Post-Bac Programs. What, Who, Where, Why, When and How?



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Post-Bac Programs What, Who, Where, Why, When and How? Barry S. Rothman, Ph.D. Professor of Biology, SFSU Director, SFSU Formal Post-Bac, Dental Post-Bac and Pre-Nursing Post-Bac Programs SUMMA Conference Feb 11, 2012

What? Post-Bac programs provide prehealth course work and academic support to students who have already completed their Bachelor s degree. Two major types: Structured Unstructured

Structured PB Programs Most offered by four-year universities Large variety of courses with guaranteed enrollment and substantial advising Self-supported (financed by tuition) and thus pricey - $500 to $1,200 per unit Extramural funding (financed by grants) and thus less expensive; tend to focus on socioeconomically challenged and underrepresented groups of students.

Unstructured PB Programs Small to large variety of courses, without guaranteed admission and with little or no advising. Offered by both four-year universities and community colleges Tend to be less expensive - $30 to $300 per unit Many have collapsed due to lack of funding

Who? Any pre-health student who has already earned a Bachelor s degree Best from accredited US school Still needs to take and/or retake prehealth courses May have earned other degrees Two types of Post-Bacs Academic Enhancer Career-Changer

Pre-Med Curriculum Pre-Calculus & Calculus I GChem & OChem I & II, lect/lab Physics I & II, lect/lab Biology I & II, lect/lab 2 nd -Tier Science Courses Biochemistry, Cell Biology, Genetics, Anatomy, Physiology, Microbiology Advanced Science Courses E.g., Cellular Neuro, Endo, Biophysics Non-Science Courses Public Health, CAM, Languages

Academic Enhancers Have taken most or all pre-reqs Have not performed well in: Course work Standardized tests (MCAT, DAT, etc.) In most cases, Biological science majors as undergrads Two Types: Reapplicants First-time applicants

4 GPA Profiles Ideal Improver (common) 3 Erratic Bad Ending 2 F S J S

4 GPA Profiles 1-2 Yr Academic Enhancer Ideal Improver (common) 3 Transition Period *Identify problem *Seek help Erratic Bad Ending 2 F S J S

Academic Enhancer Curriculum Retake Pre-Reqs with low grades C, C+ = Maybe C- and below = Must retake Take/Retake 2 nd -Tier Science Courses Biochemistry, Cell Biology, Genetics, Anatomy, Physiology, Microbiology Take/Retake Advanced Science Courses E.g., Cellular Neuro, Endo, Biophysics Take Non-Science Courses Public Health, CAM, languages,

AET Application Strategies Don t rush It s not a quick fix One year may not be sufficient time to do this Find a mentor and support system Clearly identify and address the problem(s) Passionately advocate for a well-defined group Consider excelling in something outside school for a year. Overcoming obstacles and coming from underrepresented groups helps gain admission to health profession schools (distance traveled)

AET Application Strategies Low undergrad GPA (< 2.6) may be a difficult problem!! Osteopathic Med Schools More holistic review of files More forgiving of GPA and MCATs Not recognized in all countries Caribbean Medical Schools Most forgiving of GPA May not require MCAT Expensive Can you get a US-based residency?

AET Application Strategies Nursing?? Requires new set of easier pre-reqs Nurse-Practitioner is closest to MD/DO 3-Year Program, no residency Reapplicants In your med school application, document clearly how you have improved since you last applied

Career-Changers Have taken few or no health profession graduate school pre-reqs In most cases: Were non-science majors as undergrads Interested in medicine but turned off by science courses and/or pre-meds Have been in the work force for a year or more Interest in medicine resurfaces, now more confident

Formal PB Career-Changers (Pre-Reqs) 2 years, N=60/yr Academic Enhancers (Upper-Div) 1-2 years, N=20 Med, Dent, Vet, etc 35% Disadvantaged Tuition = $17,000/yr Many Special Features 80% Success Rate Dental PB 1.5 years, N=16/yr Academic-Enhancers (Upper-Div) Dent Only Must Be Disadvantaged Tuition = $7,000/yr Many Special Features 90% Success Rate Open U 2-3 years, N=??? Career-Changers (Pre-Reqs) & Academic-Enhancers (Upper-Div) Med, Dent, Pharm, Vet, etc.???% Disadvantaged Tuition = $7,000/yr Few Special Features???% Success Rate Pre-Nursing PB 15 months, N=30-60/yr Career Changers & Academic- Enhancers Disadvantaged and Non- Disadvantaged Tuition = $17,000/yr Many Special Features New - Success Rate??

Stanford Medical School UC Berkeley School of Public Health San Francisco State University