Is there always the chance that, even if I work hard, I won't get in med school?

<p>^
exactly, I would bet the VAST majority of kids from top undergrads with at least moderate stats that don’t get in to ANY schools are ones who refused to apply to things in the bottom half of quarter of the rankings.</p>

<p>Plumazul, i don’t really know. I imagine a recommendation from a music teacher won’t do much more than having the activity and maybe some results to show for it. I don’t know how many other schools really care about this, and if they don’t, and the extra letter isn’t phenomenal, it’s probably going to look bad. The letters are important but also extremely scrutinized/hard to judge. 3 absolutely phenomenal letters will look probably look better than 3 absolutely phenomenal ones and 1 good one. Unless you never performed in any capacity and thus it could seem like your music commitment wasn’t really a big deal, I would probably skip it. I didn’t have a letter from my coach but that doesn’t mean other people didn’t.</p>