SpreadKindness20
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I don't have a great answer for you. Some medical schools definitely do -- intentionally or unintentionally -- obfuscate the underlying intent of their questions.I'm inclined to agree, but I want to ask: why don't they make that more clear? Is Harvard is really looking for a specific challenge or are they simply trying to prevent people from tokenizing their identity?
I ask because for me, living abroad was a very formative experience, though I never faced any significant barriers due to my background, and it has definitely influenced my desire to pursue medicine.
But I think Harvard does make it clear, to an extent, with this question. The schools that have a generic diversity/what makes you unique prompt typically make it a required question, and can do so because you can really answer it in any way. This Harvard prompt is more specific than that because it asks about barriers faced due to identity or background, and accordingly it is an optional prompt, not a required one, because it will simply not apply to everyone. And, to reinforce this, HMS explicitly states "Many applicants will not need to answer this question."
Any time a medical school explicitly states "many people won't answer this question" it is, to me, another way of saying we REALLY mean it when we say this is optional, so don't waste our time if this doesn't apply to you.