@NervousDad01, I really have to highlight and emphasize what @Blugrn6 said. There’s such a huge “scare factor” and I would also add there’s a huge “guilt factor” as well. It’s ok if your son has these feelings, these are normal, but these feelings aren’t good to make matriculation decisions from. That’s a lot for any high school senior (your son) to take in and process, and it’s hard at that age to try to be objective. None of my family was in medicine so getting objective advice was difficult, although they gave me more emotional support than I could ever dream of having. I still remember my mom’s tears of joy when I got the UMKC BA/MD acceptance (it used to be by snail mail back then, when everyone did the light weight envelope/heavy weight envelope thing to see if it was a rejection or acceptance, respectively), so you can imagine the internal guilt at that age I would have felt by saying no, but looking back I also know that if I had explained why I chose not to go, she would have supported me 100% and I would have been close to home (which all mothers want, lol).
For me it was all internally driven. My parents were 100% supportive of either path I chose, but I think deep down I felt just so guilty that I would be throwing away an opportunity I felt was given to me by God (assuming you believe in God, whatever your religion may be). As @blugrn6 mentioned, You hear stories (almost never ever the entire full story, of course, or critical details that are made up by those telling it – everyone telling the story says they had such great GPAs/MCATs) about those people who didn’t make it into med school or ended up going to the Caribbean (PLEASE DO NOT DO THIS EVER - not with the way the match is going now), usually not knowing the entire story.
The problem as you apply to this program (or really any Bachelor/MD program) is this (at least as an out-of-stater): You first apply, just to see if you’ll get an interview, if you don’t get an interview, no biggie, not much emotional investment on your part, so you move on, if you do get an interview offer, then you prepare for the interview, then wait nervously for interview day, then interview etc. and so it snowballs in terms of your level of emotional investment to where by the time you are waiting for an acceptance on April 1 (that’s the national date by which all colleges, BS/MD programs or otherwise, must give you a decision), you almost feel compelled to take the BS/MD offer if you’re accepted after all the emotional investment in preparing, filling out applications, getting letters, flying out to interview, etc.
Also another problem is 9 times out of 10, your typical high school student (even the smart ones), tend to greatly OVERESTIMATE the traditional medical school admissions process and think they have to be tip-top perfect in every aspect, like this ridiculous quote from a 6 year student: http://info.umkc.edu/unews/umkc-medical-school/
That’s absolutely not even true, and it would make most med school admissions people wonder if you can’t handle what it takes to get into med school, what makes you think that it will get easier once you’re there, when you have to then build up your CV and academic record to shoot for a residency in a particular specialty?
I was someone who had thoroughly researched what the premed pathway entailed when I was in high school before I even knew BS/MD programs existed, as well as what the first 2 years of med school entailed (as I was told that’s the hardest part of med school – not really true). Probably not as well for the clinical side of med school and clinical medicine as I didn’t get to have the access to exposure that @Blugrn6 did. In my case, I put the cart before the horse in many respects. Part of what makes this process very difficult for high school students is that they DON’T KNOW how to evaluate medical schools properly for their own future career goals, when they’re just now trying to get a good handle on how to even evaluate undergraduate universities properly. Universities, and by extension medical schools, capitalize on this. It’s much easier to understand the evaluation of med schools on the other end when you’ve gone thru the residency and/or fellowship process.