How Many Clinical Hours For Med School? Premed Student Guide

May 8, 2025

Written By

Zach French

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Every year, thousands of premeds Google the same thing: “How many clinical hours do I need to get into med school?” They get a dozen different answers, waste time trying to figure it out, and still feel unsure. 

Here’s the truth: clinical experience isn’t just a number. It’s the difference between an application that gets ignored and one that demands attention.

In this article, we’ll cover how many clinical hours you need for medical school, what counts (and what doesn’t), and how to find the right experiences to stand out.

Premed Catalyst is a results-driven premed mentorship program that helps students gain meaningful clinical experience, build competitive applications, and get into med school. In the 2024–2025 cycle, every Premed Catalyst student who applied on time got accepted — a 100% acceptance rate. That includes admits to top-tier schools like Vanderbilt, UCSF, UCLA, and more.

Book your free strategy session today to take the first step toward getting into your dream med school.

Why Clinical Experience Matters For Getting Into Medical School

You’re not getting into med school without clinical experience. Period. 

The reason is simple: if you’ve never actually worked with patients, why should anyone trust you to be a doctor?

Clinical experience tells admissions committees:

  • You know what medicine really looks like — not just TV medical dramas.
  • You’ve been in a room where someone was scared or sick or dying, and you didn’t walk away.
  • You’re not just smart on paper — you can show up, communicate, and care.

This isn’t extra credit. This is the baseline. You need it.

How Many Clinical Hours Do You Really Need?

The number floating around online is 100 to 150, but that’s outdated. From what we’ve seen with our 2024-2025 cohort, the real range is closer to 300 to 2,000 hours. Students in that range who applied on time received a median of 7 interviews.

That range is solid. That’s enough to show consistency and commitment without looking like you were faking it for the sake of numbers. That doesn’t mean you must hit 300+ hours to be competitive. We’ve just rarely seen strong applications come in under that mark.

But here’s what no one tells you: it’s not really about the number — it’s the story.

If you’ve got 1,000 hours of standing silently in a hospital hallway, that’s not impressive. If you’ve got 300 hours where you actively talked to patients, helped with care, and can reflect on it deeply — that is.

What med schools really care about is whether you understand what you’re getting into and whether your experiences show that you're pursuing medicine for the right reasons. That’s why context matters. Schools want to see that you’ve worked with real people, not just logged time. 

Even better? If you’ve engaged with the communities you want to serve. For example, if you're applying to schools in L.A., showing clinical experience with the Hispanic population can go a long way. It tells them you’re not just checking boxes — you’re building a connection to the kind of doctor you want to be.

What If I Don’t Get Enough Clinical Hours?

If you haven’t reached the number of recommended clinical hours don’t just sit there feeling bad about it. Start now. Get clinical exposure wherever you can — volunteering, shadowing, working. Go deep, not wide. Admissions committees are looking for traction, not perfection.

But what if the deadline is coming up, and you're still way too short? Here’s the truth: it’s not ideal, but it’s also not the end of the road.

If you're behind, your goal should be to:

  • Consider a strategic gap year. If your clinical exposure is close to nonexistent and your other application elements are borderline, taking an extra year to gain experience and apply once is far better than rushing in with a weak app and getting rejected.
  • Show that you’ve started even if it’s recent. A strong letter from a clinical supervisor and a thoughtful reflection on what you've already learned can still make an impact. At some schools, it’s not just helpful, it’s expected. Many California medical schools, for example, specifically ask for letters from clinicians and, ideally, physicians.
  • Explain your path honestly in your application. Use your personal statement or secondary essays to show how you recognized the gap, took action, and are continuing to gain experience.
  • Double down now. Consistent involvement from today forward still matters. Some schools will review updates during the cycle or at interviews.

Will Getting More Hours Help Me Get In?

More clinical hours don’t always make a stronger application. More is often just more, not better. If you can’t explain what you learned or how it shaped you, no one cares if you’ve got over 2,000 hours. They’ll see right through it. Your experiences need to mean something.

Types of Clinical Experience You Can Choose

There’s more than one way to get hands-on experience in medicine, and the best path is the one you can actually follow through on consistently. Clinical experience doesn’t have to look the same for everyone, and it doesn’t have to start in the flashiest hospital or with the most competitive role.

What matters is patient contact, real learning, and a growing sense of responsibility in a clinical environment. That holds true whether you’re working part-time or volunteering on weekends.

Paid Positions

Get paid and get clinical experience. Win-win.

Paid roles are one of the most effective ways to gain sustained, hands-on experience in patient care. These jobs often involve direct interaction with patients, collaboration with healthcare professionals, and insight into the day-to-day workings of clinical environments.

What sets paid positions apart is consistency. You're not just popping in once a week to volunteer. You're showing up regularly, taking on responsibility, and becoming part of the healthcare team. That kind of involvement speaks volumes on an application.

Volunteer Roles

Just because a role isn’t paid doesn’t mean it’s any less valuable. In fact, volunteer clinical experiences can be some of the most meaningful and impactful parts of a premed journey.

Volunteering gives you the chance to serve patients and communities while developing empathy, communication skills, and a clearer picture of what it means to work in healthcare. And because you’re not tied to a paycheck, you often have more flexibility in where and how you get involved.

Admissions committees love to see consistent, long-term volunteer work, especially in clinical settings. It shows you’re not just checking a box — you’re committed to service. You're choosing to show up without being paid because you care.

If you can volunteer in a setting that aligns with your personal interests or values, your experience becomes part of your story, not just your resume.

Think:

  • Translating for Spanish-speaking patients at a free clinic if you’re bilingual.
  • Volunteering with immigrant or underserved communities if you care about access to care and health equity.
  • Gaining exposure to psychiatric care or addiction recovery centers if mental health is a field you're drawn to.

Examples of What Counts as Clinical Experience

Not everything that happens in a hospital is “clinical,” and not every clinical experience happens inside a hospital. The key question is simple: Are you engaging with patients in a healthcare setting?

If the answer is yes — it probably counts.

Here are some examples that typically qualify as clinical experience:

  • Helping patients with basic care (feeding, dressing, mobility assistance)
  • Taking vitals or observing clinical procedures as part of a care team
  • Assisting in patient intake or discharge with direct communication
  • Transporting patients between departments or supporting them during visits
  • Volunteering in a free clinic where you interact with patients and providers
  • Working as an EMT, CNA, phlebotomist, or medical assistant
  • Hospice care involving patient interaction and emotional support
  • Scribing for a physician during real-time patient encounters

Bottom line: if you're present, engaged, and involved in the patient care process, you're gaining clinical experience. If you’re just watching from a distance or doing tasks no patient ever sees — not so much.

What Doesn’t Count as Clinical Experience?

Not every healthcare-related activity counts as clinical experience, and misunderstanding this will weaken your application. Just because you’re in a hospital or clinic doesn’t mean your experience qualifies.

Here’s what doesn’t count:

  • Filing paperwork or answering phones at a front desk
  • Billing or insurance work that doesn’t involve patients
  • Shadowing without any patient interaction or reflection
  • Laboratory research with no clinical or patient-facing element
  • Remote “clinical” experiences with no in-person contact (This is unless they involve meaningful patient engagement, which is rare. Person-to-person contact is crucial to making remote experiences count.)
  • One-day health fairs with minimal patient interaction (unless you played an active, clinical role)

Why not? Because clinical experience is about being part of patient care, not just being in the building where it happens. If you’re not talking to, helping, or learning directly from patient interactions, admissions committees won’t count it, and neither should you.

Clinical Experience vs. Shadowing

Clinical experience and shadowing are not the same and admissions committees know the difference. Yes, both take place in clinical settings, but they serve different purposes, and on the AMCAS application, they’re categorized separately.

Let’s break it down:

Shadowing isn’t flashy. It’s not the most hands-on. And no, you won’t be drawing blood or taking vitals. But here’s why it still matters — because shadowing gives you a front-row seat to what being a physician actually looks like.

Shadowing is required on most applications, but it won’t carry much weight beyond the basics. 

Think of it as checking a box:

  • 50–100 hours is plenty
  • 2–4 different specialties is ideal

Anything beyond that? It’s rarely a game-changer.

Clinical experience is where you’re in it. You’re not just watching — you’re doing. You’re engaging with patients, contributing to care, and gaining hands-on exposure to healthcare delivery. Whether it’s taking vitals, helping with mobility, sitting bedside, or assisting with intake, you’re part of the patient’s journey.

Clinical experience is where your interpersonal skills, empathy, and growth really show up and where most of your value-add to an application comes from. It’s where med schools get to see if you can actually handle being around sick people, communicate with compassion, and work as part of a healthcare team.

Med schools care far more about clinical experience because it proves you’re not just interested in medicine — you’re ready to be part of it.

How to Choose the Right Experiences for a Cohesive Narrative

The most successful applicants don’t just list hours. They connect the dots. They use their clinical experiences to say something powerful about who they are and why they belong in medicine.

With so many clinical opportunities out there, it’s easy to feel stuck choosing the “best” one to tell that story. But the truth is, the best experience is the one that fits your goals and your schedule and helps you grow, not the one that looks flashiest on paper.

Here’s how to make the right choice for you:

1. Look for Direct Patient Contact

If you’re not interacting with patients, it’s not clinical. Period. It doesn’t matter if it’s a hospital, clinic, mobile unit, or hospice, you need to be talking to, helping, or supporting patients. Filing papers or lurking in the background doesn’t count.

2. Prioritize Consistency Over Prestige

One year at a community clinic where you built relationships beats two months at a big-name hospital where no one knew your name. Med schools want to see commitment, not clout chasing. Go with what you can commit to because that’s where real experience happens.

3. Choose What You Can Reflect On

If you can’t explain what it taught you, what challenged you, or what changed your perspective, it won’t help you stand out. Choose experiences where you feel something, not just where you show up. This is what builds strong personal statements and killer interview answers.

4. Match It to Your Interests or Use It to Explore

Already leaning toward emergency medicine? Cool, lean harder. Still figuring it out? Even better. Use your clinical experiences to explore. Try different settings. Get uncomfortable. See what sparks something in you. The more you try, the clearer your path gets and the more well-rounded you become as an applicant.

5. Think About the Narrative

Creating a cohesive narrative is the whole point. Your clinical experiences aren’t random. They should connect to who you are and where you’re going. Every hour you spend should be another puzzle piece that answers the question: Why medicine and why you?

Insider Tips For Gaining Clinical Experience

There’s a lot of noise out there — forums, Reddit threads, premed subcultures full of half-baked advice. Here's the stuff that actually helps students get into med school, straight from mentors who’ve done it and helped hundreds of others do it, too.

  1. Start sooner than you think. Most premeds wait too long to get clinical experience. Don’t be that person. You don’t need to “wait until your schedule clears” or “until sophomore year.” Start now.
  2. Keep a clinical journal. Document what you do and what you learn. Not just the number of hours, but moments that impacted you, lessons that surprised you, and situations that challenged you. This becomes gold when it’s time to write your personal statement or prep for interviews.
  3. Certifications can open doors. Getting certified as an EMT, CNA, or phlebotomist isn’t just resume padding — it gives you access to clinical roles most other premeds can’t get. Yes, it takes time. Yes, it’s worth it.
  4. Ask Around. Not everything is online. Some of the best clinical opportunities will never be posted on job boards. Talk to your professors, academic advisors, local physicians, hospital volunteers, even med students.
  5. Show up like you already belong. It doesn’t matter if you’re a volunteer or part-time assistant. Treat every shift like you’re already part of the team. Be early. Be helpful. Be curious. The people you work with will notice, and often, those are the people who write your letters of recommendation.
  6. Don’t bounce after two months. Too many premeds ghost a clinical role the second it gets boring or inconvenient. That’s a red flag to med schools. You don’t need to love every second, but you do need to show commitment. Stick with something long enough to grow in it.
  7. Get help sooner, not later. Struggling to find the right experience? Unsure what actually counts? You don’t have to guess your way through this. Premed Catalyst students work with mentors who’ve been there, done it, and built apps that actually got them in. If you're serious about med school, get serious about your strategy.

Get Clinical Experience With Help From Mentors Who Know What It Takes

Most premeds don’t miss the mark because they’re lazy. They miss it because no one ever showed them how to do it right.

That’s where Premed Catalyst comes in. We’re a mentorship program built by people who’ve actually gotten into med school — and helped hundreds of others do the same. 

We’ll help you:

  • Find the right clinical opportunities fast.
  • Turn those experiences into a cohesive narrative.
  • Build an app that actually gets noticed.

Book your free strategy session today to speak to someone who actually knows what it takes to get into med school.