Medical School Tuition in the US and Canada by School Type, Residency and Year
19 minutes
Written by
International Medical AID
on July 17, 2026
Supporting Your Medical School Application
Add each course, its credits and your grade to see your cumulative GPA and the science GPA that AMCAS, AACOMAS and TMDSAS would each calculate. The three science GPAs can differ because each service defines a science course and values plus and minus grades in its own way. Check a service’s box when a course counts as science under its rules, and use the comparison table below the calculator to see what counts where.
| School | Year | Qtr | Class | Credits | Grade | AMCAS BCPM | AACOMAS BCP | TMDSAS BCPM | Remove |
|---|
Cumulative GPA
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AMCAS sGPA
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AACOMAS sGPA
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TMDSAS sGPA
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Graduate GPA
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Postbac GPA
0.00
Total Credits
0
Written by International Medical Aid. Last updated September 2026.
Your transcript GPA is rarely the number a medical school sees. You do not type a GPA into any of these applications. You enter your coursework, and each service builds its own GPAs from it. AAMC says AMCAS GPAs almost always differ from the ones your schools calculated, and AACOMAS tells applicants to expect the same kind of gap.
Work from your official transcripts and enter every graded attempt, including repeated and failed courses, because all three services count them. Choose the year level for each course and check Qtr for quarter system credits. Pass, withdrawal and incomplete grades do not change the result. A WF (withdraw failing) counts as an F. AMCAS treats a WF that way only when your school counts it as a failing grade, so check your transcript key. The cumulative GPA tile uses plus and minus values, so your TMDSAS overall GPA can differ from it. Your entries are saved in your browser, and you can export them as a CSV file and import them later.
The table below summarizes the current applicant instructions: the 2027 AMCAS Applicant Guide, the AACOMAS Applicant Help Center and the TMDSAS Application Guide and policies. The last row links to each rule at its source so you can confirm it for your cycle.
| Rule | AMCAS | AACOMAS | TMDSAS |
|---|---|---|---|
| Used for | Most U.S. MD-granting medical schools | Osteopathic (DO) medical programs | Dental, medical, podiatry and veterinary schools in Texas |
| Who calculates your GPA | AMCAS, during verification | AACOMAS, during verification | TMDSAS, from every course on your official transcripts |
| Science GPA | BCPM: biology, chemistry, physics and math. Everything else is AO (all other). | Science: biochemistry, biology and zoology, inorganic chemistry, organic chemistry, physics and other sciences. Math counts as non-science. | BCPM: courses in the biology, chemistry, physics and math departments, statistics included |
| Plus and minus grades | Counted, even if your school ignores them (A- is 3.7, B+ is 3.3). A+ and A are both 4.0. | Counted (A- is 3.7, B+ is 3.3). A+ and A are both 4.0. | Not counted. A is 4.0, B is 3.0, C is 2.0, D is 1.0 and F is 0. C+, C and C- carry the same value. |
| Repeated courses | Every attempt counts, even if your school replaced the grade | Every attempt counts, whatever your school’s or state’s forgiveness policy says | Every attempt is entered, and all assigned grades are used |
| Left out of the GPA | Withdrawals, audits and current courses. Pass/fail, AP and CLEP credit are reported as supplemental hours. | Non-graded credit such as pass/fail and AP. A WF counts as an F. | W, WP, incomplete, credit by exam and pass grades. F, WF and NC count as failures. |
| GPAs sent to schools | BCPM, AO and total for each academic status from high school through graduate, plus cumulative undergraduate | Science, non-science and total for each year level, plus cumulative undergraduate, graduate, overall and course subject GPAs | Overall, undergraduate and graduate GPAs, each with BCPM and non-BCPM versions, plus a last 45 hours GPA |
| Old coursework exception | None. A grade removed under a school forgiveness policy must still be entered. | None. School forgiveness, academic renewal and grade replacement policies are not recognized. | Only Texas Academic Fresh Start, and only when your school granted it |
| Official instructions | How grades are factored and which grades are included | Calculating your AACOMAS GPAs and the grade values chart | GPA calculation rules and the coursework guide |
AMCAS calculates your GPAs during verification, and they appear on your application once its status is Processed. Medical schools receive a BCPM GPA, an AO GPA and a total GPA for each academic status, from high school through graduate. Postbaccalaureate courses count in your undergraduate total and on their own line.
You choose each course’s classification by its primary content, not the department that taught it. Our AMCAS course classification guide covers the subjects applicants most often get wrong. If your school replaced an old grade under a forgiveness policy, enter the original grade and credits anyway. AMCAS returns applications that leave them out.
AACOMAS converts each grade to a numeric value, multiplies it by the attempted credits and divides total quality points by total credits. The biggest difference from AMCAS is math. AACOMAS puts mathematics in the non-science GPA, so a strong calculus grade lifts your AMCAS BCPM GPA but not your AACOMAS science GPA. If you are applying to both MD and DO programs, read how science GPA and overall GPA work together.
AACOMAS does not replace grades. Its transcript entry instructions say it must include all repeated courses in GPA calculations.
TMDSAS follows GPA rules set by the Texas Higher Education Coordinating Board. The scale uses whole letters only, so a B+ and a B- both count as 3.0. You still enter each grade exactly as your transcript shows it. No grade may be expunged, and every course that ever received a grade and credit is included, even if the school that issued the transcript leaves it out of its own GPA.
Academic Fresh Start comes from the Texas Education Code. It is not a TMDSAS program, and TMDSAS does not grant it. It lets a Texas resident applying to a Texas public undergraduate institution choose to have all coursework earned 10 or more years before enrollment ignored for admission. You cannot keep some of those old courses and drop others.
TMDSAS recognizes Fresh Start only when the designation appears on the transcript of the school that granted it. You still send every transcript and enter every course. Once TMDSAS confirms eligibility, it removes the covered coursework from its GPA calculations, although the schools you apply to still receive all of your transcripts. Fresh Start changes nothing on AMCAS or AACOMAS, where the old grades still count.
AAMC reports that applicants to U.S. MD-granting medical schools for 2025-2026 had a mean total GPA of 3.67 and a mean science GPA of 3.57. Students who matriculated averaged 3.81 and 3.75, according to AAMC FACTS Table A-16. For osteopathic schools, AACOM reports that 2024 matriculants averaged 3.61 overall and 3.54 in science.
These are averages, not minimums. Our MCAT and GPA grid shows how acceptance rates shift across GPA and MCAT ranges. If your number is lower than you hoped, start with whether your GPA is good enough for medical school.
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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.
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