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Washington University School of Medicine in St. Louis MD program · 2026-27 MD applicants (entering fall 2027)

Questions WashU applicants report

These questions come from WashU applicants' own reports on Student Doctor Network, Reddit and Admit.org, checked against what WashU Medicine says about its two live Zoom interviews: one open-file and one closed-file, each 25 minutes, with a member of the Committee on Admissions.

About 17% of applicants were interviewed for the class entering in 2025 · 93 MD students entered in 2025, alongside 30 MD/PhD students (123 total). The numbers and their sources

24 questions from 31 sources: 12 official school pages, 10 Student Doctor Network threads, 4 Reddit threads and 5 others (applicant forums, interview reports, videos). Each question links to its own.

Opening

At the start, each interviewer tells you whether theirs is the open-file or closed-file interview. In the closed-file one, your first answer is all they know about you. Applicants report (2024) an extra recorded Kira video assessment, but WashU's 2026-27 page lists only the two live Zoom interviews.

  1. So, tell me about yourself. Asked often

    What they're after. Dean Ratts compares the closed-file interview to meeting a patient for the first time in an ER: it tests presence, communication and how you introduce yourself. In the open-file interview it is the warm-up before the file questions.

    How to answer. Applicants advise about 60 seconds: where you come from, what you do now, the two or three experiences that led you to medicine, and what you want next. Have two versions. A fuller one for the closed-file interviewer, who needs the backstory, and a shorter one for the open-file interviewer, who has read your application. (details in the Answers section)

    Avoid: Reciting your activities list. A 2026 applicant says this answer sets the stage for the whole closed-file conversation, so a flat start makes the next 25 minutes harder.

    Sources: Student Doctor Network: Washington University-St. Louis School of Medicine Interview Feedback & Student · Reddit: Sharing my results and notes from this cycle! : r/premed (2026) · Student Doctor Network: 2026-2027 Washington University in St. Louis School of Medicine (2026) · Student Doctor Network: Medical - How To Get Accepted To Washington University School Of Medicine in St. (2022) · Admit.org: WashU St. Louis - Medical School Interviews - Admit.org · Accepted: How To Get Accepted To Washington University School Of Medicine in St. Louis [Ep (2022) · YouTube: Dr. Valerie Ratts, WashU Associate Dean for Admissions, on the secondary and the three-part interview

    Reported in 6 threads: r/premed, 2026 · Student Doctor Network, 2026 · Student Doctor Network, 2022

    3 moreAccepted, 2022 · Student Doctor Network · Admit.org

  2. What would you like me to know about you? Is there anything that isn't in your application? Sometimes

    What they're after. An open prompt that shows what you think matters most about yourself. One interviewer simply asked, "So, what do you want to talk about?"

    How to answer. Pick one thing with depth that the file shows poorly: a long commitment, a family role, a skill. Tell it as a short story with a point about the kind of doctor you'll be. In the open-file interview, choose something not already in your essays. (details in the Answers section)

    Avoid: Freezing or saying "I think my application covers it." Have one or two topics ready.

    Sources: Student Doctor Network: Washington University-St. Louis School of Medicine Interview Feedback & Student · Admit.org: WashU St. Louis - Medical School Interviews - Admit.org

    Reported in 2 threads: Student Doctor Network · Admit.org

  3. What are you up to these days? What have you done since graduation? Sometimes

    What they're after. A WashU admissions panel said interviewers ask about gap-year activities to gauge real interest and depth.

    How to answer. Describe your current role in concrete terms: what a typical week looks like, what you're responsible for and one thing you've learned. Link it to medicine without forcing it. (details in the Answers section)

    Avoid: Making a gap year sound like waiting. Show what you've done with the time.

    Sources: Student Doctor Network: Washington University-St. Louis School of Medicine Interview Feedback & Student · Admit.org: WashU St. Louis - Medical School Interviews - Admit.org · Reddit: We are students and admissions staff at Washington University School of Medicine (2017)

    Reported in 2 threads: Student Doctor Network · Admit.org

Why medicine and why WashU

Dean Ratts names motivation for medicine and why WashU as core topics of the open-file conversation. Applicants say interviewers want to hear specific reasons.

  1. Why medicine? How did you become interested in it? Asked often

    What they're after. Motivation for studying medicine is one of the traits WashU's Committee on Admissions says it evaluates. Both interviews cover it.

    How to answer. Tie your reason to one or two real moments, then say what those moments showed you about a physician's work. Explain how later experiences tested and confirmed that reason. Applicants suggest showing a sincere desire to help others through what you've actually done. (details in the Answers section)

    Avoid: A childhood story with nothing after it, or a generic "I like science and people."

    Sources: Student Doctor Network: Washington University-St. Louis School of Medicine Interview Feedback & Student · Student Doctor Network: Washington University-St. Louis School of Medicine Interview Prep Briefing · Reddit: Sharing my results and notes from this cycle! : r/premed (2026) · Admit.org: WashU St. Louis - Medical School Interviews - Admit.org · Student Doctor Network: Medical - How To Get Accepted To Washington University School Of Medicine in St. (2022) · YouTube: Dr. Valerie Ratts, WashU Associate Dean for Admissions, on the secondary and the three-part interview · YouTube: Dr. Valerie Ratts, WashU Associate Dean for Admissions, explains the Virtual Interview Experience · WashU Medicine: The Interview Experience - Medical Student Admissions

    Reported in 4 threads: r/premed, 2026 · Student Doctor Network · Student Doctor Network

    1 moreAdmit.org

  2. Why WashU? Why did you apply here? Asked often

    What they're after. Dean Ratts calls the interview a two-way street to assess fit. Applicants report interviewers are eager to hear why you're motivated to go there.

    How to answer. Name two or three features of the Gateway Curriculum and tie each to your past: Phase 1 clinical immersions, an EXPLORE pathway (Research, Advocacy & Global Health, Education or Innovation), the Gateway Coaching Program, or community work focused on health equity. Add St. Louis if you have a real reason. Watch the Welcome and Gateway Curriculum videos the school asks you to watch first. (details in the Answers section)

    Avoid: Rankings or NIH funding alone. A 2023 poster warns you need a very strong "Why WashU" answer.

    Sources: Student Doctor Network: Washington University-St. Louis School of Medicine Interview Feedback & Student · Student Doctor Network: Washington University-St. Louis School of Medicine Interview Prep Briefing · Reddit: Sharing my results and notes from this cycle! : r/premed (2026) · Reddit: in disbelief but how do I apologize (2023) · Admit.org: WashU St. Louis - Medical School Interviews - Admit.org · Student Doctor Network: Medical - How To Get Accepted To Washington University School Of Medicine in St. (2022) · YouTube: Dr. Valerie Ratts, WashU Associate Dean for Admissions, on the secondary and the three-part interview · WashU Medicine: A new way of learning - Outlook Magazine · WashU Medicine: Curriculum - Medical Student Admissions · WashU Medicine: The Gateway Curriculum

    Reported in 5 threads: r/premed, 2026 · r/premed, 2023 · Student Doctor Network

    2 moreStudent Doctor Network · Admit.org

  3. What will you bring to WashU? Why should we pick you over other applicants? Asked often

    What they're after. They want to know what your classmates and patients would gain from you, beyond your numbers.

    How to answer. Offer one specific strength backed by evidence, such as a language, years in a community or a skill from a job, and say where you'd use it at WashU (a coaching cohort, an EXPLORE pathway, community engagement). Stay modest and concrete. (details in the Answers section)

    Avoid: Running down other applicants or sounding arrogant, which WashU's own interview advice warns against.

    Sources: Student Doctor Network: Washington University-St. Louis School of Medicine Interview Feedback & Student · Student Doctor Network: Washington University-St. Louis School of Medicine Interview Prep Briefing · Reddit: Sharing my results and notes from this cycle! : r/premed (2026)

    Reported in 3 threads: r/premed, 2026 · Student Doctor Network · Student Doctor Network

  4. Have you ever seen a physician work? What did you learn from shadowing? Sometimes

    What they're after. It checks that your picture of the job comes from watching it, not from imagination.

    How to answer. Describe one moment you watched closely: how a doctor delivered news, handled uncertainty or worked with a team. Then say what you'd copy and what surprised you. (details in the Answers section)

    Avoid: Listing specialties and hours instead of what you saw.

    Sources: Student Doctor Network: Medical - How To Get Accepted To Washington University School Of Medicine in St. (2022) · Student Doctor Network: Washington University-St. Louis School of Medicine Interview Feedback & Student

    Reported in 2 threads: Student Doctor Network, 2022 · Student Doctor Network

  5. Do you have any reservations about going into medicine? Occasionally

    What they're after. It tests authenticity, a trait WashU says it evaluates, and whether you know the hard parts of the job.

    How to answer. Name one real concern, such as long training, burnout or emotional weight. Then say what you've seen or done that prepares you for it. Honesty plus a plan beats a claim of zero doubts. (details in the Answers section)

    Avoid: Saying "none at all", or naming a worry so big it suggests you shouldn't apply.

    Sources: Student Doctor Network: Washington University-St. Louis School of Medicine Interview Feedback & Student · WashU Medicine: The Interview Experience - Medical Student Admissions

    Reported in 1 thread: Student Doctor Network

Your experiences

The open-file interviewer knows your file well, and applicants say to review your AMCAS and secondary closely. In the closed-file interview you must bring these experiences up yourself.

  1. Tell me about your research. Why does it matter for medicine? Asked often

    What they're after. Dean Ratts lists research as an open-file topic and says research means asking a question and gathering data, much like a doctor turning complex science into words a patient understands. Applicants report technical follow-ups.

    How to answer. Give the question in one sentence, your own part in plain words, one thing that went wrong and what you changed, and how the work connects to patients. Research isn't required at WashU, though more than 95 percent of students complete a project, so link yours to an EXPLORE pathway. (details in the Answers section)

    Avoid: Not knowing your project's methods or limits when the interviewer pushes, or claiming the lab's results as your own.

    Sources: Student Doctor Network: Washington University-St. Louis School of Medicine Interview Feedback & Student · Reddit: Sharing my results and notes from this cycle! : r/premed (2026) · Admit.org: WashU St. Louis - Medical School Interviews - Admit.org · YouTube: Dr. Valerie Ratts, WashU Associate Dean for Admissions, on the secondary and the three-part interview · WashU Medicine: Curriculum - Medical Student Admissions

    Reported in 3 threads: r/premed, 2026 · Student Doctor Network · Admit.org

  2. Tell me about your clinical experience. What have you learned from it? Sometimes

    What they're after. They want proof that you've seen patient care up close and thought about it.

    How to answer. Choose one setting and one patient or moment. Say what you did, what you noticed and how it changed the way you think about care. Show empathy through the details you remember. (details in the Answers section)

    Avoid: A tour of every experience. One story told well works better in 25 minutes.

    Sources: Reddit: Sharing my results and notes from this cycle! : r/premed (2026) · Admit.org: WashU St. Louis - Medical School Interviews - Admit.org

    Reported in 2 threads: r/premed, 2026 · Admit.org

  3. Tell me about this activity on your application. Asked often

    What they're after. A WashU panel said interviewers probe your activities to gauge real interest and depth. Unusual hobbies get asked about too.

    How to answer. For every entry, be ready with what you did, why you kept doing it, one challenge and one result. Applicants say to know your activities well, because the open-file interviewer has read them. (details in the Answers section)

    Avoid: Overstating a role. WashU's interview advice says to tell the truth about accomplishments.

    Sources: Student Doctor Network: Washington University-St. Louis School of Medicine Interview Feedback & Student · Student Doctor Network: Washington University-St. Louis School of Medicine Individual responses (2010) · Reddit: We are students and admissions staff at Washington University School of Medicine (2017) · Admit.org: WashU St. Louis - Medical School Interviews - Admit.org

    Reported in 2 threads: Student Doctor Network, 2010 · Student Doctor Network

  4. What do you do outside of class? How do you spend your free time? Asked often

    What they're after. A friendly question that shows who you are and whether you'd fit a collaborative class.

    How to answer. Give one or two real interests with a detail that makes them yours. If asked how a hobby like baking or music helps you as a doctor, have a short, honest link ready. (details in the Answers section)

    Avoid: Treating it as a throwaway. Applicants report follow-ups on hobbies.

    Sources: Student Doctor Network: Washington University-St. Louis School of Medicine Interview Feedback & Student · Reddit: Whats with the comments on WashU medical school being full of gunners and the me (2021) · Admit.org: WashU St. Louis - Medical School Interviews - Admit.org

    Reported in 3 threads: r/premed, 2021 · Student Doctor Network · Admit.org

  5. Have you worked with disadvantaged populations? How will you care for the patient population in St. Louis? Asked often

    What they're after. WashU builds community learning focused on health equity into all three phases of the curriculum, and applicants report questions about service and St. Louis patients.

    How to answer. Describe a sustained service experience and what it taught you about the barriers patients face. Then say how you'd keep that work going in St. Louis. (details in the Answers section)

    Avoid: Speaking about communities as charity cases, or claiming knowledge of St. Louis you don't have.

    Sources: Student Doctor Network: Washington University-St. Louis School of Medicine Interview Feedback & Student · Admit.org: WashU St. Louis - Medical School Interviews - Admit.org · Student Doctor Network: Washington University-St. Louis School of Medicine Interview Prep Briefing · WashU Medicine: Curriculum - Medical Student Admissions

    Reported in 2 threads: Student Doctor Network · Admit.org

Character and judgment

WashU says it evaluates integrity, empathy, resilience and ethical responsibility. Its own advice says there is no right answer: they want to see how you think and defend your view.

  1. Tell me about a time you failed or were unsuccessful. Asked often

    What they're after. The secondary asks this to assess grit and resilience, and interviewers follow up on it. Resilience is on WashU's list of evaluated traits.

    How to answer. Pick a real failure that you caused, not a disguised strength. Spend a short time on what happened and most of your answer on what you did next and what you do differently now. Make sure it fits what you wrote in the secondary. (details in the Answers section)

    Avoid: Blaming others, or picking something so small it isn't a failure.

    Sources: Student Doctor Network: Washington University-St. Louis School of Medicine Interview Prep Briefing · Student Doctor Network: Medical - How To Get Accepted To Washington University School Of Medicine in St. (2022) · Student Doctor Network: 2024-2025 Washington University in St. Louis (2024) · YouTube: Dr. Valerie Ratts, WashU Associate Dean for Admissions, on the secondary and the three-part interview · WashU Medicine: The Interview Experience - Medical Student Admissions

    Reported in 3 threads: Student Doctor Network, 2024 · Student Doctor Network, 2022 · Student Doctor Network

  2. Tell me about working on a team under stress. Occasionally

    What they're after. It tests how you act when pressure is on and others depend on you.

    How to answer. One specific moment: the stakes, your role, a disagreement or problem, and what you did to keep the team working. End with what you learned about yourself. (details in the Answers section)

    Avoid: Making yourself the hero who fixed everything alone.

    Sources: Student Doctor Network: Washington University-St. Louis School of Medicine Interview Prep Briefing

    Reported in 1 thread: Student Doctor Network

  3. Tell me about a time you stepped up into a leadership role or stepped down from one. How did you handle the transition? Occasionally

    What they're after. It looks for maturity: taking responsibility, and also handing it over well.

    How to answer. Describe what made the change necessary, how you prepared others, and what you'd do differently. Stepping down for a good reason can be a strong answer. (details in the Answers section)

    Avoid: Treating a title as proof of leadership without saying what you did.

    Sources: Student Doctor Network: Washington University-St. Louis School of Medicine Interview Feedback & Student

    Reported in 1 thread: Student Doctor Network

  4. Tell me about an ethical decision you had to make. Occasionally

    What they're after. Ethical responsibility is one of WashU's evaluated traits. WashU's interview advice says interviewers may ask your beliefs on ethical issues and want to see how you reason.

    How to answer. Lay out the competing duties, who would be affected, what you chose and why. Admit what was hard about it. If you aren't sure, it's fine to take a moment to think. (details in the Answers section)

    Avoid: An answer where the right choice was obvious and cost you nothing.

    Sources: Student Doctor Network: Washington University-St. Louis School of Medicine Interview Prep Briefing · WashU Medicine: The Interview Experience - Medical Student Admissions · WashU Medicine: The Interview

    Reported in 1 thread: Student Doctor Network

  5. How do you handle stress? Describe a time you faced adversity. Sometimes

    What they're after. It checks resilience and whether you can sustain yourself through training.

    How to answer. Give one real hard period, what you did to get through it, and the habits you rely on now. Applicants advise showing grit and determination through how you got past difficult moments. (details in the Answers section)

    Avoid: Saying you don't get stressed, or describing coping that sounds unhealthy.

    Sources: Admit.org: WashU St. Louis - Medical School Interviews - Admit.org · Student Doctor Network: Medical - How To Get Accepted To Washington University School Of Medicine in St. (2022)

    Reported in 1 thread: Admit.org

  6. Tell me about a time you changed your mind. Occasionally

    What they're after. WashU's advice says interviewers want people who are open to being taught. This asks whether you update your views when you get new information.

    How to answer. Describe your original view, what new information or person changed it, and how you acted differently afterward. Choose something meaningful but not divisive. (details in the Answers section)

    Avoid: Picking a trivial example, or one where you still seem to think you were right.

    Sources: Student Doctor Network: Washington University-St. Louis School of Medicine Interview Prep Briefing · WashU Medicine: The Interview

    Reported in 1 thread: Student Doctor Network

Current issues in health care

Applicants report big-picture health care questions. WashU's interview advice says questions on modern medical care may come up and that admitting you don't know is acceptable.

  1. What do you think is the biggest problem facing health care today? Sometimes

    What they're after. It shows whether you follow health care beyond your own experiences and can argue a position calmly. One interviewer asked for three challenges.

    How to answer. Name one or two issues you can discuss with substance, such as access, cost or workforce, ideally ones you've seen up close. Give a reasoned view and admit what you don't know. (details in the Answers section)

    Avoid: A rant, or a list of buzzwords without any reasoning.

    Sources: Student Doctor Network: Washington University-St. Louis School of Medicine Interview Feedback & Student · Admit.org: WashU St. Louis - Medical School Interviews - Admit.org

    Reported in 2 threads: Student Doctor Network · Admit.org

  2. What is the most important public health issue today, and what should we do about it? Sometimes

    What they're after. It tests whether you can move from naming a problem to a realistic response. Applicants report it in 2010 and more recently.

    How to answer. Pick an issue, explain briefly why it matters, then propose one or two concrete steps, including what a physician can do. Linking it to the Advocacy & Global Health pathway can show fit. (details in the Answers section)

    Avoid: Choosing a topic you can't go one question deeper on.

    Sources: Student Doctor Network: Washington University-St. Louis School of Medicine Individual responses (2010) · Admit.org: WashU St. Louis - Medical School Interviews - Admit.org

    Reported in 2 threads: Student Doctor Network, 2010 · Admit.org

  3. How do you think AI will change the practice of medicine? Occasionally

    What they're after. No source reports this question at WashU. WashU's interview advice does say interviewers may ask about modern medical care, and this is one likely form of it.

    How to answer. Give a balanced view: one way AI could help patients or doctors, one risk such as errors or bias, and why a physician still holds responsibility for care. Draw on anything you've actually used or seen. (details in the Answers section)

    Avoid: Claiming expertise you don't have. Saying what you don't know is acceptable.

    Sources: WashU Medicine: The Interview

Closing

Applicants advise ending with a closing statement that ties your values to WashU and having two or three genuine questions ready.

  1. Where do you see yourself in ten years? Sometimes

    What they're after. It checks whether your goals are thought through and match what WashU offers.

    How to answer. Give a direction rather than a locked plan: the kind of patients, setting or work you hope for, and the role research, teaching or advocacy might play. Show how EXPLORE or Phase 3 electives would help you get there. (details in the Answers section)

    Avoid: Committing so firmly to a specialty that you sound closed to learning.

    Sources: Student Doctor Network: Washington University-St. Louis School of Medicine Interview Feedback & Student · Admit.org: WashU St. Louis - Medical School Interviews - Admit.org

    Reported in 2 threads: Student Doctor Network · Admit.org

  2. What questions do you have for me? Sometimes

    What they're after. A good question shows real interest. Dean Ratts calls the interview a two-way street.

    How to answer. Ask your interviewer about their own experience at WashU, the coaching program or student culture. A 2021 applicant says you can ask about culture directly. You get your interviewers' names about two business days before, so you can prepare. (details in the Answers section)

    Avoid: Asking for statistics that are on the website, which WashU's interview advice warns against.

    Sources: Student Doctor Network: Washington University-St. Louis School of Medicine Interview Prep Briefing · Admit.org: WashU St. Louis - Medical School Interviews - Admit.org · Reddit: Whats with the comments on WashU medical school being full of gunners and the me (2021) · WashU Medicine: The Interview

Applicant reports on Student Doctor Network (an undated aggregate of interview feedback plus threads from 2007 to 2026), Reddit (2017 to 2026) and Admit.org (2025), plus WashU Medicine's own admissions pages for the 2026-27 cycle and two videos with Associate Dean for Admissions Valerie Ratts, MD.

Also drawn on: WashU Medicine: The Interview Experience - Medical Student Admissions · WashU Medicine: Virtual Interview Experience - Medical Student Admissions · WashU Medicine: The Interview · Student Doctor Network: Washington University-St. Louis School of Medicine Interview Feedback & Student · Student Doctor Network: Washington University-St. Louis School of Medicine Interview Prep Briefing · Reddit: Sharing my results and notes from this cycle! : r/premed (2026) · Student Doctor Network: 2026-2027 Washington University in St. Louis School of Medicine (2026) · Student Doctor Network: Medical - How To Get Accepted To Washington University School Of Medicine in St. (2022) · Reddit: We are students and admissions staff at Washington University School of Medicine (2017) · Admit.org: WashU St. Louis - Medical School Interviews - Admit.org · YouTube: Dr. Valerie Ratts, WashU Associate Dean for Admissions, on the secondary and the three-part interview · YouTube: Dr. Valerie Ratts, WashU Associate Dean for Admissions, explains the Virtual Interview Experience