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Are you saying that it is very unlikely that many applicants are passionate about getting clinical exposure, research, teaching/tutoring, etc? Because I don't think that's the case, nor should it be.
Pre-meds aren't a special group of people that are different from other college students in any way. Therefore, when you see pre-meds pursuing so many things that any other regular student wouldn't touch with a ten foot pole, it kind of gives you the impression that people are doing a bunch of stuff they would rather not do.
Of course there are exceptions, but I have a hard time believing that pre-meds are so much more involved than any other student.
On the other hand, I feel very frustrated that it seems I must have unique passions and hobbies to stand out. I am passionate about medicine -- that's why I want to pursue it as a career. So, naturally, I WANT to spend my time in a hospital. Yet that makes me look like a cookie cutter, and makes people point fingers and say I'm not following my passions. But I am.
You should blame other people for that. If most pre-meds actually wanted to be volunteering in a hospital or other settings, then they wouldn't have such a piss poor reputation EVERYWHERE. You gotta wonder why the hospital staff are so rude to pre-med volunteers despite their "sacrifice," while being nice to the elderly volunteers. That just doesn't seem right to treat people who are doing you a favor bad like that, yet we accept it for what it is.
So even though you're passionate about the activity, other pre-meds ruined its validity for you. Also, I don't think a pre-med will write in their PS or talk at an interview about how much they hated doing ECs, so that's another strike against you unfortunately. It's hard to be credible when we know what most pre-meds are actually up to.
I don't feel like it's fair to expect me to have fabulously unique outside interests. I am preparing for a medical career. Why is it not enough that I engage in medical activities that I genuinely love and enjoy?
You don't have to technically have ADCOM-approved outside interests. People get into medical school with ED volunteering and shadowing. Luckily though, since people actually enjoy doing certain things outside of medicine, like being a normal person, those things can go on the application as well. With the insane demand to embellish during this process, I'm sure applicants put on a ton of activities that you wouldn't ever consider to fill up those 15 spaces.