2024 TMDSAS Ultimate Guide (Essay Examples Included)

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Learn everything about the Texas medical school application, plus an example TMDSAS personal statement, personal characteristics essay, and optional essay

medical student typing on computer

The TMdsas Application is used by medical schools in texas

(Note: We recommend using this resource alongside our free, 102-page comprehensive guide to medical school applications, Get Into Medical School: 6 Practical Lessons to Stand Out and Earn Your White Coat.)

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Part 1: Introduction

Part 2: TMDSAS overview

Part 3: TMDSAS application details

Part 4: TMDSAS essays

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Part 1: Introduction

If you’re gearing up to apply to U.S. medical schools, you’re probably familiar with AMCAS, the centralized application system that you can use to apply to nearly any med school in the country. But, if you’re planning to apply to medical schools in Texas, you’ll also need to get to know another system: TMDSAS.

TMDSAS (Texas Medical & Dental Schools Application Service) provides a centralized application that you can use to apply to all public medical, dental, and veterinary schools in Texas. In February 2021, Baylor College of Medicine became the first private medical school to join the TMDSAS network, further simplifying applications for those hoping to earn their MD in Texas.

Given that Texas is the second-most populous state in the nation and that its med schools carry strong reputations and relatively low tuition costs, in-state and out-of-state applicants alike are often on the hunt for more details about the TMDSAS application process. Yet, there is relatively little information available covering this.

For that reason, we’ve created this guide in order to help you better understand the TMDSAS application. We’ll answer the most common questions that we routinely receive about TMDSAS and Texas medical school admissions, plus we’ll provide guidance that will help you successfully tackle the required TMDSAS essays, with example essays included.

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Part 2: TMDSAS overview

Which medical schools use TMDSAS?

Below is a list of the 14 medical schools in Texas that participate in TMDSAS:

Which Texas medical schools don’t use TMDSAS?

There are currently two Texas med schools that don’t use TMDSAS: TCU and UNTHSC School of Medicine is part of the AMCAS system, and University of the Incarnate Word School of Osteopathic Medicine requires you to apply through AACOMAS.

In addition, students applying to Baylor’s MD/PhD program will still apply through AMCAS.

How much does TMDSAS cost?

TMDSAS requires a flat fee of $220, regardless of the number of schools you apply to. Compared to AMCAS, which charges $175 for your first application and $46 for each additional application you submit, TMDSAS is relatively economical, especially if you take advantage of the flat fee structure and apply to several Texas med schools.

How hard is it to get into Texas medical schools?

The most recent TMDSAS admissions statistics show that, among the 2023 applicants, out-of-state applicants comprised ~26% of the TMDSAS applicant pool but only 7% of matriculants. On the other hand, Texas residents accounted for 74% of applicants and 93% of matriculants.

There are a couple of reasons why the vast majority of students at Texas medical schools are coming from in-state. Non-Texas residents tend to apply mostly to non-Texas schools through AMCAS and just a small handful of TMDSAS schools, and then enroll in whichever school they believe is strongest and the best fit for them. On the other hand, Texas residents are more likely than out-of-state applicants to apply to many TMDSAS schools and, in turn, enroll in one for personal (e.g., to be close to family) or financial reasons (e.g., reduced in-state tuition).

On top of this, public medical schools in Texas are legally required to cap their out-of-state enrollment at 10%.

So, how does this translate to acceptance rates for in-state and out-of-state applicants? 49% of applicants from Texas were accepted to at least one TMDSAS school in 2023, whereas only 18% of out-of-state applicants received an acceptance. Therefore, it’s clear that in-state applicants are at a substantial advantage when it comes to getting into Texas medical schools.

For the entering class of 2023, the average undergraduate GPA and MCAT score of successful TMDSAS applicants were 3.84 and 511.5. We encourage you to look up the average GPA and MCAT scores of all Texas medical schools to better understand your odds of getting into each program.

(Suggested reading: What MCAT Score Do You Need to Get Into Medical School?)

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Part 3: TMDSAS application details

What is the ideal TMDSAS timeline that I should follow?

Our general medical school application timeline applies to Texas medical schools as well, but it’s important to note a few TMDSAS-specific dates:

  • May 1: Application becomes available

  • May 15: Application submission opens

  • August 1: Early decision application deadline

  • August 15: All supporting documents for early decision must be received by this date

  • October 1: Early Decision Program decisions announced

  • October 15: Medical schools begin extending offers of acceptance

  • November 1: Regular decision submission deadline

  • November 15: Letters of evaluation should be uploaded or post-marked by this date

  • February 2: Match preference submission deadline

  • February 16: Match results released and rolling admissions period begins

  • April 30: Applicants with multiple offers must decide which program to attend and withdraw from other schools

  • May 15: Medical schools can no longer make offers to Texas resident applicants holding another seat

How long does it take TMDSAS to process applications?

TMDSAS typically takes 2–4 weeks to process your application after submission. However, processing can take up to 6 weeks during the busiest part of the applicant season. You’ll receive an email once your application is processed.

What are TMDSAS pre-match offers?

Medical schools may extend pre-match offers (i.e., offers of acceptance) to Texas residents between October 15 and January 29.

You may receive and accept multiple pre-match offers to reserve your spot at those schools. However, it’s courteous to decline pre-match offers at medical schools you don’t intend to enroll at so that other students can be notified of interview invitations and pre-match offers in a timely manner. Offers of acceptance should only be considered valid if an acceptance letter is received.

How does the TMDSAS Match work?

The TMDSAS Match is a process through which pre-match offers are finalized and remaining med school seats are filled. Only Texas residents who apply to medical school through TMDSAS are eligible for the TMDSAS Match. 

Assuming you meet these criteria, here’s how the TMDSAS Match works. You’ll rank all the med schools you interviewed at in your order of preference. Medical schools in turn rank the candidates they’ve interviewed. Then, the Match system, accounting for both lists, attempts to pair you with the school you most prefer, assuming that the school in question has also ranked you highly.

To better understand the nuances and complexities of the Match process, we recommend watching the helpful Match video tutorial offered by TMDSAS.

There are a few important things to note about the TMDSAS Match:

  • Participation in the Match does not guarantee you an admission offer.

  • You must participate in the TMDSAS Match even if you received a pre-match offer.

  • If you have a pre-match offer(s), you may still get into a school that you prefer more highly than the one(s) you were already admitted to.

  • If you entered the Match holding multiple pre-match offers, you’ll come out with only one acceptance.

What happens if you don’t match? The standard rolling admissions process will begin after the Match period ends, so medical schools with remaining open slots will continue to accept students throughout the spring and summer.

Do TMDSAS schools require secondary applications?

The majority of TMDSAS schools require you to submit school-specific secondary applications. You can view all of their prompts through our medical school secondary essay prompts database.

TMDSAS vs. AMCAS: What are the biggest differences?

TMDSAS and AMCAS ask for similar information, so if you’re also submitting AMCAS applications this cycle, you should be able to adapt your answers from one application to the other without too much struggle. Nevertheless, they do differ in certain ways, so you’ll want to ensure that you put in the time to craft high-quality, tailored responses to each.

The most noteworthy differences between AMCAS and TMDSAS include:

  • Character limit to describe extracurricular activities: The AMCAS Work and Activities section offers a 700-character limit to describe each of your 15 entries (plus an additional 1,325 characters for your three ‘most meaningful’ activities). Meanwhile, the TMDSAS Personal Biography and Activities section does not limit the number of extracurricular activities you may enter—offering a 500-character limit for each entry, with an additional 500 characters for your three most meaningful experiences, across the following categories:

    • Leadership

    • Research Activities

    • Healthcare Activities

    • Community Engagement

    • Extracurricular Activities

    • Planned Activities

(Note: Academic Recognition, Non-Academic Recognition, and Employment entries allow a 300-character limit.)

  • Age of MCAT scores: Schools that use AMCAS typically require that you take the MCAT sometime in the two to three years before applying, whereas your MCAT scores for TMDSAS can be up to nearly five years old. For example, students applying to enter med school in 2024 can submit MCAT scores earned between January 2019 and September 2024. The one exception is the Baylor College of Medicine which has a three-year limit on acceptable scores from September 2021 to September 2024.

  • Recommendation letter limits: TMDSAS requires you to submit three individual “letters of evaluation” or one health professions committee packet, and they also allow you to submit one optional letter. Schools that use AMCAS may allow you to submit more medical school letters of recommendation.

  • Number of essays: Beyond their respective activities sections, you’re required to submit the following essays for AMCAS and TMDSAS (all character limits below include spaces):

    • AMCAS: Personal statement (5300-character limit)

    • TMDSAS:

      • Medical applicant personal statement (5000-character limit)

      • Personal characteristics essay (5000-character limit)

      • Optional essay (2500-character limit)

Which TMDSAS schools require CASPer?

As of May 2024, the following TMDSAS schools require the CASPer test:

  • Baylor College of Medicine

  • Long School of Medicine at UT Health San Antonio

  • McGovern Medical School at UT Health Houston

  • Sam Houston State University College of Osteopathic Medicine

  • Texas A&M University College of Medicine

  • Texas Tech University Health Sciences Center School of Medicine

  • Texas Tech University Health Sciences Center Paul L. Foster School of Medicine

  • University of Texas Medical Branch at Galveston

  • University of Texas Southwestern Medical School

  • University of Texas at Tyler School of Medicine

(Suggested reading: How to Prepare for the CASPer Test to Get Into Medical School and Casper, Snapshot, and Duet: Everything You Need to Know)

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Part 4: TMDSAS essays

TMDSAS personal statement guidance and example

Just like the AMCAS personal statement, the TMDSAS personal statement is where you’ll write about why you want to enter medicine and describe the experiences that have led you to your present path. As discussed earlier, the difference between the two is that TMDSAS gives you a slightly shorter character count to work with—5,000 characters including spaces.

Because your personal statement is one of the most important factors in determining your admissions success, you should plan to spend a considerable amount of time crafting a unique, well-written essay that gives adcoms a sense of who you are and what makes you different from other candidates. Our guide to medical school personal statements provides in-depth advice on how to write a standout personal statement, plus numerous full-length examples.

Many applicants wonder if they can use the same personal statement for both their AMCAS and TMDSAS applications. Since the prompts are extremely similar, so long as you adapt your essay to fit within each application’s character limits, you should be able to use it for both applications.

Let’s take a look at the TMDSAS personal statement prompt and an example essay.

Prompt: Explain your motivation to seek a career in medicine. Be sure to include the value of your experiences that prepare you to be a physician (5,000 characters, including spaces).

I could only focus on how hard it was to breathe. The surgical mask felt like a damp cloth over my face from my own sweat. Ten minutes into the C-section, I stepped away to stand under a vent and avoid passing out. When the haze cleared, I focused on the surgeon cutting into each layer of skin and the uterus until, finally, the baby’s piercing cries filled the room. While I had turned 5 shades lighter while struggling to stay conscious, I was filled with curiosity about what I had just seen. That night, I pestered my mother with questions and she made fun of me for almost passing out. I was drawn to how dedicated and knowledgeable she was and wanted to learn more. 

That experience was one of my first encounters with medicine and came during my sophomore year of high school while observing my mother, an OB/GYN. My family was based in Dallas, but my mother had to live and work in Houston for over 5 years to have her Hungarian M.D. transferred to an American one. Due to grueling hours during this second residency, I could only see her a few weekends a month when I made the trip south. The more time I spent shadowing her during these weekends, the more I appreciated her sacrifices to pursue medicine and developed my own affinity for it. I was intrigued by the impact and diversity of the medical field, and through my various extracurricular experiences have come to view medicine as resting upon several pillars: a desire to help others and the roles of educator, teammate, leader, and problem solver.

To challenge myself in the role of educator, I took a position as a teaching assistant for the introductory life sciences lab at Emory. During my second quarter teaching, one student struggled to understand the mechanism behind the Lac Operon in E. Coli. In my previous interactions with the student I had learned he loved cars, so I likened lactose and glucose to gas and electricity in a hybrid vehicle. I remember how his face lit up when he finally grasped that concept; it left me with a sense of accomplishment that I was able to use his interests to guide his understanding. Success as a teaching assistant has given me confidence in my ability to educate others and strengthened my motivation to pursue medicine. As a physician I look forward to the opportunity to educate and inspire both patients and colleagues. The sense of fulfillment I feel when a student successfully grasps a concept will be central to my career.

I’ve explored the importance of being a team player in medicine through my research in exercise physiology. A large portion of my lab focuses on using exercise interventions in clinical trials to treat chronic illnesses, such as Friedreich’s Ataxia or COPD. Brian, a patient with whom I have worked frequently, comes to mind. Brian often comes in with his father, a bodybuilder. As we talk, giving each other advice on lifting and diet while motivating Brian during the exercise intervention, we all play a role in working toward the same goal: improving Brian’s maximal exercise tolerance. Having seen the effectiveness of this team-based approach to patient interventions, it has become one of my favorite components of medicine.

Perhaps the most beautiful and rewarding pillar of medicine is interpersonal interaction. Ironically, entering college, my biggest fear was public speaking. During sophomore year, however, I took charge of that fear as a campus tour guide. Two years of giving tours to 5,000 visitors has not only made me a more effective and comfortable orator, but also unearthed a hidden passion. As a tour guide I share a part of my life with a diverse group of strangers in an effort to guide them along their college application path. In turn, visitors sometimes share with me their life story and unique perspectives. I find that meaningfully connecting with others in this way excites me about the prospect of cultivating relationships with my patients throughout my career.

My years as a student have led me to develop a deeper appreciation and love for medicine. I could not have predicted eight years ago that I would be applying to medical school after barely staying conscious during a C-section. Yet, this past summer I found myself observing that very procedure again. This time, I wasn’t woozy—instead, I could see the various pillars in action and the roles I will play in the future.

Why is this personal statement successful?

  • The applicant does a great job of engaging the reader from the get-go with a memorable hook and keeps it up throughout the essay with vivid details and in-depth anecdotes that clearly illustrate why she’s decided to enter medicine.

  • This essay also illustrates qualities in the applicant that will be desirable as a physician, such as her desires to learn and help others, her capacity for teamwork, and her persistence through challenges.

  • She also touches on her connection to Texas. While it’s not strictly necessary to do so, and you certainly don’t want to force these kinds of details, they’re a nice touch for your TMDSAS personal statement if you can fit them in naturally.

TMDSAS personal characteristics essay guidance and example

This prompt essentially asks for a “diversity essay”—a type of essay frequently found on medical school secondary applications. Because they are so common, our guide to medical school secondary essays offers detailed advice on how to tackle diversity essays effectively.

What’s crucial to remember about diversity essays is that “diversity” can mean anything that makes you different or interesting; it isn’t strictly limited to factors like race, gender, sexuality, and so forth. So, to write a great response to the TMDSAS personal characteristics prompt, highlight what you have to offer that is unique, making sure to tie that characteristic to how it would enhance the med school experience of your future peers.

Let’s go over the prompt and a sample response.

Prompt: A key aspect of holistic review includes the consideration of applicants' attributes within the context of their experiences and academic metrics. Describe any personal qualities, characteristics, and/or lived experiences that could enrich the educational experience of others. (5,000 characters, including spaces)

Music had never been a large part of my life until two years ago when I went to Coachella on a whim. I still remember that fateful day. It was a sweltering April afternoon, and the air thrummed with the energy of thousands of people.

Before this, my relationship with music was purely passive. It was the playlist shuffling in the background as I commuted to work, the Top 40 hits blaring from the speakers at the gym, the familiar melodies that filled the silence when I was alone. I never actively sought out new artists, rarely ventured beyond my comfort zone of pop and classic rock, and certainly never considered myself a music enthusiast.

As I stood in that vast desert landscape, surrounded by a sea of people from all walks of life, I felt a sense of belonging I had never experienced before. The music was more than just sound; it was a living, breathing entity that connected us all. Every beat, every melody, seemed to resonate deep within me, unlocking emotions and experiences I had never even known existed.

Ever since then, music has become a haven from life’s stressors and one of my favorite ways to connect with others. It's the soundtrack to my morning jog, the soothing melodies that lull me to sleep, the anthems that inspire me to push through challenges. It's a way to express myself, to connect with my emotions, to make sense of the world around me.

But perhaps the most significant change is how I use music to connect with others.

As an only child, an immigrant from Hungary, and the son of two busy professionals, my childhood was very lonely. I grew up in a spacious house filled with silence. My parents, both dedicated physicians, were often absent, their days consumed by the demands of their careers. I spent countless hours alone, wandering through the empty rooms, my only companions the books on the shelves and the characters on the television screen.

In college, I threw myself into extracurricular activities, joining clubs, attending parties, and making friends from all walks of life. I wanted to belong, to feel like I was part of something bigger than myself. I succeeded, to a certain extent. I had a wide circle of acquaintances, people I could chat with in the dining hall or study with in the library. But few of these relationships went deeper than the surface. I still felt like an outsider, a chameleon adapting to different social situations but never truly fitting in.

One of my favorite memories is meeting Michelle and her friends. It was during Moby's set at Coachella. I was lost in the music, my mind a million miles away, when I accidentally bumped into a girl named Michelle. I mumbled an apology, but instead of brushing me off, she smiled and struck up a conversation.

We talked about the music, about our lives, about our hopes and dreams. We laughed, we danced, we shared stories. It was as if we had known each other for years, not just minutes. By the end of the set, we had exchanged numbers and made plans to meet up the next day. Michelle and her friends welcomed me into their circle with open arms. We spent the rest of the festival together, exploring the various stages, discovering new artists, and simply enjoying each other's company. It was a whirlwind of music, laughter, and new experiences.

That seemingly minor interaction marks the moment I finally stopped feeling like an "outsider" in new settings because it highlighted my ability to connect with complete strangers and also to bring groups together and facilitate new friendships. It was a turning point in my life, a moment of realization that I wasn't destined to be alone. I had the power to create connections, to build relationships, to find my place in the world.

As I think about entering medical school with a group of colleagues that I have yet to meet, I am certain that many future classmates are feeling as scared as I am about the challenges ahead. The road ahead is long and arduous, filled with sleepless nights, grueling exams, and the weight of responsibility. It's a path that will test our limits, both mentally and emotionally.

Yet, despite those fears, I’m confident that working together as a class will make the journey much easier. We'll be a team, a support system, a community of like-minded individuals striving towards a common goal. We'll lean on each other for strength, celebrate each other's successes, and comfort each other in times of doubt.

I look forward to helping foster a supportive, comfortable environment to help us all succeed. I want to create a space where everyone feels heard and valued, where we can learn from each other's strengths and weaknesses, where we can grow together as both individuals and professionals. I envision a collaborative learning environment where we share resources, study together, and support each other through the challenges of medical school.

What’s working in this essay?

  • For this personal characteristics essay, the applicant has chosen her ability to forge bonds with strangers and bring groups of people together. While she chooses to discuss this skill within a non-medical context, music festivals, it’s easy to see how she’ll also make use of it as a future medical student, and, by extension, as a doctor.

  • An interesting aspect of this essay is that the applicant touches on another part of her background that makes her unique—her status as an immigrant. Yet, this isn’t the focus here. Instead, being an immigrant serves to underpin the loneliness and outsider feelings she’s familiar with. Through this, she’s able to demonstrate another characteristic that will enhance the experiences of her future classmates and patients: empathy.

TMDSAS optional essay guidance and example

In their application instructions, TMDSAS notes that the “optional essay” isn’t a space to continue your other essays or reiterate what you’ve stated elsewhere. Instead, you should use it to offer details or address any issues which have not been previously mentioned.

The first question many students ask is, “Is the TMDSAS optional essay really optional?” Here’s what TMDSAS says: “The optional essay is an opportunity to provide the admissions committee(s) with a broader picture of who you are as an applicant. This essay is optional; however, you are strongly encouraged to take advantage of this opportunity.” We advise you to interpret “strongly encouraged” as “required.”

If you’re unsure of how to handle this open-ended prompt, there are a few different directions you might choose to take in your response:

  • You can adapt one of your other secondary essays, such as an adversity essay.

  • You could write a new essay that highlights an experience or achievement that hasn’t yet gotten the spotlight.

  • If your candidacy has any issues or red flags that you haven’t yet explained—such as low grades or a disciplinary incident, for example—this would be an excellent place to tackle them.

Our aforementioned secondary essay guide also covers this kind of essay in detail, which we refer to as an “Anything else you’d like us to know?” essay.

Here’s the prompt and a well-executed sample response.

Prompt: Briefly state any unique circumstances or life experiences that are relevant to your application, which have not been previously presented. (2,500 characters)

My two parents are successful professionals who have a healthy relationship with each other. However, for the majority of my childhood I felt more like an extension of them than like an individual. My parents grew up in Hungary during communist rule and I was born there a few years after the Revolution. When I was 4, we were able to immigrate to America, due to my father’s expertise in software engineering, with just the clothes on our backs. Because my parents lived and breathed school in an attempt to improve our family’s circumstance, success was only defined academically. I understood the stipulations of my father’s job-sponsored visa and my mother’s need to redo her residency through the only program that accepted her four hours away. I also greatly appreciate the sacrifices they made to shield me from hardships and to pull our family out of poverty. Still, when I was younger, I could not identify any personal passions because I led a life focused strictly on academics, set by my parent’s expectations and reinforced by their praises. 

The turning point was deciding to go to an out-of-state university so that I could learn to navigate the world on my own. It was quite a shock my freshman year when I realized that all of the things my parents did for me, from cleaning to cooking, would now be on my shoulders. Having always tried to live up to my parents’ expectations, I felt directionless and didn’t know how to channel my new freedom. I turned to people I considered strong, authoritative leaders as role models for how I wanted to shape my life. I wished to adopt the charisma and humility that Derek Shepard carries himself with, and the compassion and wisdom that Steve Jobs displayed in his 2005 Stanford commencement speech. Exploring these qualities gave me the confidence to pursue incredibly rewarding opportunities, like studying abroad in Ecuador and approaching physicians to shadow them. I’ve also learned that I’m passionate about educating others, working in teams, and creating meaningful, lasting relationships. Taking charge of my own life and participating in activities like Campus Tours, coaching, and teaching also allowed me to break out of my shell and learn more about myself.

I’m still young and have a lot left to explore, but I’m glad to now look in the mirror and see myself as someone with a unique personality and the confidence to pursue my own ambitions.

What makes this essay successful?

  • For this prompt, this applicant chose to adapt her adversity essay, which highlights her background as an immigrant and the high-pressure environment that accompanied it. However, the challenge she focuses on isn’t related to this high-stakes upbringing, as you might expect, but rather to the lack of personal direction she felt upon entering college.

  • Through this essay, the applicant demonstrates a few personal qualities that reflect positively upon her candidacy: introspection, independent thinking, the desire to find personal meaning in her life, and the ability to meet a challenge. Not only are these desirable traits in med students and physicians, but they also go a long way toward convincing adcoms that her decision to enter medicine is well-thought-out and entirely her own.

TMDSAS MD/PhD & DO/PhD dual degree program essays

If you’re applying to dual degree programs, you’ll also encounter the additional essays below.

Be aware that MD/PhD applications to public Texas medical schools must be submitted through AMCAS. So, if you want to be considered for MD/PhD and MD programs at Texas public medical schools, you’ll need to submit both AMCAS and TMDSAS.

DO/PhD applications to Texas public med schools, on the other hand, are submitted through TMDSAS.

We advise you to read our comprehensive MD-PhD guide for advice on how to approach the following two types of essays asked for below, and to view samples of each.

  • Prompt 1: Explain your motivation to seek a MD/PhD or DO/PhD dual degree.  Discuss your research interests and career goals as an applicant to a dual degree program.

  • Prompt 2: Describe your significant research experiences.  Include the name and title of your research mentor as well as your contributions to the project.  List any publications which have resulted from your work.

Final thoughts

The affordability and strength of Texas medical schools make them popular choices for many prospective medical students, particularly the many Texas residents who can apply as in-state candidates. For the best chances of admission, take the time to understand TMDSAS’s unique matching system, and plan to invest considerable energy into your TMDSAS application—particularly the three required essays—in order to stand out from the crowd.

”Dr.

About the Author

Dr. Shirag Shemmassian is the Founder of Shemmassian Academic Consulting and one of the world's foremost experts on medical school admissions. For nearly 20 years, he and his team have helped thousands of students get into medical school using his exclusive approach.