<p>I know a couple of students who went to top tier schools like Princeton who didn’t get into med school last year, and in both cases, it was due to self selection. They didn’t apply to tier 3 med schools, and preferred to apply again after solidifying their credentials. If you were capable of getting into Penn, don’t have hangups on which med school, and don’t slack up big time, you have an excellent chance of getting in somewhere.</p>