AITA for telling my coworker about the reality of a 478 MCAT score?

In a bustling hospital break room, where the aroma of coffee mingles with the hum of medical chatter, a young woman beams with pride, sharing her MCAT score with coworkers and doctors. Her score—478, in the bottom 2%—sparks cheers, but one colleague winces, knowing it’s a long shot for med school. The moment, filled with misplaced enthusiasm, sets the stage for a tough but honest conversation that leaves her reeling.

This isn’t just about a test score; it’s about navigating the fine line between kindness and truth in a high-stakes field. The colleague, also a med school hopeful, pulls her aside to deliver a reality check, hoping to steer her toward success. Shared on Reddit, this workplace dilemma resonates with anyone who’s faced the challenge of delivering hard truths while preserving someone’s dignity.

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‘AITA for telling my coworker about the reality of a 478 MCAT score?’

The MCAT is basically the entrance exam for medical schools in the US. Applicants are graded from 472 to 528 based on a percentile. A 478 is literally the bottom 2% of test takers. The median/average score that can maybe get you into a med school is a 500.

You must score at least a 508 to be in the top 20% of applicants, in a field where only about 20% of applicants each year accepted into all the med schools in the country. Results for the June 15 exam came out yesterday. This coworker was happily telling people how she passed and got a 478.

I myself aspire to be a doctor but postponed taking the MCAT because I have been unable to hit a 505 consistently in full length practice tests. I have an trying to coach her, telling her that she must hit at least a 500 to be even considered as a serious applicant.

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Throughout this process, I have noticed that she didn’t have a solid prep plan, or a good idea of how to be a pre-med student (she is non traditional like me). So when she was happily telling our other coworkers (and the doctors we work for!) that she got a 478, I took her aside and tried to explain to her the reality of the situation as nicely as possible.

Threw in some encouraging words about the virtues of retaking, implored her to hit the Kaplan books and really research the kinds of students the schools she wants to apply to (she just wants to get in anywhere). I asked her to reconsider postponing her applications until next year.

She had already sent out some primaries but haven’t gotten any secondary applications back. She was in near tears. It feels like I just crushed someone’s dreams. She couldn’t look me in the eye the rest of the day.. AITA???????

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This MCAT mishap underscores the delicate balance of honesty and empathy in professional settings. The colleague’s decision to privately inform her coworker about the 478 score’s implications was tough but necessary. A 478 places her in the bottom 2%, far below the 500 median needed for serious med school consideration . Here, the colleague’s gentle approach aimed to redirect her coworker’s efforts.

The coworker’s pride likely stems from misunderstanding the MCAT’s scoring. Unlike pass-fail exams, the MCAT’s 472–528 scale reflects percentiles, with 478 equating to minimal correct answers. Her non-traditional background and lack of prep may have left her unaware of the competitive landscape, where only 20% of applicants are accepted annually. The colleague’s advice to retake and study smarter reflects the reality of med school’s rigor.

This scenario highlights broader issues in navigating competitive fields. A 2021 study in Academic Medicine found that mentorship and clear guidance significantly improve outcomes for non-traditional applicants . The coworker’s enthusiasm is admirable, but her unpreparedness risks rejection, costing time and money. The colleague’s intervention, though painful, may save her from harsher setbacks, like wasted applications.

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Moving forward, the coworker could benefit from structured prep, like Kaplan courses, and mentorship to clarify med school expectations. The colleague might offer to study together, fostering support without overstepping. This approach aligns with Task’s advice to pair feedback with actionable steps. Readers can reflect on how to deliver tough news constructively, sharing strategies to support others’ goals while staying honest.

Check out how the community responded:

Reddit users largely backed the colleague, praising her for addressing the 478 score privately to spare her coworker public embarrassment. They noted that a score this low is effectively a barrier to med school, and her intervention likely saved time and resources. The community saw her encouragement to retake the exam as supportive, not cruel, given the MCAT’s brutal competitiveness.

Many emphasized the coworker’s misunderstanding of the scoring system, pointing out that boasting about a 478 reflects a lack of preparation for med school’s demands. The consensus was that the colleague acted with maturity, delivering a necessary wake-up call. These responses highlight the value of honest feedback in high-stakes pursuits, urging readers to prioritize clarity over false comfort.

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laurynscrawford − NAH. It sucks to be the bearer of bad news but you told her in the nicest way possible and didn’t embarrass her by doing so in front of everyone else or let her embarrass herself by continuing to talk about it. You told her the truth in the best way you could have. Maybe suggest studying together when you want to test again?

deliriousidoit − NAH. You're not wrong, and it's not like she lashed out at you. She is woefully ignorant about her situation, though. I don't think the people saying YTA understand it at all. The MCAT doesn't have a pass fail. It's just a score, like the SAT. Schools won't even look at any application once they see a 478.

You're smart in not taking the MCAT until you can consistently get a score on practice tests that you want. Schools really don't like it when people take it multiple times. That's why you're allowed to void your score right after you take your exam if you think you did bad.

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Taking it, getting a 478, and being happy about it tells me that this woman is not ready for med school in the slightest. Not only does she not understand the material at all, she also has no understanding of the scoring system, or what schools look for in applicants.

Getting such a low score means that she barely got any questions correct. Anybody who gets such a low score should know how badly they did, meaning she should have absolutely voided it. 478 is a *devastating* score.

The lowest you can get per section is a 118. This means that this woman got just 1.5 more points than that. This is like boasting about getting a D- (if even that!) on a test. Given maybe an hour so to familiarize themselves with the test, an English major with no scientific background would easily be able to get the same score

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by just scoring the average on the critical analysis section and getting the lowest score possible on every other section. If you answered 'A' for every question on the test, I wouldn't be surprised if you would get a higher score than 478.

organoreganono − NTA, but I'm honestly confused by this. The percentiles are included in the MCAT score report; did she somehow think she was in the top 2%?

saskiaindigo − NAH I don’t think you crushed her dreams, probably just made her embarrassed that she potentially looked like an i**ot in front of those other people if they knew her score was low but they were all too awkward and polite to say anything.

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But I’d say you were mature and sensitive about the way you spoke to her. Not sure how it is in the states but here in the UK the Med schools look at your grades and UKCAT/BMAT score a lot more than your personality and experience

so it depends whether she expected to still get in to a university because of other factors and actually didn’t mind the low MCAT score? But if it’s anything like it is here then you’re probably right about her not getting into medical school (at least not a good one) and you were just trying to help her out

_Aurax − NAH. I know you were acting out of the good of your heart but I really think you should’ve let her figure it out for herself. You did a good thing by telling her, but might just have broke her heart.

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fightme4315 − NAH - but I just wanted to add in that she might want to withdraw her primary application through AMCAS (or AACOMAS if DO) before she gets any secondaries.

 Some schools might really frown upon her applying when she's this unprepared (shows bad judgement and a lack of knowledge) and it could count against her in the future. OP, I don't know if you're in a place with her to advise this but she should definitely not keep going this cycle.

Zadsta − NAH. I don’t think most people reading this know what trying to get into med school is actually like. A score like that might as well be failing because it’s not gonna get her into even the “easiest” med schools.

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You probably saved her a lot of time, money, AND embarrassment by telling her instead of letting her figure it out by herself. But IMO if she didn’t even realize that was not a good score she isn’t ready for med school.

TheBackburner − The only assholes here are the people who decided on such an arbitrary scale for MCAT scoring. Why not just have your score BE your percentile of test takers? I don't think this person would have been so confused if her score on the exam had been a '2'. Is there something about 472 to 528 that makes sense that I'm not getting as a non-doctor?

Splooshpaloosh − NTA the MCAT is notorious and extremely difficult and you prevented her from someone really embarrassing her and using it against her. Doing things like this are a sign you will be a good doctor, because doctors have to bear bad news gently too

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chi_lawyer − [Text of original comment deleted for privacy purposes.]

This story shows that sometimes, the kindest act is a tough truth delivered with care. The colleague’s reality check wasn’t about crushing dreams but guiding her coworker toward a stronger path. Have you ever had to share hard feedback with a friend or coworker? Share your experiences—your insights could help others navigate the art of balancing honesty and kindness.

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