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Sophomore Year Pre‑Med Checklist: Coursework, Clubs, and Shadowing

December 31, 2025
14 minute read

College sophomore premed student planning coursework and activities -  for Sophomore Year Pre‑Med Checklist: Coursework, Club

It’s late September of your sophomore year. You’ve survived freshman chemistry and biology (or most of them), you kind of know your campus, and you’ve said the words “I’m pre‑med” enough times that they feel real now.

This is the year where “I might want to be a doctor” needs to start turning into actual evidence: grades, experiences, relationships with professors, and a trail of decisions that will matter when you submit your AMCAS in about two years.

Here is your sophomore year pre‑med checklist, laid out chronologically so you always know: at this point, what should I be doing?


August–September: Set Your Foundation for the Year

At this point you should be:

  • Finalizing your fall schedule
  • Choosing 1–2 meaningful clubs
  • Getting your academic and clinical house in order

1. Lock in a smart fall course schedule

By early September, your schedule should be stable. You’re aiming for a semester that is rigorous but survivable, especially if you’re starting Organic Chemistry.

Your fall schedule ideally includes:

  • One major lab science:
    • Organic Chemistry I + lab or
    • Biology II + lab
  • One math or stats requirement (if not completed):
    • Calculus I / II, or
    • Statistics (often preferred for clinical research and data literacy)
  • 1–2 non‑science courses:
    • Writing‑intensive humanities or social science (great for MCAT CARS and communication skills)
    • A class that genuinely interests you (public health, psychology, sociology are all helpful for MCAT and medicine)

At this point you should:

  • Run your four‑year plan:
    • Map when you’ll take:
      • Gen Chem I & II
      • Bio I & II
      • Orgo I & II
      • Physics I & II
      • Biochem
      • Stats/Calculus
    • Place a tentative MCAT date (spring of junior year for most pre‑meds)
  • Check your pre‑health advising office’s recommended sequence
  • Confirm your plan works for your intended MCAT year and application cycle

Quick self‑check this month:

  • Are you on track to complete:
    • 2 semesters of chemistry with lab by end of sophomore year?
    • 2 semesters of biology with lab by end of sophomore or early junior year?
  • Have you avoided stacking:
    • Organic Chemistry + Physics + multiple labs in the same semester, if you know you struggle with heavy science loads?

If your schedule looks brutal and you’re already anxious in week 2, now is the time to adjust before drop/add ends.

2. Prune and prioritize clubs

Sophomore fall is when you stop signing up for every club and start doubling down on a few.

By late September, you should:

  • Narrow to 2–4 consistent commitments, for example:
    • One clinical/health‑related org (hospital volunteer program, Red Cross, Global Medical Brigades, campus EMS)
    • One service or advocacy org (tutoring, health equity club, homeless outreach)
    • One “you” club (music, dance, sports, cultural org, debate)
    • Optional: one pre‑med or pre‑health society
  • Drop “name‑only” memberships that you never attend

At this point you should:

  • Attend the first meetings of all potential clubs
  • Ask specifically:
    • “What do meaningful leadership roles look like here?”
    • “How do you select e‑board members?”
    • “What does a committed member’s weekly time look like?”

You are laying the groundwork for junior year leadership roles, which typically require being active this year.

3. Set up academic and advising support

Before October:

  • Meet with:
    • A pre‑health advisor (even if your school doesn’t require it)
    • Your academic advisor
  • Clarify:
    • Prerequisites and recommended courses for your target med schools (state schools especially)
    • GPA benchmarks for being “on track” for your school’s committee letter (if they use one)

Also:

  • Identify 1–2 tutoring options before you struggle:
    • Learning center
    • Peer tutoring
    • Office hours schedule for Orgo / Physics / Bio

You want this in place early so you do not wait for a bad midterm to scramble.


October–November: Deepen Academics and Start Consistent Clinical Exposure

At this point you should be:

  • Settled in your classes
  • Attending clubs regularly
  • Taking your first steps into real clinical exposure and shadowing

4. Secure consistent clinical volunteering

By mid‑October, you should start or be actively arranging a weekly clinical or patient‑facing activity.

Targets:

  • Hospital volunteering:
    • Roles: patient transport, information desk, stocking supplies on wards
    • Time: 3–4 hours/week
    • Process can take 4–8 weeks: application, background check, TB test, orientation
  • Clinic volunteering:
    • Free clinics, community health centers, Planned Parenthood, campus health center (if they use student volunteers)

At this point you should:

  • Submit at least 2–3 volunteer applications (hospitals and clinics)
  • Track each one in a simple spreadsheet:
    • Contact name
    • Application date
    • Follow‑up date
    • Requirements (vaccines, training modules)

You’re aiming to accumulate at least 100–150 clinical hours over sophomore and junior year, so starting now gives you breathing room.

5. Begin shadowing in a structured way

Shadowing doesn’t require the same weekly schedule, but you need to start accumulating experiences and contacts.

By November, your goal:

  • 10–20 hours of shadowing scheduled or completed

Step‑by‑step this fall:

  1. Make a target list:
    • Primary care physicians near campus
    • Alumni physicians from your college (via alumni network or LinkedIn)
    • Physicians your family or friends know
  2. Send 5–10 concise emails:
    • Who you are (sophomore pre‑med at X University)
    • Why you’re interested in shadowing them specifically
    • The time window you’re seeking (e.g., “1–2 half‑days this semester”)
  3. Keep your asks small:
    • “Could I shadow you for one morning to start?”

At this point you should:

  • Have at least one confirmed or strongly promising shadowing plan, even if it’s for winter break back home

Keep track of:

  • Physician names and specialties
  • Dates and hours
  • Brief notes on what you saw (you’ll thank yourself when writing applications)

6. Build relationships with 2–3 professors

You’re about 18–24 months away from asking for letters of recommendation.

This semester, you should:

  • Identify 2 professors in:
    • A science course (Orgo, Bio, Chem, Physics)
    • A writing‑intensive or social science/humanities course
  • Regularly:
    • Attend office hours 2–3 times across the term
    • Ask deeper content questions or discuss your interest in medicine
    • Share how you’re engaging with the material (beyond the exam)

By Thanksgiving, you want:

  • Each of those 2 professors to:
    • Recognize your name and face
    • Have at least one substantial conversation with you
    • Know your academic goals and that you are pre‑med

You are not asking for letters yet, just preparing for letters that are more than “This student got an A.”


December–January: Evaluate the Semester and Use Break Strategically

At this point you should be:

  • Closing out fall grades
  • Reflecting honestly on whether your current path is sustainable
  • Planning a purposeful winter break

7. Wrap up fall and adjust based on grades

After finals and once grades are posted:

  • Calculate:
    • Semester GPA
    • Cumulative GPA
    • BCPM (science) GPA (Bio, Chem, Physics, Math)

Use these thresholds as rough check‑ins (not hard cutoffs):

  • Above 3.6 BCPM as a sophomore: you’re in strong shape, keep building
  • Between 3.2–3.6: still fully viable, may need extra upward trend and strong MCAT
  • Below 3.2: time for early, honest conversations with advisors about strategies:
    • Course load adjustments
    • Tutoring
    • Retaking key prerequisites if needed

At this point you should:

  • Meet with your pre‑health advisor in January to:
    • Review your transcript
    • Adjust spring schedule if needed (drop one class? move a lab to junior year?)
    • Discuss study strategies, not just “work harder”

8. Use winter break for shadowing and family‑based connections

Winter break is prime shadowing time, especially in your hometown.

Weeks before break:

  • Confirm shadowing dates with 1–2 local physicians
  • Aim for:
    • 1–2 days per physician
    • Total of 15–30 hours of shadowing over the break

During break, you should:

  • Keep a focused daily log:
    • What types of patients you saw (no identifying details)
    • What surprised you about the physician’s day
    • Ethical or communication moments that stuck with you

If you have extra time at home:

  • Explore:
    • Non‑clinical volunteering at local shelters, food banks, or tutoring centers
    • A short community project (e.g., helping with a vaccine drive or health education event if available)

January–March: Build Momentum with Spring Coursework and Deeper Involvement

Now it’s spring of sophomore year. At this point you should be:

  • In your second or third major science sequence
  • Establishing yourself in a small number of clubs
  • Continuing or starting long‑term clinical volunteering

9. Plan a balanced but challenging spring schedule

For spring:

  • Continue your core pre‑med sequence:
    • Organic Chemistry II + lab, if you started I in fall
    • Physics I or II, or
    • Biology II + lab
  • Add:
    • 1 science‑related elective if it fits (Genetics, Cell Bio, Physiology)
    • 1–2 non‑science courses (MCAT‑helpful options: Psychology, Sociology, Ethics, Medical Anthropology, Public Health)

At this point you should:

  • Confirm you’re on track to finish:
    • Orgo and Physics by end of junior year
    • Biochem by end of junior year or at least before you take the MCAT

If your fall felt overwhelming:

  • Trim spring:
    • Keep essentials (core sciences)
    • Drop one nonessential course or activity to protect your GPA

10. Deepen involvement in 1–2 key organizations

By February, you should be:

  • A regular, reliable member in:
    • Your primary clinical/health club or volunteering site
    • One campus organization you really care about

Specific actions:

  • Show up consistently (not just at big events)
  • Volunteer for small leadership tasks:
    • Running a meeting segment
    • Coordinating volunteers for a single event
    • Managing the email list or social media for a month

This is how you become a natural candidate for:

  • Formal leadership roles in junior year (secretary, treasurer, coordinator, president)
  • Strong non‑academic letters from advisors or supervisors

Start thinking:

  • “If I ran something here next year, what would it be?”
  • Keep a list of:
    • Events you helped with
    • Roles you played
    • Outcomes (money raised, people served, programs launched)

March–May: Position Yourself for Summer and Junior Year

By mid‑spring, you’re planning the next 12–18 months. At this point you should be:

  • Securing summer plans
  • Clarifying your timeline to medical school
  • Laying early groundwork for MCAT and applications

11. Lock in a purposeful summer plan

Aim to have summer plans mostly set by April.

Strong pre‑med sophomore summer options:

  1. Clinical‑heavy summer
    • Full‑time hospital volunteering program
    • Certified Nursing Assistant (CNA) job
    • Medical assistant in a clinic (if training/credentialing allows)
  2. Research‑heavy summer
    • On‑campus lab position (paid or for credit)
    • Structured programs: NIH, SURF, AAMC‑listed internships (some have early deadlines in December–February)
  3. Mixed summer
    • Part‑time research + part‑time clinical volunteering or job
    • Scribing (ER or outpatient office)

At this point you should:

  • Have sent applications or emails for:
    • At least 3–5 research labs or programs
    • 1–2 clinical jobs or structured volunteer roles
  • Consider financial realities:
    • If you must work a non‑clinical paid job, that’s OK
    • Layer in weekends or evenings with clinical volunteering where possible

Your summer doesn’t have to be flashy. It just needs to be intentional and build a coherent story.

12. Clarify your med school timeline and early MCAT thinking

Near the end of sophomore year, you should:

  • Decide your broad application timeline:
    • Traditional: apply summer after junior year, matriculate after senior year
    • Gap year: apply after senior year, start med school 1+ years later
  • Tentatively map your MCAT:
    • Traditional: MCAT in Jan–May of junior year
    • Gap year: MCAT in summer after junior year or early senior year

At this point, you do not need to start hardcore MCAT prep. But you should:

  • Reflect on your comfort in:
    • General Chemistry
    • Organic Chemistry
    • Biology
    • Physics
    • Psych/Soc
  • Consider a light preview:
    • Skim MCAT content outlines from AAMC
    • Look at a few CARS passages to see the style

If your science foundation feels shaky:

  • Plan to:
    • Strengthen during upcoming courses and summer
    • Maybe start a slow MCAT ramp‑up in early junior year

April–August: Execute a Productive Summer

Now it’s summer after sophomore year. At this point you should be:

  • Fully engaged in your main summer activity
  • Building depth, not just checking boxes

13. Maximize your summer clinical or research role

If you’re in a clinical role (volunteering, CNA, MA, scribe):

  • Track hours weekly with:
    • Dates, hours, role, and type of interaction
  • Seek increasing responsibility:
    • Learn new tasks (within allowed scope)
    • Ask nurses or supervisors to teach you workflows or systems
  • Reflect weekly:
    • What did you learn about the health care system?
    • What patient encounters affected you?

If you’re in research:

At this point you should:

  • Understand:
    • The question your lab is asking
    • Your specific contribution
  • Aim for:
    • A poster by next year’s campus research day, if possible
    • Regular meetings with your PI or mentor
  • Keep a running document on:
    • Skills learned (PCR, data analysis, Excel, R, STATA)
    • Any presentations or lab meetings you contributed to

14. Maintain at least a small dose of shadowing or service

Over the summer, add:

  • Occasional shadowing days:
    • 1–2 days/month with a local physician if you’re back home
  • Some community service if your schedule allows:
    • Food bank shifts
    • Mentoring/tutoring
    • Public health outreach (if available)

You are gradually building:

  • A realistic view of medicine
  • A diverse, longitudinal set of experiences to draw from later

End of Sophomore Year: Big‑Picture Checklist

By the time you head into junior year, you should be able to check off most of the following:

Coursework & Academics

  • Completed most or all of:
    • Gen Chem I & II (with lab)
    • Bio I & II (with lab)
  • Started or finished:
    • Organic Chemistry I & possibly II
  • At least one math/stats requirement done
  • Clear 2‑year plan for:
    • Remaining prereqs (Physics, Biochem, any upper‑division Bio)
    • When you’ll take the MCAT
  • BCPM GPA trending upward or at a stable, competitive level

Clubs & Leadership

  • Committed to 2–4 steady activities, including:
    • At least one clinical/health‑related
    • At least one non‑clinical passion or service
  • Took on small informal leadership tasks
  • Have one org where you’re a clear candidate for a formal role as a junior

Shadowing & Clinical Experience

  • Established or started:
    • Weekly or biweekly clinical volunteering (or a plan to start early junior year)
  • Shadowed at least:
    • 20–40 hours across different settings or have a solid plan to build this during junior year and breaks
  • Maintained a log of experiences, contacts, and reflections

Relationships & Letters

  • 2–3 professors know you reasonably well:
    • At least one science professor
    • At least one non‑science or writing‑intensive professor
  • 1–2 clinical or research supervisors can speak to your:
    • Work ethic
    • Reliability
    • Growth

Planning & Timeline

  • Decided whether you’re leaning:
    • Traditional timeline vs. gap year
  • Have a clear plan for:
    • Junior year courses
    • Summer after junior year
    • When to begin structured MCAT prep (usually sometime junior year)

Right now, before you click away, take one specific step:

Open a blank document and write a Sophomore Year Pre‑Med Map with three headings—“This Semester,” “This Summer,” and “Next Year.” Under each, list 3 concrete actions from this guide that you are not yet doing. Then put dates next to them. That turns “I’m pre‑med” into an actual, working timeline.

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