Pre-Med Track & Spanish Major

I was just accepted to Notre Dame REA (!!!). If I go here, I will be a student at the College of Arts & Letters. In reality, how difficult is it to do the Pre-Med program and major in Spanish? That’s my current plan, but obviously it would be naive if I said this is what I was doing for sure. Otherwise, if I decide not to do Pre-Med, I would do International Relations / Poly Sci / something in that realm. I have taken many AP exams, and have received 5s on all but one, which I received a 4 on. Will I be able to get all of it done in the regular 4 years?

(I also plan to study abroad, which I’m hoping will not delay anything)