
You’re clocking out of your shift at 10:45 p.m. Your feet hurt from standing at the front desk of the clinic, or up and down the restaurant all night. You still have an organic chemistry quiz tomorrow, a lab report due in two days, and you promised yourself you’d get through one MCAT passage before bed.
You need the job. Rent, food, maybe sending money home. But you also need the GPA, the shadowing, the volunteering, the MCAT score. And right now, it feels like there is no way to do both without breaking.
This is where you are: pre‑med, working a part‑time job, and trying not to watch your dream slip behind your work schedule.
Here is how to handle that situation in real life terms—what to say to your boss, what to say to professors, how to structure your week, and how to decide when something has to give.
Step 1: Get Completely Honest About Your Numbers
Before you can manage anything, you need to see it clearly. Not “vibes,” not “I’m so busy” in a general sense. Actual numbers.
Audit your week like a budget
Do this once, on paper or in a notes app. Tonight, if possible.
Write out your fixed commitments
- Class hours (with times and days)
- Lab blocks
- Commutes (be honest—door to door, not idealized)
- Current work shifts (with actual time you arrive and leave, not what the schedule says)
- Standing obligations: weekly research meetings, religious services, family responsibilities (e.g., childcare drop-off), tutoring sessions
Figure out your true work demand
- Contracted hours vs. “real” hours (do you always stay late? get called in?)
- Typical range:
- Minimum weekly hours you ever work
- Maximum they’ve scheduled you in the last month
- Pay per hour and average biweekly paycheck
Face your study needs Rough rule for science-heavy pre‑meds:
- 2–3 hours of study per credit hour per week So:
- 15 credits of mainly science = ~30–40 hours/week studying if you want A‑level work. Then layer on:
- MCAT prep (if applicable): 8–15 hours/week, depending on timeline
- Clinical/volunteer/research goals: even 3–5 hours/week adds up
Add life maintenance
- Sleep target: minimum 7 hours/night x 7 nights = 49 hours
- Meals, hygiene, laundry, errands: 10–15 hours/week
- Commute: add that all up as well
Now add the numbers:
- Fixed school hours
- Real work hours
- Recommended study hours
- Life basics (sleep, food, laundry, commute)
If your total > 168 hours/week, you do not have a time-management problem. You have a math problem. Something must be cut or shifted.
If your total fits but you feel crushed, it means:
- You’re underestimating time
- Or your work is placed in the worst possible parts of the week
- Or you’re context-switching constantly (which burns hidden time)
Either way, you now have a baseline to work from.
Step 2: Decide Your Non‑Negotiables First
You cannot optimize everything. You need to prioritize like someone whose future depends on it—because it does.
For a working pre‑med, the usual non‑negotiables are:
- Protecting your GPA, especially in:
- Organic chemistry
- General chemistry/physics
- Biology (especially if you’re in upper-levels like genetics, biochem)
- Basic sleep floor (not perfect sleep, but not 4 hours/night)
- Some form of ongoing clinical exposure (even low-dose)
- Financial survival (bills paid, food covered, minimal debt)
Write these in order for you. For example:
- Rent/food
- GPA in orgo/physics
- MCAT by next May
- Shadowing exposure this year
- Social life
Now, place your work in that list. For some, it’s #1 or #2 because there’s no parental support, financial aid is maxed, and you truly need that paycheck. For others, it’s lower.
Be brutally honest here. If work is truly #1, you need a different strategy than someone for whom work is mainly gas and extras.
This order is your filter. When the schedule conflict comes (and it will), you will use this list to decide:
- Take the extra shift?
- Drop a volunteer gig?
- Withdraw from a class and retake later?
- Push MCAT back by 6 months?
You stop making “heat of the moment” decisions and start making pre‑planned priority decisions.
Step 3: Restructure Your Job So It Supports Pre‑Med Life
You might not need to quit. You might just need your job to look very different.
1. Aim for fewer, longer shifts
Three 6-hour shifts is almost always better than six 3-hour shifts.
Why:
- Fewer commutes
- Fewer “gear changes” in your brain
- Larger solid blocks for studying on off days
If you work in:
- Restaurant / retail: Ask for doubles on limited days and full days off on others.
- Clinic / scribe / CNA: Ask if you can stack shifts on weekends or two weekdays.
How to say it to your manager:
“I really value working here and I want to stay long-term. I’m a pre‑med student, so my class and lab schedule is intense. I can give you really consistent availability if we can build my schedule around two or three longer shifts instead of lots of short ones. For example, I could do all-day Saturday and Sunday, plus Wednesday evenings. Would that work for the team’s coverage?”
Show them you’re trying to solve their problem (coverage) while solving yours.
2. Protect your “no work” academic zones
Look at your weekly schedule and block:
- The evenings before your hardest classes/exams
- Lab report nights
- Key MCAT prep days (if you’re in that phase)
Then give your boss an availability sheet that never includes those times. You’re not asking for weekly favors; you’re defining your baseline.
“Because of my pre‑med course load, I’m not available Tuesdays and Thursdays after 3 p.m. I am very available Fridays, Saturdays, and Sunday afternoons/evenings.”
If they constantly violate your boundaries despite reasonable advance notice, that’s data about this job’s long-term fit.
3. Target jobs that double as pre‑med experience
If you’re going to spend 15–20 hours/week working, try to make those hours count twice: income + pre‑med value.
Jobs that do this:
- Medical scribe (ED, outpatient clinic)
- CNA, PCA, patient care tech
- ER tech (for those with EMT background)
- Medical assistant (some clinics will train)
- Phlebotomist
- Unit secretary in hospital
- Hospice aide
These let you say later:
- “I worked 20 hours/week as a CNA throughout college to support myself”
- AND “I gained 1500+ hours of direct patient care and learned to communicate with vulnerable patients”
If you’re currently in food service or retail, think about a 6–12 month transition plan:
- Step 1: Keep current job for stability
- Step 2: Knock out a short CNA/phlebotomy course over a summer or lighter semester
- Step 3: Start applying to hospital/clinic roles that can replace or supplement your current job
You don’t have to fix it this semester. You just need a direction.

Step 4: Build a Weekly System That Works with Shifts
You’re not going to have a perfect 9–5 study schedule. That’s fine. You just need predictable patterns.
Use “anchor blocks,” not vague intentions
Anchors = regular, non-negotiable study blocks you treat like class or work.
Examples if you work evenings:
- 8–11 a.m. Monday, Wednesday, Friday → organic chemistry + physics only
- Saturday 9–12 (before work) → problem sets, lab reports
- Sunday 2–6 p.m. → MCAT or upcoming exams
If you work mornings:
- Evenings 7–10 p.m. become your anchors
The key:
- Decide in advance what subject goes where
- Protect those blocks like you protect your shift (you would not bail on work to scroll your phone; treat these the same)
Plan each week on paper against your actual shifts
Sunday (or your “reset” day), do this:
Pull up:
- Your work schedule
- Your syllabi and exam calendar
- Any upcoming deadlines (MCAT practice exam, shadowing, etc.)
For each day, write:
- Class times
- Work shift
- Study blocks (with subject)
Example:
Tues:
9–10:15: Bio lecture
10:30–12: Orgo problems (Chapter 4)
12–1: Lunch + walk
1–2: Physics homework
3–10: Work shift
10:30–11:15: Light review flashcards (on bus/at home)
Identify “red zones”:
- Back-to-back days with work + early exam
- 3+ days in a row with < 2 hours of study
When you see those, fix them on paper:
- Trade shifts
- Call in a single favor from a coworker during your exam week
- Front-load studying earlier in the week
Use short “micro blocks” aggressively
Your life has awkward 15–30 minute chunks. Use them with a pre-made plan:
- Flashcards (Anki) while commuting by bus/train
- One discrete practice passage between classes
- Reviewing one lecture summary while eating
What kills people here is friction:
- “What should I do in 20 minutes?”
So pre-define a running list in your notes app: - “Organic chem micro tasks”
- “MCAT micro tasks”
- “Admin micro tasks” (emails, form submissions)
At the start of the week, drop 2–3 micro tasks into each weekday’s short breaks.
Step 5: Talk to Professors Before You’re in Trouble
You’re working, not slacking. But they do not know that unless you tell them.
You are not asking for lower standards. You are asking for clarity and, when possible, reasonable flexibility.
What to say (and when)
Ideal time: first 2 weeks of class OR when you get your work schedule and see conflicts.
Example email:
Subject: Quick meeting request – working student in your [Course Name]
Dear Dr. [Last Name],
I’m in your [course + section]. I work approximately [X] hours per week as a [job title] to support myself during school. I want to make sure I can meet your expectations and plan ahead around exams, labs, and important deadlines.
Could I stop by your office hours this week for 10 minutes to clarify key dates and any policies around unavoidable conflicts (e.g., a required shift I can’t change on an exam day)? I’m not asking for exceptions, just trying to plan realistically so I can succeed in your course.
Thank you for your time,
[Name]
[Student ID if relevant]
Then in person:
- Be direct:
- “I’m a pre‑med student and I work 20 hours/week as a CNA. I want to perform well in this course and plan around exams so my work doesn’t interfere.”
- Ask:
- “Which 2–3 dates are absolutely critical for me to be present?”
- “If my employer denies a schedule change for an exam day, what’s your policy? Is there any room for an alternate exam time if I notify you well in advance?”
Some will be flexible. Some will be rigid. That’s fine—you just want no surprises.
Keep them updated at key moments
If you hit a rough patch:
- ED shift runs late
- Family emergency + work
- Double exam week + mandatory training at work
Send a brief, non-dramatic email:
- “I’m working to adjust my schedule”
- “Here’s what I’m doing to stay on track”
- Ask for specific help if needed (review session, office hour appointment)
You’re building a picture over time: “student who works hard, is responsible, and isn’t making excuses.”
Those same professors might later write your letters.
Step 6: Think Strategically About MCAT Timing
Working 15–20 hours/week and taking a full load while trying to cram MCAT prep can break people.
You don’t have to take the MCAT on the standard pre‑med timeline if your reality is different.
Options:
Light semesters for MCAT
- Plan 1 semester with 12 credits instead of 16
- Keep work hours but dedicate the “missing 4 credits” to MCAT (10–12 hours/week)
- Take MCAT at end of that semester or shortly after
Summer MCAT with reduced work (if possible)
- Work full-time May and June, stack savings
- Negotiate a temporary cut in hours to part-time July–August while you study intensely
- Take the exam before the fall rush
Work-heavy, slower MCAT path
- If you can’t cut work hours much:
- Target 8–10 hours/week of MCAT over a longer period (8–10 months)
- Push application back by one cycle and focus on a strong score rather than a rushed 510 vs. potential 518
- If you can’t cut work hours much:
If you’re sitting there thinking, “There is literally no way I can do full classes, 20 hours of work, AND MCAT prep,” then do not squeeze MCAT in. Shift your application year. Med schools will not punish you for being financially realistic.
In fact, they respect it when your story is:
- “I worked 25 hours/week throughout college, and took an extra year to apply so I could prepare properly for the MCAT while maintaining my responsibilities.”

Step 7: Know When to Adjust Work Hours or Quit
Sometimes, the answer is not “manage it better.” The answer is “this is too much.”
Warning signs:
- You’re averaging < 6 hours of sleep most nights
- Your science grades are dropping from A/B to C/D range
- You dread every shift and every class
- You’ve lost any time for basic sanity (one hour to breathe, exercise, or talk to family/friends)
When that happens, walk through this sequence:
Cut extras before cutting essentials
- Social media and low-value social time
- Non-essential clubs/organizations
- “Hanging out” that could be moved to once a week instead of nightly
Have a frank talk with your employer Script:
“I’m in a critical semester academically. I need to temporarily reduce my hours from 20/week to about 12–15/week between [date] and [date]. I can be very consistent on [specific days], and I’m still committed to doing a great job. Is there a way to adjust my schedule to make this work for both of us?”
Explore other financial supports
- Emergency aid from your college
- Additional scholarships (especially need-based or for students working during school)
- Payment plans with bursar’s office
- Slight increase in loans as a short-term bridge (not ideal, but sometimes necessary to protect your GPA)
Only then consider changing jobs or quitting If your boss says:
- “No flexibility, and we’ll cut you loose if you don’t maintain the same hours,”
then you need to ask: - “Will this job I’m clinging to actually cost me a shot at med school?”
- “No flexibility, and we’ll cut you loose if you don’t maintain the same hours,”
Quitting without a plan is rarely wise. But staying in a job that makes your academic success impossible is just as risky.
Step 8: Turn Your Situation Into an Asset for Applications
Working a part‑time job during pre‑med is not a liability if you handle it thoughtfully. It’s a story.
You’ll eventually want to be able to say in secondaries and interviews:
- “I worked [X] hours per week as a [job] throughout college to support myself and/or my family.”
- “During that time, I learned to prioritize when everything felt urgent.”
- “I developed time management, resilience, and the ability to perform under pressure while keeping people at the center of my work.”
So start collecting that now:
- Keep a simple log of your work:
- Job, location, start and end dates
- Approximate hours per week each semester
- 2–3 bullet points of major responsibilities
- Note one or two specific patient/customer stories that changed how you think about medicine, service, or yourself. Write them in a journal immediately after they happen so the details stay fresh.
When interviewers ask, “How did you handle stress in college?” you won’t be theorizing. You’ll be describing the week you:
- Worked 16 hours on the weekend,
- Took a biochem midterm,
- Helped care for a dying patient as a CNA,
- And still showed up prepared.
That is compelling.
Step 9: Protect the Bare Minimum of Your Health
You don’t need a wellness influencer’s routine. You do need some structure so you don’t collapse mid-semester.
Baseline for a working pre‑med:
- Sleep: 7 hours most nights. If that’s impossible some nights, average 7 over the week with 1–2 recovery nights.
- Food: Prep cheap, simple meals on one day (rice + beans, frozen veggies, eggs, pasta). Take snacks to work so you’re not living off vending machines.
- Movement: 2–3 short walks per week (even 15 minutes between class and work). This is more for your brain than your body.
- Mental breaks: One protected block per week (even 90 minutes) where you’re not working, studying, or doing chores. Real downtime.
These are not luxuries. They are the scaffolding that holds up your academic and work performance.
Your Action Step for Today
Do this tonight or at your next free 30-minute block:
- Write out your actual week with times: class, work, commute, sleep.
- Add in the study hours you realistically need for your hardest classes.
- Look at the result and answer honestly:
- Does it fit in 168 hours?
- If not, circle what has to change first: work hours, course load, MCAT timing, or something else.
Then draft one concrete conversation:
- Either an email to your boss about adjusting shifts,
- Or an email to a professor about planning around your work responsibilities.
Do not keep the whole mess in your head. Get your situation on paper, and initiate one real-world change. That is how you start managing pre‑med demands while working, instead of letting them manage you.