<p>Let me preface this by saying I’m in <em>no</em> way an expert on this subject; just chiming in because no one else seemed to have a better idea. That said, I think “leadership” is highly variable, and that the majority of applicants to MD/PhD programs are like yourself, that is, didn’t start an Internet company at 16 with 8,000 employees, or lead a charge up San Juan hill, so don’t get too hung up on it. </p>
<p>But as you know, MD/PhD programs are extremely competitive, so it’s best to try and cover all the bases, provided it doesn’t affect your MCAT and GPA - no amount of “leadership” will overcome poor stats here. For MD/PhD, I’m thinking “38” is your target, so you need to focus on the MCAT far more than any missing leadership hours. And even if you’re not planning to take it until Spring, one thing you’re going to want to do this summer is take an assessment exam, and see where you are. That way, you can build a study plan. You’ll need to be pretty rigorous on that part. </p>
<p>Anyway, you asked about leadership - tutoring and TA are “leadership” positions. If you can accumulate, say, 100 hours of either of these, this would seem “adequate” - to me, anyway, others may disagree. You’ll need a lot more “community service” hours than “leadership” - the niice thing about “tutoring” is that is builds both volunteer hours and leadership hours. Similarly, “mentoring” program volunteer will do this. </p>
<p>You didn’t mention shadowing/clinical, but if you haven’t done these yet, get it done this summer if possible. There are a lot of things you’ll have to take care of before you submit your application; clear the decks of whatever you can, as early as you can. </p>
<p>No single thing will be “hard” (well, “impossibly hard”) - but applying to med school requires managing all of these different activities and deadlines, not to mention your courseload, and it can be overwhelming sometimes. Get started early, and start putting together a calendar, which ends with your med school application, and begins, well, “today.” </p>
<p>Good luck!</p>