
You are standing in your campus library, laptop open to the AMCAS “Institutional Action / Felony / Misdemeanor” section. Your cursor is blinking in the text box under “Explain the circumstances.” Your stomach is tight. You keep wondering the same thing: Is this going to end my shot at medical school?
Maybe it was a minor in possession ticket your freshman year. Maybe a shoplifting charge from high school. Maybe something more serious—an assault charge from a fight, a DUI, or a dismissed felony that still shows up on a background check. You’ve turned your life around, your grades and MCAT are solid, but that record feels like a brick tied to your application.
This is where you are. Let’s talk about exactly what to do, step by step, if you’ve got a criminal charge or misdemeanor and you’re applying to medical school.
Step 1: Get Crystal-Clear on What’s Actually on Your Record
(See also: If You Took Multiple Gap Years: Turning a Nonlinear Path into Strength for more on navigating challenges.)
Before you write a single word or click any checkbox, you need facts, not guesses.
Pull your real records
Do not rely on what you “think” is on your record. Get the actual documents.
Order a state criminal background check
- Search “[Your State] criminal history record” or “[State] bureau of investigation background check.”
- Many states allow you to request your own record online for a small fee.
- If you’ve lived in multiple states, repeat this for each one.
Get court records for each incident
- Go to the website for the county court where you were charged. Many have online case search.
- Look up your name. Download or print:
- Original charge(s)
- Final disposition (dismissed, reduced, guilty plea, deferred adjudication, etc.)
- Sentencing info (fine, probation, classes, community service, etc.)
- If online access is limited, call the clerk of court and ask how to obtain the case file or disposition.
Check if anything was sealed, expunged, or reduced
- Just because charges were dropped or the record was “expunged” does not automatically mean you can pretend it never happened on an application.
- Different medical school application services (AMCAS, AACOMAS, TMDSAS) have different wording about this. Many ask about ever being charged, not just convicted.
Know the exact legal language
- Were you charged with “Misdemeanor Theft 3rd degree” or just “Theft”?
- Was the disposition “nolle prosequi” (prosecutor dropped), “dismissed,” “not guilty,” “guilty,” or “withheld adjudication”?
- These details matter for how you explain it.
Write down, for each incident, on one sheet:
- Date (month/year)
- Location (city, state)
- Exact original charge(s)
- Final disposition
- Consequences (fines, probation, community service, classes/counseling, license suspension, etc.)
You’ll use this later to keep your explanation accurate and consistent.
Step 2: Understand What Medical Schools Actually Care About
You’re not being evaluated on whether you lived a flawlessly clean life. You’re being evaluated on:
- Honesty
- Insight and reflection
- Professional judgment
- Risk to patients and institutions
Different charges trigger different levels of concern.
Lower concern (often survivable with good explanation)
- Minor in possession (MIP) / underage drinking
- Open container
- Disorderly conduct
- Noise violations
- Single marijuana possession charge (especially in states where now legal)
- Shoplifting/petty theft as a teenager
- A single campus conduct violation related to alcohol
Moderate concern (needs strong narrative and evidence of change)
- DUI / DWI (especially with no injuries)
- Repeated alcohol-related offenses
- Simple assault from a fight
- Vandalism
- Multiple minor charges over several years
High concern (will not automatically disqualify, but major uphill climb)
- Felony charges (even if reduced/dismissed)
- Domestic violence
- Harassment/stalking
- Crimes involving dishonesty (fraud, identity theft, major theft)
- Crimes against vulnerable populations
- Drug distribution, not just possession
- Any offense related to patient care, clinical settings, or abuse
Medical schools also think downstream: residency program applications, hospital credentialing, state medical board licensing. They’re asking, “Will this create major problems for this person later?” That means they’re more cautious about:
- Repeated offenses
- Recent offenses (within last 2–3 years)
- Anything that looks like a pattern of poor judgment or dishonesty
Your job: show them this was an event, not a pattern, and that you’ve grown to a level of maturity consistent with physician responsibility.
Step 3: Decide What Must Be Disclosed (And Do Not Play Games Here)
Here’s the hard rule: When in doubt, disclose.
Yes, even if you think “they might never find out.” Schools can and do run:
- Criminal background checks (often through Certiphi)
- Checks before matriculation and again before clinical rotations
- Checks before residency and for hospital privileges
Read the exact wording
For AMCAS (MD schools), the application will ask separate questions about:
- Felony convictions/charges
- Misdemeanor convictions/charges
- Institutional actions (academic or conduct)
Pay attention to:
- “Have you ever been convicted of…” vs “Have you ever been charged with…”
- Whether they include or exclude:
- Expunged records
- Juvenile records
- Traffic violations
If the question is “Have you ever been arrested or charged with a misdemeanor or felony, including expunged or sealed records?”—you disclose all incidents that fit. Even if a lawyer once told you, “You can say no on job applications now.”
Different schools may ask supplemental questions like:
- “Is there anything in your past that could limit your ability to be licensed?”
- “Have you ever been subject to disciplinary action at any educational institution?”
You answer based on each question’s wording, not on how you wish the question was written.
What if you’re not sure?
If you’re stuck, do three things:
- Talk with the dean of students or prehealth adviser at your university (if they’re experienced with med school advising).
- Consider a brief consult with a lawyer familiar with professional licensing in your state. Ask exactly:
- “How does this appear on my record?”
- “Would this typically need to be disclosed to medical boards or professional schools?”
- If after that you’re still unsure, lean toward disclosure.
The thing that usually kills an application isn’t the charge—it’s perceived dishonesty.
Step 4: Crafting Your Explanation: Structure, Tone, and Content
You often get a small text box (sometimes 1,325 characters on AMCAS for institutional actions, similar for criminal disclosures). You have to be concise and precise.
A simple structure that works:
- Brief factual summary
- Context (without excuses)
- Consequences and what you did
- What you learned & how you’ve changed
Let’s break that down.
1. Brief factual summary
One or two sentences:
- Include:
- Date (month/year)
- General location
- Nature of offense
- Final outcome
Example:
In May 2019, while a freshman at State University, I was cited for misdemeanor minor in possession of alcohol in City, State. I pled guilty, paid a fine, and complied with a required alcohol education course.
No drama. No legal jargon unless necessary. Just what happened.
2. Context (without excuses)
You can describe situation, but don’t spend 80% of the space justifying.
Weak:
It was just a party and everyone was drinking and the police randomly chose me…
Better:
I attended an off-campus party where alcohol was served. At the time, I was 18 and made the decision to drink, knowing I was underage.
You can mention relevant factors (age, ignorance, peer influence) without shifting blame:
- “I underestimated the seriousness…”
- “I did not fully appreciate how this reflected on my judgment…”
- “I prioritized fitting in over making responsible decisions…”
3. Consequences and what you did
List specific actions and penalties:
- Fines
- Probation
- Classes or counseling
- Community service
- License suspension
- University discipline
Example:
As part of my sentence, I completed a court-mandated alcohol education program and 20 hours of community service. My university also placed me on conduct probation for one semester, which I completed without further incident.
Do not skip this section. Schools want to see you faced real consequences and complied fully.
4. What you learned and how you’ve changed
This is where most applicants either shine or sink.
Avoid generic lines like “I learned a lot from this experience.” Say how:
- How did this change your decisions afterward?
- Did it alter your relationship with alcohol or substances?
- Did it influence who you spend time with?
- Did it affect how you think about being a future physician?
Example for DUI:
This incident forced me to confront my relationship with alcohol and my sense of invincibility. I completed a 12-week substance use program and have chosen not to drink since, including during my junior and senior years despite a social environment where drinking is common. More importantly, I now think about safety and responsibility in terms of how my choices could affect others. As I pursue medicine, I view this event as a permanent reminder of the trust patients and society place in physicians, and the importance of consistently sound judgment both in and out of clinical settings.
Notice: no melodrama, no begging. Just clear insight and concrete behavior change.
Step 5: Aligning Your Story Across the Whole Application
Your explanation of the charge cannot live in isolation.
Make sure everything matches
The dates and wording in your explanation should match:
- What’s on court records
- What’s on your background check
- Any institutional action explanation
If your personal statement or activities already mention personal growth or a turning point in college, check if it lines up with this event’s timeline.
Decide: mention it elsewhere or only in the required box?
Sometimes, it helps to briefly weave the event into:
- A secondary essay about adversity or resilience
- An essay about professionalism, ethics, or growth
Examples where this might be good:
- A DUI that led you into working with addiction recovery communities, and you’ve done 3+ years of related volunteering.
- A shoplifting incident that radically changed how you understand shame, second chances, and empathy, and you’ve mentored other students with conduct issues.
Examples where it’s better to leave it only in the disclosure box:
- A one-time MIP with no broader life impact beyond learning “don’t do that again.”
- A dismissed minor charge that you must list but that didn’t shape your path in a significant way.
You don’t want your entire application orbiting around this one event, but you also don’t want it to feel like you’re hiding from it if it was truly a major turning point.
Step 6: Timing, School Selection, and Realistic Expectations
You can’t change the past, but you can manage how you move forward.
Consider timing
If the incident was very recent (within the last 12 months):
- Some applicants choose to delay applying a cycle to put more distance and demonstrate stable, good behavior over time.
- Use that extra year to:
- Maintain a clean record
- Build sustained service or employment
- Show consistency and maturity
If the event is 3–5+ years old, with no further issues and strong academics, many schools will view it more as a red flag to explore rather than an automatic rejection.
School selection
Some schools are known to be:
- More holistic and forgiving with older, single incidents with strong evidence of growth.
- Stricter with recent or multiple offenses.
You can’t always know which is which, but:
- Public state schools sometimes are more cautious because of state licensing concerns and large applicant pools.
- Some private schools and DO schools may be somewhat more flexible, particularly for nonviolent, substance-related misdemeanors with clear remediation.
This does not mean “MD won’t take me; I’ll just go DO.” Plenty of DO schools are just as cautious. It does mean you need to research and, when possible, ask anonymously (through prehealth advisers) whether certain categories of offenses are automatic barriers.
Step 7: Handling Interviews and Direct Questions
If you get an interview, your file has been screened with your charge included. That’s meaningful. It means, at minimum, you’re not out of the running because of it.
But it may come up in:
- Open-file interviews (the interviewer has read your application)
- Questions like “Is there anything else about your record we should be aware of?”
How to answer in person
Keep the same structure as your written explanation but shorter:
- One-sentence summary
- Brief context
- Consequences and what you did
- What you learned, focusing on maturity and patient trust
Example:
During my sophomore year, I was charged with a DUI after driving home from a party. Thankfully, no one was injured, but I was convicted, paid fines, completed a 12-week program, and lost my license for six months. That experience was a major wake-up call. I stopped drinking entirely and structured my life much more intentionally around accountability and safety. It also shaped how I think about the responsibility physicians carry—your judgment affects not just you but everyone who depends on you. It’s not something I’m proud of, but it’s been a pivotal point in my development.
Key points:
- Don’t get defensive.
- Don’t minimize.
- Don’t over-share irrelevant emotional detail.
You’re demonstrating that you can talk about hard things like an adult.
Step 8: Thinking Long-Term: Licensing and Beyond
Medical schools aren’t just worried about admissions; they’re thinking about:
- USMLE/COMLEX registration
- State medical board licensing
- Hospital credentialing
- DEA registration (for prescribing controlled substances)
Most states ask about:
- Felony and misdemeanor convictions
- Substance use issues
- Disciplinary actions
A single misdemeanor, especially older and without recurrence, often does not block licensure. But patterns of behavior or serious offenses can cause major problems.
This is why:
- You must be 100% honest now—lying and being caught later is worse than the original offense.
- If your charge involves substance use, show documented, sustained recovery (treatment programs, support groups, therapist letters—though those are more for licensing than initial med apps).
- If you’re early in your journey (e.g., sophomore in college) and have a serious recent offense, it may be wise to speak with:
- A lawyer familiar with medical licensing
- Your prehealth adviser
- Possibly physicians who serve on admissions/disciplinary committees (through shadowing mentors)
You want to know not only “Can I get into med school?” but “Will I be able to finish the whole pipeline?”

Step 9: Concrete Examples of How to Phrase Common Situations
Here are abbreviated templates you can adapt:
Example: Minor in Possession (MIP)
In October 2020, during my freshman year at State University, I was cited for misdemeanor minor in possession of alcohol in City, State. I pled guilty, paid a fine, and completed a court-mandated alcohol education program, as well as a semester of university conduct probation.
I chose to drink despite being underage and underestimated the seriousness of that decision, particularly as an aspiring healthcare professional. Since that incident, I have chosen not to drink when underage peers are present and have taken an active role in student organizations that promote safe, legal social activities. This experience helped me understand how seemingly small decisions can reflect on my judgment and reliability, qualities that are essential in medicine.
Example: Shoplifting/Petty Theft
At age 17, I was charged with misdemeanor shoplifting for attempting to take clothing from a store without paying. I pled guilty in juvenile court, completed 40 hours of community service, and attended a theft awareness course. The case was later expunged.
This was an embarrassing and pivotal event for me. I made a dishonest decision out of impulse and peer pressure, not fully appreciating the consequences to the store employees or my future. Since then, I have worked part-time in retail and customer service, which has given me a clearer understanding of the impact of theft on small businesses and staff. I have also maintained a clean record for the past five years. The experience has made integrity a central value in my academic, work, and volunteer roles.
Use these as structural models, not scripts. Your version should sound like you, and it must match your reality exactly.
FAQs
1. Will a misdemeanor automatically keep me out of medical school?
No. A single, older misdemeanor with clear evidence of growth does not automatically block admission. Many students with minor in possession, one DUI, or petty theft charges have been accepted, especially when the incident is several years old and there’s no pattern of similar behavior. Multiple offenses, recent charges, or crimes involving violence or serious dishonesty make things significantly harder but not always impossible.
2. Do I have to disclose expunged or juvenile records?
It depends on the exact wording of the question. If the application or school explicitly says “including expunged or sealed records,” you must disclose them. If it asks only about “convictions” and your case was expunged and no longer legally considered a conviction, some applicants may not need to disclose, but this is highly state- and situation-dependent. When in doubt, talk with a lawyer and your premed adviser—and lean toward disclosure if there’s any chance it will appear on a background check.
3. How much detail should I include in my written explanation?
Enough to cover what happened, the outcome, and what you learned—no more. One short paragraph of facts and one short paragraph of reflection is usually sufficient. Avoid graphic detail, blaming others, or long narratives. You’re demonstrating maturity and insight, not writing a memoir.
4. Should I bring up my charge in my personal statement?
Only if it is truly central to your path toward medicine and you can frame it as a genuine turning point without overshadowing the rest of your story. For many applicants, the better approach is to keep the incident in the mandatory disclosure section and possibly a secondary essay about adversity, while using the personal statement to highlight your motivations, experiences, and strengths.
Key Takeaways:
- Get your exact legal and court records, then disclose honestly according to each application’s wording—never gamble on “maybe they won’t see it.”
- In your explanation, be factual, take responsibility, describe consequences, and show concrete behavior change over time.
- Think beyond just getting in; consider how this will look for residency and licensure, and use time and consistent conduct to prove that this was a turning point, not a pattern.