth)

*Post-baccalaureate classes are classes you’ve taken after earning your bachelor’s degree but before beginning a graduate school program. 



You’ll only fill out the Texas Medical and Dental School Application Service if you’re applying to a medical school in the state of Texas. Texas is the only state in the United States that has its own application service. 

  1. Get your official college transcripts.
  2. Enter in your grades. 
  3. Separate your science courses from the rest of your courses for your Science GPA. 
  4. Enter your GPA into the TMDSAS GPA calculator.

TMDSAS has unique attributes. They don’t take weighted GPAs into consideration. If you attended a university where you earned a C-, TMDSAS will convert it to a C.

Here are the GPAs that TMDSAS collects as part of your application:

  • Overall GPA
  • Overall Science GPA
  • Overall undergraduate GPA
  • Overall undergraduate non-Science GPA
  • Overall undergraduate Science GPA
  • Overall graduate GPA
  • Overall graduate non-Science GPA
  • Overall graduate Science GPA

For questions about which courses apply to which categories, go here


Exceptions to Submitting Grades with the Fresh Start Program

It’s hard to get an exception to submitting your grades. AMCAS, AACOMAS and TMDSAS want to see all the classes you’ve taken — attempts, incompletes, withdrawals and failures. It’s all part of your journey, even if it’s not a part you like very much. 

TMDSAS does offer an exception, though. It’s not for everyone, but at least it’s something, right? It’s called the Fresh Start Program. The Fresh Start Program can help you if it’s been more than 10 years since you’ve taken a course. Because of this, your GPA will be way higher for TMDSAS than AMCAS or AACOMAS. 

Just keep in mind that this exception is only for applicants who are participating in the Fresh Start Program. If you’re not part of this program, or if you’re applying to Texas and non-Texas medical schools, then you’ll still need to submit those courses to AMCAS and AACOMAS. 

Now, AACOMAS used to have a grade replacement system. If you took the same course twice, the better grade would override the old one. But that’s no longer in effect. The Fresh Start Program is the only current exception to submitting old grades. 

If you have any issues using our AMCAS, AACOMAS, or TMDSAS GPA calculator, please don’t hesitate to reach out to us. International Medical Aid is here to help you through every step of the process. 

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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.