Yes. Most BS/MD acceptances are conditional, not unconditional. The seat is reserved, then held only if the student meets the program’s continuation terms across the undergraduate years: a minimum college GPA, often a separate science GPA, sometimes an MCAT floor, sometimes a required major, always a clean conduct record. Below is the sourced, program-by-program record of those terms, and the honest gaps where a program publishes nothing.

Keep three requirement sets apart, because families mix them up and that is where students get hurt. Getting in is winning the seat as a senior. Keeping the seat, the subject of this page, is what it takes once you are in to hold the place and reach the medical school. The traditional route is the standard MCAT-and-apply path a student would face if the seat were lost. Every figure here is a continuation figure. None of it is an admissions cutoff, and none of it is the odds a traditional applicant faces.

Almost everything written about BS/MD programs is about getting in. Far less is said about what it takes to stay in. That gap matters, because a combined-program seat is rarely the unconditional guarantee families assume it is.

I am a physician and a former Assistant Dean inside one of these programs, and I have watched the full range of what happens after admission. Some students thrive. Some struggle. The difference is often whether the family understood the terms before they signed up for them.

“Guaranteed” usually means “conditional”

Most combined programs do not hand a 17-year-old an unconditional medical school seat. They offer a reserved seat that depends on meeting benchmarks across the undergraduate years. The word “guaranteed” appears in a lot of program names. Read the fine print and you find that it is conditional from the first day.

None of this is hidden. It lives in each program’s continuation requirements. The problem is that most families do not read those until after they are admitted, if at all. By then the choice of program is already made.

The Read

A combined-program seat is rarely the unconditional guarantee families assume it is.

The GPA gate

The most common condition is a minimum undergraduate GPA, often an overall number and a separate science number, held for three or four years. At the stricter programs, a figure around 3.6 in science coursework is typical.

That sounds modest until you remember who these students are. A student who carried a 3.97 in high school is now taking college science alongside other students who did the same. They are away from their families, their main sources of guidance and support, usually for the first time. A 3.6 in college biology, chemistry, physics, and math is not automatic, even for brilliant students. The ones who struggle here are often the students who were never taught how to struggle, because high school never made them. This is the most common way a seat slips.

The MCAT gate, and the myth of “no MCAT”

Many families believe BS/MD means no MCAT. For some programs, that is true. For many, it is not.

Where the MCAT is required, the continuation floor can be steep. I have seen published floors at 508 and 513, and as high as 517 and 518, scores that sit at roughly the 94th to 95th percentile of all test takers. A seat contingent on a 517 is not a guarantee. It is a four-year assignment to produce a score that most people who sit the exam never reach.

Whether a program requires the MCAT, and at what level, should be one of the first things a family checks, not the last. Two programs that both look like “guaranteed admission” can ask for completely different things at the medical school door.

The conditions families forget to ask about

Beyond GPA and the MCAT, continuation can also depend on:

• Staying in the required major. Some programs restrict which undergraduate majors are eligible, and some assign the major outright. This is not a choice the student negotiates: the seat can be tied to a course of study the program controls, with no room to change it.
• Required clinical or research experience completed during the undergraduate years.
• Specific coursework finished on a set schedule.
• A clean professionalism and conduct record.

Every program defines these differently. The only reliable source is the program’s own continuation policy, in writing. A forum post or an old spreadsheet is not that.

The published terms, program by program

Here is what each program does and does not publish about keeping the seat. Every figure links to the sourced program page. Where a program is silent, the cell reads “Not published,” and that silence is itself the finding, because it is the exact place a family gets hurt. To be clear about what the silence means: no program runs without an academic bar. “Not published” means the number is not on a public page, not that the requirement does not exist.

75/81publish a GPA to keep the seat

68/81publish whether the MCAT is required to continue

40/81say whether taking the MCAT forfeits the seat

18/81say whether applying out forfeits the seat

12/81address a gap year

Show only programs that publish apply-out terms

81 programs shown. Every figure is sourced and dated on the linked program page.

One thing "Not published" never means: that no requirement exists. Every one of these programs conditions the seat on academic performance and course requirements. A "Not published" cell means the program has not put its figure on a public page. At least one program office has told us directly that it shares its continuation GPA only with admitted students. Ask for the number in writing before you commit.

Program	GPA to keep the seat	MCAT to continue	Taking the MCAT	Applying out	Gap year
2+4 Accelerated Medical Education Program Howard University · District of Columbia	Minimum BCPM (science) GPA of 3.25 and minimum overall GPA of 3.5 during Phase I (the two undergraduate years) to be evaluated for advancement to Phase II (Howard University College of Medicine). This is the published advancement threshold, and advancement is explicitly not guaranteed. No separate semester-by-semester maintenance GPA is published. Fall 2026 combined-degree booklet.	Required to continue	Taking it does not forfeit the seat	Not published	Not published
3+4 Medical Degree Program (BS/MD; BS/DO) Rowan University · New Jersey	Continuation (keep-the-seat) requirement, distinct from the 3.5 GPA needed to apply: accepted students must maintain a 3.6 or higher semester and cumulative GPA; Biomedical Engineering majors in the BS/MD track are an exception at 3.4 or higher.	Required to continue	Not published	Not published	Not published
4+4 Program Hofstra University · New York	Minimum 3.6 overall GPA AND minimum 3.6 science GPA at the end of the first academic year and every academic year thereafter (continuation requirement to matriculate at Zucker); all premedical course requirements must be satisfied without repeating a course, with no grade lower than B in any science course and no grade lower than C in any non-science course	Required to continue	Taking it does not forfeit the seat	Not published	Not published
7-year (3+4) BS/M.D. Program Florida International University · Florida	Continuation (keep-the-seat) GPA: 3.50 overall AND 3.50 BCPM (Biology, Chemistry, Physics, Math) at end of Spring semester freshman year, then 3.60 overall AND 3.60 BCPM at end of sophomore year and junior year, all with no grade forgiveness (no NC grades), per official program requirements PDF (undated, live July 2026)	Required to continue	Taking it does not forfeit the seat	Not published	Not published
7-Year B.S./M.D. Program USF Judy Genshaft Honors College · Florida	End of year 1: 3.7 USF (and overall) GPA AND 3.7 USF science/math ('BCPM') GPA. End of years 2 and 3: 3.8 USF (and overall) GPA AND 3.8 USF science/math ('BCPM') GPA. The FAQ states directly that dual-enrollment grades count toward the overall GPA and that grade forgiveness does not apply. This is the CONTINUATION bucket (keeping the seat), separate from initial eligibility (4.0 weighted HS GPA) and separate from the MCAT benchmark used for the traditional-MD-equivalent screen.	Required to continue	Not published	Applying out forfeits the seat	Case by case
7-Year BA/MD Program Caldwell University · New Jersey	NJMS side: overall GPA of at least 3.5 each semester with grades of B or better in all premedical courses. Caldwell side states GPA above 3.5 with at least a B+ in required science courses plus a competitive MCAT score as determined by NJMS. The B vs B+ science-grade wording differs between the two official pages.	Required to continue	Taking it does not forfeit the seat	Not published	Not published
7-Year BA/MD Program Drew University · New Jersey	Drew catalog (continuation, keeping the seat): overall GPA of 3.4 or better each semester, 3.4 or better in all science classes taken each semester, and a minimum of B- in each required pre-medical course, with at least 14 credit hours per semester. NOTE: the NJMS 7/8-year page states 'at least 3.5 each semester' and 'grades of B or better in all premedical courses,' which conflicts with the Drew catalog. Human review needed on which controls for Drew students.	Required to continue	Taking it does not forfeit the seat	Applying out forfeits the seat	Not published
7-Year BA/MD Program New Jersey Institute of Technology · New Jersey	Continuation terms (keeping the NJMS seat): grade of B or better in all premedical courses and an overall GPA of at least 3.5 each semester during the NJIT undergraduate phase; published on both the NJIT FAQ and the NJMS 7/8-year program page	Required to continue	Taking it does not forfeit the seat	Not published	Not published
7-Year BA/MD Program Rutgers Newark School of Arts & Sciences · New Jersey	Overall GPA of at least 3.5 each semester, plus grades of B or better in all premedical courses (continuation requirement for promotion to the medical school, NJMS 7-year program page)	Required to continue	Taking it does not forfeit the seat	Not published	Not published
7-Year BA/MD Program Stevens Institute of Technology · New Jersey	Overall GPA of at least 3.5 each semester at Stevens, plus grades of B or better (not B-) in all premedical courses, as continuation conditions for promotion to NJMS. Stevens catalog adds: acceptable MCAT scores and an interview at both Stevens and the medical school are required before matriculation.	Required to continue	Taking it does not forfeit the seat	Not published	Not published
7-Year BA/MD Program St. Peter's University · New Jersey	Promotion to the medical school is contingent upon achieving grades of B or better in all premedical courses and maintaining an overall GPA of at least 3.5 each semester (NJMS 7-year BA/MD promotion standard, continuation bucket).	Required to continue	Taking it does not forfeit the seat	Not published	Not published
7-Year BA/MD Program The College of New Jersey · New Jersey	3.5 cumulative AND science GPA each semester (B+), with no grade below A- in BIO 201, CHE 201, or CHE 202 (the NJMS-required intro bio/chem sequence)	Required to continue	Taking it does not forfeit the seat	Conditional, depends on the terms	Not published
Accelerated Bachelor’s/DO Program Rutgers University-Camden · New Jersey	Not published	Not published	Not published	Not published	Not published
Accelerated Premedical-Medical Program Pennsylvania State University - Park Campus · Pennsylvania	Students must perform at an A/B level in all courses and maintain a 3.5 (on a 4.0 scale) level, particularly in the sciences; if performance falls below this they could be asked to withdraw from the program. The MCAT threshold to continue is a minimum composite of 508 (>=127 in each of the three science/behavior sections, >=125 CARS).	Required to continue	Taking it does not forfeit the seat	Not published	Not published
Accelerated Seven-Year Medical Program (BS-DO) Rockhurst University · Missouri	Maintain a cumulative GPA of 3.50 or higher AND a science coursework GPA of 3.50 or higher, both on a 4.00 scale, while at Rockhurst. Failure to meet these GPA requirements may result in disqualification from the program. This is the continuation bucket, distinct from the 3.70 cumulative / 3.50 math-science GPA required for undergrad admission to the program.	Not required to keep the seat	Not published	Applying out forfeits the seat	Not published
Accelerated Undergraduate to M.D. program University of South Carolina and South Carolina Honors College · South Carolina	3.6 minimum cumulative USC GPA to remain in the program (continuation requirement). FAQ: 'Students are required to maintain a minimum GPA of 3.6 to remain in the program.' Academic bulletin: minimum cumulative 3.6 by the end of each semester and of the third year. Note: the BARSC degree overall requires a 3.5 cumulative GPA, but the Accelerated Pre-Medicine concentration (the med-school condition) requires 3.6.	Not required to keep the seat	Not published	Not published	Not published
B.A./M.D. Program University of Missouri-Kansas City · Missouri	Cumulative GPA of at least 2.800 AND cumulative science GPA of at least 2.800 required for promotion at every checkpoint (Year 1 to 2, Year 2 to 3/MS1, Year 3 to 4/MS2); a 2.500-2.799 in either GPA is a non-promotion criterion, and failure to reach the science GPA needed for Year 4 promotion within the 8-year maximum enrollment meets criteria for dismissal (Council on Evaluation Policy Manual, continuation bucket: these are keep-the-seat terms, not admission terms)	Not required to keep the seat	Not published	Not published	Case by case
B.S./D.O. with NYITCOM SUNY Old Westbury · New York	3.5 overall semester AND cumulative GPA each semester at SUNY Old Westbury (NYIT catalog wording); the Old Westbury program pages state 'maintain a minimum 3.50 grade point average at SUNY Old Westbury.' Continuation-bucket requirement to keep the NYITCOM seat.	Required to continue	Not published	Not published	Not published
B/MD (University of Evansville) University of Evansville · Indiana	Cumulative GPA of 3.0/4.0 required for the first 31 undergraduate credit hours; cumulative GPA of 3.5/4.0 required from 62 hours through completion of the baccalaureate degree; overall degree must be completed with a cumulative GPA of 3.5 or higher. All IU School of Medicine prerequisite coursework must also be completed.	Not published	Not published	May apply out, keep the seat until accepting another offer	Not published
B/MD Pathway (Ball State University) Ball State University · Indiana	Official Completion Requirements page states a tiered cumulative GPA schedule evaluated each May: 3.0 cumulative at 30 credits; 3.5 cumulative at 60 credits; 3.5 cumulative AND science GPA at 61+ credits; and at matriculation to IU School of Medicine, no less than the mean GPA (cumulative and science) of the previous year's entering class. Falling below the minimum triggers probation with one semester to recover the required GPA, after which a student who has not recovered is dismissed from the pathway (but remains in their Ball State undergraduate program). NOTE: this contradicts the prior stored hint that continuation GPA was not published; the tiered schedule above is directly stated on the official page	Not published	Taking it does not forfeit the seat	Not published	Not published
B/MD Pathway to Medicine Program Indiana University - Indianapolis · Indiana	Cumulative overall AND science (BCPM) GPA, rising by year. Traditional 4+4 track: 3.40 by end of year 1, 3.50 by year 2, 3.60 by year 3, 3.70 by year 4. Accelerated 3+4 track: 3.50 by end of year 1, 3.60 by year 2, 3.70 by year 3. (Continuation requirement to keep the conditional IUSM seat, not an admission stat.)	Required to continue	Taking it does not forfeit the seat	Not published	Not published
B/MD Scholarship (University of Southern Indiana) University of Southern Indiana · Indiana	3.0 for the first 31 hours; 3.5 from 62 hours onward	Required to continue	Taking it does not forfeit the seat	Not published	Case by case
BA/BS MD Program at the University of Colorado-Denver University of Colorado-Denver · Colorado	3.50 overall college GPA, plus a minimum of 60 credit hours completed in the first two academic years, and no grade lower than a B (page states 'B (3.0)') in any required medical-school prerequisite course (continuation terms to keep the reserved CU School of Medicine seat)	Required to continue	Taking it does not forfeit the seat	Not published	Not published
BA/BS+MD Early Assurance Program Drexel University · Pennsylvania	Continuation (keep-the-seat) requirement: minimum 3.6 cumulative GPA in all coursework AND 3.6 in prerequisite/BCPM sciences, with no grade below C and no course repeats. (Separate from the 3.5 weighted HS GPA required to apply.)	Required to continue	Taking it does not forfeit the seat	Applying out forfeits the seat	Not published
BACC2MD The University of Toledo · Ohio	Cumulative UToledo undergraduate GPA of 3.7 or higher required to be eligible to apply to COMLS through the BACC2MD pathway (continuation bucket, not HS admission). Also requires MCAT 506+ and at least 3 letters of recommendation at the pathway application stage.	Required to continue	Taking it does not forfeit the seat	May apply out, keep the seat until accepting another offer	Not allowed
Bachelor of Arts/Medical Doctor (BA/MD) Scholars Program University of Minnesota College of Liberal Arts · Minnesota	Not published	Not published	Not published	Not published	Not published
Baylor2Baylor Baylor University · Texas	Continuation requirement to matriculate to Baylor College of Medicine: maintain an overall GPA of at least 3.5 on a 4.0 scale and participate in all traditional pre-med coursework at Baylor (current 2025-2026 page wording; the 2024-2025 version of the same page said 'overall and science GPA of at least 3.5')	Required to continue	Taking it does not forfeit the seat	Not published	Not published
Biology BS / Osteopathic Medicine DO with Rowan-Virtua (Fairleigh Dickinson) Fairleigh Dickinson University · New Jersey	Science GPA 3.50 or higher	Required to continue	Not published	Not published	Not published
BS-MD Honors Track California Northstate University College of Health Sciences · California	Cumulative College of Health Sciences (CHS) GPA of at least 3.6 each semester, plus every course completed with a grade of B (3.0) or higher on the first attempt (a B- does not meet the requirement), plus full-time status (at least 12 units) each Fall and Spring term. This is a continuation requirement to keep the conditional seat at CNU College of Medicine.	Required to continue	Taking it does not forfeit the seat	Not published	Not published
Combined BA/MD Program University of New Mexico · New Mexico	Continuous eligibility (continuation bucket): cumulative GPA of at least 3.37 by graduation from the College of Arts & Sciences; 3.00 (B average) or better in the science courses required for UNM School of Medicine and the BA/MD Program; standard letter grade of C or better in all coursework. GPAs calculated to the hundredth decimal point.	Required to continue	Taking it does not forfeit the seat	Applying out forfeits the seat	Not published
Connections Dual Admissions University of Cincinnati · Ohio	Minimum AMCAS-calculated 3.50 cumulative GPA and 3.50 BCPM GPA (Biology, Chemistry, Physics, Math) to progress to the College of Medicine; the Policies and Performance Standards page adds that students must earn grades of B (3.00 on a 4.00 system) or better in all courses, and a grade of D or F in a BCPM course may be grounds for dismissal from the program.	Required to continue	Taking it does not forfeit the seat	Not published	Not published
Coordinated B.A.-M.D. Program Brooklyn College · New York	3.50 cumulative overall GPA AND 3.50 cumulative science GPA to remain in the program (continuation bucket). Falling below either after the summer review means dismissal, with a narrow appeal path. Source is the B.A.-M.D. Undergraduate Handbook, August 2021 edition, which is still the handbook linked from the current official program page but was written under the prior SUNY Downstate agreement; Brooklyn College has not published updated continuation terms for the current CUNY School of Medicine partnership.	Not published	Taking it does not forfeit the seat	Not published	Not published
CUNY School of Medicine BS/MD Program (formerly the Sophie Davis Program) City College of New York · New York	Undergrad satisfactory academic progress requires earning 3.2 or above in undergraduate coursework (plus CCNY's 2.0 minimum for the BS degree). Progression into the MD phase, decided after spring of U3: GPA higher than 3.2 with Student Academic Progress Committee approval. Effective Fall 2024, students graduating the biomedical BS during or after academic year 2026-2027 need cumulative GPA 3.5 or greater AND science GPA 3.3 or greater to progress into the MD program (science GPA computed from 11 named courses). Source: 2026-2027 BS and MD Student Handbook	Not required to keep the seat	Not published	Not published	Case by case
Direct Admit Program (High School Direct Admit, DO track) University of the Incarnate Word · Texas	Overall 3.5 and Math/Science 3.5 each academic year	Not required to keep the seat	Not published	Not published	Not allowed
Direct Admit Program (MD track) DePaul University · Illinois	Not published	Not published	Not published	Not published	Not published
Dual Admission Osteopathic Medicine Nova Southeastern University · Florida	3.5 cumulative AND 3.5 science GPA, with at least a C in each prerequisite course, to keep the reserved D.O. seat (continuation requirement, not an admission stat). Grade forgiveness does not apply: all retaken course grades count in the calculation. Credit floor to transition: 90 credits for the 2+4 and 3+4 tracks, 120 credits (bachelor's completed) for 4+4.	Required to continue	Taking it does not forfeit the seat	Not published	Not published
Dual Admission Program in Allopathic Medicine Nova Southeastern University · Florida	3.7 cumulative and 3.7 science GPA	Required to continue	Not published	Not published	Not published
Dual Admission Program in Osteopathic Medicine Illinois Institute of Technology · Illinois	Maintain a 3.5 GPA at Illinois Tech (published continuation requirement to keep the CCOM seat), alongside an MCAT score above the national average	Required to continue	Taking it does not forfeit the seat	Not published	Not published
E2EnMed Early Assurance Program Texas A&M University College of Engineering · Texas	3.75 cumulative institutional GPA, 3.5 BCPM GPA, and 3.5 ENGR GPA (any engineering course counted toward major/secondary graduation requirements), plus a B or better in all medical school prerequisite coursework, at least 12 hours per long semester with a minimum of one math or science course, and degree completion within 8 long semesters	Required to continue	Taking it does not forfeit the seat	Not published	Not published
Early Acceptance Program - Medicine Track Multiple affiliated undergraduate institutions · Pennsylvania / Florida / New York	For the Medical track: cumulative overall GPA >= 3.4 (3.5 for the '3+' track) and cumulative science GPA >= 3.2, checked at each review period; failure at the final check (as of February 1 of the matriculation year) results in withdrawal from the EAP and loss of the reserved seat. LECOM's live EAP page separately states college-level thresholds of 3.40 overall / 3.30 science (medical/dental) and 3.20 overall / 3.00 science (pharmacy/podiatric) -- figures are consistent in substance with the policy manual's 3.4/3.2 medical figures; minor science-GPA digit variance (3.2 vs 3.30) exists between the two sources and should be treated as approximate pending a same-year source reconciliation.	Required to continue	Conditional, depends on the terms	Not published	Case by case
Early Acceptance Program (EAP) via Rocky Mountain College Rocky Mountain College · Montana	Maintain a minimum 3.0 GPA (Rocky Mountain College)	Not published	Not published	Not published	Not published
Early Assurance Program Ohio University, Baldwin Wallace University, Ohio Dominican University, Otterbein University, Shawnee State University, Cleveland State University, John Carroll University · Ohio	Overall GPA of 3.7 and science GPA of 3.6 or higher at completion of the undergraduate program (continuation bucket: keeping the reserved HCOM seat). Continuation also requires the mock MCAT score of at least 500 plus shadowing/clinical hours, extracurricular activities, and community service per the EAP page.	Not required to keep the seat	Not published	Not published	Not published
Early Careers in Medicine University of Tulsa · Oklahoma	Continuation benchmark, not a fixed floor: to convert the early provisional acceptance into guaranteed admission without a med-school interview, ECM students must earn a science GPA equal to the average science GPA of that year's incoming OU College of Medicine class (the TU page says roughly 3.75 on a 4-point scale in recent years). The paired MCAT benchmark works the same way (roughly 510 in recent years).	Required to continue	Taking it does not forfeit the seat	May apply out, keep the seat until accepting another offer	Not published
Early Medical School Acceptance Program University of Alabama at Birmingham · Alabama	3.60 overall GPA and 3.50 GPA in math and science courses (continuation requirement to keep the EMSAP seat); if either minimum is missed the student is placed on probation with one year to restore it, and a student can only be on probation once	Required to continue	Taking it does not forfeit the seat	May apply out, keep the seat until accepting another offer	Case by case
Eight-Year Combined BS/MD Program (Health Careers Program) Montclair State University · New Jersey	Semester and cumulative GPA of 3.50 or better, with a B or better in each science course	Required to continue	Not published	Not published	Not published
Go D.O. Early Scholars Program West Virginia Wesleyan College · West Virginia	Cumulative science GPA of 3.50 at WVWC to continue in the program (continuation requirement, per the official WVWC Go D.O. page). Same page also requires specified pre-med coursework, 25 shadowing hours with an osteopathic physician, 25 volunteer/health care hours, one WVSOM enrichment event annually, and notes students with professionalism issues can be removed from the program.	Not required to keep the seat	Not published	Not published	Not published
Guaranteed Admission Program University of Pittsburgh · Pennsylvania	Cumulative undergraduate GPA of 3.70 AND a 3.70 BCPM (biology, chemistry, physics, mathematics) GPA, per the UPSOM GAP page. The undergrad admissions page phrases it as a cumulative science and quality point average of at least 3.70. This is a continuation requirement to keep the guaranteed seat.	Required to continue	Taking it does not forfeit the seat	May apply out, keep the seat until accepting another offer	Case by case
Guaranteed Admission Program (High School Seniors) VCU (Honors College) · Virginia	Cumulative 3.5 GPA (all coursework attempted) at the end of the 4th, 5th, 6th, and 7th semesters at VCU; 3.5 GPA in prerequisite science courses taken at VCU; cumulative 3.4 GPA with no grade below a C in the 'four of twelve' elective courses. Records reviewed every semester; failure to complete requirements results in dismissal from the GAP for Medicine.	Required to continue	Taking it does not forfeit the seat	Not published	Not published
Guaranteed Entrance to Medical School (GEMS) University of Louisville · Kentucky	3.4 GPA (undergraduate GPA required to keep the guaranteed med-school seat, alongside MCAT at or above the national mean on each section and full participation in program activities)	Required to continue	Not published	Not published	Not published
Guaranteed Professional Program Admissions (GPPA) University of Illinois-Chicago · Illinois	Minimum 3.6 cumulative GPA (below 3.6 places the student on Notice with terms set by GPPA leadership), plus a grade of B or above in every GPPA required course, per the Fall 2026 Conditions of Acceptance. The College of Medicine how-to-apply page additionally states maintain a 3.6 science GPA. Continuation bucket: this is what keeps the guaranteed med-school seat.	Required to continue	Not published	May apply out, keep the seat until accepting another offer	Not published
HonorsMed Honors College at University of Houston · Texas	3.5 cumulative GPA (undergraduate); matriculation into the Fertitta Family College of Medicine is contingent on maintaining a 3.5 cumulative GPA and scoring a minimum of 500 on the MCAT (continuation bucket)	Required to continue	Taking it does not forfeit the seat	Not published	Not published
Integrated Osteopathic Medicine Honors Track (Lander College for Women) Lander College for Women (Touro University) · New York	GPA 3.5 or higher overall and science GPA 3.6 or higher (Touro US-campus coursework)	Required to continue	Not published	Not published	Case by case
Integrated Osteopathic Medicine Honors Track (NYSCAS) NYSCAS (Touro) · New York	GPA 3.5 overall and science GPA 3.6	Required to continue	Not published	Not published	Case by case
Kearney Health Opportunities Program (KHOP) Medicine University of Nebraska at Kearney · Nebraska	Medicine track Program Standards: earn a grade of C or better in every course, and maintain Cumulative GPA >= 3.5 AND Math & Science GPA >= 3.5 throughout the UNK undergraduate years, verified via semester meetings with a KHOP academic advisor. This directly contradicts the stored hint of gpa_to_maintain = false; the official brochure states an explicit, high (3.5/3.5) continuation GPA bar for the Medicine track specifically (other KHOP tracks have different, generally lower, GPA bars).	Required to continue	Not published	Not published	Not published
Leadership in Medicine (Union College + Albany Medical College) Union College · New York	Minimum cumulative 3.50 GPA overall AND 3.50 in math/science courses; graduate (Clarkson) grades count in the overall GPA. A grade of D or F in any course leads to dismissal from the LIM program (not the college), and two C grades in graduate courses are not permitted. Reviewed semiannually by the joint Policy and Promotions Committee (first-years reviewed at end of year one).	Not published	Not published	Applying out forfeits the seat	Not published
Life Sciences, B.S. / Osteopathic Medicine, D.O. New York Institute of Technology · New York	3.5 overall semester AND cumulative GPA required each semester to progress to the NYITCOM (D.O.) phase. Only one probationary period is allowed; a second drop below 3.5 results in automatic dismissal. (2026-2027 catalog / official program admission-requirements page)	Required to continue	Not published	Not published	Not published
Med Direct (Boca Raton campus) or Wilkes Medical Scholars (Jupiter campus) Florida Atlantic University · Florida	Med Direct program page: conditional admission to the College of Medicine requires 'Minimum FAU GPA of 3.7 and MCAT of 510,' further specified as 'Cumulative undergraduate GPA of 3.7 and a science GPA of at least 3.5.' This is stated as the qualifying threshold to be promoted into the College of Medicine, not explicitly framed as an ongoing seat-continuation minimum through all four undergraduate years, and the underlying 'Program Expectations and Requirements' PDF (linked but not accessible as fetchable text) may carry fuller continuation terms	Required to continue	Not published	Not published	Not published
Medical Humanities Scholars Program (MHSP) Honors College of the University of Oklahoma · Oklahoma	No fixed annual maintenance GPA published. To claim the provisional OU College of Medicine seat, the student's GPA and MCAT must be equal to or higher than the average of the previous year's incoming medical school class; the program says this is typically a science GPA of approximately 3.74 and an MCAT of approximately 510 (a moving target, not a fixed number).	Required to continue	Taking it does not forfeit the seat	Not published	Not published
Medical Scholars Program Washington & Jefferson College · Pennsylvania	Continuation bucket (keeping the reserved LKSOM seat): overall GPA and science GPA (biology, chemistry, mathematics, physics) at W&J of at least 3.6 averaged over the first 3 years, no grade below B-, no repeated courses. All med-school prerequisites must be completed at W&J. Also requires MCAT of at least 509 with no section below 126, taken by May of junior year, plus medically-related shadowing/experiences and community service as specified in the LKSOM acceptance letter.	Required to continue	Taking it does not forfeit the seat	Applying out forfeits the seat	Not published
Mercer Medical Scholars Program Mercer University-Macon Campus · Georgia	Stepped ladder, cumulative AND BCPM GPA both required, AMCAS GPA formula: at least 3.0 by end of undergrad year 1, at least 3.25 by end of year 2, at least 3.5 by end of year 3. Additional continuation conditions: bachelor's degree within four years at Mercer (Macon), all pre-med requirements at Mercer's College of Liberal Arts and Sciences, at least 100 hours of mission-consistent volunteer work in the first three years, no institutional action, and a positive letter from Mercer's Health Vocations Advisement Committee.	Required to continue	Taking it does not forfeit the seat	Conditional, depends on the terms	Not published
MSSU KCU Early Acceptance Program (MKEAP) Missouri Southern State University · Missouri	Minimum cumulative GPA of 3.500 or higher to remain in good standing in MKEAP (undergraduate continuation requirement, program features page)	Required to continue	Taking it does not forfeit the seat	Not published	Not published
Pathway to Medicine (Rowan College of South Jersey) Rowan College of South Jersey (AS) then Rowan University (BS) · New Jersey	Not published	Not published	Not published	Not published	Not published
Physician Scientist Program (RPI + Albany Medical College) Rensselaer Polytechnic Institute · New York	3.5 (maintained during undergrad)	Not required to keep the seat	Not published	Not published	Not published
Pre-Professional Scholars Program Case Western Reserve University · Ohio	Undetermined; 3.7 reported, unverified	Not published	Conditional, depends on the terms	Conditional, depends on the terms	Not published
Professional Scholars Program Augusta University · Georgia	BS-MD track: cumulative AND science/math GPA must be maintained at 3.5 (end of Year 1), 3.6 (end of Year 2), and 3.7 (end of Year 3). (BS-DMD track is a separate bucket: cumulative and science+math GPA of 3.6 at the end of each of the first three years.) This is the continuation/progression requirement, distinct from the 3.7 recalculated GPA required to gain initial admission to PSP.	Required to continue	Not published	Applying out forfeits the seat	Not published
Rochester Early Medical Scholars University of Rochester · New York	Not published	Not required to keep the seat	Not published	Not published	Not published
Rural Health Opportunities Program (RHOP) Medicine Chadron State College or Wayne State College or Peru State College · Nebraska	3.5 cumulative GPA AND 3.5 Math & Science GPA, plus a C or better in every course (a D or F triggers probation and required course repeat). Continuation standard to keep the RHOP Medicine seat, per the CSC-UNMC Program Standards for the Medicine Option (document dated 3/3/2020).	Not published	Taking it does not forfeit the seat	Not published	Case by case
San Joaquin Valley (SJV) PRIME+ UC Merced · California	Not published	Not required to keep the seat	Not published	Not published	Not published
SBU-NYIT Dual Degree Pathway in Osteopathic Medicine (3+4) St. Bonaventure University · New York	overall science GPA 3.5 each semester with a 3.5 cumulative GPA	Required to continue	Not published	Not published	Not published
Scholars for Medicine Program Stony Brook University · New York	Minimum 3.2 science GPA and 3.4 cumulative GPA (3.2 cumulative GPA for students pursuing a BE in the College of Engineering and Applied Sciences), continuation requirement to keep the reserved seat	Required to continue	Not published	Not published	Not published
Science, Humanities & Medicine Program (Siena College + Albany Medical College) Siena College · New York	A 3.5 average in the sciences is required to remain in the program (continuation requirement, verbatim from Siena's health-professions affiliation page). AMC's program page adds the softer 'satisfactory academic performance at Siena and a continued commitment to the goals of the program' language; no overall-GPA number is published.	Not published	Not published	Not published	Not published
Seven-Year Dual BA/MD Program The George Washington University Columbian College of Arts and Sciences · District of Columbia	Minimum 3.60 overall GPA with no grades of C or below in any science courses, plus participation in medically-related and service experiences (continuation requirements to transition into the MD program; reviewed each semester by the Committee on Admissions).	Not published	Taking it does not forfeit the seat	Not published	Not published
Special Program in Medicine UConn (Honors Program) · Connecticut	Continuation requirement to matriculate from the Special Program in Medicine into UConn School of Medicine: maintain a 3.6 cumulative GPA (4.0 scale) throughout undergraduate study, in addition to an MCAT total score at the 80th percentile rank (no subtest below 55th percentile), required science coursework (general biology, general chemistry, organic chemistry, physics, biochemistry), more than 100 hours each in clinical service, community service, and research, and favorable interviews with the Special Program in Medicine Committee during senior year	Required to continue	Not published	Not published	Not published
SUNY New Paltz Accelerated 3+4 Medical Program (B.S./D.O.) SUNY New Paltz · New York	prescribed GPA, currently 3.50 each and every semester	Required to continue	Not published	Not published	Not published
Syracuse University / SUNY Upstate Medical University Combined Bachelor’s-M.D. Program Syracuse University · New York	3.50 cumulative GPA, plus grades of B or higher in specified med-school prerequisite courses (bio, gen chem, orgo, physics, biochem, psych, soc, stats), minimum 12 credit hours each semester, and 40 hours of volunteer service during undergraduate enrollment (continuation terms to keep the reserved seat)	Not required to keep the seat	Not published	Applying out forfeits the seat	Not published
The Program in Liberal Medical Education Brown University · Rhode Island	No cumulative GPA requirement (Brown does not calculate a GPA and imposes no cumulative-GPA floor for PLME). However, the four required biology courses must each be completed with a grade of B or better to be eligible to matriculate to the Warren Alpert Medical School; a PLME biology course taken S/NC triggers PLME academic warning. Students must be in good academic standing by their final undergraduate semester to matriculate.	Not required to keep the seat	Not published	Not published	Not published
Tulane Pathway to Medicine Tulane University · Louisiana	3.5 overall and core science GPA	Required to continue	Taking it does not forfeit the seat	Not published	Not published
Undergraduate to Medical School Initiative (UMSI) Texas Tech University Honors College · Texas	3.7 minimum overall GPA and 3.6 minimum science GPA (adjusted GPAs not accepted, all grades calculated), grade of B or higher in all prerequisite science courses, ALL coursework taken at Texas Tech University, good standing in the Honors College, and documented evidence of at least 100 hours per year of health care related activities. The med-school admissions page states NEW maintenance requirements for the 2026 application cycle: 3.85 overall GPA and 3.8 science GPA.	Not required to keep the seat	Taking it forfeits the seat	Not published	Not published
Urban Health Opportunities Program (UHOP) Pre-Medicine University of Nebraska Omaha · Nebraska	3.5 cumulative and BCPM (Biology, Chemistry, Physics, Mathematics) GPA required for guaranteed UNMC MD admission upon program completion.	Required to continue	Not published	Not published	Not published
Vaqueros MD Early Assurance Program University of Texas Rio Grande Valley Honors College · Texas	To matriculate into UTRGV School of Medicine (continuation bucket, keeping the seat): overall GPA minimum 3.2, science GPA minimum 3.5, all grades at or above C, no felony convictions (2026-2027 application cycle, 'requirement due dates are updated on a yearly basis'). Students must also remain an Honors College scholar through graduation to keep program eligibility.	Required to continue	Not published	Not published	Not published
Wayne Med-Direct Wayne State University's College of Liberal Arts and Sciences · Michigan	3.5 cumulative undergraduate GPA and 3.65 cumulative AMCAS Biology/Chemistry/Physics/Math (BCPM) GPA, carried through both the undergraduate continuation stage and as the stated condition for WSUSOM admission consideration. Falling below the 3.5 cumulative GPA places a scholar on probation, with a maximum of three probationary semesters allowed before losing eligibility (per the Wayne Med-Direct scholarship page and student handbook). This corrects the previously stored value of false: a continuation GPA is in fact published and specific.	Required to continue	Not published	Not published	Not published

If a program’s row says “Not published,” put these questions to the program office in writing, so you have the answer on record and not from a message board:

• What is the exact college GPA I must hold to keep the seat, cumulative and in the sciences?
• Does registering for or taking the MCAT affect my seat in any way?
• May I apply to other medical schools, and if I do, do I keep the seat until I accept another offer?
• Is a gap year permitted, and under what conditions?
• Beyond GPA, what else can cost a student the seat?

Why this belongs in the application decision, not after it

Here is the part that changes strategy. The continuation terms should shape which programs a student applies to, not only which ones they can get into.

A program a student can be admitted to but cannot realistically continue in is a trap, and an expensive one. A student whose testing has always been a relative weakness should think carefully before building a plan around a program that gates continuation on a 517 MCAT. The honest question is not only “can we get in,” but “can this student finish what this particular seat requires.”

The right program is the one whose conditions match the student in front of you, not the one with the most recognizable name.

What I would do before applying

• Read every target program’s continuation requirements in full, before applying, not after.
• Call the program where anything is ambiguous. Fifteen minutes now settles questions that would otherwise hang over four years.
• Build the GPA and MCAT reality into the plan from the start, rather than treating it as a sophomore-year problem.
• Be honest about whether the student can sustain the specific conditions, not BS/MD in the abstract.

Getting in is the beginning, not the end. The families who do well are usually the ones who chose programs whose terms fit their student, and who understood those terms before committing to eight years of them.