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Dismissed from top 4 school condering transfering to AUA

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I was dismissed from caribbean school and really thinking about my options now and looking for feedback/exp from people who have some insight or exp of their own.

Options I am considering right now are:
Applying to lower tier (AUA) - I have concerns because being dismissed is on my record and it getting residencies might be a problem. It all depends on the USMLE.
Applying to DO/ SMP/ Post-bacc - I will have to retake the new MCAT and re-apply go through a lengthy time consuming process with no guarantees at the end.
Switch career - This option i cringe to think about..... Being a doctor is all I wanted to be ever since i could remember. I will consider it if all else fails.

I am taking the AUA route seriously but I still have poking doubts and would love some insight.

Thanks!

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