How to Get Clinical Hours for Med School & Make Them Count

May 29, 2025

Written By

Zach French

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Maybe you’ve emailed 17 clinics and gotten two auto-replies. Maybe you volunteered for 6 months but never once spoke to a patient. Or maybe you're working two jobs, trying to make ends meet, and can’t imagine adding another unpaid shift to your week. If you’re trying to figure out how to get clinical hours for med school and how to make them meaningful, you’re not alone, and this guide is going to give it to you straight.

In this article, we’ll break down why clinical hours matter in the first place, what really counts as clinical experience (and what doesn’t), and how many hours you actually need to be competitive. We’ll walk you through which experiences are worth your time, how to find them even without connections, and how to write about them on your application.

If you’re feeling overwhelmed or unsure where to start, you don’t have to figure it out alone. At Premed Catalyst, we provide mentorship and application advising to help students become competitive for medical school, including finding meaningful clinical experiences.

For the 2024–2025 cycle, 100% of our on-time applicants were accepted. 

Want that to be your story? Book a free strategy session and let’s make sure your clinical hours are more than just hours.

Why Clinical Hours Matter

Clinical hours aren’t just a checkbox. They’re the foundation of who you’ll become as a future physician.

These experiences give you more than just exposure. They give you hands-on learning that bridges the gap between textbook theory and real-world practice. It’s the difference between knowing what a disease is and understanding what it feels like to care for someone living through it.

Spending time in clinical environments also shows you’re serious. Anyone can say they want to be a doctor. But showing up week after week? That’s commitment. That’s proof that you’re not chasing prestige. You’re chasing purpose.

And the growth? It’s undeniable. You start to build the skills that no MCAT score can measure mainly empathy, clear communication, and time management under pressure. These are the traits that define not just a great applicant but a great future physician.

What Actually Counts as Clinical Experience (And What Doesn’t)

Not all “healthcare-adjacent” work counts as clinical experience. This is where a lot of premeds waste time, thinking they’re racking up hours when, really, they’re just clocking in. Clinical experience means direct patient interaction. If you’re in the room and actively involved, listening, assisting, documenting, speaking, or supporting the patient in some way, that counts.

It doesn’t mean standing in the corner like a coat rack. It means participating. Taking vitals. Writing notes. Helping a patient to the bathroom. Comforting them before a procedure. Listening to their story and learning how to respond with empathy. If the patient sees you, hears you, or feels your presence as part of their care, that’s clinical.

To break it down further, here are some examples of what counts:

  • Volunteering in a hospital or clinic where you interact with patients
  • Scribing for a doctor, taking real-time notes during patient encounters
  • Working as an EMT, CNA, medical assistant, or phlebotomist
  • Hospice volunteering with patient contact

And here’s what doesn’t count:

  • Filing paperwork in a hospital basement
  • Stocking shelves in a pharmacy
  • Doing medical billing or administrative work
  • Lab research with zero patient contact
  • Being near patients but not actually engaging with them

Clinical Hours for Non-Traditional Students

If you’re a non-traditional student, meaning you didn’t take the straight line from high school to med school, you might already have clinical experience without realizing it. Especially if you’ve worked as a caregiver, nurse, EMT, or in any role where you’ve directly interacted with patients.

So does your job count toward your needed clinical hours?

Yes, if it involves direct patient care. If you’re a nurse managing meds and checking vitals, that’s clinical. If you’re a home health aide helping patients bathe, eat, and stay comfortable, that’s clinical. But even with a background in healthcare, med schools want to see that you’ve pursued clinical experiences on your path to becoming a physician. So, even if you’ve logged thousands of hours as an RN or tech, make time to volunteer in a clinical setting with MDs or DOs.

But what if you’re a non-traditional student coming from outside healthcare entirely. Business, education, tech, the military? You’re not behind. You’re just at a different starting line.

What matters most is that you start pursuing clinical experiences now that reflect your commitment to medicine. Look for entry points like part-time scribing, medical assisting, hospice volunteering, or working at community clinics. These experiences will not only give you the exposure med schools expect, but they’ll also show that you’ve taken ownership of your career change with purpose and intention.

The Magic Number: How Many Hours You Really Need

You’ve probably seen the number 100 to 150 hours thrown around online. That might’ve worked in 2016. But this is 2025. The bar for how many clinical hours you need for med school is higher.

From what we’ve seen with our own 2024–2025 cohort at Premed Catalyst, the real range for competitive applicants is now closer to 300 to 2,000 hours. And the proof? Students in that range who applied on time received a median of seven interviews.

But remember: it’s not just about the number. It’s about what those hours mean. Did you learn? Did an experience change the idea of what doctor you want to become?

The Clinical Experiences That Actually Move the Needle

Not all clinical hours are created equal. Just because you’re wearing scrubs doesn’t mean you’re building an application that stands out. What med schools want to see is depth, impact, and intentionality. These five types of experiences? They move the needle.

High-Impact Paid Roles

Examples: Medical assistant, scribe, EMT, phlebotomist, CNA.

These jobs give you a front-row seat to patient care. You’re taking vitals, documenting visits, translating between doctor-speak and real talk. These roles show maturity, stamina, and your ability to function in fast-paced environments where mistakes matter.

Paid roles come with built-in consistency. Twenty hours a week turns into 1,000 hours fast and med schools notice. Why? Because consistency shows commitment.

Strategic Volunteering

Examples: Free clinics, hospice, mobile health units, underserved community clinics.

Volunteering doesn’t mean randomly signing up for shifts and hoping for the best. Strategic volunteering means choosing environments that expose you to the kinds of patients, challenges, and clinical settings that align with your story.

This kind of volunteering says: I don’t just want to be a doctor. I care about who I serve. It shows heart, direction, and purpose. Bonus points if you stay in one place long enough to form relationships and grow your responsibilities over time.

Patient-Centered Research

You get: Research hours and clinical hours.

Med schools see: That you can contribute to both the science and the human side of medicine.

Not all research is staring at cells under a microscope. If your research involves interacting with patients, like gathering clinical data, conducting surveys, assisting in clinical trials, that counts.

Plus, research sharpens your critical thinking. It gives you something meaningful to talk about in interviews. And if you stick with it long enough, it might even get you a publication or conference presentation.

International Experiences

Let’s be real: med schools can smell a “voluntourism” trip from a mile away. One week in Costa Rica taking photos with kids? Doesn’t move the needle. But sustained, ethical, patient-centered global experiences? Those matter.

What works: Long-term, structured programs where you’re supporting local healthcare providers, not replacing them. Think rural clinics, global health partnerships, and refugee health outreach.

These experiences can be powerful, especially if they reflect your broader interests in public health, health equity, or serving underserved populations. But they need to be backed by reflection and cultural humility, not just a passport stamp.

The Clinical Experiences That Don’t Move the Needle

There are certain premed activities that feel productive but barely register with admissions committees. Too many students are stuck doing what they think med schools want, only to realize too late that none of it mattered. 

Here are the five most common types of experiences that waste time and space on your application:

  • The Generic Hospital Volunteer Shift: If you’ve ever spent 100+ hours in a blue polo and khakis pushing wheelchairs and folding blankets, you know what we’re talking about. These roles feel like a rite of passage, but in reality, they offer minimal patient interaction, no learning, and zero sense of contribution. If the nurses don’t know your name, Adcoms won’t care about your hours.
  • Title-Only Leadership: Being president of a club that does nothing is not leadership. Holding a title means nothing if the organization itself didn’t create real impact. Leadership is a multiplier, not a value on its own. And when your “multiplier” is zero, your leadership score is still zero.
  • Trying to Sound Like a Doctor: Phrases like “initiated gold-directed therapy for heart failure” don’t impress anyone. Med schools aren’t looking for premeds who talk like residents. They’re looking for people who see patients as humans, not diagnoses. Focus on the stories, not the clinical terms.
  • Global Health Work That Crosses Ethical Lines: Flying overseas to “treat” patients as an undergrad with no clinical training doesn’t impress modern Adcoms. It worries them. Especially if it’s the only global health experience on your app. Practicing out of scope, even with good intentions, is a red flag. If it’s not ethical in the U.S., it’s not ethical abroad.
  • Disconnected, Default Research: Research for the sake of checking a box, especially in areas totally unrelated to your interests, doesn’t tell a coherent story. Zebrafish fatty acid metabolism? Cool, but why? If your answer is “because it was the only lab I could get into,” that’s a problem. Research should fit into your narrative, not feel like a random side quest.

How to Find Opportunities (Even If You Don’t Have Connections)

No doctor in the family? No premed committee holding your hand? Welcome to the club. The good news: you don’t need connections. You need a plan. Here’s how to start finding real clinical opportunities. No networking privilege required.

Start With Who You Know

Think you don’t know anyone in medicine? You might be surprised.

Think about your extended network: classmates who volunteer, roommates in healthcare jobs, family friends who work in clinics, nursing homes, or urgent care centers. Even people working the front desk at a clinic can connect you with someone hiring or taking volunteers.

Master the Cold Outreach

Yes, cold emailing works. No, it usually doesn’t work if you send one message and give up.

Craft a short, professional email that gets to the point fast: who you are, what you're looking for, and why you reached out to them specifically. Mention your availability, your eagerness to learn, and your willingness to be helpful.

Send 20 emails. Expect three replies. That’s a win. Always follow up after 7–10 days. Be respectful but persistent.

Leverage Your School’s Hidden Resources

Pre-health advisors, faculty mentors, alumni directories, student orgs—all of them have potential leads. Visit your career center and ask about paid roles specifically. Many schools partner with hospitals and private practices for medical assistant and scribe positions. There might be postings on Handshake or job boards you’ve overlooked.

Check for affiliated hospitals or clinics tied to your university. Those relationships often have pre-existing programs just waiting for someone to apply.

Search Locally and Strategically

Start local. These places are often more flexible than large hospitals, especially if you're willing to volunteer a few hours a week and handle basic tasks with professionalism and enthusiasm.

Call or email nearby hospitals, private practices, community clinics, urgent cares, and specialty centers. 

Use Google Maps to search within 10–20 miles. Start with smaller practices and outpatient centers. These places often need help but don’t have the time to post on big job boards. Clinics, physical therapy centers, women’s health practices, and internal medicine offices often hire college students as part-time assistants or front-line support staff.

Get Scrappy Online

The internet isn’t just for Reddit rants. It’s a goldmine for both paid and volunteer clinical opportunities if you know where to look.

Start with targeted platforms:

  • Indeed, ZipRecruiter, and LinkedIn often list entry-level paid roles like medical assistant, scribe, or patient care tech. Use filters like “part-time,” “no experience,” or “training provided.”
  • Hospital and clinic websites usually have “Careers” or “Volunteer” tabs. Check both. Some paid roles are posted there before they hit major job boards.
  • Handshake (your school’s job portal) is a hidden gem for pre-screened, student-friendly clinical gigs, and many of them are paid.
  • Reddit (r/premed), Student Doctor Network, and premed Discords can provide leads or referrals to places that are hiring or accepting students.

Don’t Just Find. Follow Up.

You found the opportunity. Now comes the part that separates passive applicants from serious ones: follow-up.

After applying or reaching out, always circle back within 5–10 days. Whether it’s a paid position or a volunteer opportunity, following up shows initiative, persistence, and professionalism.

The Gap Year Advantage: Make It Work for You

Let’s get one thing straight: a gap year isn’t a detour. It’s a power move if you need it.

Why? Because it gives you time to build the strongest version of your application without trying to cram 30-hour weeks of clinical work between Orgo lab and MCAT flashcards.

Here’s how a gap year flips the script:

  • Clinical Hours Without the Clock Pressure: Full-time or part-time paid roles like scribing, working as a medical assistant, or patient care technician can easily rack up 1,000+ hours in one year. That’s not just padding your app. That’s transforming it.
  • Letters of Recommendation That Actually Matter: When you work closely with physicians and clinical staff for a full year, you’re not just a name on a shift calendar. You become someone they know, trust, and can write about with depth and credibility.
  • A Clear, Convincing Narrative: Med schools love it when applicants can articulate how real-world experience shaped their decision to pursue medicine. A well-spent gap year can provide real vulnerability in your app if you can explain how it shaped you.
  • Growth You Can’t Fake: Gap years mature you. Period. Whether you’re managing patients, leading a team, or balancing your own budget for the first time, the growth you experience bleeds into every part of your app and every answer you give on interview day.

Red Flags and Common Mistakes (Don’t Be That Applicant)

Here’s what not to do with your clinical experience. These are the mistakes that raise eyebrows and sink applications:

  • Treating it like a checklist: Logging hours without depth or focus won’t leave you with much to say come application time. Adcoms can tell when you’re checking boxes instead of actually learning.
  • All shadowing, no doing: Shadowing is passive. Without any hands-on or patient-facing experience, you won’t have the necessary exposure needed for med school.
  • Overestimating non-clinical roles: Front desk work, filing, or gift shop shifts don’t count as clinical. Don’t try to spin them into something they’re not.
  • Inconsistent involvement: A few scattered hours over the years show a lack of commitment. Med schools want to see steady engagement over time.
  • Copy-pasting job descriptions: Adcoms don’t want HR-speak. Use your own voice to explain your role, your growth, and your insights.

How to Make Your Hours Stand Out on AMCAS

Clinical experience isn’t just hours. It’s evidence. Proof of your narrative—who you say you are, what you care about, and the type of doctor you want to become.

But here’s the mistake most applicants make: they stop at what they did. That’s not enough. When you write about your clinical hours on AMCAS, don’t just tell us where you were or what tasks you performed. Write about what those moments meant. What did they teach you about patient care, about resilience, about your own values? How did they sharpen your sense of what kind of doctor you want to become?

But it’s not just about what you realized. It’s about what you did next. If you say you had clinical experience that opened your eyes to a specific patient population, healthcare gap, or area of interest, then your next move should prove that. 

You say you realized your heart for immigrant health? Your subsequent hours should be in community clinics, refugee intake centers, or volunteer interpreter roles. You say you're drawn to women's health? Show us you followed that pull with experience at an OB/GYN practice or with doula training.

Final Checklist: Your Clinical Experience Action Plan

Use this checklist to ensure your clinical experience isn’t just a line on your app, but instead proves you’re ready for medicine.

  • Get clear on why you want to pursue medicine and who you want to serve. Let that guide every experience you choose.
  • Ensure every role has direct patient interaction (paid or volunteer) or they won’t count.
  • Choose consistency over scattered hours; ongoing involvement shows maturity and commitment.
  • Invest in a few meaningful roles instead of stacking unrelated ones. Depth always beats breadth.
  • Journal after shifts to reflect on what you learned about medicine and yourself.
  • If an experience sparks a new interest or deepens your passion, pursue more in that direction.
  • Be vulnerable in your writing. Don’t just list tasks. Explain how the experience changed your thinking.
  • Use your AMCAS “Most Meaningful” entries to tell growth-driven, purpose-filled stories.
  • If your hours don’t clearly support your personal statement then you need to reassess. Your experiences should prove your narrative.
  • Keep following up on opportunities; the right role often comes after the second or third outreach.
  • Maintain relationships with supervisors. They’ll become the people who can vouch for your impact and character.

Don’t Waste Your Time. Work with a Mentor Who Knows What Matters.

You don’t have time to guess. Too many students spend months in the wrong roles, stacking hours that don’t say anything meaningful about who they are or why they belong in medicine. 

At Premed Catalyst, we’ve worked with hundreds of students to cut through the noise and get clinical experience that actually moves the needle. Our students don’t just check boxes. They build stories. Stories that lead to acceptances.

If you’re serious about making this application cycle the one, then book a free strategy session today.